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The Journal of School Nursing
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Feature Article

School-Based Teen Pregnancy Prevention Programs: A Review of the Literature

Helina H. Hoyt, RN, MSN

Helina H. Hoyt RN, MSN, is a school nurse at Holtville Unified School District in Holtville, CA

Betty L. Broom, RN, PhD

Betty L. Broom, RN, PhD, is an associate professor at San Diego State University School of Nursing in San Diego, CA

Teenage pregnancy is a well-documented problem in the United States, with approximately 890,000 teenage pregnancies occurring each year. Although teen pregnancy rates have declined since 1991, rates remain higher than the mid-1970s and are fourfold those of European countries. Substantial morbidity and social problems result from these pregnancies, affecting the mother, her children, other family members, and society. Multiple educational approaches have been used, with few demonstrating significant reductions in teen pregnancy. School-based programs have been diverse and multifaceted. Recently, programs with a comprehensive approach have shown potential for success. In this article, characteristics and elements of promising school-based programs are identified and discussed. It is imperative that school nurses play an active role in developing and implementing prevention programs that incorporate rigorous evaluation. As health educators, school nurses are in a prime position to implement and evaluate the effectiveness of teen pregnancy prevention programs.

Key Words: adolescents • Baby Think It Over • Postponing Sexual Involvement • pregnancy prevention programs • Project Taking Charge • Reducing the Risk • Safer Choices • sex education • Teen Outreach

The Journal of School Nursing, Vol. 18, No. 1, 11-17 (2002)
DOI: 10.1177/10598405020180010401
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