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About one-third of teen girls become pregnant at least once by age 20 and fully half of all pregnancies in the United States are unplanned.  Not too good

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September 2009 Archives

Sep 29 2009

starsThe Pill Increases Your Risk...Compared to What?

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Last Friday the New York Times published an article focusing on the potential health concerns of using two popular oral contraceptives, Yaz and Yasmin. While this information is certainly important and the risks of serious side effects including blood clots and stroke should absolutely be considered when thinking about what type of contraception to use, the article failed to discuss the risk of health issues during pregnancy. Studies have found that 4 to 5 per 100,000 reproductive age women who are not taking birth control pills will develop thrombosis. Among women taking low-dose birth control pills that risk increases to 12 to 20 per 100,000. Among pregnant women the risk is even higher--48 to 60 per 100,000. So when we hear about the increased risks of serious side effects such as blood clots and strokes we need to ask ourselves: "Compared to what?"

In addition to providing us with the scary news, I wish there were more articles about the women, men and families who are thankful for reliable birth control methods such as the pill. A recent report from the Guttmacher Institute found that nearly half of women reported that they wanted to reduce or delay their childbearing because of economic concerns--clearly family planning is as important as ever.

There are lots of other great methods of birth control available, but like anything in life there are trade-offs for each one, and we all have to find the one that fits us best (check out our Birth Control 101 page for more information). While most methods have side effects (and these should be discussed with your doctor), consider the potential alternative--an unplanned pregnancy.

Why do we expect so much more from our birth control pills than from other medications we take?

Sep 25 2009

starsReaching Latinos: Telenovelas and Beyond

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Soap operas. They've been a part of the American television landscape since the 1950s. The loss of Guiding Light last week, on the air for 57 years (not counting its 15 years on the radio), clearly demonstrates the obsession and passion Americans feel for the characters of their favorite "made for TV" fantasies.

Not surprisingly, Latinos love their soap operas too. Unlike their American counterparts, telenovelas (soap operas from Spanish-speaking countries) are aired in the evening. They are often a nightly ritual, watched by the entire family, and are a popular form of entertainment for people of all age groups.

Sep 23 2009

starsThe Teen Birth Rate - What's Religion Got to Do With It?

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On September 17th, the journal Reproductive Health published an article, "Religiosity and teen birth rate in the United States," on the relationship between teen birth rates and "religiosity" (level of religious affiliation) by state. The study found that the states with the highest religiosity also had the highest teen birth rates, even when controlling for income and abortion rates (the study also found that high religiosity correlated with lower income levels and lower likelihood of abortion). Predictably in this contentious field, there are already some who question the overall analytic approach of the study.

Even so, the speculation of the study's authors that "conservative religious communities in the U.S. are more successful in discouraging use of contraception among their teen community members than in discouraging sexual intercourse itself" is worth contemplating. On a personal level (I'll leave the policy theorizing for Rachel Maddow), I've spoken to several of my colleagues from religious backgrounds about this study and they all echoed the theory offered by several blogs and articles--that teens from religious backgrounds are less likely than other teens to use contraception when they do have sex because they don't think it works, or because they feel that thinking about contraception would suggest premeditation and intention.

Sep 22 2009

starsTeen Pregnancy (or lack thereof) in The Sims 3

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Like I said at the end of my first post about The Sims 3, the teen pregnancy rate for sims is zero. Makes perfect sense seeing as how teen sims can't WooHoo. But, as we all know, teen pregnancy is all too common in real life, so why not have it in a game that's supposed to be realistic?

According to the publisher, EA Games, teen pregnancy is not part of the game because it could raise the game's ERSB rating from T (for Teen) to M (for Mature Audiences Only), and it's so off-limits that they won't even allow people to discuss teen pregnancy in their forums.

Sep 17 2009

starsNo Place for Children

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"Cohabitation is no place for children" writes nationally-syndicated columnist Michael Gerson.

In a piece that appeared yesterday in the Washington Post, Gerson makes the case that Brad Wilcox, director of the National Marriage Project at the University of Virginia, and others have made. Namely, children do best in two-parent, stable, married families. For Gerson, Wilcox, and many others, they would underscore the married part.

Let's take his argument in bites.

  • Being a 20-something at present is different in important ways from previous decades.
  • Two markers of this change are earlier sexual activity and later age of marriage.
  • In the absence of what Brad Wilcox calls the traditional "courtship narrative"--dating, marriage, children--many young people have adopted a different life choice: cohabitation.
  • Gerson concedes that the link between sex and marriage is a thing of the past. However, he believes that the connection between marriage and having children remains absolutely essential.

A gross oversimplification to be sure, but you get the point. Gerson also notes:

  • Marriage is "the most effective institution to bind two parents for a long period in the common enterprise of marriage."
  • Age of marriage matters too---Gerson calls the early to mid-20s the "marital sweet spot" for marital longevity and happiness.
  • Citing research by Wilcox, Gerson says "serial cohabitation trains people for divorce...cohabitation by engaged couples seems to have no adverse effect on eventual marriage."

That's a lot to chew on. We are anxious to hear what you think. Put you comment shoes on and get busy.

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