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Evidence-Based Resource Summary

Strength of Evidence: 
4 out of 4
4 out of 4
Year Published: 

School-Based Interventions for Improving Contraceptive Use in Adolescents

Description of Resource: 
Adolescents have high rates of unplanned pregnancy. This systematic review identified 11 programs that tried to improve birth control use among teenagers in a middle school or high school. Six studies were from the U.S., 3 from the UK, 1 from Mexico, and 1 from South Africa. Three studies had some effect and were good quality. After one 2-year study, the intervention group reported more use of birth control and condoms than the control group. Another 2-year study provided 2 different programs aimed at avoiding risk by not having sex until marriage or reducing risk by delaying sex until older. The control group had the usual health education. The programs for avoiding risk and reducing risk showed fewer reports of sex without using birth control or condoms. The third study had peers lead 8 sessions of educational activities and resulted in less birth control use compared to the group with teacher-led educational activities.

Evidence-Based Resource Details

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Developed By: 
Cochrane Library
Developer Type: 
Non-Federal Government
Healthy People 2020 Topic Area(s): 
Family Planning
Healthy People 2020 Objectives: 
Resource Type: 
Systematic Review
Lopez LM, Bernholc A, Chen M, Tolley EE. School-based interventions for improving contraceptive use in adolescents. Cochrane Database Syst Rev [Internet]. 2016 [cited 2017 Oct 25];(6). doi: 10.1002/14651858.CD012249. Available from: