University of Utah Adolescent Pregnancy Evaluation and Outcome Study, 1983-1984

Investigators: Arthur B. Elster

The program being evaluated is the Teen Mother and Child Program (TMCP) of the University of Utah, an outpatient hospital-based multidisciplinary health and education program which also contains a client home-visit component for pregnant and parenting teens. (The care program is called TMCP; the evaluation of that program is called APEOS.) The study (APEOS) began in 1981 and AFL funding began in October 1982. TMCP is being compared with traditional, more fragmented services provided to a convenience sample of teens in the community through enrollment in the Women, Infants, and Children (WIC) program. The 260 cases in the data file consist of 125 from the TMCP program and 135 from the WIC program, all of whom received services during an 18-month period between January 1983 and July 1984. The evaluation consists of (1) demographic, prenatal and pregnancy information; (2) a 4-week follow-up; (3) a 6-month follow-up; (4) a set of 9-month Bayley scores; (5) a 12-month follow-up; (6) an 18-month follow-up; (7) a 26-month follow-up; and (8) a set of 26-month Bayley scores. Data include maternal educational and occupational information, maternal child development, parenting knowledge and behavior, maternal and infant health, maternal psychosocial status, infant mental and motor development, infant language development, and infant health status. The evaluation is designed to test the hypothesis that a comprehensive and coordinated teen pregnancy program which includes medical, nutritional and psychosocial services at a single site can improve obstetrical and perinatal outcomes, improve mother and infant health development, improve maternal vocational educational outcomes and reduce the rate of rapid repeat pregnancies. The last variable in the present data set is MEXC1610, ``ID Number for DAAPPP Data Sets C2 and C3,'' and can be used to link data from the same cases in the other two data sets.

University of Utah Teen Mother and Child Program Background Data, 1981-1986

Investigators: Arthur B. Elster

The study was conducted by the University of Utah School of Medicine. Respondents were all teen mothers who had at least one delivery at a Teen Mother and Child Program (TMCP) clinic during 1981-1986. The data set includes demographic and socioeconomic information on the mother and father, as well as prenatpael, rinatal, and postnatal health data on mother and child. The TMCP clinic serves a primarily white urban population in Salt Lake City, Utah, and is operated by the Department of Pediatrics, Adolescent Medicine, University of Utah Medical School. A multidisciplinary team of nurse midwife, social worker, nutritionist, financial counselor, outreach counselor, nurse educator, and pediatricians provides a variety of medical, nutritional, and psychosocial services to clients at the hospital site. One unique feature of TMCP is a volunteer advocacy program which provides health and parenting education in a home setting. The professional team makes a clinical assessment of which teens would benefit from the intensive home-based program. Usually, the most socially high-risk parents, those most at risk for abusing their children, are selected. The volunteers for this program are recruited, trained, and supervised by the outreach counselor. During the home visits, young mothers are taught the skills that will enable them to become better parents. Individualized goals are developed for each teen mother. The file may be merged with DAAPPP Data Set C1 (variable MEXC2043 in Data Set C2 matches variable MEXC1610 in Data Set C1) and/or DAAPPP Data Set C3 (variable MEXC2001 in Data Set C2 matches varible MEXC3001 in Data Set C3).

Ventura County Survey of Unmarried Pregnant Women Aged 13-20, 1972-74

Investigators: Jerome Evans, Winston Chow, and Marvin Eisen

During the period of the study (1972-74), the Public Health Clinic in Ventura County, California served as the primary intake point for nearly all women who received abortions in the county. In addition, large numbers of pregnant women who did not have abortions came to the clinic for prenatal care and counseling. A standard schedule of questions was administered to a sample of unmarried pregnant women between the ages of 13 and 20. These questions focused on contraceptive knowledge, attitudes, and usage; attitudes regarding abortion; and perceived opinions and attitudes of significant others. Additional data included information on work and leisure activities, sexual and reproductive knowledge, and attitudes toward sexuality. The data thus facilitate the stud of changes in attitudes and knowledge following pregnancy and contact with the clinic, as well as analysis of factors leading to various decisions regarding the outcomes of the pregnancies.

Ventura County Survey of Unmarried Pregnant Women Aged 13-20: Six-Month Follow-up, 1972-74

Investigators: Jerome Evans, Winston Chow, and Marvin Eisen

The study focuses first on unwed teenagers with unintended pregnancies; second, it measures decision satisfaction after the actual abortion or delivery. This data set extends an earlier investigation (DAAPPP Data Set No. 31) to the period six months after abortion or delivery, and provides reported decision satisfaction of Mexican-American and white teenagers. It also provides data on current financial support, school enrollment, employment history, contraceptive attitudes and usage, and relationship with the man responsible for the pregnancy.

