250395 Economic outcome evaluation for preadolescent pregnancy prevention

Wednesday, November 2, 2011: 9:30 AM

Tetsuji Yamada, PhD , Department of Economics, Rutgers University, the State University of New Jersey, Camden, NJ
Chia-Ching Chen, MA, MS, EdD, CHES , Department of Epidemiology & Community Health, New York Medical College School of Health Sciences & Practice, Valhalla, NY
Martin Finkelstein, PhD , Department of Educational Leadership Management and Policy, Seton Hall University, South Orange, NJ
Shijian Li, PhD , MSW , School of Medicine, New York University, New York City, NY
General Background: Unintended pregnancy among preadolescents often imposes burdens of poor health outcomes, induce socio-economic costs, and increase health/medical costs.

Purpose: The present study is to examine the extent to which intervention programs are effective, and to assess the impacts of unintended pregnancy intervention for underserved preadolescents.

Significance: This study underscores the need to target underserved preadolescents and to distinguish cultural differences in sexual activities. It is crucial to evaluate a school-based program and economic outcomes taking into account different socio-cultural characteristics and behaviors in order to allocate resources effectively.

Methods: The project employed a quasi-experimental treatment-control group evaluation design with random assignment of schools to treatment and control groups in New York. About 700 students are in the intervention and 500 students were in the control group in 6th and 7th grades. A common instrument was administered to students at baseline and at 6 month, 12 month and 24 month follow ups. Statistical analysis: A descriptive analysis will be conducted to reveal the distributional properties. Each variable will be inputted into a two stages multivariate regression model. The analysis of this research is to determine what factors affect the health outcomes and pregnancy prevention.

Findings/Results: The findings show that this school-based health intervention prevents 5about preadolescent students from becoming pregnant by investing $1,000 per year. In addition, the program contributes $20 per preadolescent of net gain relative to real average cost input value. Moreover, these results confirmed the effectiveness of the school-based health-education intervention even among preadolescents who are already sexually active.

Conclusions/Recommendations: The school-based health intervention for underserved preadolescents is practical. A long-term economic impact evaluation might be necessary to observe if the changes are stable over time and from resource allocation perspectives.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Program planning
Public health or related education
Public health or related research

Learning Objectives:
Participants will learn to use cost-effectiveness approach to evaluate a school-based unintended pregnancy health intervention for underserved preadolescents.

Keywords: Adolescent Health, Economic Analysis

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I conduct the research and analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Economic Evaluations
See more of: Medical Care