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.

To listen in Windows Media Player make that mouse click here.

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.

Sue Johanson, the 78-year-old sex educator who (sadly) retired last May from her Oxygen television show, "Talk Sex with Sue Johanson," was interviewed this week on NPR's Wisdom Watch, where they ask respected elders to help guide us through today's challenging issues. In addition to noting that some of her assets as a sex educator are being "long in the tooth" and not having "bodacious ta ta's," she also said the following when asked her opinion about abstinence-only education:

Every, single sex educator does emphasize abstinence: 'Please do not have sex.' Now I will never say, 'not until you are married.' I will say, 'Please do not have sex until you know what you're doing, you like your own body, you can think ahead, plan ahead, get a good method of birth control, never let sex just happen, and be able to talk about it with your partner. That's the stumbling block right there. To be able to say to your partner, 'Are we gonna do it? 'Cause if we are, we're gonna use condoms, right? This is not a choice. No condom, no sex. That's it. Game over. Forget it.'

So, let's see if I have this right: teen pregnancy is okay—"beautiful," in fact—as long as no abortion occurs and as long as there is a shotgun marriage. In addition, becoming a parent at 17 or 18 is preferable to a bit of accurate sex education and preferable to using birth control.

A full seven years ago, E.J. Dionne wrote, "It's better for unmarried teens to avoid premature sex than to use contraception, but it's better to use contraception than to get pregnant." I guess the revision we are asked to swallow is, "It's better to get married as a teen than to use contraception," even though 60% of teen marriages fail, and 80% do when the bride is pregnant.

The Russell Brand/Jonas Brothers/Jordin Sparks dust-up sure is delicious, huh?  For those without a scorecard, the drama has unfolded something like this:

• Russell Brand hosted MTV's Video Music Awards last Sunday. (As an aside, am I the only person in the United States who has no idea who Russell Brand is?  I thought it was athletic wear.)  
• Brand saw fit to use his MTV bully pulpit to make fun of The Jonas Brothers—the tween heart-throb band de jour—and their rather public commitment to abstinence.  Among other pearls of wisdom, Brand said about the Jonas Brothers purity rings "I'd take them more seriously if they wore it around their genitals."
• American Idol winner Jordin Sparks also appeared on the VMA show and fired back at bad boy Brand:  "I just have one thing to say about promise rings.  It's not bad to wear a promise ring, because not everybody—guy or girls—wants to be a slut."
• Later in the show (aren't you sorry you missed it?) Brand apologized—kinda, sorta:  "I love the Jonas Brothers, I think it's (purity) really good.  I don't want to piss off teenage fans...Promise rings, I'm well up for it, well done everyone...It's just, a bit of sex occasionally never hurt anybody."

Ironically, one could reasonably view this as Hollywood's version of this nation's ongoing and tiresome debate about abstinence and contraception.  Too many continue to pit these two approaches as competing strategies when, of course, they are complimentary strategies. 

Unless you've been living on Mars, you know that teen pregnancy has been much in the news lately. The high profile teen pregnancies--from Bristol Palin to Jamie Lynn Spears to a group of high school students in Gloucester, Mass--remind us all that teen pregnancy can happen anywhere and to anyone. It does: a stunning 29% of all girls in this country get pregnant at least once before they turn 20.

Even more stunning: if you are a Latino or African-American teen, you're more likely than not to experience a teen pregnancy--53% of Latina teens get pregnant at least once before they turn 20.  The figure is 51% for African Americans.  Native American teens also have higher than average birth rates (teen pregnancy data are not available).

As our nation approaches its annual celebration of Hispanic Heritage Month, this is a perfect time to remember that Latino communities, and other communities of color, need additional support to address this pressing problem. Early pregnancy is tied directly to poverty and education--two issues of deep concern among Latino leaders, families, faith leaders, and yes--even community organizers. Over two-thirds (69%) of Latina teen moms drop out of high school.

The Communities of Color Teen Pregnancy Prevention Act (H.R. 468/S. 1790) currently pending in Congress would invest much-needed funds to help better understand these disparities and provide communities with the highest rates of teen pregnancy with new resources to address the problem.

Read more about racial and ethnic disparities in teen pregnancy.

Look at state-by-state teen birth rates in your state.

Learn more about the connection between teen pregnancy and education among Latino teens.

