This paper begins with a review of the problem of teen pregnancy in the United States. Domestic trends are compared with those of other developed countries. Antecedents of the problem are discussed. New developments in addressing the problem are then described, including the following: (a) a renewed emphasis on abstinence on the one hand; (b) a move toward a more positive view of teen sexuality on the other; (c) the development of new prevention initiatives such as STD/HIV/AIDS prevention programs, community-wide teen pregnancy prevention collaboratives, broad-based youth development programs, and state and local government initiatives; and (d ) the lauching of the National Campaign to Prevent Teen Pregnancy. An analysis of the different ways in which the problem can be framed and the implications for solutions of the problem follow. Examples of promising teen pregnancy and STD/HIV/AIDS prevention programs are provided. The paper ends with a recommendation for an eclectic approach to framing the problem and possible solutions.
STATEMENT OF THE PROBLEMTeen mothers are less likely to complete high school than their classmates. They are also more likely to end up on welfare. The children of teen mothers have lower birth weights, are more likely to perform poorly in school, are at greater risk of abuse and neglect, are more likely to be placed in foster care, are more likely to engage in criminal activity as adolescents and young adults, and are less likely to be economically and socially successful as adults. Daughters of teen mothers are more likely to repeat the cycle and themselves become teen mothers (38,47,49,52). Although recent research suggests that these multidimensional 257 0163-7525/99/0510