ERIC Identifier: ED266340
Publication Date: 1985-00-00
Author: Lachance, Laurie L.
Source: ERIC Clearinghouse on
Counseling and Personnel Services Ann Arbor MI.
Teenage Pregnancy. Highlights: An ERIC/CAPS Fact Sheet.
Teenage parenthood is by no means a new social phenomenon.
Historically, women have tended to begin childbearing during their teens and
early twenties. During the past two decades the U. S. teenage birthrate has
actually declined (Polit and others, 1982). In the late 1950s, 90 out of 1000
women under 20 gave birth as compared with 52 out of 1000 in 1978. Several
factors contribute to the current attention focused on teenage pregnancy and
1. There is currently a large number of young women in the 13 to 19 age
range, so that while the birthrates are declining, the absolute number of
teenagers is increasing.
2. These statistics do not distinguish between intentional and unintentional
pregnancies, or pregnancies occurring in or out of wedlock. From the 1978
figures, only one in six pregnancies concluded as births following marriage, and
eight in ten premarital teenage pregnancies were unintended.
3. The declining birthrate is not consistent for all teenagers: among those
14 or younger, the birthrate is increasing.
4. These trends are occurring at a time when contraceptives are increasingly
available to teenagers as a means of avoiding unwanted pregnancy.
5. The evidence documenting the unfavorable consequences of unintended
teenage pregnancy and teenage parenthood, whether intended or not, has continued
6. There is an unmistakable and dramatic trend away from teenagers giving
their children up for adoption.
TEENAGE PREGNANCY RATE
Of the 29 million young people between the ages of 13 and 19, approximately
12 million have had sexual intercourse. Of this group, in 1981, more than 1.1
million became pregnant; three- quarters of these pregnancies were unintended,
and 434,000 ended in abortion (WHAT GOVERNMENT CAN DO, 1984). The number of
pregnancies increased among teenagers in all age groups during the 1970s, but
among those who were sexually active the pregnancy rate has been declining.
Because of increased and more consistent use of contraceptives by teenagers, the
rate of pregnancy among them has been increasing more slowly than their rate of
sexual activity. Although the number of teenagers who are sexually active
increased by two-thirds over the 1970s, over half of U.S. teenagers are sexually
inactive (TEENAGE PREGNANCY, 1981).
About five percent of U. S. teenagers give birth each year. A recent study by
the Alan Guttmacher Institute showed teen birthrates here to be twice as high as
Canada, England, and Wales, three times as high as Sweden, and seven times
higher than the Netherlands.
OUT OF WEDLOCK BIRTHS. Although slowed because of the availability of legal
abortion, the rise in the out-of-wedlock birthrate has continued among almost
all groups of teenagers. The rise has been steepest among 15- to 17-year-old
whites. The number of premaritally conceived births legitimated by marriage has
been ADOPTION AND CARE BY OTHERS. Almost all unwed teenage mothers keep their
children in the household with them. Ninety-six percent of unmarried teenage
mothers--90 percent of white and virtually all of black mothers--keep their
children with them (although in many cases, grandparents or other relatives help
take care of the baby).
REPEATED UNINTENTIONAL PREGNANCIES
As might be expected, 78 percent of births to teenages are first births.
However, 19 percent are second births, and four percent are third or higher
order births. The sooner a teenager gives birth after initiation of intercourse,
the more likely she is to have subsequent births while still in her teens.
REASONS FOR NONUSE. Nearly two-thirds of unwed teenage women report that they
never practice contraception or that they use a method inconsistently. According
to the Guttmacher Institute (TEENAGE PREGNANCY, 1981), only nine percent of
unmarried teenagers surveyed said that they did not use a method of
contraception because they were trying to become pregnant or were already
intentionally pregnant. Forty-one percent thought they could not become
pregnant, mainly because they believed, usually mistakenly, that it was the
wrong time of the month.
Of those who had realized they could get pregnant, the major reason given for
not using a method was that they had not expected to have intercourse. Of the 15
percent who did not practice contraception because they were pregnant, the
overwhelming majority were pregnant unintentionally. About eight percent said
that they had wanted to use a method but "couldn't under the circumstances," or
that they did not know about contraception or where to get it.
RELATIONSHIP TO PREGNANCY. The relationship between pregnancy and
contraceptive use is dramatic: about 62 percent of sexually active teenagers who
have never used a method have experienced a premarital pregnancy, compared to 30
percent of those who have used a method inconsistently, 14 percent of those who
have always used some method (including withdrawal), and just seven percent of
those who have always used a medically prescribed method (the pill, IUD, or
THE HEALTH BELIEF MODEL. Current research has examined the Health Belief
Model (Zellman, 1984), a value-expectancy approach to explaining and predicting
health behaviors that goes beyond straight information giving. This approach can
be used to intervene in contraceptive use among teenagers. Because contraceptive
action involves a preventive health decision followed by correct and consistent
use, the model may have useful applications to both the prevention and
compliance aspects of contraceptive behavior.
The subject of sex education remains a divisive one. On one side are those
who argue that Americans should learn to accept adolescent sexuality and make
guidance and birth control more easily available, as it is in parts of Europe.
