Ryan G M, Sweeney P J
Am J Obstet Gynecol. 1980 Jun 1;137(3):358-66. doi: 10.1016/0002-9378(80)90921-7.
Teenage pregnancy rates are increasing, particularly among the younger age groups. The causes of this increase are varied. While many people assume that most adolescent pregnancies are unwanted and result from a lack of contraceptive knowledge and/or availability, our findings were quite to the contrary. In-depth interviews with 87 pregnant teenagers in a large Southern city revealed that almost all had knowledge of contraception and that most were happy about being pregnant. Multidisciplinary programs have been organized throughout the country to address the adolescent pregnancy problem. Our study emphasizes the fact that to be effective, such programs must be tailored to the individual target group and that concentrating on the increased dissemination of contraceptive knowledge and methods may not be the most effective approach in some groups.
青少年怀孕率正在上升，尤其是在较年轻的年龄组中。这种上升的原因多种多样。虽然许多人认为大多数青少年怀孕是意外怀孕，是由于缺乏避孕知识和/或避孕措施所致，但我们的研究结果却恰恰相反。对南部一个大城市的87名怀孕青少年进行的深入访谈显示，几乎所有人都了解避孕知识，而且大多数人对怀孕感到高兴。全国各地都组织了多学科项目来解决青少年怀孕问题。我们的研究强调了这样一个事实，即要想有效，此类项目必须针对个体目标群体量身定制，而且在某些群体中，仅仅专注于增加避孕知识和方法的传播可能并非最有效的方法。
