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Racial Disparities in a Teen Pregnancy Prevention Program: Abstinence‐Only Versus a Comprehensive Sexuality Education Program
ABSTRACT BACKGROUND Despite overall declines in risky teen sexual activity, racial and ethnic disparities persist. This study compared abstinence‐only and comprehensive teen pregnancy prevention (TPP) programs to explore the effects of the programs on teen sexual activity‐related outcomes that may d...
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| Published in: | The Journal of school health 2024-12, Vol.94 (12), p.1164-1173 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 1173 |
| container_issue | 12 |
| container_start_page | 1164 |
| container_title | The Journal of school health |
| container_volume | 94 |
| creator | Merritt, Breanca Green, Jennifer Sanchez, Louisiana Montserrat Fluhr, Janene Oman, Roy F. |
| description | ABSTRACT
BACKGROUND
Despite overall declines in risky teen sexual activity, racial and ethnic disparities persist. This study compared abstinence‐only and comprehensive teen pregnancy prevention (TPP) programs to explore the effects of the programs on teen sexual activity‐related outcomes that may differ by race/ethnicity.
METHODS
Program evaluation data were collected from 7th‐grade students in comprehensive (N = 3244) and abstinence‐only (N = 3172) TPP programs. Differences between outcomes by TPP program were analyzed using chi‐square tests and logistic regression for each racial/ethnic group.
RESULTS
Black and Hispanic students were significantly less likely to indicate positive attitudes, intentions, and behaviors at baseline. Only white students significantly improved in both programs from pre‐ to post‐assessment. Native American students in the abstinence‐only program were significantly less likely than Native American students in the comprehensive sexuality programming to improve from pre‐ to post‐assessment regarding male sexuality, refusal skills, sex and teen norms, and sexual abstinence.
CONCLUSIONS
The findings suggest that youth of diverse racial/ethnic backgrounds do not enter TPP programs with similar attitudes, intentions, or behavior regarding appropriate sexual behavior and that the impact of such programs also may vary by race and ethnicity. |
| doi_str_mv | 10.1111/josh.13524 |
| format | article |
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BACKGROUND
Despite overall declines in risky teen sexual activity, racial and ethnic disparities persist. This study compared abstinence‐only and comprehensive teen pregnancy prevention (TPP) programs to explore the effects of the programs on teen sexual activity‐related outcomes that may differ by race/ethnicity.
METHODS
Program evaluation data were collected from 7th‐grade students in comprehensive (N = 3244) and abstinence‐only (N = 3172) TPP programs. Differences between outcomes by TPP program were analyzed using chi‐square tests and logistic regression for each racial/ethnic group.
RESULTS
Black and Hispanic students were significantly less likely to indicate positive attitudes, intentions, and behaviors at baseline. Only white students significantly improved in both programs from pre‐ to post‐assessment. Native American students in the abstinence‐only program were significantly less likely than Native American students in the comprehensive sexuality programming to improve from pre‐ to post‐assessment regarding male sexuality, refusal skills, sex and teen norms, and sexual abstinence.
CONCLUSIONS
The findings suggest that youth of diverse racial/ethnic backgrounds do not enter TPP programs with similar attitudes, intentions, or behavior regarding appropriate sexual behavior and that the impact of such programs also may vary by race and ethnicity.</description><identifier>ISSN: 0022-4391</identifier><identifier>ISSN: 1746-1561</identifier><identifier>EISSN: 1746-1561</identifier><identifier>DOI: 10.1111/josh.13524</identifier><identifier>PMID: 39505698</identifier><language>eng</language><publisher>Malden, USA: Wiley Periodicals, Inc</publisher><subject>Adolescent ; Adolescent Behavior - ethnology ; Adolescent Behavior - psychology ; American Indian or Alaska Native ; Female ; health disparities ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; minority health ; Pregnancy ; Pregnancy in Adolescence - ethnology ; Pregnancy in Adolescence - prevention & control ; Program Evaluation ; Racial Groups ; School Health Services - organization & administration ; Sex Education - methods ; Sexual Abstinence - ethnology ; Sexual Behavior ; teen pregnancy prevention programs ; White</subject><ispartof>The Journal of school health, 2024-12, Vol.94 (12), p.1164-1173</ispartof><rights>2024 American School Health Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2184-5c19eb97565780c30ab1c2ca3562e2bbe30eec8c63607b522d8c9a5eefc952a03</cites><orcidid>0000-0001-7733-4832</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39505698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Merritt, Breanca</creatorcontrib><creatorcontrib>Green, Jennifer</creatorcontrib><creatorcontrib>Sanchez, Louisiana Montserrat</creatorcontrib><creatorcontrib>Fluhr, Janene</creatorcontrib><creatorcontrib>Oman, Roy F.</creatorcontrib><title>Racial Disparities in a Teen Pregnancy Prevention Program: Abstinence‐Only Versus a Comprehensive Sexuality Education Program</title><title>The Journal of school health</title><addtitle>J Sch Health</addtitle><description>ABSTRACT
BACKGROUND
Despite overall declines in risky teen sexual activity, racial and ethnic disparities persist. This study compared abstinence‐only and comprehensive teen pregnancy prevention (TPP) programs to explore the effects of the programs on teen sexual activity‐related outcomes that may differ by race/ethnicity.
