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School-based health centers and the decline in Black teen fertility during the 1990s in Denver, Colorado

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  • Ricketts, S.A.
  • Guernsey, B.P.

Abstract

Objectives. We examined the changes in Black adolescent fertility rates in high-school areas with school-based health centers and compared them over time with changes in rates in high-school areas without school-based health centers. Methods. Fertility rates were estimated for high-school areas with and without school-based health centers with geocoded birth certificate and school enrollment data. Results. A high adolescent fertility rate (165 births/1000) in 1992 among Black students in Denver high-school areas with school-based health centers declined to a low rate (38/1000) in 1997 that matched the rate of school areas that did not have school-based health centers. Rates declined for both types of areas over the study period, but the rate of decline in the areas with school-based health centers was significantly greater (77% vs 56%). Conclusions. The rapid and significant decline in Black adolescent fertility in school areas with school-based health centers strongly suggests that attending to the health needs of students at risk of pregnancy resulted in a radically lowered risk of fertility. The decline is likely the result of strategies to identify, intervene, and follow-up on students engaging in behaviors that place them at risk for unintended pregnancy.

Suggested Citation

  • Ricketts, S.A. & Guernsey, B.P., 2006. "School-based health centers and the decline in Black teen fertility during the 1990s in Denver, Colorado," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1588-1592.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.059816_6
    DOI: 10.2105/AJPH.2004.059816
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    1. Hutchinson, Paul & Carton, Thomas W. & Broussard, Marsha & Brown, Lisanne & Chrestman, Sarah, 2012. "Improving adolescent health through school-based health centers in post-Katrina New Orleans," Children and Youth Services Review, Elsevier, vol. 34(2), pages 360-368.

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