142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

298731
Preventing Adolescent Pregnancy and STI in Community Health Centers

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 8:54 AM - 9:06 AM

Stergios Roussos, PhD, MPH , Alliance for Community Research and Development, Merced, CA
Felicia Batts, MPH , Health Promotions, Golden Valley Health Centers, Merced, CA
Kristi Olivares, PhD , Alliance for Community Research and Development, Merced, CA
Angelica Carranza, MSW , Golden Valley Health Centers, MERCED, CA
Christine Noguera , Golden Valley Health Centers, MERCED, CA
The eight counties of California’s San Joaquin Valley have a longstanding history of the highest teen pregnancy and STI in the nation. A partnership among two Federally Qualified Health Center (FQHC) systems in SJV was awarded a competitive award to replicate an evidence-based program to prevent unintended pregnancy and STI for sexually active, non-pregnant, 13-19 year-old female patients. This project is among the first to evaluate a large-scale intervention for teen reproductive health in community health centers. Health educators trained in patient-centered care and motivational interviewing provide four personal visits four times over six months. Visits include in-person and video information, refusal skill role-plays, and condom demonstrations. Within 2-years, 1,440 teen patients were enrolled (67% of all eligible). Participants between the ages of 13 and 19 years, 78% Latino, and 58% spoke Spanish at home.  Results from a self-administered survey following each visit indicated that 15% of teens increased in condom use and 22% of teens increased their use of other pregnancy prevention methods. Other improvements included intentions to abstain (8%), asking a partner to use a condom (5%) and satisfaction with talking to their parents about sex (19%). Program findings include strategies to increase teen participation in reproductive health services at FQHCs and recommendations for leveraging the availability of community health centers in poor and isolated regions to improve health equity.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe how community health center interventions can influence teen patientsí attitudes and practices to prevent unintended pregnancy and STI

Keyword(s): Adolescents, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a program administrator in health care and community health for the past twelve years.
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.