Bristol Palin is bringing out the best in people. They're tripping over themselves to offer support and even congratulations. Such an outpouring of empathy! Of caring! No doubt neither she nor her family would have asked to be in this situation. But they're in it, and the American people stand beside them in solidarity.

But after more than a decade of working to reduce teen pregnancy in the U.S. (a decade that saw a sharp decline in teen pregnancy and birth rates, by the way) one thing still surprises me: how is it possible that people still think that when you--gasp--dare to say that teen pregnancy is not OK, you are automatically condemning all teen mothers?

Most of the teen moms and dads I've met say some version of the same thing. They love their children deeply, but they wish they could have had that exact same child a little later in life, when they felt more adult and ready and able give their child their best. Eight in ten teen pregnancies are unplanned. Don't look at me. I didn't make that up. The teens themselves reported it.

Once again, we have a press-worthy pregnancy—17-year-old Bristol Palin. As one of my children used to say, "I have questions."

1. Why has this event not lead to a huge focus on the benefits of teens not getting pregnant in the first place? The best choice for teens is to delay sex (which apparently did not happen here), but the next best thing is to use contraception. Why is that not THE main topic? In my view, the plan that has been announced is LESS attractive—less desirable—than primary prevention.
   
   
2. Why is this pregnancy apparently okay—or at least off limits—just because a shotgun wedding is planned? Do we all really think that as long as teens get married there is no problem? Is that the best we can do?
   
   
3. Why is no one talking about the putative father who himself says he is not interested in kids? Babies and children need devoted fathers. Do we have one in the making here? When both parents actively seek and welcome a pregnancy, the future prospects of their children are much enhanced.
   

Forget for a moment all the important topics churned up by the Palin pregnancy story (topics like reproductive freedom, abstinence-only education, the family turmoil that often comes from too-early parenthood, the idea of teen marriage, the impact this may or may not have on voters and the GOP ticket, and oh, the future that awaits this and the other 400,000+ babies who will be born to teen moms this year) and think for a moment about poor Bristol Palin whose life as she knows it is pretty much over.

Not only has her mom had to publicly address her personal life (as a former teenage girl I cringe at the memory of my own mother discussing anything having to do with my social life) but pretty much everyone else in the country is talking about it too. She's going to marry her high school boyfriend (whose MySpace page reportedly said he doesn't want kids). She has to become a parent, to a living, breathing, human being who may indeed give her unconditional love but who will certainly require that same unconditional love by his or her parents. And she'll do it all in the public eye.

Like it or not Bristol Palin is now the poster child for teen pregnancy in the U.S. Jamie Lynn's a mother now, those Gloucester girls likely didn't have a pact at all, and Juno MacGuff is so last year. So now it's Bristol. And if there's a bright side to all this it's that it's now getting harder and harder to say that teen pregnancy happens to other people, to people from bad families, to people in poverty, to people in Hollywood, to people who live in public housing (although the Alaska governor's residence probably qualifies on a technicality), to people who aren't "like me."

Because teen pregnancy can happen to anyone (anyone having sex as a teenager that is).  It happens to nearly one-third of American girls (and those girls aren't pregnant by themselves). And it is totally preventable—either don't have sex or use protection consistently and carefully every single time. Which is actually the most important topic of all.

On Day 2 of Bristol Baby Watch '08, we at the Campaign have collected some (we think) important resources....

First and foremost, our fearless leader Sarah Brown on this morning's Today Show:

Next up, info galore!  Click here for our one-stop-shop of fact sheets and resources related to teen pregnancy and Bristol Palin. 

The National Campaign to Prevent Teen and Unplanned Pregnancy issued the following in response to the announcement that Bristol Palin, the 17-year-old daughter of Vice Presidential candidate Sarah Palin, is pregnant:

• The teen pregnancy and birth rate have declined dramatically since the early 1990s (down 38% and 32% respectively) driven by decreases in sexual activity and increases in contraceptive use.
• Even so, recent data show that the declines in teen sex and improvements in contraceptive use have leveled off and that the teen birth rate is on the rise for the first time in 15 years.
• At present, 3 in 10 girls in the United States become pregnant by age 20.
• At present, half of all pregnancies in the United States are unplanned and about 8 in 10 pregnancies to teens are unplanned.
• The teen pregnancy and birth rate in Alaska is below the national average and, since the early 1990s, has declined more steeply than the national average.