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    Preventing Teen Pregnancy: Lessons Learned in New York State

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    uchgames
    This document summarizes a presentation on preventing teen pregnancy in New York State. It discusses how New York has one of the lowest teen pregnancy rates in the country due to long-standing programming. The presentation reviews national trends showing declining rates, risk factors for teen pregnancy, and disparities among racial/ethnic groups. It then outlines New York's new comprehensive approach, which focuses on evidence-based programming, access to coordinated services, youth assets, technology, and primary/specialty care. The goal is to implement strategies addressing relationships, opportunities, and community support for adolescents.

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    Preventing Teen Pregnancy: Lessons Learned in New York State

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    uchgames
    24 views7 pages
    This document summarizes a presentation on preventing teen pregnancy in New York State. It discusses how New York has one of the lowest teen pregnancy rates in the country due to long-standing programming. The presentation reviews national trends showing declining rates, risk factors for teen pregnancy, and disparities among racial/ethnic groups. It then outlines New York's new comprehensive approach, which focuses on evidence-based programming, access to coordinated services, youth assets, technology, and primary/specialty care. The goal is to implement strategies addressing relationships, opportunities, and community support for adolescents.

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    This document summarizes a presentation on preventing teen pregnancy in New York State. It discusses how New York has one of the lowest teen pregnancy rates in the country due to long-standing programming. The presentation reviews national trends showing declining rates, risk factors for teen pregnancy, and disparities among racial/ethnic groups. It then outlines New York's new comprehensive approach, which focuses on evidence-based programming, access to coordinated services, youth assets, technology, and primary/specialty care. The goal is to implement strategies addressing relationships, opportunities, and community support for adolescents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    24 views7 pages

    Preventing Teen Pregnancy: Lessons Learned in New York State

    Uploaded by

    uchgames
    This document summarizes a presentation on preventing teen pregnancy in New York State. It discusses how New York has one of the lowest teen pregnancy rates in the country due to long-standing programming. The presentation reviews national trends showing declining rates, risk factors for teen pregnancy, and disparities among racial/ethnic groups. It then outlines New York's new comprehensive approach, which focuses on evidence-based programming, access to coordinated services, youth assets, technology, and primary/specialty care. The goal is to implement strategies addressing relationships, opportunities, and community support for adolescents.

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    of 7

    3/7/2012

    Preventing Teen Pregnancy: Lessons Learned in New York State

    March15,2012

    FeaturedSpeakers
    KristineMesler AssociateDirector,BureauofMaternalandChild Health NYSDepartmentofHealth JaneLevinePowers,PhD ProjectDirector,ACTforYouthCenterof Excellence CornellUniversity

    ConflictofInterestStatement

    Thespeakersandtheirviewpoints representnoconflictsofinterest.

    Evaluations
    NursingContactHours,CMEandCHEScredits areavailable. Pleasevisitwww.phlive.org tofilloutyour evaluationandcompletetheposttest. Thankyou!

    SendaQuestionforthePresentersto: phlive.ny@gmail.com

    3/7/2012

    ThankYoutoOurSponsors:
    UniversityatAlbanySchoolofPublicHealth NewYorkStateDepartmentofHealth,Bureau ofMaternalandChildHealth
    Cornell University NYS Center for School Safety CU Cooperative Extension NYC University of Rochester

    Whydoesitmatter?
    Lostopportunities forteens Greaterrisksfor infants Riskscontinuefor parentsandchildren

    NationalPicture
    Teenpregnancyandbirthratesat alltimelow Teenagerscredited:lesssexualactivityand moreeffectivecontraceptiveuse 3in10girlsgetpregnantbeforeage20 Significantdisparitiesamongwhite,black, andHispanicteens

    NYSAdolescentPregnancyRates
    byRegionandAgeGroup,2009

    NYSAdolescentPregnancyRates
    byRace/EthnicityandAgeGroup,2009

    3/7/2012

    AdolescentPregnancyRatesPerThousand
    byRace/EthnicityandAgeinNewYorkState1994vs.2009
    1819
    Hispanic

