Online Program

Teen pregnancy prevention as a state priority: Assessment of continuity with contextual state data

Tuesday, November 5, 2013

Travis Howlette, MD Candidate, Medicine (MD), Albert Einstein College of Medicine, Bronx, NY
Background: The US teen pregnancy rate decreased 9% between 2009 and 2010, reaching an all-time low of 34.3 births per 1,000 women aged 15-19. There is currently no framework for using relevant state-level contextual information to understand the relationship of state systems with state teen pregnancy prevention (TPP) activities.

Methods: An assessment was conducted to understand the relationship between states identifying TPP as a Title V priority and state: teen population counts; teen pregnancy rates; fertility rates; Medicaid expansion waivers/state plan amendments; abstinence-only education program funding; developed performance measures; and Title V assessed TPP activities.

Results: Among the 50 states and DC, 31% identified TPP as a Title V priority; 41% of states with teen birth rates above the national average identified TPP as a Title V priority. Of the states that identified TPP as a priority, 56% did not have a state-developed measure for teen pregnancy and 13% did not identify any activities related to TPP. Among all states with teen birth rates above the national average, only 32% had some form of Medicaid family planning expansion waiver or State Planning Amendment covering teens ages 15-17.

Discussion: A diversity of publicly available data that can provide state-level contextual information related to TPP is available; however, teen pregnancy rates do not co-align as might be expected with TPP being named a Title V priority. Reasons for this discontinuity between data and priority remain unknown, but methods that better incorporate relevant state policy information may be necessary to understand this occurrence.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines
Public health or related research

Learning Objectives:
Describe how the Title V (MCH Block Grant) needs assessment is completed by states. Identify ideal state policies which may be useful in reducing teen birth rates. Compare the socio-political environment surrounding the different states around teen pregnancy prevention. Assess needed improvements amongst state policies surrounding teen pregnancy prevention efforts. Formulate new ideas of areas to apply our study methods within their work.

Keyword(s): Teen Pregnancy Prevention, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I worked as a research fellow within the Division of Reproductive Health of the Centers for Disease Control and Prevention for 2 years in the areas of family planning, teen pregnancy prevention, and infant mortality.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
CDC Family Planning Research Fellow

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.