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Teen Pregnancy in Kalkaska Teens

Abby OBrien, Amber Vanderstow, Cassie Schulte, Dana Knoll, Emily Vance, Lisa Dust, Jessi Chipman, & Sasha Gapczynski

Assessment

54.4 vs 48.3 per 1,000

18.7% vs 17.5% poverty

73.7% vs 45.3% Medicaid paid births 86% vs 88.4% high school graduates

10.4% vs 25.3% college graduates

Assessment
Local Resources
Teen

Health Corner
Department (KAT)

Health

Transportation Food

Pantry (Baby Food Pantry)

Assessments
Strengths/Barriers

Teen Health Corners

Affordability

Inadequate Transportation Geopolitical Climate Lack of Motivation for Educational Attainment Kearney & Levine (2012) Low Risk Perception

Recognition of Problem

Health Belief Model

Diagnosis

Problem Statement

Risk of: Teen pregnancy Among: Kalkaska female teen ages 15-19 years old

Related to: Poverty, lack of education, uninsured/underinsured


As demonstrated by: 54.4 persons per 1000 of teen pregnancy

Planning
Goals: Reduce the Risk of Teen Pregnancy. Stakeholders:

Kalkaska County Health Department

Community Members

Parents/grandparents/caregivers

School Districts

Target population:

Kalkaska county teens

grades 8-12 (ages 13-19) Kalkaska High School

High Schools

Forest Area High School


Northside Educational Center Northside Alternative High School

Alternative Ed Schools

Planning
Resources needed:

Grants/Sponsors Properly Trained Educators Reducing The Risk Kit

Class Time

Policies:

Face-to-face class time Automatically enrolled in class Can be waived

Parents have the ability to opt their child out however; the child can not choose to get out without written permission for a legal guardian

Research class regarding life goals and evidence-based methods of contraception can be taken in place of class.

Grants:

National Campaign to Prevent Pregnancy

Implementation
Reducing the Risk (RTR): what is it?
What the program delivers and reinforces

Abstinences is the best and safest choice Youth should avoid unprotected sex

Youth should always use protection

How RTR works

16 classes, 45 minutes each

Skills and Information Taught in RTR


Abstinence: not having sex Avoiding high-risk situations Knowing about, getting and using protection Preventing HIV and other STD Sticking with abstinence and protection Refusal skills and delay tactics, practiced through role plays

The more students effectively say no to sex, or to unprotected sex, the more likely they will be to use these skills

Reducing the Risk


RTR Goals and Outcomes Knowledge Participating and comparison students' knowledge of contraception increased

Attitudes and perceptions The curriculum significantly affected students' perceptions of which of their peers were having sex
Behaviors Increased parent-child communication about abstinence and contraception Delayed initiation of sexual intercourse Reduced incidence of unprotected sex among lower risk youth

Reducing the Risk


Funding

Grants
School board budget

Attendance

16 lessons

School policy

Abstinence only State curriculum guidelines

Educators
Local resources

Reducing the Risk


Where

Area high schools

When

Designated time during health education

Geopolitical community

Conservative community

Primary/secondary community prevention


EBP

3 studies support the effectiveness of this program

Permission for intervention


School District Board of Education

Evaluation
Decreased rates in teen pregnancy Rates starting to decrease within 1 year of program being implemented Program Objectives (pre/post test)

Evaluate risks/consequences Recognize abstaining from sex and protection forms

Effective communication skills

Outcomes tracked

Sexual activity Contraception use Risk perception

Evaluation Continued

Health behavior theories Social learning theory Social inoculation theory Cognitive Behavior theory Intervention effective Results Increased knowledge Increased communication Reduced onset of intercourse Increased contraceptive use Reduce unprotected intercourse

Measures to study

Teenage pregnancy rates

STI rates
Onset of intercourse Knowledge on abstinence, contraception, pregnancy risk, STI prevention At different time intervals

References
Advocates for youth. (n.d.). Reducing the Risk. Retrieved from: http://www.advocatesforyouth.org/publications/1127?task=view

Center for Disease Control. (n.d.). Teen Pregnancy. Retrieved from: http://www.cdc.gov/Features/TeenPregnancy/
ETR health promotion: more information about the RTR program. (n.d.). ETR Health Promotion: Home. Retrieved September 30, 2013, from http://pub.etr.org/docpages.aspx?pagename=solution-rtrinfo#summary

Kearney, M. & Levine, P. (2012). Why is the teen birth rate in the united states so high and why does it matter?. Journal of Economic Perspectives, 26(2), 141-166.
Michigan Department of Education. Michigan merit curriculum credit guidelines. Retrieved from website: http://www.michigan.gov/documents/mde/Health_MMC_178846_7.pdf Reducing the risk: building skills to prevent, STD and HIV. (2013, September 11). ETR Health Promotion. Retrieved September 25, 2013, from http://pub.etr.org/ProductDetails.aspx?id=110000&itemno=Z001 The National Campaign to Prevent Teen and Unplanned Pregnancy(2013). The national campaign fund. Retrieved on September 24, 2013 from http://www.thenationalcampaign.org/default.aspx.

Questions?

The End Thank You!

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