Jones M E, Bonte C
J Pediatr Health Care. 1990 Jul-Aug;4(4):193-201. doi: 10.1016/0891-5245(90)90006-r.
Traditional approaches to adolescent pregnancy have utilized the paradigm of single cause-single solution and have tended to define it as a pregnancy problem rather than as a parenting problem. The conceptual model presented emphasizes the importance of primary prevention efforts if approaches are to work. This model defines adolescent pregnancy as a parenting problem that is multicausal and thus requires multiple solutions. A community intervention model systematizes a coalition of effort that represent the three helping systems of the health, education, and community environment to ensure interaction among each of the systems to benefit the pregnant adolescent and her family. It uses a cost-effective pool of community volunteers to offer education and advocacy services. Of utmost importance is that it is guided by the belief that parenting is a continuum of experiences that requires the cooperation of all the helping systems to produce positive outcomes.
传统应对青少年怀孕的方法采用的是单一原因-单一解决方式的范式，并且倾向于将其定义为怀孕问题而非育儿问题。所提出的概念模型强调，如果方法要奏效，初级预防工作的重要性。该模型将青少年怀孕定义为一个具有多方面原因的育儿问题，因此需要多种解决办法。一种社区干预模型将代表健康、教育和社区环境这三个帮助系统的各方力量联合起来，形成一个系统化的联盟，以确保各个系统之间相互作用，从而使怀孕的青少年及其家庭受益。它利用一批具有成本效益的社区志愿者来提供教育和宣传服务。最重要的是，它秉持这样一种信念，即育儿是一系列连续的经历，需要所有帮助系统的合作才能产生积极的结果。
