ERIC Identifier: ED315704
Publication Date: 1990-00-00
Author: Danziger, Sandra - Farber, Naomi
Clearinghouse on Counseling and Personnel Services Ann Arbor MI.
Adolescent Pregnancy and Parenthood. Highlights: An ERIC/CAPS
Adolescent pregnancy and parenthood remain significant issues among policy
makers, service providers and members of the American public alike. Although the
birthrate among adolescents has declined since peaking in the late 1950s, there
have been changes in adolescents' sexual behavior, incidence of pregnancy,
choices of pregnancy resolution and rates of marriage which have altered the
nature of the phenomenon and contributed to the rising concern since the late
1960s. These challenging issues have spawned a great deal of research examining
the causes and consequences of these changes and a great variety of practice and
policy approaches to ameliorate and prevent adolescent pregnancy and parenthood.
Between 1977 and 1987 the actual birthrate among
young women ages 15-19 declined slightly, from 52.8 per 1000 women to 51.1.
During the same time period, the birthrate changed little among younger teens,
under age 15, hovering around 1.2 births per 1000 girls. Because the number of
teens in the population fell during the past decade, the total number of births
to teens also declined, falling from 570,000 in 1977 to 472,623 in 1987.
However, this decline in the birthrate and total numbers of births to teens
occurred in the face of greater prevalence of sexual activity, higher rates of
pregnancy, abortion and, perhaps most significant, dramatically higher
proportions of births occurring outside of marriage. Although the gap between
teens of different races is steadily closing, non-white teens are twice as
likely as white teens to become pregnant, with no difference by race in the
likelihood of having an abortion. Nevertheless, because of their higher
pregnancy rate, non-whites have higher rates of both abortion and birth (Moore,
One of the more significant trends is that, while overall birthrates have
remained fairly steady, rates of marriage among teens have plunged. Black teen
mothers are much more likely than their white counterparts to be unmarried, but
the rate of out-of-wedlock childbearing among white teens has steadily
increased. In sum, we have seen in recent decades a dramatic change in
adolescents' sexual, pregnancy and marital choices, all of which bring about an
increased proportion of young women having early sexual intercourse, becoming
pregnant, and resolving the pregnancy either through abortion or single
EARLY SEXUAL ACTIVITY
More teens today report having sexual
intercourse, having it at earlier ages, and using birth control. However, the
increase in those teens having early intercourse outpaced use of contraception,
thus putting more adolescents at risk of an unwanted pregnancy.
In general, sex among adolescents has become more normative across
contemporary American society. There is no evidence of any particular
consequences to teens being sexually active except, of course, the risks of
pregnancy and contracting sexually transmitted diseases. Although programs
designed to reduce or to delay sexual activity remain a controversial subject of
debate, programs and policies whose goals include adolescent pregnancy
prevention have not been shown either to reduce nor to encourage sexual activity
With respect to pregnancy prevention
among those who have sexual experience, the trends are mixed. Contraceptive use
rose during the 1970s, preventing even greater increase in teen pregnancies,
given how much sexual activity increased. While there is no reported difference
by race in the likelihood that a young woman used birth control at last
intercourse, black women tend to use more effective contraceptives like the
birth control pill; however, black teens are also more likely to use the pill
erratically, thus eliminating the contraceptive advantage. The average time
between initiation of sexual activity and first using birth control is about one
year. This lapse has been a consistent finding since the early 1970s.
Several factors have been found to be positively associated with teens using
birth control. They include: older age of initiation of sexual activity;
stability of the relationship with partner; knowledge of sexuality, reproduction
and contraception; higher academic aspirations; attitude toward personal risks;
greater acceptance of one's own sexuality; and the presence of parental
supervision and support.
Underlying many of these factors is the degree of an adolescent's cognitive
development. In general, a 17-year-old is better able to comprehend the
consequences of an action and anticipate the future than is a 12-year-old. Many
teens believe that they are personally invulnerable to harm. This common
developmental characteristic (as well as other aspects of working with
adolescents) should be considered when designing pregnancy prevention programs
in both educational and health care settings.
Several conceptual and programmatic approaches to pregnancy prevention exist.
The most common include general encouragement for use of birth control;
school-based clinics; condom distribution; sexuality and contraception education
in and out of school; enhancing life options; and encouraging teens to delay
sexual initiation. Although different approaches to pregnancy prevention
generate tremendous public and political debate and disagreement, there is not
adequate research evidence suggesting which is the most effective. The National
Council's Risking the Future found that encouraging contraceptive use for
sexually active teenagers has the most empirical support (Hayes, 1987). Evidence
exists that programs which are comprehensive in scope tend to be the most
successful. In Baltimore, a joint school and clinic-based program offered the
promise of encouraging students to be responsible in their sexual behavior
(Zabin, Hirsch, Streett, Emerson, Smith, Hardy, & King, 1988). Some evidence
does suggest that exposure to innovative programs geared toward pregnancy
prevention, such as peer counseling/advocacy and peer theater troupes, promotes
the utilization of health services. It is clear that no one single element can
eliminate unwanted pregnancies among teens.
