In a bracing piece in The Nation, Sharon Lerner explores, with her usual clarity, why it is that primary prevention--simple birth control--now seems so devalued. Read, scratch your head, and be concerned. Sigh.

When asked why he robbed banks, Willie Sutton famously replied: "That's where the money is." Which brings us to community colleges...

As regular readers of this blog are surely aware, fully half of all pregnancies in the United States are unplanned. Among single women in their 20s the rate is even higher--fully seven in 10 pregnancies among single 20-somethings are unplanned. Moreover, the rates of teen pregnancy and childbearing are highest among older teens (those age 18-19).

Take the high rate of unplanned pregnancy among young adults and consider this: there are about 11.5 million students in community colleges, representing nearly half (46%) of all undergraduate students in America.

Starting to get the Willie Sutton drift?

It's not every day that you come across something online that you think is truly different, useful and, even fun. The other day I came across a website, "Maria Talks," that I think meets this criteria. The site was created through funding from the Massachusetts government, and it operates in conjunction with the Massachusetts Sexual Health Hotline. As someone who has spent plenty of time searching the web for resources on sexual health and birth control, I think that this site stands out.

At The National Campaign, we often send the message that safe sexual practices among teens are best achieved through ongoing conversation and communication. First and foremost, teens themselves have told us their parents most influence their decisions about sex, and we have long asked parents to take the lead and start that open and ongoing conversation with their children.

Today the CDC released a report on the effectiveness of various approaches to teen pregnancy and HIV/STI prevention. The study was conducted by the Task Force on Community Preventative Services, an independent panel convened by the CDC. The report suggests that such prevention programs are most effective when they combine a clear message on the benefits of postponing sexual activity with medically accurate and comprehensive information on how to reduce the risks of pregnancy and STIs among teens who are having sex--including the use of contraception.

Most of the American public gets this. It's common sense. Yet, today's results are debated by many, with some saying they prove comprehensive sex ed programs work and abstinence education programs don't, and some saying the reverse. This debate arises in part because comprehensive sex ed and abstinence-only actually encompass many, many different programs, with varying levels of effectiveness behind them. The debate is fueled as much by ideology as it is by science and will likely continue for some time to come.

For those practitioners, educators and parents looking for a common-sense way forward in the meantime, I suggest focusing on specific programs rather than programmatic approaches. Some, but not all, comprehensive programs have rigorous evidence of positive impacts. These have been well-summarized. To date, none of the abstinence-only curricula have this level of evidence behind them, although that is not to say there may not be some in the future.

Efforts have their best chance of success if they stay grounded in science, whatever the state of the science is at the time. It's also important to realize that, while the reproductive health education we provide our teens in school is critical, no curriculum, regardless of its underlying ideology, is a silver bullet. Communities that truly care about preventing teen pregnancy need a comprehensive approach that includes not only schools, but also parents, community leaders, the media, and teens themselves.

Some scary things to consider this Halloween:

• The teen birth rate is on the rise after 15 straight years of decline.
• Fully seven in ten pregnancies among single 20-somethings are unplanned.
• More than half of pregnancies reported by unmarried men in their 20s are unplanned.
• Rosie O'Donnell is launching a new radio show.
• The magic less sex/more contraception formula that drove down the teen pregnancy rate over the past decade plus now seems to have morphed into a more sex/less contraception formula.
• 3 in ten girls in the United States get pregnant by age 20.
• Mariah Carey continues to record and release music.

What are some things that are scaring you? Let us know.