| Titre : | School-based health centers and the decline in black teen fertility during the 1990s in Denver, Colorado. (2006) |
| Auteurs : | Sue-A RICKETTS ; Bruce-P GUERNSEY ; Colorado Department of Public Health and Environment. Prevention Services Division. Denver. CO. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 96, n° 9, 2006) |
| Pagination : | 1588-1592 |
| Langues: | Anglais |
| Mots-clés : | Centre santé ; Adolescent ; Homme ; Grossesse ; Etats Unis ; Amérique ; Prévention santé ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS MR0xhbE5. Diffusion soumise à autorisation]. Objectives. We examined the changes in Black adolescent fertility rates in high-school areas with school-based health centers and compared them over time with changes in rates in high-school areas without school-based health centers. Methods. Fertility rates were estimated for high-school areas with and without school-based health centers with geocoded birth certificate and school enrollment data. Results. A high adolescent fertility rate (165 births/1000) in 1992 among Black students in Denver high-school areas with school-based health centers declined to a low rate (38/1000) in 1997 that matched the rate of school areas that did not have school-based health centers. Rates declined for both types of areas over the study period, but the rate of decline in the areas with school-based health centers was significantly greater (77% vs 56%). Conclusions. The rapid and significant decline in Black adolescent fertility in school areas with school-based health centers strongly suggests that attending to the health needs of students at risk of pregnancy resulted in a radically lowered risk of fertility. The decline is likely the result of strategies to identify, intervene, and follow-up on students engaging in behaviors that place them at risk for unintended pregnancy. |
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