Sexuality Research and Social Policy

, Volume 9, Issue 1, pp 57–69 | Cite as

Finding a Way to Offer Something More: Reframing Teen Pregnancy Prevention

  • Gretchen SissonEmail author


Advocacy organizations have consistently framed adolescent pregnancy as profoundly and enduringly detrimental for young women, their families, and their communities, despite equivocal evidence about the causal relationship between young maternal age and poor outcomes. Without this attribution, logic mandates that such organizations find more evidence-based justifications for teen pregnancy prevention that still address the lived experiences of populations most at risk for early parenthood. If such evidence-based justifications continue to be lacking, it is unlikely that these well-intentioned efforts will truly have a beneficial impact on the communities with which they are concerned. This paper presents such justifications, including recognition of the challenges inherent in parenting and protection of adolescence as a developmental stage, the need to make pregnancy prevention more accessible for those who chose it, and overall investment in adolescent sexual health. From this new paradigm, sexual health advocates can build a class-conscious model of sexual health that recognizes the necessity of providing more options for at-risk youth, the appeal of models of conjoint agency, and the necessity of comprehensive health resources and sexuality education. By adopting a new framework for teen pregnancy prevention, the promise of prevention within a social justice movement can begin to be discussed.


Adolescents Social justice Public health policy Pregnancy prevention Sexuality education Adolescent health 



The author would like to thank Stephen Pfohl, Lisa Dodson, John Williamson, and Patricia Quinn for their comments, suggestions, and guidance.


