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How Can the Richest Country in the World Deal With the Issue of Teen Pregnancy?

Posted: 01/22/08 11:37 AM ET

The rather sobering news about a rise in pregnancy rates among teenagers for the first time since 1991 seems to have re-awakened Americans' fears over the problem of early childbearing. According to the sociologist Frank Furstenberg, who has studied teenage pregnancy for four decades and recently published a book on the topic called Destinies of the Disadvantaged: The Politics of Teen Childbearing, this latest panic reflects the nation's dogged denial about the role of sexuality in adolescence.

Anyone who understands the basics of the birds and the bees knows what will happen when boys and girls engage in unprotected sex. According to Furstenberg, a father and grandfather himself, Americans suffer from a puzzling wonderment when it comes to our young people and their developing sexuality. In his book, Furstenberg offers a metaphor of driving to describe the problem with the current view. When we prepare our young to get behind a wheel at 15- or 16-years-old: there is intensive instruction, careful monitoring, and, eventually, a time where young people get to drive a car on their own, Furstenberg says. Driving is, potentially, a far more dangerous than having sex. And yet, as Furstenberg sees it, under the current strategy, parents rail against the inevitability of young people's sexuality by refusing to accept it as "normal and normative." He says, "it is as if we stand back and watch young people go out on the road without any preparation," telling them simply: "try not to hit anything." Such schizophrenic messages also gets reinforced in abstinence plus sexual education programs where teenagers are advised "not to have sex," with the proviso "to use protection if they do." Statistical trends in young people's sexual behavior foreshadowed this increase in teen pregnancy, since 2003, contraceptive use among adolescents actually declined while the levels of sexual activity have remained constant.

Within the issue of teenage pregnancy is the unspoken sense that abortion offers a way out. With more than a million abortions annually, and 50 percent of teenage pregnancies ending in pregnancy termination, the choice to go to term and become a mother, or not, offer the two most common "solutions" to an unplanned pregnancy for a teenager. And yet, as far as we can see, these assorted outcomes -- abortion, adoption, or parenthood -- appear to be powerfully structured by social realities like class, race, poverty, and education. When a pregnancy occurs for a teenager, the girls who are poor, not headed to college, were raised by single mothers who were teen parents themselves, and are not white overwhelmingly opt to keep the baby and raise a child. Women who choose abortion were raised by two parents, come from affluent families and graduate from college. In the end, of the thousands of girls will find themselves pregnant, overwhelmingly, young women with the most options end their pregnancies, while the poorest and most disadvantaged ones become young mothers. It is no accident, after all, that you hardly ever see college students pushing strollers with newborns on campus.

Given the growing social acceptance of young mothers and the legal access to abortion, despite the "happy ending" of the film Juno, the reality is that adoption is a rarely considered option when pregnancy happens among teens. A select group women, who are typically white and socially conservative, will choose this path because of their opposition to abortion and the fact that there are thousands of families eager to adopt healthy white infants. Many poor, young women of color inhabit a social world where early childbearing is common and the reality of foster care system filled with non-white infants in need of families convinces them that children raised on public assistance will be better off than ones trapped in the foster care system. In the flurry of headlines following the news of Jamie Lynn Spears' impending motherhood, are we shocked because Ms. Spears had sex with her boyfriend or that she had sex and failed to use contraception effectively, or that she did not have an abortion?

So how exactly can the richest country in the world deal with the issue of teen pregnancy? For Furstenberg, the first step is to abandon the moralistic messages of the don't- have- sex -but-if-you-do-be careful campaigns. Accept the fact that most young people will have sexual experiences and prepare them for this future. This does not simply mean handing out rainbow-colored condoms at schools; this also requires empowering young men and women to talk about sex with their partners so they can negotiate boundaries. The subtext of the most effective programs encourages young people to wait by teaching teenagers to build sex into healthy, loving, and enduring relationships. Indeed, in the Netherlands, where sexuality is seen as a natural and expected part of late adolescence, abortion rates are lower and the age at first sexual initiation is older than here in the United States where the federal government calls on teenagers to avoid sex until marriage. When you look at the rest of the world where teenage childbearing has become a problem of another time, it is maddening to see policymakers and parents in the United States so perplexed. After studying teenage childbearing for 40 years, Furstenberg has to wonder how much longer it will take for us to realize how "we are doing in the name of protecting our young people" has been such an abject failure.

