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.

In case you haven't seen the Campaign's newest publication, I highly recommend it. And not just because I work here.

As someone who is admittedly ALWAYS attached to some form of media, the format for these helpful tips really strikes a chord with me. While I generally make my contribution to the Campaign's work by keeping my nose buried in some piece of legislation (light reading, anyone?) this got me thinking about the work that my colleagues on the other side of the office do to figure out all the ways we can reach folks through digital media.

These types of projects are becoming increasingly popular with our partners who work on teen pregnancy prevention. The Birds and Bees Text Line, which is sponsored by the Adolescent Pregnancy Prevention Campaign of North Carolina and has garnered national media attention, and the text messaging contest that FutureNet in Iowa held earlier this year are just a couple examples.

Are your organizations, states, or communities doing innovative work to connect with those of us who are tethered to our handheld devices? How are you using digital media to advance pregnancy planning and prevention? Are you sending text message reminders for people to take their pill? Texting appointment reminders? Let us know what you're doing!

Ps--if you're interested in learning more about how social media and mobile technology can be used to prevent teen pregnancy, check out our new youtube playlist of highlights from our June 26th conference "Taming the Media Monster: Teens and Sex in the Digital Age."

Sheldon J. Segal is no longer with us. Segal, 83, died October 17 at his home in Woods Hole, MA. Although his work helped millions of women all over the world, he labored and died in relative anonymity.

What gives?

Segal is credited with leading the team that developed the contraceptive implant Norplant. He was also instrumental in the development of the Mirena intrauterine device and copper-bearing IUDs. In other words, Segal played a critical role in what the Centers for Disease Control and Prevention calls one of the greatest public health achievements of the past 100 years---contraception.

You might have missed this news because the front page of several major newspapers featured other such absolutely essential fare as the fight for airplane overhead space (USA Today) and a new opus from Stephen King (Wall Street Journal).

What gives?

Rest in peace, Sheldon Segal, and thank you.

This piece is cross-posted from SexReally.com, where it was posted on Friday, October 9th.

Even before it hits the newsstands, November's Teen Vogue has people talking.

Why? Because the cover displays two 19-year-old supermodels, one of whom, Jourdan Dunn, is pregnant.

Critics say Dunn shouldn't be there because she is a role model for teen girls. She makes pregnancy look cool - and there are way too many pregnant teens already.

I'm going to raise a different issue. Why is either model - Dunn or Chanel Iman - on the cover? Vogue, I could see, but Teen Vogue? Though technically teenagers, Dunn and Iman have a lot more in common with 20- and 30-something women than girls who just got their braces removed.

Photos are often used to document a trip or special event; they capture fleeting moments in time, and often pieces of art as well. A team of teens in Bayfield, CO are using photos in a slightly different way through a specific technique called photovoice. The goal of the EPIC team (which stands for Every Pregnancy is Considered) is to improve the lives of teens in their small town. To do so they are using photographs of everyday occurrences to document the strengths and weaknesses they see in their community.

The photo above seems simple enough--a nice snow covered playground. To the artist however, the park is an example of how there are plenty of community resources dedicated to smaller children in the community, but the teens lack a fun, safe space of their own, and they're just a little too big for the playground. The other photos in the exhibit include pictures of family members who are important to the teens, fun things to do in other surrounding towns that are hard to access without reliable transportation, and how the teens entertain themselves in their town.

The team of talented artists presented at the Colorado Organization on Adolescent Pregnancy, Parenting, and Prevention's annual conference in Denver, CO. The teens and photos certainly stole the show, and it was great to hear from them directly what they thought might help prevent risky adolescent behavior in their town. The most striking part of the presentation is that it is not just teens telling you what they think--the images allow you to have a sneak peak into their lives. They had a few ideas for what the community might do: a mobile health clinic, a teen center, and reliable, low-cost transportation to nearby towns were a few of the suggestions.

Have you ever used photovoice? How could photovoice serve your community?