More consistent use of condoms, oral contraception or both was reported by a group of teenage girls who took part in a youth development intervention aimed at reducing pregnancy risk in high-risk adolescents, according to a report of a randomized controlled trial published Online First by JAMA Pediatrics, a JAMA Network publication.
The United States continues to have the highest rates of teen pregnancy and childbearing among the industrialized nations and each year more than 750,000 young women ages of 15 and 19 years become pregnant, resulting in more than 400,000 births, according to the study background.
Renee E. Sieving, R.N., Ph.D., F.S.A.H.M., of the University of Minnesota, Minneapolis, and colleagues examined sexual risk behaviors and outcomes with a 24-month follow-up survey, six months after the conclusion of the Prime Time youth development intervention.
Prime Time is an intervention for girls at high risk for pregnancy and designed for primary care clinics. The primary focus was on promoting change in selected psychosocial attributes linked to sexual risk behaviors and other behavioral outcomes, working with case managers and intervention components such as youth leadership.
Of 253 sexually active 13- to 17-year-old girls, who met specified risk criteria, 236 (93.3 percent) completed the 24-month survey. The trial included 126 girls assigned to the intervention and 127 assigned to the control group.
"Findings suggest that health services grounded in a youth development framework can lead to long-term reductions in sexual risk among vulnerable youth," the study notes.