Comprehensive Adolescent Pregnancy Prevention A Grant Program of Funded by the New York State Department of Health, Division of Family Health

Is there a problem and what is it? How can we help?

1 in 4 teens in the United States gets an STD each year. Three-quarters of a million teens between the ages of 15 and 19 become pregnant each year. Teens who become pregnant are less likely to finish high school or attend college. Taken from www.guttmacher.org 1 in 4 teens in the United States gets an STD each year. By age 25 half of all sexually active young adults have or will have had an STD. Taken from www.guttmacher.org Sexually Transmitted Disease Surveillance 2009. Atlanta: U.S. Department of Health and Human Services; 2010.

New York (Excluding New York City), High School Youth Risk Behavior Survey, 2009 Summary of Statistics Sexual Behaviors Total Percentage Among All Grades 9th Grade Only 10th Grade Only 11th Grade Only 12th Grade Only Ever had sexual intercourse 42.9% 25.6% 38.2% 46.7% 63.2% Had sexual intercourse for the first time before age 13 years 5.4% 7.8% 6.1% 3.9% 3.0% Had sexual intercourse with four or more persons (during their life) 13.0% 9.0% 11.1% 13.2% 18.8% Had sexual intercourse with at least one person (during the 3 months before the survey) 32.9% 17.6% 28.2% 35.5% 51.7% Drank alcohol or used drugs before last sexual intercourse 23.3% N/A 22.7% 27.4% 19.2% Did not use a condom during last sexual intercourse (among students who were currently sexually active) 33.3% 35.4% 29.7% 35.9% N/A = <100 Respondents for the subgroup Numbers have been extracted from reports found at http://apps.nccd.cdc.gov/youthonline/App/Default.aspx?SID=HS

A Look at Teen Pregnancy in Warren and Washington Counties* Warren County Rate 48.2 Washington County Rate 51.4 Northeastern NYS Region Total 39.2 *Pregnancy rates are the number of pregnancies per 1,000 for 15-19 year old females (2006-2008)

NYS Teen Pregnancy Rates by Zip Codes (2006-2008) –Updated 9/24/10 Warren County Washington County 12801 (Glens Falls) 85.18 12839 (Hudson Falls) 97.05 12817 (Chestertown) 59.93 12828 (Fort Edward) 65.45 12885 (Warrensburg) 57.26 12865 (Salem) 57.06 12846 (Lake Luzerne) 52.81 12809 (Argyle) 45.98 12843 (Johnsburg) 40.82 12827 (Fort Ann) 42.51 12804 (Queensbury) 37.71 12832 (Granville) 40.16 12814 (Bolton Landing) 23.26 12834 (Greenwich) 37.91 12845 (Lake George) 23.06 12887 (Whitehall) 27.87 12860 (Pottersville) 20.33 12816 (Cambridge) 20.96 12853 (North Creek) 19.42 12821 (Comstock) 7.75 Pregnancy rates are the number of pregnancies per 1,000 females age 15 to 19 years.

What do you think is the main reason why so many teens have unprotected sex?

Core Strategy 1: EDUCATION: Provide comprehensive & age appropriate evidence-based and medically accurate sexuality education to promote healthy sexual behaviors.

Why a school setting? Information in an evidence based curriculum is already part of the mandated HIV education Information will reach a larger audience during classroom instruction as compared to voluntary afterschool or group setting

Aligning with NYS Standards… “Be Proud! Be Responsible” has been reviewed for alignment with Health Education Standards and Skills by the New York State Center for School Safety. We have provided the curriculum grids in the presentation packets.

Be Proud. Be Responsible Be Proud! Be Responsible! Evidence-Based Curriculum addresses these key elements… Information surrounding HIV/AIDS, STDs and pregnancy prevention The perception of invulnerability Attitudes and beliefs that facilitate participating in HIV risk-associated behaviors. Cognitive skills to analyze situations that put people at risk Negotiation/refusal skills Technical skills to use condoms correctly A sense of self-efficacy The sense of pride and responsibility in acquiring and practicing HIV-prevention behaviors

Be Proud! Be Responsible! Six modules include… Introduction to HIV, STDs and Pregnancy Building Knowledge About HIV, STDs and Pregnancy Understanding Vulnerability to HIV, STDs and Teen Pregnancy Attitudes and Beliefs About HIV, AIDS, and Safer Sex Building Condom Use Skills Building Negotiation and Refusal Skills *Original structure is six 50 minute modules but can be modified to fit other class period lengths.

Outcomes… Reduces risky sexual attitudes and behaviors Higher frequency of condom use Delays initiation of sexual activity and increases protective behaviors

How We Support You… Provide education, information, assistance and support Provide free use of the curriculum and materials Provide feedback on statewide outcomes of EBC use and best practices

What’s the catch? Provide free use of the curriculum to the District* Present with Fidelity (within the framework of school guidelines) Record cycle attendance and maintain provided Fidelity Checklist (No student identifiers are associated with these forms) *Contingent on Signing of Letter of Agreement between District and HHHN that EBC will be presented with fidelity.

Questions/Discussion Thank you for the opportunity to present this information to you.

Our Contact Information Phyllis Morreale, CAPP Program Director Email: pmorreale@hhhn.org Phone: (518) 761-0300 Extension 31107 Amy Zanghi, CAPP Program Coordinator Email: azanghi@hhhn.org Phone: (518) 761-0300 Extension 31119