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The Centers for Disease Control and Prevention recently released a preliminary National Vital Statistics Report on birth rates in 2013. According to the CDC, teen birth rates are at their lowest ever. In 2013, there were 26.6 births per one thousand women aged 15 to 19. That's down 10 percent from 2012 (29.4), which was the previous historic low for the United States.

On this edition of Houston Matters, we explore why teen birth rates are declining, yet are still much higher in Texas than in the rest of the country. We also discuss what could be done locally to further curb the teen birth rate in Harris County. Then we discuss current policies in Texas regarding teaching sex education in public schools.

The report summarized data collected using in-person interviews from 2011-2015 with people between ages 15 and 44. A total of 20,621 people were interviewed, including 4,134 teenagers. The teen group involved 2,047 women and 2,087 men.

But it also looks like age plays a role. They found that in 2011-2015, men were more likely than women to have had sexual intercourse during the ages of 15 and 16. Once they got to age 17, the probabilities were similar for both sexes. Specifically, 16 percent of men had sexual intercourse earlier compared with 11 percent of women, but by age 18, 55 percent of all teenagers were sexually experienced. Other factors included race, living situations, and parental education. The probability of having sexual intercourse by age 18 was high for non Hispanic Black teenagers when compared with non-Hispanic White and Hispanic teenagers, adolescents who did not live with both biological parents at age 14, and those who had mothers who did not attend college at all.

Note for further consideration! It gets better might have another meaning too, not addressed in this study: in a 2014 study that looked at people starting at age 20, young people are having more oral sex and more oral sex as part of their sexual debut. This might factor into trends in teen sexual health, too.

The morning-after pill contains a higher dose of the female hormone progestin than is in regular birth control pills. It can cut the chances of pregnancy by nearly 90 percent if taken within 72 hours of unprotected sex. Starting in 2006, teens 18 and older could buy it over the counter; age limits were lifted two years ago. It typically costs $35 to $50.

But the decrease in teen sex leveled off about a decade ago, at about 45 percent for both boys and girls, and there was no change in the latest report. In 1988, it was 60 percent for boys and 51 percent for girls.

To reduce the toll that teen pregnancy takes on teenagers and their families, the National Campaign to Prevent Teen Pregnancy, in conjunction with the U.S. Department of Health and Human Services, is striving to reduce the teenage pregnancy rate by one-third between 1996 and 2005. They offer the following suggestions to teenagers, parents and communities:

"I wish I could have talked to my parents about sex," says teenage mom Sara, 18. "They are very religious, so when they found out I was having sex, they banned me from seeing my boyfriend for four months. We just couldn't discuss it at all."

Whether the message is abstinence, safe sex, disease prevention or contraception, it needs to be accurate and clear. Talking about sex, sexuality, contraception and reproduction does not give teenagers the green light to have sex, as some parents fear. An open, honest dialogue can prevent misinformation and unnecessary risk-taking.

Let's face it, there are and probably always will be sexually active teens, and they need effective and safe birth control and reproductive care. Cassandra's message to other teens about birth control is, "Get it and use it. Don't take the risk, not even once."

Programs that provide parents with tools to communicate with their teenagers and communities that support a positive teen-friendly environment help break through the barriers that sometimes exist between teens and adults.

"School dropouts have too much time on their hands," says Mary E. Dearry, R.N.C., and leader of a program for teenage moms called Kente at Georgetown Women's Health Clinic in Philadelphia. "All that unsupervised time often leads to a teen pregnancy."

Creating engaging opportunities for kids to develop their skills and talents -- especially teenagers in unstable families or communities -- gives them something to aspire to, something to look forward to and something to constructively fill their time.

An increasing number of high school students are taking a stand for chastity, as James is doing, signaling a slight but noteworthy shift in attitudes over the past decade. Though surveys continue to suggest the majority of teens are sexually active, it seems that a growing segment of young people feel that waiting is best - at least until they finish high school.

Abstinence is viewed positively by more than three-fourths of teens, according to a 1998 study by the Henry J. Kaiser Family Foundation, a health-research organization. And the number of high school students who said they had had intercourse declined from 54 percent in 1991 to 50 percent in 1999.

It's a "movement," as observers say, driven by separate public and private organizations with a united purpose. On one hand are church groups advocating premarital chastity as a biblical imperative. On the other are conservative efforts to promote abstinence, largely to lower the rates of teen pregnancies and sexually transmitted diseases. 041b061a72


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