Health Behaviors Tobacco Use Diet & Exercise Alcohol & Drug Use Sexual Activity Search Policies & Programs

hints
Display All Policies & Programs

Multi-component interventions: pregnancy and STIs

Health Factors: Sexual Activity
Decision Makers: Educators Nonprofit Leaders Public Health Professionals & Advocates
Evidence Rating: Some Evidence
Population Reach: 1-9% of WI's population
Impact on Disparities: No impact on disparities likely

Is this program or policy in use in your community? Tell us about it.

Description

Multi-component interventions are broad-based programs that include a combination of classroom instruction, individual counseling, and community events. 

Expected Beneficial Outcomes

Reduced teen pregnancy
Delayed initiation of sex
Increased condom use
Increased use of contraception
Reduced risky sexual behavior

Evidence of Effectiveness

There is some evidence that multi-component interventions reduce teen pregnancy (Cochrane-Oringanje 2009, Kirby 2007, Campbell-Scher 2006), delay initiation of sexual intercourse, and increase use of condoms and hormonal contraception (Kirby 2007, Alford 2012). Such interventions may also reduce other risky sexual behaviors, especially among females (Kirby 2007, Alford 2012). Additional evidence is needed to confirm effects.

There are many multi-component interventions, with varying degrees of effectiveness. The Carrera Adolescent Pregnancy Prevention Program demonstrates some of this variability. It has been shown to reduce rates of teen pregnancy and sexual risk behaviors among females but does not appear to have an effect on males (Philliber 2002, Philliber 2001). New York City-based efforts run by the program’s founder have been consistently effective among females (Philliber 2002, Philliber 2001), whereas attempts to implement the program elsewhere in the US have had more varied results (Philliber 2002).

An analysis of the Pathways/Senderos Center in Connecticut suggests that multi-component interventions can be cost effective in the long run (Rosenthal 2009).

Implementation

United States

The Carrera Adolescent Pregnancy Prevention Program is one example of a multi-component intervention. Originally implemented in New York, the Carrera program has been replicated in nine states and Washington, DC (Carrera).

Implementation Resources

Alford 2012 - Alford S. Science and success, 3rd edition: Sex education and other programs that work to prevent teen pregnancy, HIV and sexually transmitted infections. Washington, DC: Advocates for Youth; 2012. Accessed on March 22, 2017
Carrera - Children’s Aid Society. Carrera adolescent pregnancy prevention program. Accessed on November 30, 2015
Kirby 2007 - Kirby D. Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy; 2007. Accessed on March 22, 2017

Citations - Evidence

Alford 2012 - Alford S. Science and success, 3rd edition: Sex education and other programs that work to prevent teen pregnancy, HIV and sexually transmitted infections. Washington, DC: Advocates for Youth; 2012. Accessed on March 22, 2017
Campbell-Scher 2006* - Scher L, Maynard RA, Stagner M. Interventions intended to reduce pregnancy-related outcomes among adolescents. Campbell Systematic Reviews. 2006:12. Accessed on March 22, 2017
Cochrane-Oringanje 2009* - Oringanje C, Meremikwu MM, Eko H, et al. Interventions for preventing unintended pregnancies among adolescents. Cochrane Database of Systematic Reviews. 2009;(4):CD005215. Accessed on December 8, 2015
Kirby 2007 - Kirby D. Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy; 2007. Accessed on March 22, 2017
Philliber 2001* - Philliber S, Kaye J, Herrling S. The national evaluation of the Children’s Aid Society Carrera - Model program to prevent teen pregnancy. Accord: Publisher Research Associates (PRA); 2001. Accessed on March 14, 2016
Philliber 2002* - Philliber S, Kaye JW, Herrling S, et al. Preventing pregnancy and improving health care access among teenagers: An evaluation of the Children’s Aid Society - Carrera program. Perspectives on Sexual and Reproductive Health. 2002;34(5):244-51. Accessed on May 20, 2016
Rosenthal 2009* - Rosenthal MS, Ross JS, Bilodeau R, et al. Economic evaluation of a comprehensive teenage pregnancy prevention program: Pilot program. American Journal of Preventive Medicine. 2009;37(6 Suppl 1):S280-7. Accessed on May 24, 2016

Citations - Implementation

Carrera - Children’s Aid Society. Carrera adolescent pregnancy prevention program. Accessed on November 30, 2015

Page Last Updated

February 10, 2015

* Journal subscription may be required for access.