  1. Alan Guttmacher Institute. (1994). Sex and America’s teenagers. New York: Guttmacher Institute.Google Scholar
  2. Allen, J., Philliber, S., & Hoggson, N. (1990). School-based prevention of teen-age pregnancy and school dropout: process evaluation of the national replication of the Teen Outreach Program. American Journal of Community Psychology, 18(4), 505–524.PubMedCrossRefGoogle Scholar
  3. Allen, J., Philliber, S., Herrling, S., & Kuperminc, G. (1997). Preventing teen pregnancy and academic failure: experimental evaluation of a developmentally-based approach. Child Development, 64(4), 729–742.CrossRefGoogle Scholar
  4. Ashcraft, C. (2008). So much more than “sex ed”: teen sexuality as a vehicle for improving academic success and democratic education for diverse youth. American Educational Research Journal, 45(3), 631–667.CrossRefGoogle Scholar
  5. Ashcraft, A., & Lang, K. (2006). The consequences of teenage childbearing. National Bureau of Economic Research Working Paper Series, Working Paper 12485.Google Scholar
  6. Blum, R., & Resnick, M. (1982). Adolescent sexual decision-making: contraception, pregnancy, abortion, and motherhood. Pediatric Annals, 11, 797–805.PubMedGoogle Scholar
  7. Brien, M., & Willis, R. (2008). Costs and consequences for the fathers. In S. Hoffman & R. Maynard (Eds.), Kids having kids: economic costs and social consequences of teen pregnancy (2nd ed.). Washington: Urban Institute Press.Google Scholar
  8. Cave, G., Bos, H., Doolittle, F., & Toussaint, C. (1993). JOBSTART: final report on a program for school dropouts. New York: Manpower Demonstration Research Corporation.Google Scholar
  9. Dodson, L. (1996). We could be your daughters: girls, sexuality and pregnancy in low-income America. Cambridge: Radcliffe Public Policy Institute.Google Scholar
  10. Dodson, L. (1999). Don’t call us out of name: the untold lives of women and girls in poor America. Boston: Beacon.Google Scholar
  11. Edin, K., & Kefalas, M. (2005). Promises I can keep: why poor women put motherhood before marriage. Los Angeles: University of California Press.Google Scholar
  12. Fessler, A. (2006). The girls who went away: the hidden history of women who surrendered children for adoption in the decades before Roe v. Wade. New York: Penguin.Google Scholar
  13. Finer, L., & Henshaw, S. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38(2), 90–96.PubMedCrossRefGoogle Scholar
  14. Furstenberg, F. (1991). As the pendulum swings: teenage childbearing and social concern. Family Relations, 40(2), 127–138.CrossRefGoogle Scholar
  15. Furstenberg, F. (2007). Destinies of the disadvantaged. New York: Russell Sage.Google Scholar
  16. Furstenberg, F., & Crawford, A. (1978). Family support: helping teenage mothers to cope. Family Planning Perspectives, 10(6), 322–333.PubMedCrossRefGoogle Scholar
  17. Furstenberg, F., Brooks-Gunn, J., & Morgan, S. P. (1987). Adolescent mothers in later life. New York: Cambridge University Press.CrossRefGoogle Scholar
  18. Geronimus, A. (1990). Why teenage childbearing might be sensible: research and policy implications. New Orleans: Paper for the American Association for the Advancement of Science.Google Scholar
  19. Geronimus, A. (1992a). Clashes of common sense: on the previous child care experience of teenage mothers-to-be. Human Organization, 51(4), 318–329.Google Scholar
  20. Geronimus, A. (1992b). The weathering hypothesis and the health of African-American women and infants: evidence and speculations. Ethnicity and Disease, 2(3), 207–221.PubMedGoogle Scholar
  21. Geronimus, A. (1996). Black/White differences in the relationship of maternal age to birthweight: a population-based test of the weathering hypothesis. Social Science and Medicine, 42(4), 589–597.PubMedCrossRefGoogle Scholar
  22. Geronimus, A. (2001). Understanding and eliminating racial inequalities in women’s health in the United States: the role of the weathering conceptual framework. Journal of the American Medical Women’s Association, 56(4), 1–5.Google Scholar
  23. Geronimus, A. (2003). Damned if you do: culture, identity, privilege, and teenage childbearing in the United States. Social Science and Medicine, 57, 881–893.PubMedCrossRefGoogle Scholar
  24. Geronimus, A., & Korenman, S. (1992). The socioeconomic consequences of teen childbearing reconsidered. Quarterly Journal of Economics, 107, 1187–1214.CrossRefGoogle Scholar
  25. Geronimus, A., & Korenman, S. (1993). Maternal youth or family background? On the health disadvantages of infants with teenage mothers. American Journal of Epidemiology, 137(2), 213–225.PubMedGoogle Scholar
  26. Geronimus, A., Korenman, S., & Hillemeier, M. (1994). Does young maternal age adversely affect child development? Evidence from cousin comparisons. Population and Development Review, 20(3), 585–609.CrossRefGoogle Scholar
  27. Giedd, J. (2008). The teen brain: insights from neuroimaging. Journal of Adolescent Health, 42, 335–343.PubMedCrossRefGoogle Scholar
  28. Gregory, E. (2007). Ready: why women are embracing the new later motherhood. New York: Basic Books.Google Scholar
  29. Harding, D. (2003). Counterfactual models of neighborhood effects: the effect of neighborhood poverty on dropping out and teenage pregnancy. American Journal of Sociology, 109(3), 676–719.CrossRefGoogle Scholar
  30. Hofferth, S., Reid, L., & Mott, F. (2001). The effects of early childbearing on schooling over time. Family Planning Perspectives, 33(6), 256–267.CrossRefGoogle Scholar
  31. Hoffman, S. (2008). Updated estimates of the consequences of teen childbearing for mothers. In S. Hoffman & R. Maynard (Eds.), Kids having kids: economic costs and social consequences of teen pregnancy (2nd ed.). Washington: Urban Institute Press.Google Scholar
  32. Hotz, V. J., Williams Elroy, S., & Sanders, S. (2005). Teenage childbearing and its life cycle consequences: exploiting a natural experiment. The Journal of Human Resources, 40(3), 683–715.Google Scholar
  33. Hughes, M., Furstenberg, F., & Teitler, J. (1995). The impact of an increase in family planning services on the teenage population of Philadelphia. Family Planning Perspectives, 27(2), 60–65.PubMedCrossRefGoogle Scholar
  34. Iyengar, S., & Lepper, M. (2000). When choice is demotivating: can one desire too much of a good thing? Journal of Personality and Social Psychology, 79(6), 995–1006.PubMedCrossRefGoogle Scholar
  35. Jencks, C., & Edin, K. (1995). Do poor women have a right to bear children? Winter: The American Prospect. 1995.Google Scholar
  36. Johnson, S., Blum, R., & Giedd, J. (2009). Adolescent maturity and the brain: the promise and pitfalls of neuroscience research in adolescent health policy. Journal of Adolescent Health, 45, 216–221.PubMedCrossRefGoogle Scholar
  37. Jones, E., Darroch, J., Goldman, N., Henshaw, S., Lincoln, R., Rosoff, J., et al. (1985). Teenage pregnancy in developed countries: determinants and policy implications. Family Planning Perspectives, 17(2), 53–63.PubMedCrossRefGoogle Scholar
  38. Jones, R., Darroch, J., & Henshaw, S. (2002). Patterns in the socioeconomic characteristics of women choosing abortions. Perspectives of Sexual and Reproductive Health, 34(5), 226–235.CrossRefGoogle Scholar
  39. Kirby, D. (2007). Emerging answers 2007: research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington: National Campaign to Prevent Teen and Unplanned Pregnancy.Google Scholar
  40. Kirby, D., Coyle, K., & Gould, J. (2001). Manifestations of poverty and birthrates among teenagers in California zip code areas. Family Planning Perspectives, 33(2), 63–69.PubMedCrossRefGoogle Scholar
  41. Koo, H., Dunteman, G., George, C., Green, Y., & Vincent, M. (1994). Reducing adolescent pregnancy through school and community-based education: Denmark, South Carolina, revised 1991. Family Planning Perspectives, 26(5), 206–217.CrossRefGoogle Scholar
  42. Landry, D., & Forrest, J. D. (1995). How old are U.S. fathers? Family Planning Perspectives, 27(4), 159–161 & 165.Google Scholar
  43. Lipper, J. (2003). Growing up fast. New York: Picador.Google Scholar
  44. Low, B., Hazel, A., Parker, N., & Welch, K. (2008). Influences on women’s reproductive lives: unexpected ecological underpinnings. Cross-Cultural Research, 42(3), 201–219.CrossRefGoogle Scholar
  45. Luker, K. (1996). Dubious conceptions: the politics of teenage pregnancy. Cambridge: Harvard University Press.Google Scholar
  46. Manlove, J., Terry-Humen, E., Mincieli, L., & Moore, K. (2008). Outcomes for children of teen mothers from kindergarten through adolescence. In S. Hoffman & R. Maynard (Eds.), Kids having kids: economic costs and social consequences of teen pregnancy (2nd ed.). Washington: Urban Institute Press.Google Scholar
  47. McCarthy, J., & Hardy, J. (1993). Age at first birth and birth outcomes. Journal of Research on Adolescence, 3, 373–392.CrossRefGoogle Scholar
  48. McLanahan, S., & Sanefur, G. (1994). Growing up with a single parent: what helps, what hurts. Cambridge: Harvard University Press.Google Scholar
  49. Melchior, A. (1998). National evaluation of learn and serve America school and community-based programs. Waltham: Brandeis University Center for Human Resources.Google Scholar
  50. Moore, K., Morrison, D., & Greene, A. (1997). Effects on the children born to adolescent mothers. In R. Maynard (Ed.), Kids having kids: economic costs and social consequences of teen pregnancy (1st ed.). Washington: Urban Institute Press.Google Scholar