 
 
 
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10:08 PM on 01/24/2008
Surely A Republican will solve this!! NOT.
08:00 AM on 01/23/2008
You’ve missed the point, which was not that children are unable to control their behavior, or that it is too hard. My opinion of our kids is that they are worthy of our trust, and that given all the facts they will do the right thing because they are smart enough to understand that the wrong thing is harder. Statistics prove that if they know all the facts they themselves can and will control their behavior.
As a kid I desperately wanted the facts of how to do the ‘right thing’, which for me included giving my to-be-wife the life she deserved. We had no clue how we were jeopardizing that with our anything-but-casual sex. All we had was the clergy saying ‘sex is bad’, with never a hint we might be responsible and capable of dealing with any knowledge in a mature fashion. They didn’t ‘give up on’ us, because they never believed in us in the first place. They forced us to figure things out by our own ignorant bumbling efforts, and predictably we made mistakes and caused a lot of suffering. Our children did not deserve that.
A real education would have told us why sex was bad, and how it was bad, and trusted us. We wanted to know the facts of life for high school dropouts with no resources for children of their own or medical problems; how a mistake could shrink our world and erase opportunity; how waiting till we were grownups could affect the foundations of a marriage that didn’t have to end in divorce twenty years later. More than life itself we wanted to know this stuff, but nobody would ever tell us.
10:56 PM on 01/22/2008
My daughter was a teacher at a school for "at risk" teenage girls run by the state of Florida for several years.I also volunteered there. The girls were considered at risk of dropping out of school and ending up in the Juvenile Justice system,some of them had already had brushes with said system. My daughter was devoted to the girls,and they, to her. Some of the girls were already mothers, others were consciously "trying" to get pregnant. They would tell her that they wanted someone to "love" them. The reply was "it's not the baby's job to "love" you, its your job to love the baby." Indeed most of the dropping out was due to the strains of motherhood and/or pregnancy. Despite free condoms being available for the taking, visits from pregnancy prevention sources, and many resources from the community to provide goals, college placement, job training, you name it, most were unswayed. Many came from cultures, or families where having a baby without a participating father, and being underage is not seen as an impediment. Many of the students had very young mothers. One, who was 15,had three half siblings, all 15 years old, the same father, four different mothers. I'll say this for him, he did give money to his children, all they had to do was run his drugs for him. Most of these girls were smart, funny, and even talented, but ultimately they broke my daughter's heart. She now teaches at a private conservative Jewish school, and delights in actually having students with goals, and parents who care,so she at least has had a happier ending than some of her former students.
I think my daughter's story is one of a community that did care and a government that did use resources,and many other devoted teachers,but who can solve a problem that the participants don't see as a problem?
10:35 PM on 01/22/2008
The richest nation in the world is also about the 30th in the world, education-wise. And the Nation may be rich but the middleclass is being wiped out...
As long as television aims under the eighth grade education and remains enshrined in the center of every home, we aren't going to be able to deal realistically with anything.
Controlling and educating our children is even harder when both parents have to work just to keep food on the table and a roof overhead.
Meanwhile, television and media offers nothing but skin, sex, violence, more sex.... all to train those little consumers into believing the marketing messages which run exactly contrary to our responsibilities as parents.
Throw religious nonsense into the mix and leave it to God to sort it out and what do you expect? As if a promise to be abstinate really makes a difference....
America has to change and it can't.
03:01 PM on 01/22/2008
Brainoverbraun proposes that americans are 14: Orangesam confirms it.

At 15 I tried hard to find out about contraception, but information on how to use a condom properly was not available to catholic high school kids in 1965. Our baby died of cancer a year after my wife would have graduated, so that's three people whose lives would have been a lot better without abstinence-only.
12:59 PM on 01/22/2008
As one popular TV analyst likes to say, the best predictor of future performance is past performance.

We will continue to bury our heads in the sand and pretend it isn't happening - at least not to our daughters.
12:27 PM on 01/22/2008
Ha. This is a nation in which a major presidential candidate, Mike Huckabee, believes Adam & Eve shared the Garden of Eden with dinosaurs. And millions of Americans share these goofy ideas.

Expecting a sensible approach to teen sex and birth control is wildly optimistic. We'll be lucky if we can keep the Bible-thumpers from taking over the White House and nuking Iran because Jesus "told them to." When are Americans going to realize that religion -- ALL religion -- is a serious threat to humankind? One would think that the dead bodies littering the streets in the Mideast would provide a clue.
12:00 PM on 01/22/2008
Maybe if we defined the problem for what it is. It is not the problem of teen girls getting pregnant it is the problem of adult males impregnating teenage females. Lets put the onus of responsibility where it belongs. If it is defined as an adult male problem as opposed to once again blaming the less powerful, the victim for the problem they face created by others, how does that then change the dialogue?
11:47 AM on 01/22/2008
Forbidden fruit tastes sweetest. On the other hand a full and complete education on sex and birth control and availability of contraception and abortion will lower the rate dramatically. When you know it isn't easy being pregnant and it is a long expensive undertaking to raise a child well, then teenage pregnancy will drop.