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In most states, once you are 13, you can get checked and tested for STDs without a parent's involvement. Many family doctors or pediatricians will agree to treat their teen patients confidentially. That means they won't tell parents or anyone else unless you say it's OK. So you may be able to ask your own doctor if he or she will do so.

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Free NewspapersBy examining examples of local free newspapers, from ads to articles, participants discuss how free press offers commentary on subjects downplayed or overlooked by newspapers owned by major media corporations.

Teenagers' use of home pregnancy tests may be an indicator of their attitude toward early childbearing, according to findings from a study of 340 sexually active patients at three urban adolescent health clinics.1 Twenty-eight percent of the sample had taken a home pregnancy test; analyses that adjusted for a number of factors related to sexual decision-making revealed that these teenagers were significantly more likely than other young women to be living apart from their biological parents, have more than 10 well-established risk factors for teenage pregnancy and not view adolescent pregnancy as having negative consequences (odds ratios, 2.0-2.2). In unadjusted analyses, teenagers who had taken a home pregnancy test appeared to have a reduced likelihood of having used a contraceptive at last intercourse and of accepting a method during the clinic visit, but these differences were not significant in adjusted analyses. The researchers conclude that "teenagers who use home pregnancy test kits might benefit more from counseling aimed at altering their childbearing expectations than from traditional discussions of contraceptive options." They thus recommend that providers who serve sexually active teenagers "regard a history of home pregnancy test taking as a red flag."

An oral contraceptive regimen consisting of 84 days of hormonally active pills followed by a seven-day pill-free interval could be less costly to users and society than the standard regimen of 27 days of active pills followed by a weeklong pill-free interva1.1 In an analysis taking into account various direct costs of pill use (e.g., costs for the prescription, female hygiene products and doctor visits for menstrual-related concerns) and indirect costs (e.g., wages lost because of menstrual problems and opportunity costs of doctor visits), researchers found that if the pills were priced comparably, a year of the new regimen would cost a user $41 less than a year of the standard regimen; societal costs per user would also be reduced by $41 annually, but direct costs for third-party payers would not differ by regimen. The analysts caution that their calculations did not take into account possible health benefits or risks related to use of an extended pill regimen. Nevertheless, they conclude that "under an appropriate drug pricing policy," such a regimen "may hold considerable promise for adding value over existing standard [regimens]."

In 29 states with name-based reporting of HIV or AIDS, 35% of newly diagnosed HIV infections reported among individuals aged 13 and older in 1999-2002 were acquired through heterosexual contact.1 According to an analysis by the Centers for Disease Control and Prevention, women accounted for 64% of heterosexually acquired infections, 89% of those among 13-19-year-olds and more than half of those in each racial or ethnic group examined. Black and Hispanic men and women, who made up 21% of the population of the 29 states, accounted for 84% of infections acquired through heterosexual contact; the great majority of these infections (74% overall) were among blacks. One-fifth of individuals with heterosexually acquired HIV received an AIDS diagnosis in the same month that they learned of their HIV infection; concurrent diagnosis of the two conditions was more likely among males than among females. The author of a commentary on the analysis urges the development of culturally sensitive HIV prevention interventions and prevention education aimed at sexually active teenagers.

The values list expanded in 1988 from its original 30 items to 43. While students then added health and life to the mix of things they cared about and free time and prestige to the list of the unimportant, their five top and bottom choices remained much the same, though the rank order varied some from decade to decade.

It may seem odd that teenagers, in the prime of life, would place such a high value on health, but Calabrese says a series of bad-news health stories -- starting with AIDS -- began surfacing in the 1980s, and the kids responded.

Despite the congruence between the Japanese and American students, Calabrese cautions against presuming the existence of a universal teenage values system based on these results. What they do suggest, however, is a way for adults to help teens discover just what matters most to them.

I wish to reply to the letterTeens not equipped to make life decisions. First of all, we need to understand that teenage pregnancies are an automatic result of the Westernisation of Eastern culture.

Thus, if we choose to adopt the Western culture, we have to adopt it in its entirety. This part- acceptance and part-rejection of Western culture is causing confusion. It is naive for us in Malaysia to have co-ed schools which allow the fraternising and free intermingling between boys and girls and not expect them to have experimental sex with one another.

It is quite common in schools, for boys and girls to sit beside one another, to meet during recess and extra-curricular activities and to walk home or bus together. Many teenage boys and girls then have study sessions together and visit each others house and even spend time in each others bedrooms.

Also important is sex education. Usually sex education involves teaching teenagers the difficulties that unwanted pregnancies bring. This involves requiring teenage girls to wear maternity simulator suits and requiring teenage boys to carry baby dolls.

Not long ago, Frances' common-sense ideals would have sounded like impractical remnants of Sunday school thinking. But teen-pregnancy rates have dropped to their lowest levels in recent decades, and some observers say the abstinence-only movement deserves a share of the credit.

Certainly, the drop is the result of a variety of causes - from the increased use of contraceptives to the improved economy's salutary effect on families. Yet supporters say abstinence programs at churches and schools are having a small but powerful effect on America's teens.

Whatever the reasons, teen-pregnancy rates dropped 14 percent nationwide from 1990 to 1995, according to a 1998 survey by the Annie E. Casey Foundation in Baltimore. The decline was sharpest among black teens - 21 percent - reaching a level that is now the lowest in 40 years.

A separate 1998 study by the Journal of the American Medical Association (JAMA) found evidence that teen sex rates have dropped as well - some 11 percent from 1991 to 1997. Even so, not all Americans are abstaining. Nearly 500,000 teenage girls become pregnant each year, according to the JAMA.

Some groups, like the massive True Love Waits campaign sponsored by the Southern Baptist Convention, encourage teens to sign a pledge card promising to delay sex until marriage. Others, like Best Friends and Free Teens of Westwood, N.J., preach a lesson of self-respect through self-restraint, and encourage teens to share their experiences and offer support to each other when they feel challenged - or tempted.

But while those in the abstinence movement can point to individual lives that have been changed by their message of self-restraint, critics say there is still little evidence to show that this message is the main force in driving down teen-pregnancy rates. In fact, most public-health experts regard the pro-abstinence crowd as little more than a Band-Aid. 041b061a72


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