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The Second Chance Club: repeat adolescent pregnancy prevention with a school-based intervention
J D Key1, G A Barbosa, V J Owens
1Department of Pediatrics and the College of Nursing, Medical University of South Carolina, Charleston 29425, USA. keyj@musc.edu
Summary
The Second Chance Club significantly reduced repeat births in adolescents. This high school program helped teen parents achieve better birth spacing, with only 6% experiencing repeat births compared to 37% in the control group.
Area of Science:
- Public Health
- Adolescent Health
- Reproductive Health
Background:
- Adolescent pregnancy poses significant challenges to educational attainment and long-term well-being.
- High rates of repeat births among teen parents can perpetuate cycles of disadvantage.
- Effective interventions are needed to support pregnant and parenting adolescents.
Purpose of the Study:
- To evaluate the impact of the Second Chance Club intervention on repeat birth rates among high school-aged pregnant and parenting adolescents.
- To compare the repeat birth rate of intervention participants with a matched control group.
Main Methods:
- A retrospective case-controlled cohort study design was employed.
- The study included 50 participants in the Second Chance Club intervention and 255 control subjects.
- Repeat birth rates were tracked for 3 years post-enrollment.
Main Results:
- A significantly lower repeat birth rate was observed in the intervention group (6%) compared to the control group (37%).
- The difference in repeat births between participants and controls was statistically significant (p < .05).
Conclusions:
- The Second Chance Club is an effective high school-based intervention for reducing repeat births among pregnant and parenting adolescents.
- This program demonstrates a positive impact on adolescent reproductive health outcomes.
- Interventions supporting teen parents can lead to improved birth spacing and potentially better life trajectories.
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