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Background: Latinx adolescents are at increased risk of teen pregnancy. This study evaluates the impact of Re:MIX, a comprehensive sexuality education program cofacilitated by professional health educators paired with young parent educators implemented with primarily Latinx youth in Texas. Methods: A cluster randomized trial was conducted with students in grades 8-10 in 57 classrooms across three schools. Students completed baseline, post-test, and long-term follow-up surveys to determine the impact of the program on behavioral outcomes--sexual experience and unprotected sex--and on mediating factors including intentions, attitudes, knowledge, and self-efficacy related to sexual activity and contraception. Results: Re:MIX was implemented with fidelity and educators were well-received. At post-test, compared to control students, Re:MIX students were more likely to intend to use hormonal or long-acting contraceptive methods if they had sex, had greater reproductive health knowledge, had more confidence in their ability to ask for and give consent, and were more likely to know where to obtain contraception. Most findings were sustained at the long-term follow-up, but there were no impacts on behaviors. Conclusions: The implementation and impact findings highlight the promising approach of pairing young parent educators with experienced health educators for teen pregnancy prevention among Latinx students.

Background: Teen Prevention Education Program (PEP) is a school-wide, peer-led comprehensive sexuality education program currently implemented in more than 50 schools across 2 states. Many teen pregnancy prevention researchers and practitioners view peer-led programs as a promising approach for reducing teen pregnancy and associated sexual risk behaviors. However, prior research on the effectiveness of these programs indicates mixed results. Methods: We randomly assigned schools to implement Teen PEP immediately (intervention group) or on a delayed schedule (comparison group) and used propensity score matching to improve the comparability of the study groups. We surveyed students at baseline and about 6 months after the program ended. Results: Teen PEP did not significantly impact rates of sexual activity or unprotected sex; however, the program led to improvements in exposure to information about sexual health topics and knowledge of preventing pregnancy and transmission of sexually transmitted infections. Conclusions: Teen PEP succeeded in accomplishing some of its most proximal goals, increasing students' access to information and knowledge. However, we found little evidence that the program affects sexual risk-taking within 6 months of its conclusion. Future research will examine the program's longer-term impacts on sexual risk behaviors.

Introduction: Adolescent sexual health interventions are increasingly incorporating content that is inclusive of LGBTQIA+ youth (lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other marginalized sexualities and genders). Evaluations of such programs must also be inclusive to enhance the validity of evaluation results and avoid further marginalization. We present strategies for increasing LGBTQIA+-inclusivity based on our evaluation of SafeSpace, a sexual health curriculum. Methods: To design an LGBTQIA+-inclusive program evaluation, we leveraged LGBTQIA+ research staff's insights, pursued a parental consent waiver, developed an inclusive recruitment plan, and crafted demographic and sexual behavior survey measures with input from youth and equity experts. We conducted a pilot study with 42 youth ages 14-17 to assess the feasibility and efficacy of our strategies. Results: We obtained a parental consent waiver and recruited a majority LGBTQIA+ pilot study sample (62%). Using themes from cognitive interviews with youth and experts regarding inclusive framing and use of plain language, we refined demographic measures and expanded sexual behavior measures. Conclusion: Findings suggest that the strategies used to enhance LGBTQIA+-inclusivity in our evaluation of SafeSpace were effective in respectfully and more accurately capturing a fuller range of experiences and identities of LGBTQIA+ and cis-straight youth. The strategies and survey measures developed for this study can be applied to increase LGBTQIA+-inclusivity in other adolescent sexual health program evaluations. [ABSTRACT FROM AUTHOR]

Using data from the National Longitudinal Survey of Youth, this article examined how early maternal characteristics, an adolescent's family environment, and the adolescent's own attitudes and behaviors were associated with the odds of a nonmarital teenage birth among youth born to teenage mothers. Multivariate analyses indicated that these domains were closely linked. Early maternal characteristics shaped the later family environment of adolescents (parenting quality and home environment), which, in turn, was associated with the attitudes and behaviors of teens that put them at risk of a nonmarital birth. Notably, there was variation in some of the associations by gender. Increased mother's cognitive ability lowered the risk of a nonmarital birth for boys, but not for girls, whereas fertility expectations were significant for girls, but not for boys. There were no race-ethnic differences in the risk of a teenage birth among girls, although Black boys had a higher risk than White boys. (Contains 4 tables.)

