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Presentaci

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Universidad de los Andes. Introduction. Experience in one school ... Dept Ob/Gin Universidad de los Andes. Journal of Adolescent Health 36 (2005):64-69 ... – PowerPoint PPT presentation

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Title: Presentaci


1
Universidad de los Andes Santiago, Chile
ADOLESCENT PREGNANCY PREVENTION AN
ABSTINENCE-CENTERED INTERVENTION WITH A
COGNITIVE-BEHAVIOURAL PROGRAM IN A PUBLIC HIGH
SCHOOL IN CHILE
Dr. Carlos Cabezón G. Dept. Obstetrics and
Gynecology Faculty of Medicine Universidad de
los Andes
2
Introduction
  • Experience in one school starting in 1997
  • Liceo A 128 Elvira Brady
  • San Bernardo (peripheral, low income
    neighborhood)
  • Dept Ob/Gin Universidad de los Andes
  • Journal of Adolescent Health 36 (2005)64-69

3
LOCAL DESCRIPTION
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Liceo A 128 Elvira Brady San Bernardo
  • Only Girls
  • 4 grades high school
  • 10 classes (30 40 students each) per grade
  • Approx. 1,500 students
  • Age 15 19 years old

8
Background Pregnancies during 1996 Liceo A 128
9
Adolescent risky behaviour triad
  • Sexual activity (disordered)
  • Tobacco / Alcohol / Drugs
  • Violence, delinquency
  • Strongly related focusing on sexuality can help
    in the other problems

10
THE PROGRAM
11
The TeenSTAR Program (www.teenstar.org)
  • Developmental curriculum
  • Learning fertility pattern
  • Self-understanding / self-esteem
  • Responsible decision making
  • Communication skills in the area of sexual
    behaviour
  • Abstinence

12
TeenSTAR Program
  • One class a week through 2 semesters
  • Teachers training one week workshop (40
    hours)
  • Personal monitoring for students
  • Parental informed consent
  • Voluntary participation of students

13
The program 14 units
  • Initial session
  • Differences between genders
  • Prejudices, complement
  • Anatomy and Physiology of human reproductive
    organs
  • Fertility awareness observation and registration
    of fertility records.
  • Fertility awareness interpretation
  • Knowing emotions and controlling behaviour

14
  • 8. The manipulation of sexuality in media
  • 9. Self-assurance and maintaining decisions
  • 10. Marriage and family
  • 11. Beginning of life, value of human life
  • 12. Family planning methods, contraception and
    STD
  • 13. Pregnancy, delivery and breastfeeding
  • 14. Final session

15
STUDY DESIGN
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Prospective, randomized, controlled
  • Three cohorts
  • 1996 cohort (n 425)
  • 1997 cohort (n 423)
  • 1998 cohort (n 411)
  • Follow up 4 years (each cohort)
  • Outcome pregnancies occurring during the 4 year
    period in each cohort

17
Randomization (1997 1998 cohorts)
  • 1997 cohort 5 teachers/ 10 classes
  • 5 classes received the program (n 210)
  • 5 classes control group (n 213)
  • 1998 cohort 8 teachers/ 10 classes
  • 8 classes received the program (n 328)
  • 2 classes control group (n 83)

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RESULTS
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Pregnancy rates 1997 cohort (1997 2000)
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Pregnancy rates 1998 cohort (1998 2001)
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Pregnancy rates 1997 1998 cohorts
22
Teachers involvement
23
DISCUSSION
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(1)
  • A long term cognitive-behavioural intervention
    proposing abstinence has been effective in
    prevention of unintended pregnancies among
    female high school students.
  • Measured outcome
  • Control group
  • Prospective intervention

25
Limitations (1)
  • No record of abortions
  • No record of STD
  • No information (facts) about sexual activity
    among students
  • Further investigation is being done

26
(2)
  • School teachers get involved and cooperate with
    this program
  • Improves educational environment

27
Limitations (2)
  • Persistence in time
  • Cost ( 5 vs. 500)
  • Entertaining, interesting (not tedious)
  • Parental involvement (must be improved)

28
Conclusions
  • Starting point for our group
  • Further research has to be done
  • Age of sexual initiation
  • Attitude towards sexuality
  • Biological facts
  • Parents involvement
  • Importance of the central message proposed to
    adolescents

29
Thank you!
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