Card J J
Sociometrics Corporation, Los Altos, California 94022, USA.
Annu Rev Public Health. 1999;20:257-85. doi: 10.1146/annurev.publhealth.20.1.257.
This paper begins with a review of the problem of teen pregnancy in the United States. Domestic trends are compared with those of other developed countries. Antecedents of the problem are discussed. New developments in addressing the problem are then described, including the following: (a) a renewed emphasis on abstinence on the one hand; (b) a move toward a more positive view of teen sexuality on the other; (c) the development of new prevention initiatives such as STD/HIV/AIDS prevention programs, community-wide teen pregnancy prevention collaboratives, broad-based youth development programs, and state and local government initiatives; and (d) the lauching of the National Campaign to Prevent Teen Pregnancy. An analysis of the different ways in which the problem can be framed and the implications for solutions of the problem follow. Examples of promising teen pregnancy and STD/HIV/AIDS prevention programs are provided. The paper ends with a recommendation for an eclectic approach to framing the problem and possible solutions.
本文开篇回顾了美国青少年怀孕问题。将国内趋势与其他发达国家的趋势进行了比较。讨论了该问题的起因。接着描述了在解决该问题方面的新进展，包括以下几点：（a）一方面重新强调禁欲；（b）另一方面朝着对青少年性行为持更积极的看法转变；（c）制定新的预防举措，如性传播疾病/艾滋病毒/艾滋病预防项目、全社区青少年怀孕预防协作项目、基础广泛的青年发展项目以及州和地方政府的举措；（d）发起全国预防青少年怀孕运动。随后分析了该问题可以被构建的不同方式以及对问题解决方案的影响。提供了有前景的青少年怀孕和性传播疾病/艾滋病毒/艾滋病预防项目的实例。本文最后建议采用折衷方法来构建问题及可能的解决方案。
