Learning Objective 1: Identify global adolescent pregnancy trends and interventions to reduce risky behaviors and prevent teenage pregnancy reported in the national and international research literature.
Learning Objective 2: Describe a new instrument to measure risky behaviors, abstinence attitudes/behaviors and parent–teen communication for use with teenagers.
Methods: Pretest post-test design. Four intervention/five comparison schools participated (N=4076). Intervention participants were randomly selected. Comparison participants were a convenience sample. Intervention/ comparison schools were matched on demographic variables. Instruments: AFL Core and Demographic Questionnaires. Factor Analysis, t-tests, ANOVA, .05 level of significance were used.
Results: Seven factors were identified: Abstinence(Cronbach’s alpha 0.827), Negative Effects of Teen Sex(Cronbach’s alpha, 0.791), Male Parental Interaction(Cronbach’s alpha, 0.782), Talk to Parent(Cronbach’s alpha, 0.779), Teens Future Perceptions(Cronbach’s alpha, 0.774), Use of Drugs/Alcohol(Cronbach’s alpha, 0.72), Female Parental Interaction(Cronbach’s alpha, 0.677). Intervention group scored higher than comparison group on Abstinence (t=13.161, p=<.001),Female Parental Interaction (t= 2.549, p=.011), Future Perceptions (t=3.645, p<.001), Negative Effects of Teen Sex (t=4.774, p<.001) and lower on Drug/Alcohol Use(t=-9.372, p<.001). Intervention group was significantly different on pre-posttest scores for Female Parental Interaction (2.881,p=.004), Talk to Parent( -2.203, p=.028). Comparison group had different pre-posttest scores for Drug/Alcohol Use(-2.934, p=.003), Future Perceptions (3.747, p<.001).
Conclusion: Intervention participants have more significant outcomes related to abstinence behaviors/attitudes than comparison participants. Findings suggest the intervention promotes abstinence, reduces risky behaviors which help prevent teenage pregnancy and health problems. Findings have implications for interventions to prevent teenage pregnancy by fostering abstinence attitudes/behaviors and reducing risky behaviors.
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