This article uses a sample of 1,731 fathers aged 16 - 45 from the 2002 National Survey of Family Growth to identify factors associated with multiple-partner fertility. Almost one third of fathers who reported multiple-partner fertility did so across a series of nonmarital relationships, and nonmarital-only multiple-partner fertility has been increasing across recent cohorts of men. Being older, having a first sexual experience or a first child at a young age, and fathering a child outside of marriage or cohabitation are associated with greater odds of multiple-partner fertility, whereas having additional children with the first birth mother is associated with reduced odds. Black, Hispanic, and young fathers have especially high odds of experiencing multiple-partner fertility across a series of nonmarital relationships.

The ability of the opportunity cost framework to predict the risk of a teen birth is tested by analyzing the relationship between adolescents perceptions of opportunity and the odds of a teen birth across levels of community opportunity. Patterns of this relationship are compared across African American, Latina, and White teens and across socioeconomic status (SES) level. High educational expectations protect Whites, Latinas, and low-SES teens from low-opportunity communities from a teen birth.

Used recent longitudinal cohort of eighth graders to examine whether measures of school engagement predicted school-age pregnancy among white, black, and Hispanic teens. Found that high student engagement was associated with postponing pregnancy. Among white and Hispanic teens, dropouts were more likely than others to have school-age pregnancies. Other school engagement measures predicted school-age pregnancies for African-American teens. (KB)

Examined predictors of nonmarital motherhood between eighth and twelfth grade in nationally representative sample. Found that risk for early motherhood was predicted by low individual educational performance measures, being held back in school, and repeatedly changing schools. Lower risk was associated with substantial involvement in school clubs and religious organizations. (Author/KB)

Using a longitudinal sample of 2,417 fathers from the Fragile Families and Child Well-Being Study, we examine interactive and structural dimensions of men's relationships associated with their decision to father [...]

This study examines predictors of a cumulative measure of high-risk births, rather than single risks separately, as in prior research. Using the Early Childhood Longitudinal Study-Birth Cohort survey, we incorporate [...]

The study includes a longitudinal sample of 1,989 fathers from the Fragile Families and Child Wellbeing study and examines factors associated with fathering a higher-order birth (three or more children) and compares these factors to those predicting any subsequent birth. Also, the article examines differences by marital status. Logistic regression analyses indicate the likelihood of fathering a higher-order birth is greater among more disadvantaged men in urban contexts, those with lower levels of education, the unmarried, minorities, and those exhibiting higher levels of depressive symptomology. This suggests that the men likely to be least prepared to father large numbers of children have an elevated probability of having a higher-order birth. This study provides continuing evidence that several aspects of men's lives in urban contexts have important influences on their decisions to have a higher-order birth, and suggests that policies or programs that address fertility issues should include fathers where and when feasible. Keywords: higher-order fertility; men; subsequent birth

One promising though understudied approach to addressing race/ethnic disparities in teen pregnancy rates is through sexual and reproductive health (SRH) programming for young men. This pilot study assessed the feasibility, quality, and preliminary efficacy of Manhood 2.0—a group-based, after-school SRH program for young Black and Latino men, which examines gender norms. This mixed-methods study describes program attendance and quality; participant experiences and engagement in the program; and changes in participant gender norms, knowledge, attitudes, self-efficacy, and social support. Quantitative data from baseline and post-intervention surveys (n = 51) were analyzed using paired t -tests and McNemar's tests. Qualitative data from five post-intervention focus groups (n = 27) were transcribed, coded, and analyzed for themes. At baseline, participants were ages 15 to18 years (M = 16.4 years), 30% were Latino, 66% were Black, 34% ever had sex, and 44% of sexually active participants had sex without any contraceptive method or condom. Quality ratings by program observers were high. The majority of participants (61%) attended at least 75% of sessions, and 96% rated Manhood 2.0 as "very good" or "excellent." Pre–post comparisons showed increases in receipt of SRH information; contraception knowledge; positive attitudes about supporting partners in pregnancy prevention; self-efficacy in partner communication about sex; discussing program content with friends and family; and social competence and support. Focus group participants described benefits from the Manhood 2.0 content (i.e., full range of contraceptive methods, sexual consent, gender norms) and delivery (i.e., reflective discussion, nonjudgmental facilitators). Findings suggest that Manhood 2.0 is a promising SRH program for young men. [ABSTRACT FROM AUTHOR]