Children who are healthy early in life--from conception to age five--not only grow up to be healthier adults, they are also better educated, earn more, and contribute more to the economy. The United States lags behind other advanced countries in early childhood health, threatening both the health of future generations and the nation's long-term…

Smoking and sexual risk behaviors in urban adolescent females are prevalent and problematic. Family planning clinics reach those who are at most risk. This randomized effectiveness trial evaluated a transtheoretical model (TTM)-tailored intervention to increase condom use and decrease smoking. At baseline, a total of 828 14- to 17-year-old females…

A nonrandomized experiment carried out in Jharkhand, India, shows how the effects of interventions designed to improve access to family-planning methods can be erroneously regarded as trivial when contraceptive use is utilized as dependent variable, ignoring women's need for contraception. Significant effects of the intervention were observed on…

Until recently, teen pregnancy and birth rates had declined steadily in the United States in recent years. Despite these declines, the United States has the highest teen birth rate and one of the highest rates of sexually transmitted infections (STIs) among all industrialized nations. To help young people reduce their risk for pregnancy and STIs,…

Until recently, teen pregnancy and birth rates had declined in the United States. Despite these declines, U.S. teen birth and sexually transmitted infection (STI) rates remain among the highest in the industrialized world. Given the need to focus limited prevention resources on effective programs, Advocates for Youth undertook exhaustive reviews…

Eight papers discuss current ideas about what can be accomplished when services are provided for adolescent parents. Topics include programs for high-risk adolescents, services and employment opportunities for pregnant and parenting adolescents, school-based clinics, evaluation of a teen pregnancy program, costs/benefits of deferred teenage…

Pregnancy among all teenagers is a major challenge facing the United States. A literature review indicated little research on the incidences of pregnancy and parenting among teenagers with disabilities, similarities and differences in their educational needs when compared to their non-disabled peers, and how programs address their specific…

Expanding on information provided in a softcover report of the same title, this hardcover edition contains additional chapters and presents a more complete picture of the revolution in child survival that UNICEF now believes to be possible. Part I, the annual message from the executive director of UNICEF, summarizes worldwide reaction to…