Background: To contribute to a reduction in teenage pregnancy among in-school adolescents in Rwanda, a sexual and reproductive health peer education programme (SRHPEP) was developed and implemented. Reflecting on the unique characteristics of this newly implemented programme, and understanding peer educators' (PEs) and facilitators' perspectives,…

Substantial evidence supports comprehensive sex education programs as effective means of promoting adolescent sexual health, but evidence on the effect of state-level sex education policy is inconclusive. Multiple states in the U.S. afford local authority in school policy, and existing literature calls for investigation of the impact of local…

Background: Despite overall declines in risky teen sexual activity, racial and ethnic disparities persist. This study compared abstinence-only and comprehensive teen pregnancy prevention (TPP) programs to explore the effects of the programs on teen sexual activity-related outcomes that may differ by race/ethnicity. Methods: Program evaluation data…

Background: School health education, including sexual health education, plays a crucial role in shaping adolescents' protective health behaviors, experiences, and outcomes. Adolescents need functional knowledge and skills to practice, adopt, and maintain healthy behaviors for preventing sexually transmitted infections (STIs), including human…

Respecting the Circle of Life (RCL) is a teen pregnancy prevention program that was evaluated for effectiveness on sexual health risk behaviors through a two-arm randomized control trial (RCT) with American Indian (AI) youth ages 11-19. The objective of this study is to investigate the effects of RCL compared to a control group on items of condom…

Among programs designed to reduce teen pregnancy, few evidence-based interventions specifically aim to reduce repeat pregnancies. Repeat pregnancies among adolescent mothers, however, are both prevalent and consequential. About one-sixth of births to adolescent mothers are repeat births. Compared to adolescent mothers with only one child, those…

Background: Missouri Personal Responsibility Education Program (PREP) provides sexual health education programs to youth with goals of reducing unintended teen pregnancies. Theories of change provide that youth improve their sexual health knowledge, intentions, attitudes, and behaviors as a result of program implementation. Program evaluations are…

Comprehensive sexual health education is critical for the prevention of STIs and unintended pregnancy among young people. Yet, increasing barriers to comprehensive sexual health education in classroom settings underscore the importance of youth-friendly technologies to address sexual health among young people. "It's OK to Ask Someone"…

This paper explores the use of withdrawal as a harm reduction approach to adolescent pregnancy prevention and its association with condom use. Data come from a baseline survey of a randomised controlled trial to test the effectiveness of FLASH, a sexual health education curriculum. Study participants completed electronic self-report surveys in…

While the fertility effects of improving teenagers' access to contraception are theoretically ambiguous, most empirical work has shown that access decreases teen fertility. In this paper, we consider the fertility effects of access to condoms--a method of contraception not considered in prior work. We exploit variation across counties and across…

Educational efforts to reduce global rates of adolescent pregnancy vary widely with a significant deficiency in the domain of sex education facilitator training. In this study, we sought to establish a pilot approach to comprehensive sex education facilitator training in Riobamba, Ecuador. The approach was aligned with UNESCO recommendations for…

Teen pregnancy and sexually transmitted infections are leading public health problems in the United States. While abstaining from sexual intercourse is the best way to avoid these conditions, abstinence only education (AOE) programs in schools have been shown ineffective in delaying sexual initiation or decreasing the teen pregnancy rate.…

Southern Africa remains the epicentre of the human immunodeficiency virus (HIV) epidemic with AIDS the leading cause of death amongst adolescents. Poor policy translation, inadequate programme implementation and fragmentation of services contribute to adolescents' poor access to sexual and reproductive health and rights (SRHR) services. This study…

Santa Ana, California has the highest teenage birth rate in Orange County, USA, at 28.2 per 1,000 women aged 15-19 as compared to 12.0 per 1000 women of similar age elsewhere in the county. In the light of this disparity, University of California Irvine medical students surveyed a convenience sample of 9th grade students (aged 14-15 years) in…

Teen pregnancy and sexually transmitted infections remain a major health concern and are linked to a number of poor outcomes. Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth are particularly at risk for these issues. Although evidence-based teen pregnancy prevention (TPP) programs exist, they are not necessarily tailored…