  51. Nathanson, C. (1983). Dangerous passages: the social control of sexuality in women’s adolescence. Philadelphia: Temple University Press.Google Scholar
  52. Paine-Andrews, A., Harris, K., Fisher, J., Lewis, R., Williams, E., Fawcett, S., et al. (1999). Effects of the replication of a multi-component model for preventing adolescent pregnancy in three Kansas communities. Family Planning Perspectives, 31(4), 182–189.PubMedCrossRefGoogle Scholar
  53. Philliber, S., & Allen, J. (1992). Life options and community service: Teen Outreach Program. In B. Miller, J. Card, R. Paikoff, & J. Peterson (Eds.), Preventing adolescent pregnancy. Newbury Park: Sage.Google Scholar
  54. Plaut, V., & Markus, H. (2005). The ‘inside’ story: a cultural–historical analysis of being smart and motivated American-style. In A. Elliot & C. Dweck (Eds.), Handbook of competence and motivation. New York: Guilford.Google Scholar
  55. Rauh, V., Andrews, H., & Garfinkel, R. (2001). The contribution of maternal age to racial disparities in birthweight: a multilevel perspective. American Journal of Public Health, 91, 1815–1824.PubMedCrossRefGoogle Scholar
  56. Rich-Edwards, J., Buka, S., Brennan, S., & Earls, F. (2003). Diverging associations of maternal age with low birthweight for Black and White mothers. International Journal of Epidemiology, 32, 83–90.PubMedCrossRefGoogle Scholar
  57. Schochet, P., Burghardt, J., & Glazerman, S. (2000). The short-term impacts of Job Corps on participants’ employment and related outcomes. Washington: United States Department of Labor, Employment, & Training Administration.Google Scholar
  58. Sikkema, K., Anderson, E., Kelly, J., Winett, R., Gore-Felton, C., Windsor, R., et al. (2005). Outcomes of a randomized, controlled community-level HIV prevention intervention for adolescents in low-income housing developments. AIDS, 19(14), 1509–1516.PubMedCrossRefGoogle Scholar
  59. Singh, S., & Darroch, J. (2000). Adolescent pregnancy and childbearing: levels and trends in developed countries. Family Planning Perspectives, 32(1), 14–23.PubMedCrossRefGoogle Scholar
  60. South, S., & Crowder, K. (2010). Neighborhood poverty and nonmarital fertility: spatial and temporal dimensions. Journal of Marriage and the Family, 72(1), 89–104.PubMedCrossRefGoogle Scholar
  61. Steinberg, L. (2005). Cognitive and affective development in adolescents. TRENDS in Cognitive Sciences, 9(2), 69–74.PubMedCrossRefGoogle Scholar
  62. Steinberg, L., & Cauffman, E. (1996). Maturity of judgment in adolescence: psychosocial factors in adolescent decision making. Law and Human Behavior, 20(3), 249–272.CrossRefGoogle Scholar
  63. Stephens, N., Markus, H., & Townsend, S. (2007). Choice as an act of meaning: a case of social class. Journal of Personality and Social Psychology, 93(5), 814–830.PubMedCrossRefGoogle Scholar
  64. Stephens, N., Hamedani, M., Markus, H., Bergsieker, H., & Eloul, L. (2009). Why did they “choose” to stay? Psychological Science, 20(7), 878–886.PubMedCrossRefGoogle Scholar
  65. The Candie’s Foundation. (2010). History. Retrieved November 2010, from
  66. The National Campaign to Prevent Teen Pregnancy. (2001). Halfway there: a prescription for continued progress in preventing teen pregnancy. Washington: The National Campaign to Prevent Teen Pregnancy.Google Scholar
  67. Tolman, D. (2002). Dilemmas of desire: teenage girls talk about sexuality. Cambridge: Harvard University Press.Google Scholar
  68. Tolman, D., Striepe, M., & Harmon, T. (2003). Gender matters: constructing a model of adolescent sexual health. The Journal of Sex Research, 40(1), 4–12.CrossRefGoogle Scholar
  69. United States Department of Health and Human Services. (2009). Births: final data for 2006. National Vital Statistics Report, 57(7)Google Scholar
  70. Vincent, M., Clearie, A., & Schluchter, M. (1987). Reducing adolescent pregnancy through school and community-based education. Journal of the American Medical Association, 257(24), 3382–3386.PubMedCrossRefGoogle Scholar
  71. Vincent, M., Drane, W., Joshi, P., Shankarnarayan, S., & Nimmons, M. (2004). Sustained reduction in adolescent pregnancy rates through school and community based education, 1982–2000. American Journal of Health Education, 35(2), 76–83.Google Scholar
  72. Weber, M. (1930). The Protestant ethic and the spirit of capitalism. New York: Routledge Classics.Google Scholar

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© Springer Science + Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SociologyBoston CollegeChestnut HillUSA

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