Washington State Study of Victimization and Other Risk Factors for Child Maltreatment among School Age Parents, 1989-1992

Investigators: Debra Boyer

This three-year, Washington statewide field study of pregnant and parenting teenagers, conducted between 1989 and 1992, assessed the role of sexual victimization in adolescent sexual behavior, pregnancy, and subsequent parenting. The purpose of the study was to examine the prevalence, etiology and prevention of child maltreatment by adolescent parents. The guiding hypothesis focused research on physical and sexual victimization as antecedent factors in both adolescent pregnancy and child maltreatment among adolescent parents. The central questions of this investigation were: (1) What is the relationship between early sexual victimization and child abuse to adolescent pregnancy and (2) what is the relationship between early sexual victimization and child abuse to maltreatment of the children of adolescent parents. Data were collected in three phases, at approximately one year intervals. The phases included: (1) baseline surveys conducted in 1989, (2) follow-up surveys conducted approximately one year later, and (3) a review of Child Protective Services case record reviews. In addition, focus group interviews were conducted throughout the research period. DAAPPP Data Set N3 includes data from the baseline and the follow-up surveys. It includes 916 variables and 540 cases.

Wise Guys: A Male-Oriented Teen Pregnancy Prevention Program

Investigators: Children's Home Society of NC

The Wise Guys program is designed to prevent adolescent pregnancy by teaching adolescent males self-responsibility in the areas of sexual development, decision-making, and relationships. The Wise Guys program is a weekly, 10-session group intervention for adolescent males that is delivered by a staff educator. Each session is approximately 45 to 60 minutes long. The program may be offered in a variety of settings including, but not limited to, school athletic programs, faith-based institutions, juvenile detention center, and other community sites. The program is available only as a shipped hard copy package. The Wise Guys program covers a broad range of topics including: masculinity, communication, relationships, dating violence, fatherhood, values, goal setting, decision making, sexuality, sexually transmitted infections, contraception, and abstinence. Participatory lessons and activities focus on assisting youth to identify their long-range personal and career goals so that they can use those goals to direct the decisions they make throughout adolescence. Wise Guys has been demonstrated to effectively improve adolescent males' knowledge of sexual behavior and reproductive behavior, and their knowledge of STI transmission, and to instill desirable attitudes toward sex and appropriate behavior in sexual relationships. The Wise Guys evaluation found: - Participants had significantly higher scores than controls at both posttest and follow-up (p = .007) on general knowledge of sexual behavior and reproductive biology. - Participants had significantly higher scores than controls at both posttest and follow-up (p = .000) on knowledge of STI transmission. - Scores for participants were higher than those of controls at all 3 data points, but were significantly higher at posttest and follow-up (p = .013) on attitudes toward sex and appropriate behavior in sexual relationships. - Regression analyses confirmed that participation in Wise Guys was significantly associated with higher posttest and follow-up general knowledge, STI knowledge, and desirable attitude scores, independent of age, grade, race, or pretest scores. - To assess the relative importance of participation in the Wise Guys program for predicting every time contraception at 6-month follow-up, regression analyses were done using age, grade, race, and participation in Wise Guys as the independent variables. The strongest and only statistically significant predictor of contraception use "every time" was participation in the Wise Guys curriculum. Click here to view more detailed information on this program.

Youth Risk Behavior Survey (YRBS), 2001

Investigators: Centers for Disease Control and Prevention (CDC)

The Youth Risk Behavior Surveillance System (YRBSS) is an epidemiologic surveillance system that was established by the Centers for Disease Control and Prevention (CDC) to monitor the prevalence of youth behaviors that most influence health. The 2001 national school-based Youth Risk Behavior Survey (YRBS) is one component of the YRBSS. The YRBS focuses on priority health-risk behaviors established during youth that result in the most significant mortality, morbidity, disability, and social problems during both youth and adulthood. These include: tobacco use; unhealthy dietary behaviors; inadequate physical activity; alcohol and other drug use; sexual behaviors that may result in HIV infection, other sexually transmitted diseases; unintended pregnancies; and behaviors that may result in violence and unintentional injuries. The results from the YRBS will be used by CDC to (1) monitor how priority health-risk behaviors among high school students (grades 9-12) increase, decrease, or remain the same over time; (2) evaluate the impact of broad national, state, and local efforts to prevent priority health-risk behaviors; and (3) monitor progress in achieving three leading health indicators and 15 Healthy People 2010 national health objectives. Results also will be used to help focus programs and policies for comprehensive school health education on the behaviors that contribute most to the leading causes of mortality and morbidity. Five previous versions of the YRBS have been archived at Sociometrics. The 1992 survey (DAAPPP data set K9), the 1993 (data set M1), the 1995 (data set N4), the 1997 (data set P5), and the 2001 (data set P6). Each of these data sets is cross-sectional. For more information on the Youth Risk Behavior Surveillance System (YRBSS), visit the Centers for Disease Control and Prevention web site at http://www.cdc.gov.

Youth Risk Behavior Survey (YRBS), 2005

Investigators: Centers for Disease Control and Prevention (CDC)

The Youth Risk Behavior Surveillance System (YRBSS) is an epidemiologic surveillance system established by the Centers for Disease Control and Prevention (CDC) to monitor the prevalence of youth behaviors that most influence health. The 2005 Youth Risk Behavior Survey (YRBS) is one component of the YRBSS. The YRBS focuses on priority health-risk behaviors established during youth that result in the most significant mortality, morbidity, disability, and social problems during both youth and adulthood. These include: behaviors that result in unintentional and intentional injuries; tobacco use; alcohol and other drug use; sexual behaviors that result in HIV infection, other sexually transmitted diseases (STDs), and unintended pregnancies; dietary behaviors; and physical activity, plus overweight and asthma. The results from the YRBS will be used by CDC to (1) monitor how priority health-risk behaviors among high school students (grades 9-12) increase, decrease, or remain the same over time; (2) evaluate the impact of broad national, state, and local efforts to prevent priority health-risk behaviors; and (3) monitor progress in achieving relevant national health objectives for the year 2010. Results also will be used to help focus school health programs and policies on the behaviors that contribute most to the leading causes of mortality and morbidity. This dataset contains 13,917 cases.

Youth Risk Behavior Survey (YRBS), 2007

Investigators: Centers for Disease Control and Prevention (CDC)

The Youth Risk Behavior Surveillance System (YRBSS) is an epidemiologic surveillance system established by the Centers for Disease Control and Prevention (CDC) to monitor the prevalence of youth behaviors that most influence health. The 2007 Youth Risk Behavior Survey (YRBS) is one component of the YRBSS. The YRBS focuses on priority health-risk behaviors established during youth that result in the most significant mortality, morbidity, disability, and social problems during both youth and adulthood. These include: behaviors that result in unintentional and intentional injuries; tobacco use; alcohol and other drug use; sexual behaviors that result in HIV infection, other sexually transmitted diseases (STDs), and unintended pregnancies; dietary behaviors; and physical activity, plus overweight and asthma. The results from the YRBS will be used by CDC to (1) monitor how priority health-risk behaviors among high school students (grades 9-12) increase, decrease, or remain the same over time; (2) evaluate the impact of broad national, state, and local efforts to prevent priority health-risk behaviors; and (3) monitor progress in achieving relevant national health objectives for the year 2010. Results also will be used to help focus school health programs and policies on the behaviors that contribute most to the leading causes of mortality and morbidity. The dataset contains 14,041 cases.

Youth Risk Behavior Survey (YRBS), 2009

Investigators: Youth Risk Behavior Surveillance System, Centers for Disease Control and Prevention

The Youth Risk Behavior Surveillance System (YRBSS) is an epidemiologic surveillance system that was established by the Centers for Disease Control and Prevention (CDC) to monitor the prevalence of youth behaviors that most influence health. The 2009 national school-based Youth Risk Behavior Survey (YRBS) is one component of the YRBSS. The YRBS focuses on priority health-risk behaviors established during youth that result in the most significant mortality, morbidity, disability, and social problems during both youth and adulthood. These include: behaviors that result in unintentional and intentional injuries; tobacco use; alcohol and other drug use; sexual behaviors that result in HIV infection, other sexually transmitted diseases (STDs), and unintended pregnancies; dietary behaviors; and physical activity, plus overweight and asthma. The results from the YRBS will be used by CDC to (1) monitor how priority health-risk behaviors among high school students (grades 9-12) increase, decrease, or remain the same over time; (2) evaluate the impact of broad national, state, and local efforts to prevent priority health-risk behaviors; and (3) monitor progress in achieving three leading health indicators and 15 Healthy People 2010 national health objectives. Results also will be used to help focus programs and policies for comprehensive school health education on the behaviors that contribute most to the leading causes of mortality and morbidity. For more information on the Youth Risk Behavior Surveillance System (YRBSS), visit the Centers for Disease Control and Prevention web site at http://www.cdc.gov.