METHODS
Program evaluation data were collected from 7th‐grade students in comprehensive (N = 3244) and abstinence‐only (N = 3172) TPP programs. Differences between outcomes by TPP program were analyzed using chi‐square tests and logistic regression for each racial/ethnic group.
RESULTS
Black and Hispanic students were significantly less likely to indicate positive attitudes, intentions, and behaviors at baseline. Only white students significantly improved in both programs from pre‐ to post‐assessment. Native American students in the abstinence‐only program were significantly less likely than Native American students in the comprehensive sexuality programming to improve from pre‐ to post‐assessment regarding male sexuality, refusal skills, sex and teen norms, and sexual abstinence.
CONCLUSIONS
The findings suggest that youth of diverse racial/ethnic backgrounds do not enter TPP programs with similar attitudes, intentions, or behavior regarding appropriate sexual behavior and that the impact of such programs also may vary by race and ethnicity.</description><subject>Adolescent</subject><subject>Adolescent Behavior - ethnology</subject><subject>Adolescent Behavior - psychology</subject><subject>American Indian or Alaska Native</subject><subject>Female</subject><subject>health disparities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Male</subject><subject>minority health</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence - ethnology</subject><subject>Pregnancy in Adolescence - prevention & control</subject><subject>Program Evaluation</subject><subject>Racial Groups</subject><subject>School Health Services - organization & administration</subject><subject>Sex Education - methods</subject><subject>Sexual Abstinence - ethnology</subject><subject>Sexual Behavior</subject><subject>teen pregnancy prevention programs</subject><subject>White</subject><issn>0022-4391</issn><issn>1746-1561</issn><issn>1746-1561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EoqWw4QOQlwgp4EecBztUHgVVKuK1jRx3WowSJ9hJISv4BL6RLyElBbHibmY0OnMWF6FdSg5pm6Onwj0eUi6Yv4b6NPQDj4qArqM-IYx5Po9pD20590TahDzcRD0eCyKCOOqjtxuptMzwqXaltLrS4LA2WOI7AIOvLcyNNKpZbgswlS6Wx2JuZX6MT1JXaQNGwef7x8RkDX4A62rXfg-LvLTwCMbpBeBbeK1lpqsGn01rJf9attHGTGYOdlZzgO7Pz-6GI288ubgcnow9xWjke0LRGNI4FIEII6I4kSlVTEkuAgYsTYETABWpgAckTAVj00jFUgDMVCyYJHyA9jtvaYvnGlyV5NopyDJpoKhdwikTfuRTwlv0oEOVLZyzMEtKq3Npm4SSZFl4siw8-S68hfdW3jrNYfqL_jTcArQDXnQGzT-q5GpyO-qkX2awjk0</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Merritt, Breanca</creator><creator>Green, Jennifer</creator><creator>Sanchez, Louisiana Montserrat</creator><creator>Fluhr, Janene</creator><creator>Oman, Roy F.</creator><general>Wiley Periodicals, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7733-4832</orcidid></search><sort><creationdate>202412</creationdate><title>Racial Disparities in a Teen Pregnancy Prevention Program: Abstinence‐Only Versus a Comprehensive Sexuality Education Program</title><author>Merritt, Breanca ; Green, Jennifer ; Sanchez, Louisiana Montserrat ; Fluhr, Janene ; Oman, Roy F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2184-5c19eb97565780c30ab1c2ca3562e2bbe30eec8c63607b522d8c9a5eefc952a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior - ethnology</topic><topic>Adolescent Behavior - psychology</topic><topic>American Indian or Alaska Native</topic><topic>Female</topic><topic>health disparities</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Male</topic><topic>minority health</topic><topic>Pregnancy</topic><topic>Pregnancy in Adolescence - ethnology</topic><topic>Pregnancy in Adolescence - prevention & control</topic><topic>Program Evaluation</topic><topic>Racial Groups</topic><topic>School Health Services - organization & administration</topic><topic>Sex Education - methods</topic><topic>Sexual Abstinence - ethnology</topic><topic>Sexual Behavior</topic><topic>teen pregnancy prevention programs</topic><topic>White</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Merritt, Breanca</creatorcontrib><creatorcontrib>Green, Jennifer</creatorcontrib><creatorcontrib>Sanchez, Louisiana Montserrat</creatorcontrib><creatorcontrib>Fluhr, Janene</creatorcontrib><creatorcontrib>Oman, Roy F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of school health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Merritt, Breanca</au><au>Green, Jennifer</au><au>Sanchez, Louisiana Montserrat</au><au>Fluhr, Janene</au><au>Oman, Roy F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial Disparities in a Teen Pregnancy Prevention Program: Abstinence‐Only Versus a Comprehensive Sexuality Education Program</atitle><jtitle>The Journal of school health</jtitle><addtitle>J Sch Health</addtitle><date>2024-12</date><risdate>2024</risdate><volume>94</volume><issue>12</issue><spage>1164</spage><epage>1173</epage><pages>1164-1173</pages><issn>0022-4391</issn><issn>1746-1561</issn><eissn>1746-1561</eissn><abstract>ABSTRACT
BACKGROUND
Despite overall declines in risky teen sexual activity, racial and ethnic disparities persist. This study compared abstinence‐only and comprehensive teen pregnancy prevention (TPP) programs to explore the effects of the programs on teen sexual activity‐related outcomes that may differ by race/ethnicity.
METHODS
Program evaluation data were collected from 7th‐grade students in comprehensive (N = 3244) and abstinence‐only (N = 3172) TPP programs. Differences between outcomes by TPP program were analyzed using chi‐square tests and logistic regression for each racial/ethnic group.
RESULTS
Black and Hispanic students were significantly less likely to indicate positive attitudes, intentions, and behaviors at baseline. Only white students significantly improved in both programs from pre‐ to post‐assessment. Native American students in the abstinence‐only program were significantly less likely than Native American students in the comprehensive sexuality programming to improve from pre‐ to post‐assessment regarding male sexuality, refusal skills, sex and teen norms, and sexual abstinence.
CONCLUSIONS
The findings suggest that youth of diverse racial/ethnic backgrounds do not enter TPP programs with similar attitudes, intentions, or behavior regarding appropriate sexual behavior and that the impact of such programs also may vary by race and ethnicity.</abstract><cop>Malden, USA</cop><pub>Wiley Periodicals, Inc</pub><pmid>39505698</pmid><doi>10.1111/josh.13524</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7733-4832</orcidid></addata></record> |
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| ispartof | The Journal of school health, 2024-12, Vol.94 (12), p.1164-1173 |
| issn | 0022-4391 1746-1561 1746-1561 |
| language | eng |
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| source | Wiley |
| subjects | Adolescent Adolescent Behavior - ethnology Adolescent Behavior - psychology American Indian or Alaska Native Female health disparities Health Knowledge, Attitudes, Practice Humans Male minority health Pregnancy Pregnancy in Adolescence - ethnology Pregnancy in Adolescence - prevention & control Program Evaluation Racial Groups School Health Services - organization & administration Sex Education - methods Sexual Abstinence - ethnology Sexual Behavior teen pregnancy prevention programs White |
| title | Racial Disparities in a Teen Pregnancy Prevention Program: Abstinence‐Only Versus a Comprehensive Sexuality Education Program |
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