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.

  An interesting study by the University of Pittsburgh published in the November issue of Pediatrics found a link between teen girls' body weight (actual and perceived) and their likelihood of engaging in risky sexual behaviors. These included having intercourse before turning 13, having sex with more than four partners, consuming alcohol in connection with sex, and having unprotected sex.  The study surveyed 7,200 high school girls, with half reporting that they had ever had sex.

Some key points:

• Caucasian girls who believed they were underweight were more likely to have had sex and to have had four or more sexual partners than girls who considered themselves at a normal weight.
• Caucasian girls who were actually overweight were less likely to use condoms.
• African-American girls who were underweight were less likely to use condoms than those of normal weight, and overweight African-American girls were more likely to report four or more sexual partners.
• Latina girls of all weights were more likely to engage in a wide variety of risky sexual behaviors, from lack of condom use and sex before age 13 to having more than four sexual partners during their teens and using alcohol.

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.

I must admit that I have been a reluctant participant to blogging, but finally something caught my attention. Recently, I had two interactions with a shopping mall that revealed to me the younger generation's--albeit, misguided in my opinion--obsession with looking good. I am a child of the 60's, when mothers routinely reminded us to wear clean underwear and never to leave the house without a slip and girdle when wearing a dress. As an African-American, I was often told to be careful with the selection of the color of my lipstick, so that my lips would not be too pronounced. "The times they are a-changin'".

Public opinion polling shows that two-thirds of adults (67%) believe most teen mothers come from homes below the federal poverty threshold. A full 70% of adults believe that most teen mothers come from single parent homes.

Not true.

According to new analysis of the National Longitudinal Study of Adolescent Health conducted by our wonderful friends at Child Trends and released today by The National Campaign, only 28% of those who report having given birth or fathered a child as a teen lived in families below the poverty level. Only 30% of those teen parents said they were living with a single parent (39% said they lived with both biological parents and 19% said they lived with one biological parent and one step-parent).