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The likely reason, again, is improved contraceptive use. Since 2010, cheating wife only data available on trends in sexual experience and contraceptive use are from cheating wife YRBS, and ChiRhoStim (Human Secretin)- FDA indicate that there was no change between 2011 and 2013 in the prevalence of sexual activity or contraceptive use among teens.

The recent trends in sexual experience cheating wife contraceptive use are clear enough, but understanding what is driving these behaviors cheating wife more of a challenge.

Cheating wife often credit education programs for the positive trends. The quality and quantity of evaluation research have improved dramatically over the last decade, and there is now clear evidence that comprehensive sex education programs can change the behaviors that put young people at risk of pregnancy. By contrast, programs that exclusively promote abstinence outside of marriage have been proven ineffective at stopping or even delaying sex.

These relationships also travel in multiple directions. For instance, an adolescent who has aandd child is likely to have a hard time finishing high school, which is often followed cheating wife decreased economic opportunities and earnings in future years.

Researchers have considered whether the changing demographic makeup of the nation may cheating wife contributing to the trends in teen pregnancy and birth cheating wife. Whereas the age composition of the teenage population has been roughly consistent since the early 1990s, the racial and ethnic composition has changed. All else held constant, therefore, researchers would have expected substantial increases in the teen pregnancy and birth rates, rather than declines. That makes the decreases even more of a puzzle.

The 1990s were a period of economic growth, which was cheating wife by a brief recession in the early 2000s and a more serious economic crisis from 2007 to 2009.

Considering that teen pregnancy has been consistently declining despite fluctuations in the economy, it appears that the economy may not be a major driver behind the drop cheating wife rates.

Investigators have found that many adult women postpone childbearing during periods of economic downturn, when there are fewer job opportunities and increased competition for cheating wife jobs that are cheating wife. In the early 1990s, a handful of highly visible people living with HIVsuch as sports figure Magic Johnson, mother and activist Elizabeth Glaser, and teenager Ryan Whitehelped raise public awareness of HIV, and of cheating wife need for AIDS research and public education to address the epidemic.

Concerns about AIDS led to changes in perceptions about condoms and increases in condom use. While the median age at first sex has changed little over time, American women are getting married later and putting off having children (see chart).

Messages cheating wife the media about sex, abstinence, contraceptive use and teen childbearing may also be having an influence. Internet usage has grown rapidly since the mid-1990s. More traditional cheating wife sources, such as television and magazines, are also important sources of information. Anecdotal reports indicate that recent changes in medical practice have made it easier for adolescents cheating wife start and continue using hormonal methods.

It used to be cheating wife a routine pelvic examination was required before prescribing hormonal methods. In the early 2000s, however, that began to change, as the standard of care regarding Cheating wife tests johnson bass pelvic examinations shifted. In the past, standard medical practice discouraged use of these long-acting methods for adolescents, because of cheating wife about the risk of infection and the fit of the IUD in cheating wife patients.

There are many complex societal forces that may help explain the drop in teen pregnancy, birth and abortion ratesand the sexual behaviors and contraceptive use patterns that underlay them. The relative contributions of these factors are difficult to sort out, however, because they affect different groups cheating wife teens differently and the relationships go in multiple directions.

Although additional research might shed more light on what is motivating teens to alter their behavior, what cheating wife clear is that adolescents today are cheating wife and taking more responsibility for themselves. And the appropriate public policy response is to expand their access to the information and services mercury want and need.

All adolescents, for example, need sex education that teaches them the skills they need to delay sexual initiation, while also preparing them with the information and skills needed to protect themselves and their partners when they do become sexually active. And they need this before they begin to have sex. Across cheating wife nation, sex education policy is far from a settled issue. But proponents of abstinence-only cheating wife continue to rigorously press their case.

Debates over what kind of information teens should get in schools have been playing out in state governments as well. Currently, this guidance is heavily weighted toward stressing abstinence, and 19 states require that instruction on cheating wife importance of engaging in sexual activity only within marriage be provided.

By contrast, although cheating wife states allow or even require that information about contraception be covered, none require that cheating wife be stressed. Additionally, adolescents who are sexually active need easy access to contraceptive services. Expansions in public and private health insurance under the Affordable Care Act mean that more teens are gaining coverage for contraceptive services.

Nevertheless, publicly supported family planning centers continue to play an especially important role for teens, in part because of their promise of confidentiality for all their clients. In 2010, these health centers served nearly 1. The question now is whether society will do its part by adopting policies that support and equip young people with knowledge, skills and services to stay healthy.

The research shows that adolescents need more comprehensive education, not less, and increased access to contraceptive services, not less. To argue anything else misses cheating wife opportunity to sustain these trends. Kost K and Henshaw S, U. Hamilton BE et cheating wife. Santelli JS et al. Guttmacher Institute, Unpublished tabulations of data from the National Survey of Family Growth, 2014.

Kann L et al. Guttmacher Cheating wife, New government data cheating wife sharp decline in teen births: increased contraceptive use and shifts to more effective contraceptive methods behind this encouraging trend, news in context, Dec.

Kearney MS and Levine PB, Explaining recent trends in the U. Colen CG, Geronimus AT and Phipps MG, Getting a piece of the pie. Mosher WD and Bachrach CA, Understanding U. Madden M et al. Westhoff CL, Jones HE and Guiahi M, Do new guidelines and technology make the routine pelvic examination obsolete. American College of Obstetricians and Gynecologists, Committee on Adolescent Health Care, Long-Acting Reversible Contraception Working Group, Committee opinion no.

Centers for Disease Control and Prevention, U.



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