Client(s): Pueblo City-County Public Health Department
Services: Health Care & Public Health Planning, Health Systems Transformation
Technical Expertise: Family Planning & Reproductive Health, Adolescent Health
Half of all pregnancies in the United States are unplanned, and unintended pregnancies account for the vast majority of pregnancies among women under the age of 19 (CDC, 2011). Such pregnancies have been associated with serious developmental and socioeconomic implications, and the reduction of the national teen pregnancy rate has been a major focus within the United States health care infrastructure for decades on account of those implications.
JSI conducted research to examine, both quantitatively and qualitatively, the diverse and regionally-specific factors contributing to particularly high unintended teen pregnancy rates in Pueblo County. JSI's research had a particular focus on the following factors: demographics, rates, disparities, perceptions of unintended pregnancy, repercussions of unintended pregnancy, and obstacles to and resources for prevention, with a special emphasis on the high pregnancy and birth rates to Latina teens.
This research project encompassed four main objectives:
The findings of this research project have led to multiple conclusions and insights as to the regionally-specific social determinants of teen pregnancy in Pueblo County. These conclusions may have significant implications for the future of pregnancy prevention planning and teen support services.
- Obtain data on rates of unintended pregnancy/paternity among Pueblo County residents aged 13-19. This was accomplished by developing an epidemiological profile of unintended pregnancy rates and other indicators of sexual risk-taking behaviors in Pueblo County through secondary data analyses of publically-available data in aggregate format.
- Identify factors associated with unintended pregnancy/paternity among Pueblo County young men (aged 16-19) and young women (aged 13-19). This was accomplished through focus groups, key informant interviews (KIIs), and a literature review. Focus group participant recruitment targeted youth who have had an unintended pregnancy/paternity resulting in parenting.
- Identify factors associated with successful pregnancy prevention among Pueblo County young men (aged 16-19) and young women (aged 13-19). This was accomplished through focus groups, KIIs, and a literature review. Focus group participant recruitment targeted youth or young adults who have avoided pregnancy while at some point having been sexually active.
- Describe best practices in primary and secondary prevention of unintended pregnancy/paternity. This was accomplished through the literature review and KIIs.