The past 3 decades have seen significant advancements in the area of adolescent contraceptive
services and steady improvement in teen birth rates. Available contraceptive options
have markedly increased. We have seen the expansion of short-acting hormonal contraceptive
types, the entrance of long-acting reversable contraceptives, and the arrival of over-the-counter
emergency contraception. Concurrent with this increase in contraceptive options and
access, rates of teen births in the United States have steadily declined. In 2015,
teen birth rates were 64% lower than in 1991,
1.
,2.
and 2017 saw another record low with a teen birth rate of 18.8 per 1000 women in
this age group.
3.
Looking back, we can clearly see progress has been made on “moving the needle” with
regard to teen pregnancy.To read this article in full you will need to make a payment
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References
- Continued Declines in Teen Births in the United States, 2015.NCHS Data Brief. 2016; 259: 1
- Progress pays off.January 7, 2021 (Available:) (Accessed)
- Births in the United States, 2017.NCHS Data Brief. 2018; 318: 1
- Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends.J Adolesc Health. 2015; 56: 223
- Reduced disparities in birth rates among teens aged 15-19 years – United States, 2006-2007 and 2013-2014.MMWR Morb Mortal Wkly Rep. 2016; 65: 409
- What's known and what's next: contraceptive counseling and support for adolescents and young adult women.J Pediatr Adolesc Gynecol. 2021; 34: 483-489
- Importance of investing in adolescence from a developmental science perspective.Nature. 2018; 554: 441
- How can we help people choose a method of contraception? The case for contraceptive decision aids.J Fam Plan Reprod Health Care. 2009; 35: 219
- Women's values in contraceptive choice: a systematic review of relevant attributes included in decision aids.BMC Womens Health. 2014; 14: 1
Article info
Publication history
Accepted:
January 24,
2021
Received:
January 22,
2021
Identification
Copyright
© 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- What's Known and What's Next: Contraceptive Counseling and Support for Adolescents and Young Adult WomenJournal of Pediatric and Adolescent GynecologyVol. 34Issue 4
- PreviewThe low rates of actual contraceptive failure and high rates of contraceptive use among young women highlight that choice of contraceptive method and patterns of contraceptive use greatly influence unintended pregnancy risk. Promoting contraceptive use among adolescent and young adult women requires supportive health systems and health providers who understand this population's evolving developmental needs. It also requires an awareness of effective tools for counseling patients, while being mindful of the power dynamics operational during clinical encounters to avoid inadvertently coercive interpersonal dynamics.
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