SynthesisPrevention science : the official journal of the Society for Prevention Research2018
Effectiveness of School-Based Teen Pregnancy Prevention Programs in the USA: a Systematic Review and Meta-Analysis.
Synthesis in Prevention science : the official journal of the Society for Prevention Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Meta-analysis of Federally Funded Adolescent Pregnancy Prevention Program Evaluations.Prevention science : the official journal of the Society for Prevention Research · 2022Pooled it
- Sex Education in the Spotlight: What Is Working? Systematic Review.International journal of environmental research and public health · 2021Pooled it
- In the Know: A Cluster Randomized Trial of an In-person Sexual Health Education Program Integrating Digital Technologies for Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Trial
- [Unplanned pregnancy-now what? : Effectiveness and acceptance of medical teaching units for primary and secondary prevention in schools].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021Trial
- What Teens Hear and How They React: Adolescent Perspectives on Substance Use, Sexual Risk, and Sexual Violence Prevention in Primary Care.Behavioral sciences (Basel, Switzerland) · 2026Article
- Sexual and reproductive empowerment scale for adolescents and young adults: a psychometric analysis among Chinese college students.BMC public health · 2025Article
- Mapping the evidence on interventions for addressing teenage pregnancy: a scoping review of systematic reviews protocol.BMJ open · 2025Article
- Maternal Communication About Sexual Content and Ease of Access to Contraceptives.Archives of sexual behavior · 2023Article
- Parents' perspectives on talk with their adolescent and emerging adult children about sex: A longitudinal analysis.Sexuality research & social policy : journal of NSRC : SR & SP · 2023Article
- The Need for Community-Responsive and Flexible Sex Ed for Historically Marginalized Youth.Sexuality research & social policy : journal of NSRC : SR & SP · 2023Article
- The CDC's Division of Adolescent and School Health Approach to Sexual Health Education in Schools: 3 Decades in Review.The Journal of school health · 2022Review
- Improving curriculum delivery: Using a results informed quality improvement model for teen behavioral health education.Frontiers in public health · 2022Article
- How Can Unintended Pregnancies Be Prevented among Adolescents Who Engaged in Sexual Intercourse at Earlier Ages? The Role of Female Education and Partner Age Difference.International journal of environmental research and public health · 2021Article
- Promoting Adolescent Healthy Relationships (The About Us Program): Protocol for a Randomized Clinical Trial.JMIR research protocols · 2021Article
- Efficacy of a Web-Based Intervention (Smart Choices 4 Teens) for Facilitating Parent-Adolescent Communication About Relationships and Sexuality: Randomized Controlled Trial.JMIR pediatrics and parenting · 2021Article
- How effective was England's teenage pregnancy strategy? A comparative analysis of high-income countries.Social science & medicine (1982) · 2021Article
- Impact evaluation of scripted lesson plans for HIV-related content in a life orientation curriculum: results from two provinces in South Africa.BMC public health · 2020Article
- Innovation and Integration of Sexuality in Family Life Education.Family relations · 2020Article
- The discordance between evidence and health policy in the United States: the science of translational research and the critical role of diverse stakeholders.Health research policy and systems · 2018Article
- A Decade of the National Center for HIV, Viral Hepatitis, STD, and TB Prevention's Epidemiologic and Economic Modeling Agreement.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
School-based programs have been a mainstay of youth pregnancy prevention efforts in the USA. We conducted a systematic review and meta-analysis to assess their effectiveness. Eligible studies evaluated the effect on pregnancy rates of programs delivered in elementary, middle, or high schools in the USA and Canada, published between January 1985 and September 2016. The primary outcome was pregnancy; secondary outcomes were delay in sexual initiation, condom use, and oral contraception use. Randomized controlled trials (RCTs) and non-RCTs with comparator groups were eligible. We developed a comprehensive search strategy, applied to major bibliographic databases, article bibliographies, gray literature, and contact with authors. We calculated risk ratios (RR) with 95% confidence intervals (CI) for each outcome and pooled data in random effects meta-analysis. We used Grading of Recommendations Assessment, Development and Evaluation (GRADE) to assess evidence quality. Ten RCTs and 11 non-RCTs conducted from 1984 to 2016 yielded 30 unique pooled comparisons for pregnancy, of which 24 were not statistically significant. Six showed statistically significant changes in pregnancy rates: two with increased risk (RR 1.30, 95% CI 1.02-1.65; and RR 1.39, 95% CI 1.10-1.75) and four with decreased risk ranging from RR 0.56, 95% CI 0.41-0.77, to RR 0.75, 95% CI 0.58-0.96. All studies were at high risk of bias, and the quality of evidence was low or very low. Identified evidence indicated no consistent difference in rates of pregnancies between intervention recipients and controls.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.