In recent years more pregnant teens
have chosen to resolve a pregnancy through abortion, while adoption has declined
precipitously. By far, however, the most significant change in pregnancy
resolution is the rise in births to unmarried teens.
An early pregnancy which is unwanted, as most are to teens, generally is a
crisis not only for the young woman but also for her family and the baby's
father, and should be treated by professionals as such (Maracek, 1987). Brazell
and Acock (1988) found that a pregnant adolescent's choices about pregnancy
resolution are influenced in part by her own attitudes toward abortion, her
perceptions of the attitudes of parents and friends, parents' and her own
aspirations, and by how close she is to her boyfriend. This suggests that the
process of resolving an unplanned pregnancy should include significant
individuals in the teen's life whenever possible. A comprehensive approach
should allow the individuals to review all of the options available, including
whether to proceed with the birth, whether to keep the baby, whether to marry,
and if the girl remains single, how to obtain financial and social support for
All of the choices for resolving an early pregnancy are difficult. In 1988
the United States Surgeon General asserted that there were no empirical grounds
for either supporting or condemning abortion based on adverse or positive
results. While state and federal policies to encourage adoption have been
implemented since the early 1980s, there is no evidence that the number of young
women who choose this option has increased (Henshaw, Kenney, Somberg, & Van
Once teenagers become parents, they face a
new set of challenges. Teen mothers and their children are at higher risk for
many difficulties than their non-parent peers. For example, Furstenberg,
Brooks-Gunn, and Morgan (1987) found that teenage mothers have more than their
share of out-of-wedlock births and marital upheavals, and their children are at
increased risk for school and social failure. Teen mothers disproportionately
experience welfare-dependency and the attending problems of poverty.
However, the fate of a young man or woman is by no means sealed upon becoming
a parent. Mediating factors such as completing education and receiving support
services can significantly improve life chances for parents and children. Teen
parents vary considerably in the amount of support they need in order to avoid
the worst consequences of teen parenthood. For those who need assistance,
programs for teen parents are showing some success based on longitudinal as well
as more limited program evaluations. In general, programs which offer
comprehensive services (e.g., daycare, educational support, and/or vocational
placement) are most effective.
Despite a great deal of public attention being given to programs for teen
parents and mounting evidence of their effectiveness, the number of new young
parents who participate in these programs is very small. Access is limited by
the fact that these programs are inadequately funded to serve all who need their
services; also programs are often not well-known in communities.
In recent years, attention has shifted to
include young men in efforts to prevent pregnancy, help young parents, and
promote more responsible teen behavior. Many programs to serve young fathers or
boys at risk of parenthood have been thwarted by the difficulty of attracting
clients to female-oriented programs. In addition, studies attempting to identify
specific characteristics of these young men have been limited by sample
selection problems, in that many fewer boys report having been involved in
pregnancy and birth than do girls.
Brazzell, J. F., & Acock, A. C. (1988).
Influence of attitudes, significant others, and aspirations on how adolescents intend to resolve a premarital pregnancy. Journal of Marriage and the Family, 50(2), 413-415. (EJ 378 517)
Furstenberg, F. F., Brooks-Gunn, J., & Morgan, P. (1987). Adolescent mothers in later life. New York: Cambridge University Press.
Hayes, C. D. (Ed.). (1987). Risking the future: Adolescent sexuality, pregnancy, and childbearing (Vol. 1) Washington, DC: National Academy of Sciences-National Research Council. (ED 280 821)
Henshaw, S. K., Kenney, A. M., Somberg, D., & Van Vort, J. (1989). Teenage pregnancy in the United States: The scope of the problem and state responses. New York: The Alan Guttmacher Institute.
Maracek, J. (1987). Counseling adolescents with problem pregnancies. American Psychologist, 42(1), 89-93. (EJ 350 251)
Moore, A. (1989, September). Facts at a glance, 1989. Washington, DC: Child Trends, Inc.
Newcomer, S. (1985). Does sexuality education make a difference? New York: Planned Parenthood Federation of America, Inc. (ED 269 673)
Zabin, L. S., Hirsch, M. B., Streett, R., Emerson, M. R., Smith, M., Hardy, J. B., & King, T. M. (1988). The Baltimore pregnancy prevention program for urban teenagers: How did it work? Family Planning Perspectives, 20, 182-198.