Despite historic lows in teen birth rates, the U.S. still maintains the highest teen birth rate of any industrialized nation, and significant disparities exist between ethnicities and socioeconomic status (SES). The factors influencing teen birth are vast and intertwined. The socio-ecological model (SEM) provides a natural theoretical framework to study and address these multiple levels of influence, which include individual, interpersonal, institutional/organizational, and public policy. This chapter will include a summary of recent studies, and drawing from empirical findings guided by the socio-ecological model, will identify and suggest strategies at each level for reducing the teen birth rate. By addressing the overlapping layers together, as opposed to a single layer, interventions have greater potential for success.
Utility of percentage of births to teenagers as a surrogate for the teen birth rate.