    %ChangeinPregnancyRates
    NewYorkState1994vs.2009
    Hispanic 29.6%

    213 149.9
    1819

    Hispanic Black
    Black 33.7%

    58.3

    AgebyRace/Ethnicity

    1517

    116.7

    White

    Race/Ethnicity

    1819
    Black

    223.6 148.2 1994

    White

    34.5%

    1517

    130.3 59.1

    Hispanic

    2009

    50.0%

    1517

    1819
    White

    96.3 63.1

    Black

    56.4%

    1517

    50.8 21.3

    White

    58.1%

    0% 0 50 100 150 200 250

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    RatePerThousand

    %ChangeinPregnancyRate1994versus2009

    HowDoesNewYorkCompare?
    NewYorkslongstandingprogramming Sixthlowestadolescentbirthrate (CT,MA,NH,NJ,VT) SecondlowestrateforBlackadolescentfemales (HI) FifthlowestforHispanicadolescentfemales(ME, MT,NH,WV)

    TransitioningtoaNewApproach
    Newtargetpopulations Inconsistentservicemodel Targetingbasedonpregnancyratesonly Significantracial/ethnicdisparities MaintainconsistencywithDepartmentsPrevention Agenda

    InformingNewApproach
    NYSDOHAdolescentSexualHealthWork Group AdolescentSexualHealthSymposium FocusGroupswithyouth

    3/7/2012

    2009Symposium
    Currenttrendsinadolescentsexualbehavior Disparitiesinaccesstoservices,information,and education Ecologicalinfluences:environments,relationships UseofnewTechnologies Whatshouldacomprehensiveadolescentsexualhealth initiativelooklike?

    AdolescentFocusGroups
    AskedNYSteens: Information:whatdoyou needandwheredoyou getit? Access/barriersto services Ideas:howcanwemake itworkbetter?

    WhatDidWeLearn?
    Education
    Youthsaytheyneedtoknow EVERYTHING! Wedontwantitsugarcoated. Sugarcoatingleadstopeopleendingupin situationswheretheydontknowwhattodo. Thefacts:WhatthisSTDwilldotoyou.Side effects.

    WhatDidWeLearn?
    AccesstoServices

    Wheretogo? Fears Respect! Coordination Primarycare Technology

    DOHPriorities
    Evidencebasedprogramming(EBPs) Accesstocoordinatedservices Assetsofyouthandsupportiveadults Technology Primary/specialtycare:capacitytoserve adolescents

    AdolescentSexualHealth NeedsIndex
    ZIPcodelevel Basedonantecedentsinfluencingsexualbehavior Considersavarietyoffactors: Sizeofadolescentpopulation ActualburdenofadolescentpregnanciesandSTD cases Demographicandcommunityfactors

    3/7/2012

    ComprehensiveAdolescentPregnancy Prevention
    Newinitiativelaunched1/1/11 FundingfromCBAPPandAPPS Comprehensivemodel Mandatesevidencebasedprogramming(EBP) Accesstocomprehensivereproductivehealthservices PositiveYouthDevelopmentframework:
    Expandopportunities Improvecommunityenvironment

    CoreStrategy1:EBP
    Increase age of first intercourse Decrease Teen Pregnancy Promote Adolescent Sexual Health

    EBP

    Increase use of condoms Decrease # sexual partners Decrease frequency of sex

    ImplementingEBPs

    ImplementingEBPs
    Programfit:prioritypopulation, communityreadiness,programsetting, providercapacity Limitedselectionforcertainpopulations LimitationswithinEBPs

    ImplementationScience
    Howdowegettooutcomes? Implementationmatters! Fidelity+Quality+CAREFUL,LIMITED Adaptation=Success(wethink!)

    ImplementationScience:
    OpportunitytoLearn
    HowdoEBPswork indifferentsettings? withdiverse populations? withcertain adaptations? Canwegetto outcomeswithout researchconditions?

    3/7/2012

    Core Strategy 2: Access


    Linkwithfamily planningprovider Strategizetobreak downbarriersto service Focusonpopulations withspecialneeds

    CoreStrategy2: AccessTechnology

    CoreStrategies3&4:BeyondPrograms

    CoreStrategies3&4 OpportunitiesandEnvironments
    Close,supportiverelationships Opportunitiestoconnectandbelong Opportunitiestobuildonskills Preparationforadulthood Contributiontocommunity Communitywidesupport

    Assets,Aspirations,CommunitySupport

    ACTforYouthResources
    PositiveYouth Development AdolescentSexual Health Adolescence Publications Presentations

    Acommunitywideeffort: Educatestakeholders Breakdownsocialbarrierstohealth Collaboratetoprovideopportunities,relationships, preparationforadulthood

    www.actforyouth.net

    3/7/2012

    Evaluations
    NursingContactHours,CMEandCHEScredits areavailable. Pleasevisitwww.phlive.org tofilloutyour evaluationandcompletetheposttest. Thankyou!

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