KERA, the NPR TV and Radio station for north Texas, has made a year-long commitment to examing the "complex personal and cultural factors that contribute to the way adolescent girls form and maintain relationships."  The first part of the project is a series of engaging, sobering, and thought-provoking radio biographys of sorts---four teens describe the challenges of their relationships, pregnancies, and raising children.

If nothing else, the KERA series by Sujata Dand makes clear that efforts to prevent too-early pregnancy and childbearing often miss one of the most important topics of all---healthy relationships.  Young people are often told about how to redcue the risk of pregnancy and STIs but rarely are they given guidance on how to successfully navigate the minefield of relationships.

The series is very well done and worth a few minutes of your time. In fact, the series could serve as a terrific tool for those who work directly with teens.  Have them listen and discuss. The Campaign also has some helpful materials for parents on the topic of relationships.  Check 'em out.

People all over the country are getting together to discuss ways to improve our health care system, and we want to make sure that the issues we care about most are a part of this dialogue.

This is a priority for us. And not just because it's our job. It's because deciding whether and  when to become pregnant and have children is one of the most important decisions many of us will make in our lives. We think women, men, and families will do better if they have the opportunity to prevent pregnancy and plan families affordably, in consultation with the best medical professionals, and without barriers.

We've asked some of our friends to share some of the challenges they've faced seeking care, and we hope you'll share your stories by leaving comments on this blog post.

"I switched jobs and therefore my insurance plan changed. I went from paying $7 for a month's supply of birth control to more than 4 times as much for the exact same prescription."

"I was having trouble getting pregnant, and did some research on what might be causing my particular issues. I read about a hormone that might help, but my doctor at the time wasn't very familiar with it. He agreed to administer it, but wanted to test for it in my blood after a few weeks. This was impossible, because that particular hormone doesn't show up in your blood. I switched to an OBGYN who knew about the hormone and understood my issues, and shortly after receiving the treatment I was pregnant with my first daughter."

"I decided I wanted an IUD. I had been seeing an OBGYN at a hospital that doesn't do IUD's. I called four different doctors in the area, and no doctors do them. Finally I found a doctor a long way from my house who said she did them, so I made an appointment. I finally saw the woman and she gave me an exam then told me that she would not recommend an IUD --  because I hadn't had a baby, and because she had so little faith in her own ability to insert one properly. I was super excited that I'd taken off an afternoon to drive out to the middle of nowhere for that." 

"When I changed pills based on advice from my doctor to try anther type, the new ones ended up costing me over $50/month (with insurance paying about $5). On other pills, I'd paid $10 -- $15 month, with insurance paying the balance."

"I had been having reproductive health issues for years, and when doctors ruled out endometriosis, fibroids, and cancer, we decided that a hysterectomy would be the best course of action. Since I am done having children, I agreed. After a few more weeks of tests, exams, and follow-up visits, I received a bill from my insurance company for almost $1,000 -- all this on top of my $20 co-pay I was dishing out for every office visit. When I called my doctor to straighten this out, it was explained to me that on top of a $750 deductible for my plan, I have to pay 20% of all the costs beyond that. The good news is that I had met my high deductible for the year. The bad news: my surgery is scheduled for next year."

Today's New York Times article, "Obama Pledge Stirs Hope in Early Education," refers to research by Nobel prize-winning economist, James J. Heckman, and others that shows that "each dollar devoted to the nurturing of young children can eliminate the need for far greater government spending on remedial education, teenage pregnancy and prisons."

Back in June 2004, The National Campaign featured early childhood education in its Science Says publication concluding, "research suggests that children's experiences in programs many years earlier may also contribute to a reduced likelihood that they will become parents too soon. Indeed, studies indicate that early childhood and elementary school programs can contribute to reduced risk of adolescent pregnancy."

The Abecedarian Project was one of the programs highlighted in the publication for its impressive results.  The children in the treatment group had higher IQs when they were 3 (this persisted through age 21 which was the last assessment), they also scored higher on math and reading tests.  By the age of 21, 35% of the treatment group had graduated from college compared to 14% of the no treatment group.

And for the pièce de résistance: the kids were significantly less likely to have become a teen parent (26% in the treatment group versus 45% in the no treatment group became teen parents).

The comments posted about the article on the New York Times Web site suggest support for this approach.  Do you support more spending on early childhood education?

As our new leaders and the American public begin to think about how to address the inefficiencies in this nation's health care system, we have an opportunity to ensure that the issues we care about are front and center in this national discussion.

The new Administration wants to know what's important to you, and they're encouraging people throughout the country to host or attend community discussions on health reform over the next few weeks.

We want our elected leaders to know: Any changes to improve the health care system must include ways to help teens and young adults avoid too-early or unplanned pregnancy.

But how do we do it? We have some ideas, but we want to hear from you. We hope you'll take a few seconds to let us know your thoughts by leaving comments on this blog post, and we'll make sure that the new Administration gets the message loud and clear.

Today The Campaign, along with our friends at Cosmogirl.com, released a survey about the scary intersection of sex and technology. As it turns out, nearly 40% of teens are sending sexually suggestive text message, IMs, or emails. And nearly half have received them. Think that's bad? They're also sending sexually explicit photos and video—about 1 in 5 teens say they've posted or sent nude or semi-nude images of themselves. Most send this stuff to their boyfriends and girlfriends but 15% of those who've done it say they've sent such content to people they know only online. Yikes!

There's a lot to talk about here. Teens know it's dangerous and they do it anyway. This sort of activity increases with age (so much for "youthful indiscretions" that are over by adulthood). Teen girls say they do it because they think its "fun" but many guys see it as being "hot" and nearly a third of teen boys say girls who send such content are expected to hook up. Guys show what they're receiving to their buddies. And nearly a quarter of teens say this sort technology makes them more forward and aggressive in real life.

Real life. That's the scariest part of all. If someone has already seen photos of your naked body either online or on their cell phone screen, then the expectation for sexual contact may be more intense when you spend time with them in person. Or it might be harder to say "no" to something in real life if you've pushed the envelope electronically. Not to mention the real life impact these photos may have when potential employers or college admissions officers or new friends or first dates or sworn enemies or pretty much anyone else searches for information about you online.

And for the most part parents have no idea what's going on. When parents were growing up their moms answered the phone and knew their friends' voices. Phone conversations took place in the kitchen in front of everyone. Even if they took racy pictures of themselves as teens the only way to share them was passing around snapshots and then hiding them away. "Friends" were people you knew and spent time with—not a classification on Facebook that applies equally to people you've never met as well as lifelong pals. Parents may (or may not) be old-fashioned or out of touch when it comes to teens' attitudes about sex, drugs, drinking, etc., but at least they've lived through it. Not so with cell phone culture and social networking. Which can make it harder to talk about and easier to get away with.

For survey results, teen reaction, news coverage, tips for parents, things to think about before you press 'send' and more check out Sex and Tech: What's Really Going On on our site and Cosmogirl.com's The Daily Kiss blog.