Archive for the ‘pregnancy’ Category

Building the knowledge base about evidence-based reproductive health education programs

March 29, 2017News, pregnancy, teens

Group of young people sitting at table reading books

Evidence-based reproductive health education programs for younger teens have received considerable attention and investment over the last few years but knowledge about the needs of 18 and 19-year-olds, particularly community college students, and the programs that benefit them, is comparatively sparse. In fact, the highest rate of teen pregnancy occurs among the 18 and 19 year-old age group, yet teen pregnancy prevention programs typically target a younger demographic.

To fill this gap, Healthy Futures of Texas (HFTX) is providing evidence-based sexual education to community college students in San Antonio using the Seventeen Days and SHARP curricula.

CFRP is conducting an implementation and outcomes evaluation to determine whether the programs are being implemented according to the HFTX work plan and to analyze the factors that enhance and limit program implementation in a community college setting. This evaluation will build knowledge about the pregnancy prevention interventions that are most effective with community college populations.


On March 30, 2017, CFRP Research Associate Sydney J. Briggs presented preliminary findings from the evaluation of lessons from BAE-B-SAFE, an innovative partnership between HFTX and the Alamo College District, at the Texas Campaign to Prevent Teen Pregnancy 2017 Annual Symposium.

Ms. Briggs discussed what the early data says about community college students’ unique needs as well as their experiences with, attitudes towards, and access to reproductive health services.

For more about our adolescent health and wellbeing work, visit or learn more about Sexual Health and Pregnancy Prevention among Community College Students: Gaps in Knowledge and Barriers to Health Care Access.

sydney_texas campaign (1)

CFRP Research Associate Sydney J. Briggs and Healthy Futures of Texas BAE-B-SAFE team with Dr Venkatraman Chandra-Mouli of the World Health Organization (WHO).

Kids Having Kids in Texas

May 6, 2014pregnancy, teens


Click for the PDF version of this information.

Despite large declines in teen birth rates…

The teen birth rate in Texas has fallen by 43 percent over the last two decades and by 5 percent in the last year alone. Research shows that effective abstinence-plus sex education programs have led to a delay and decline in teen sexual activity and an increased use of contraceptives by sexually-active teens.


…teen births are still common in Texas.

In Texas, each day 118 babies are born to a teen mother, and another 209 teens become pregnant. Texas has the fifth highest teen birth rate in the nation, and the nation’s highest rate of repeat births to teen mothers.

Hispanics are the fastest growing population in Texas, and they have the highest teen birth rate. Therefore, the Texas teen birth rate will remain persistently high without greater intervention.


Teen pregnancies have long term consequences for fragile Texas families.

Nearly all teen births are unplanned and to unmarried parents. These unintended pregnancies bring unique economic and emotional challenges and are linked to a number of negative outcomes for:

Teen mothers

  • Are the least likely of all age groups to seek prenatal care; putting both themselves and their children at risk for health complications
  • Face challenges in completing their education; only 38 percent complete high school and less than 2 percent go on to obtain a college degree
  • Are likely to experience financial instability; 63 percent receive some type of public assistance within one year of their child’s birth
  • Are twice as likely to experience depression and anxiety


  • Are more likely to grow up in poverty
  • Score significantly worse on math and reading tests
  • Are more likely to spend time in jail; sons of teen mothers are more than twice as likely to be incarcerated
  • Are more likely to become teen parents themselves; daughters of teen mothers are nearly three times more likely to experience a teen birth than their peers


  • In 2008, the cost of teen childbearing in the U.S. was more than $9.4 billion and more than $1.1 billion in Texas alone

Click for more about our work in this area.


School is Positive Environment for Teens to Learn about Pregnancy Prevention

May 14, 2013pregnancy, teens

dv1644054_smThe national teen pregnancy rate has actually declined 42% over the last twenty years. However, the many impacts of teen pregnancy and childbearing continue to be large, especially in the state of Texas.  In 2010, 131 teens gave birth each day in Texas and 209 teen girls became pregnant. Texas has the third highest rate of teen pregnancies in the nation as well as the fourth highest rate of teen births.

The high rate of teen pregnancy in Texas has immediate and long-term public costs that show up in high school dropout rates, Medicaid and TANF expenditures, poverty rates, incarceration rates, and lost tax revenue. Two Texas charter schools are currently implementing a school-based program to reduce the high rate of teen pregnancy and STD infection. The program, Making Proud Choices, is an evidence-based curriculum providing youth the knowledge, confidence, and skills needed to reduce the risk of STDs and pregnancy through emphasizing abstinence or condom use.

Dr. Cynthia Osborne’s outcome evaluation of Making Proud Choices has initial indicators that pregnancy prevention instruction is necessary for schools. Preliminary results from baseline surveys of students about to enroll in Making Proud Choices suggest that school-based efforts may be a promising environment for pregnancy prevention programs.  Although girls are more likely than boys to discuss sensitive sexual matters with their parents, most students are not talking with their parents or other adults about abstaining from sex, methods of birth control, or how to say “no” to sex.  A majority of students also agreed that school is a caring, encouraging environment. Such high rates of agreement suggest that school may be a positive space for students to learn about delaying sexual activity and preventing pregnancy if they are not receiving the information at home.  As the evaluation of Making Proud Choices continues, the results should provide evidence of about whether the school-based teen pregnancy prevention curriculum is effective at impacting students’ attitudes, knowledge, beliefs, and behavior here in Texas.


1 in 5 Teen Births are Repeat Births

April 18, 2013demographics, pregnancy, teens

Though teen pregnancy rates have been declining, still more than 365,000 teens, ages 15 to 19, gave birth in 2010. Many of these teens have repeat births. A repeat (or subsequent) teen birth is defined as “the second (or more) pregnancy ending in a live birth before age 20″. Nationally, 18.3% of births to teens are repeat births. In CFRP’s home state, Texas, the rate is even higher, and it actually has the highest repeat teen pregnancy rate in the country, at 21.9% (The National Campaign’s State and National Comparisons).

Nationally, there were 66,800 repeat teen births in 2010, or an average of 183 per day. Of these, 85% were second births, 13% third births, and 2% were fourth to six births. For more stats, click for the Centers for Disease Control and Prevention (CDC)’s Vital Signs April 2013 issue and the National Vital Statistics Final Report on Births in 2010.