Reducing Adolescent Pregnancy Through A School- and Community-Based Intervention: Denmark, South Carolina, Revisited

Koo, Helen P.; Dunteman, George H.; George, Cindee; Green, Yvonne; Vincent, Murray L.

doi:10.2307/2135940

Cited by 50 publications

(37 citation statements)

References 8 publications

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“…Longer follow-up periods are more likely to detect the potential effects of social trends related to the population outcome of interest (117) and the effects of additions and deletions of important intervention components (69). For example, a reanalysis of data from a 4-year study with significant improvements in populationlevel outcomes found that the discontinuation of some intervention components reversed the effects 3 years later (69).…”

Section: Methodological Challenges In the Study Of Collaborative Partmentioning

confidence: 99%

“…For example, a reanalysis of data from a 4-year study with significant improvements in populationlevel outcomes found that the discontinuation of some intervention components reversed the effects 3 years later (69). Demonstrations of how collaborative efforts contribute to improvement of more distant population-level health outcomes may be more likely with studies of collaborative partnerships that benefit from either sustained local funding or longer-term extramural funding.…”

Section: Methodological Challenges In the Study Of Collaborative Partmentioning

confidence: 99%

“…The South Carolina School/Community Program for Sexual Risk Reduction Among Teens found a 52% reduction in the incidence of adolescent pregnancy within 2 years (122). This preinitiativepostinitiative difference in the intervention community was statistically significant when compared with change in three other similar communities (69,122). In a systematic replication of the South Carolina program in three intervention communities, the School/Community Adolescent Pregnancy Prevention Partnerships in Kansas found a 9-12% decrease in estimated pregnancy rates and a 13% decrease in birth rates in 14 to 17 year olds within 2 years (92a).…”

Section: ? Partnerships As a Community Health Strategymentioning

confidence: 96%

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A Review of Collaborative Partnerships as a Strategy for Improving Community Health

Roussos

Fawcett

2000

Annu. Rev. Public Health

916

833

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Key Words coalition, community and systems change, environmental change, community health improvement, population health improvement s Abstract Collaborative partnerships (people and organizations from multiple sectors working together in common purpose) are a prominent strategy for community health improvement. This review examines evidence about the effects of collaborative partnerships on (a) community and systems change (environmental changes), (b) community-wide behavior change, and (c) more distant population-level health outcomes. We also consider the conditions and factors that may determine whether collaborative partnerships are effective. The review concludes with specific recommendations designed to enhance research and practice and to set conditions for promoting community health.

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Section: Methodological Challenges In the Study Of Collaborative Partmentioning

confidence: 99%

Section: Methodological Challenges In the Study Of Collaborative Partmentioning

confidence: 99%

Section: ? Partnerships As a Community Health Strategymentioning

confidence: 96%

See 1 more Smart Citation

A Review of Collaborative Partnerships as a Strategy for Improving Community Health

Roussos

Fawcett

2000

Annu. Rev. Public Health

916

833

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“…This intensive program was effective at reducing the teen pregnancy rate for the duration of the time that it was able to sustain interest and momentum in the program (Kirby 2007;Vincent et al 1987Vincent et al , 2004Koo et al 1994). Similar programs with even more intensive school nursing components have also shown success (Vincent et al 2004), but the results of less intensive community-based initiatives has been mixed (Paine-Andrews et al 1999;Hughes et al 1995).…”

Section: Writesmentioning

confidence: 99%

Finding a Way to Offer Something More: Reframing Teen Pregnancy Prevention

Sisson

2011

Sex Res Soc Policy

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Advocacy organizations have consistently framed adolescent pregnancy as profoundly and enduringly detrimental for young women, their families, and their communities, despite equivocal evidence about the causal relationship between young maternal age and poor outcomes. Without this attribution, logic mandates that such organizations find more evidence-based justifications for teen pregnancy prevention that still address the lived experiences of populations most at risk for early parenthood. If such evidence-based justifications continue to be lacking, it is unlikely that these well-intentioned efforts will truly have a beneficial impact on the communities with which they are concerned. This paper presents such justifications, including recognition of the challenges inherent in parenting and protection of adolescence as a developmental stage, the need to make pregnancy prevention more accessible for those who chose it, and overall investment in adolescent sexual health. From this new paradigm, sexual health advocates can build a class-conscious model of sexual health that recognizes the necessity of providing more options for at-risk youth, the appeal of models of conjoint agency, and the necessity of comprehensive health resources and sexuality education. By adopting a new framework for teen pregnancy prevention, the promise of prevention within a social justice movement can begin to be discussed.

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“…23 In terms of theoretical models of health behaviour this suggests barriers to the use of services. Models such as the health belief model,24 which probably remain the basis for most health promotion, predict that barriers can be overcome with information and good services but have not been shown to influence behaviour.…”

Section: Intervening In Teenage Sexual Behaviourmentioning

confidence: 99%