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Responsible Sexual Behavior

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Increase the proportion of adolescents who abstain from sexual intercourse.

Target: 50.8 percent.
Baseline, 1997: 39.1 percent of adolescents, grades 9 through 12, abstained from sexual intercourse.
Target setting method: 30 percent improvement.

Increase the proportion of adolescents who use condoms, if currently sexually active.

Target: 75 percent.
Baseline, 1997: 62.2 percent of adolescents, grades 9 through 12, used condoms.
Target setting method: 20.5 percent improvement.

Reduce the rate of unplanned pregnancies in adolescent female ages 10 to 19.

Target: 10 per 1000
Baseline, 1998: 15.6 pregnancies per 1000 females ages 10 to 19 years.
Target setting method: 36 percent improvement.

Objectives/Targets
 

Health Promotion -
Responsible Sexual Behavior


     Early sexual activity is associated with negative effects on social development, unwanted pregnancy, and contraction of sexually transmitted diseases (STD), including human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). About three-fourths of high school students (74 percent) indicated that they had been taught about abstaining from sexual intercourse. Almost 61 percent of North Carolina youth reported that they have had sex compared to 48 percent of students nationally. In the past six years, there has been an increase in condom use among those young people who are sexually active; this is especially true among students in higher grades. Of students who had sexual intercourse, almost one in five reported drinking alcohol or using drugs the last time they had sexual intercourse.

     Sexually transmitted diseases (STDs), including HIV/AIDS, and teen pregnancy have a significant health and economic impact on the people in North Carolina. In North Carolina approximately 67 percent of all STDs occur in people ages 15-24. Teen pregnancy rates among people ages 10-19 account for 16 percent of all pregnancies in North Carolina. Unmarried females account for 38 percent of all pregnancies in North Carolina. All of these health concerns are preventable based on lifestyle changes that can be taught during early adolescence. Adolescent pregnancy in North Carolina cost taxpayers $807,800,000 in 1997. This includes the costs for Temporary Assistance to Needy Families (TANF), food stamps, WIC, and Medicaid for families begun by a teen in North Carolina. For every dollar North Carolina spent on expenditures to support families begun by teens, it spent one cent on investments to prevent teen pregnancy.

 

Disparities


     According to the Youth Risk Behavior Survey, teen pregnancy disproportionately effects minority girls ages 10-14 (who have 68 percent of all pregnancies for that age group), males are more sexually active than females, and minority males report a higher number of sexual partners.
 

Determinants/Risk Factors


     Substance abuse, peer pressure, lack of adult supervision, and lack of information
 

NC Data

Health Promotion - Responsible Sexual Behavior

 


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