According to a report released last Tuesday by the Guttmacher Institute, the number of abortions in the U.S. has continued to decline steadily since 1990. This decline has been the most dramatic among teen girls (younger than age 20). In fact, between 1989 and 2004, the abortion rate among teen girls decreased 53% (compared to 26% overall).

The proportion of abortions obtained by teen girls also dropped dramatically during the last three decades while the proportion of abortions to women age 20-24 has remained at roughly one-third since 1974. Furthermore, the majority of all abortions (57%) occur to women in their twenties. At the same time, 60% of all abortions occur to women who have already had at least one child.

Clearly unplanned pregnancy is not just a teen problem.

Campaign CEO Sarah Brown and others guests appeared on NPR's Diane Rehm Show yesterday (CNN pooh bah and all-around-good-egg Frank Sesno was the guest host) for lively discussion of the state of sex education in the United States. 

The one-hour program also featured:

• Valerie Huber, executive director, National Abstinence Education Association
• Debra Hauser, executive vice president, Advocates for Youth
• Stan Weed, director and CEO, Institute for Research and Evaluation
• Douglas Kirby, senior research scientist, Education, Training and Research Associates

To listen in Real Audio move your mouse and click here.

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If you thought dealing with Jeff Conaway's addiction (not to mention his girlfriend) on "Celebrity Rehab" was a daunting task, wait until you see this. Dr. Drew is going to help teens and parents talk about sex.

"Sex...with Mom and Dad" premieres Monday on MTV. And not a moment too soon.

We hear it constantly from teens and young adults—parents have more influence over their kids' sex lives than anything else. Certainly more influence than parents themselves think they have, and also more influence than media, friends, school, religion or anything else for that matter. Which is good—if you have parents who know how to talk about sex, love, values, and relationships or who at least care enough to make sure the messages their kids get from them about these issues are rooted in self-respect and responsibility. But that's not always as easy as it sounds. After all, it can be hard to talk about this stuff—embarrassing, awkward, confusing. Parents may feel that they need to be experts (not true) or that their own past calls their authority into question (also not true). Kids may feel weird about these conversations (almost always true) and may resist a parent's efforts to start a discussion (you can bank on this one) or their own desire to have their questions answered. All of which can lead to misinformation, bad choices, family turmoil, and more.

So what can you do? Short of enlisting the expert advice of Dr. Drew Pinsky—not just a TV doc but an actual board certified, medical school-teaching, honest-to goodness physician, who incidentally has teenage children of his own—you can actually do quite a bit. We have some handy, dandy tips for parents to get you started. The most important thing is to remember that it's not The Talk - but rather a conversation that lasts a lifetime. Age-appropriate information about feelings and body parts, honest discussions about what's acceptable in your family (which is often very different than what's acceptable in Hollywood or even among peers), and wide-ranging conversations about dreams for the future (and what would stand in the way of those dreams, like say too-early parenthood for example) are important.

Tune in next Monday at 7p ET/PT. Let us know what you think.

I had the privilege of spending the last couple of days in Milwaukee and Madison, WI where some extraordinary teen pregnancy prevention efforts are underway.  First, we celebrated with Planned Parenthood of Wisconsin  at its annual luncheon where our CEO Sarah Brown gave a rousing address about communicating the basics on relationships, sex, and childbearing with our kids.  PPWI operates 31 family planning and education centers throughout the state, many of which help parents and teens communicate about all the aforementioned icky stuff.

We also spent some time with the talented folks at the Milwaukee Journal Sentinel whose editorial board has named teen pregnancy as one of its top agenda items for 2008.  Talk about raising the level of public discourse.  What better way to make people face the facts than to make them swallow the truth with their morning coffee?  And here's the truth:  In Milwaukee, 2,051 teens gave birth in 2006, both the teen pregnancy and teen birth rates increased between 2005 and 2006, and the city's teen birth rate is almost twice the national rate.  There is much work to do.

We also met the good people who are running Milwaukee's Teen Pregnancy Prevention Initiative.  The local United Way is spearheading the efforts to reduce the city's teen pregnancy rate by 46 percent by 2015.  Not 45 percent.  Not 50.  46 percent.  The precision tells you they're for real.

I might have been in Milwaukee, but the idea of an entire city working together on a common goal made it feel more like Mayberry...and that's a good thing.  They mayor is on board, the health commissioner co-chairs the city-wide oversight committee on teen pregnancy prevention with the publisher of the local paper, and several non-profit and community organizations are working to fund and put on effective programs that help youth avoid too early pregnancy and childbearing.  I commend any community that can bring people together to tackle their common concerns - especially when it's one as tough and important as this one. 

Just published: A special issue of the journal Sexuality Research & Social Policy focusing on abstinence education.  Read all about it here.