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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Claire Brindis, DrPH1, M. Antonia Biggs, PhD1, K. John McConnell, PhD1, Sara Peterson, MPH1, Katrine Lofberg1, Adrienne Brown, BA1, Joe Funk, BA1, Helen Cagampang, PhD1, John Mikanda, MD, MPH2, and Anna Ramirez, MPH2. (1) Center for Reproductive Health Research and Policy, University of California, San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94143-0936, 415-476-5255, brindis@itsa.ucsf.edu, (2) Office of Family Planning, California Department of Health Services, 714 P Street, Room 440, Sacramento, CA 95814
California is known for its history of comprehensive efforts to reduce teenage pregnancy by implementing a combination of clinical and educational pregnancy prevention programs for youth. Since its inception, California's publicly funded family planning program, Family Planning Access, Care, and Treatment (PACT), has substantially increased access to services for teens (67% from FY95/96-97/98). Preliminary evidence suggests that declines in teen birth rates are more pronounced in communities with pregnancy prevention programs that incorporate youth development and family life education approaches. The purpose of this study was to examine whether the number of Family PACT providers and clients served in a given area is associated with adolescent birth rates while controlling for sociodemographic characteristics and co-existing educational and clinical prevention programs and services. Zip codes with 500 or more teens, ages 12-17 (N=1,023) and a comprehensive list of 3,487 state-funded clinical provider and prevention program sites were included in the analysis. A tobit regression model for censored data was used to predict teen birthrates in 2000. The number of Family PACT providers, clients served, median income, and ethnicity significantly predicted teen birthrates in a given zip code. In addition, when educational prevention programs were located in areas that also made clinical services available, birth rates were significantly lower. Findings suggest that while the presence of a Family PACT provider in a given zip code plays an important role in reducing teen birthrates, a combined approach of clinical and educational services may be even more effective.
Learning Objectives:
Keywords: Adolescent Health, Pregnancy
Related Web page: www.dhs.cahwnet.gov/pcfh/ofp/FamPact/
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Family PACT, the publicly funded family planning program for the state of California
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: This evaluation research was funded by the stated of California, Office of Family Planning