On the other side are those who contend that sex education is up to the parents,
not the state, and that teaching children about birth control is tantamount to
condoning promiscuity, or violating family religious beliefs and values.
SEX EDUCATION IN THE SCHOOLS. "Eight out of 10 Americans believe that sex
education should be taught in schools, and seven out of 10 believe that such
courses should include information about contraception" (TEENAGE PREGNANCY,
1981, p. 38). Only a handful of states require or even encourage sex education,
and fewer still encourage teaching about birth control or abortion. Most states
leave the question of sex education up to the local school boards. Only a
minority, however, provide such instruction.
PARENTS AND SEX EDUCATION. Parents are a child's earliest models of
sexuality; they communicate with their children about sex and sexual values
nonverbally. However, most adolescents report that they have never been given
any advice about sex by either parent, even though a majority of teenagers
prefer their parents and counselors as sources of sex information.
Studies indicate that both parents and their children believe that they
should be talking about sexuality, but that parents are extremely uncomfortable
doing so (SEXUALITY EDUCATION, 1984). Organizations, including churches,
schools, Planned Parenthood affiliates, and other agencies serving young people,
offer programs designed to help parents teach their children about sexuality.
Most would agree that sex education should start early, before a child's
sexuality becomes an issue.
FAMILY PLANNING SERVICES
Most teenagers and adults approve of making contraceptives available to
teenagers, and most parents favor family planning clinics providing birth
control services to their children (TEENAGE PREGNANCY, 1981). The clinics have
had the expected result of improving the quality and consistency of
contraceptive use among teenagers. They have also been credited with preventing
an estimated 689,000 unintended births, and probably a higher number of
abortions, among teenagers.
However, most teenagers are sexually active for many months before ever
seeking birth control help from a family planning clinic or physician (TEENAGE
PREGNANCY, 1981). Very few come to a clinic in anticipation of initiating sexual
intercourse, and many come because they fear--often correctly--that they are
pregnant. The major reason teenagers give for the delay is concern that their
parents will find out about the visit. Nevertheless, more than half of teenage
patients have told their parents about their clinic visit, and only about
one-quarter would not come if the clinic required parental notification. But
most of these would continue to be sexually active, using less effective methods
or no contraceptives and many thousands would get pregnant as a result.
SOLVING THE PROBLEM
Although we have most of the knowledge and resources needed to solve the
problem of teenage pregnancy, we have failed to do so. Despite the growing
public concern and the plethora of reports, there has been little action. The
elements of a comprehensive national program have been put forward, with varying
emphases, by a number of groups. Elements of such programs include (TEENAGE
- Realistic sex education. - An expanded network of preventive family
planning services. - Pregnancy counseling services. - Adequate prenatal,
obstetric and pediatric care for teenage mothers and their children. -
Educational, employment and social services for adolescent parents. - Coverage
by national health insurance of all health services related to teenage pregnancy
No one program can possibly solve the many problems that are associated with
teenage pregnancy. The solution must come from many elements of society:
parents, the churches, the schools, state and local legislatures and government
agencies. Most people agree about the importance of reproductive health services
and research for teenagers, but there is not yet the willingness to pay the
costs for such programs in most communities of the nation.
FOR MORE INFORMATION
Chilman, C. S., and others. ADOLESCENT PREGNANCY AND CHILDBEARING: FINDINGS
FROM RESEARCH. Milwaukee, WI: Wisconsin University, School of Social Welfare,
1980. ED 211 212.
DEMOGRAPHICS OF ADOLESCENT PREGNANCY IN THE UNITED STATES. Joint hearing
before the Subcommittee on Census and Population of the Committee on Post Office
and Civil Service and Subcommittee on Health and the Environment of the
Committee on Energy and Commerce, House of Representatives, Ninety-Ninth
Congress, First Session. Washington, DC: U.S. Government Printing Office, 1985.
ED 262 320.
Hardy, J. B. "Teenaged Pregnancy. Matrix No. 5." Paper presented at the
Research Forum on Children and Youth, Washington, DC, May 1981. ED 213 522.
Polit, D. F., and others. NEEDS AND CHARACTERISTICS OF PREGNANT AND PARENTING
TEENS. THE BASELINE REPORT FOR PROJECT REDIRECTION. New York: Manpower
Demonstration Research Corp., 1982. ED 251 558.
SEXUALITY EDUCATION AND PARENTAL INVOLVEMENT. Washington, DC: Center for
Population Options, 1984.
TEENAGE PREGNANCY: THE PROBLEM THAT HASN'T GONE AWAY. New York: The Alan
Guttmacher Institute, 1981.
"What Government Can Do about Teenage Pregnancy." ISSUES IN BRIEF. New York:
The Alan Guttmacher Institute, 1984.
Williams J. E., and others. "Appalachian Adolescent Health Education Project
(AAHEP) Evaluation: A Study of Teen Pregnancy in East Tennessee (1982-1985)."
Paper presented at the Mid-South Educational Research Association, Biloxi, MS,
November 1985. ED 263 509.
Zellman, G. L. "The Health Belief Model and Teenage Contraceptive Behavior:
From Theory to Operation." Paper presented at the 92nd annual convention of the
American Psychological Association, Toronto, August 1984. ED 263 482.