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Analyzing the contribution of community change to population health outcomes in an adolescent pregnancy prevention initiative
Paine-Andrews, Adrienne Fisher, Jacqueline L. Patton, Jannette Berkely Williams, Ella L. Lewis, Rhonda K. Harris, Kari Jo
Paine-Andrews, Adrienne
Fisher, Jacqueline L.
Patton, Jannette Berkely
Williams, Ella L.
Lewis, Rhonda K.
Harris, Kari Jo
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Abstract
Few evaluations of community initiatives have established a link between intermediate outcomes, such as community or systems change, and more distant population-level health outcomes (e.g., estimated rates of employment or adolescent pregnancy). This paper describes an analysis of the contribution of community changes facilitated by a community health initiative to prevent adolescent pregnancy to the population-level outcome of birth rates for teens. We examine a hypothesis that this link might be expected
when community changes are of greater amount, intensity, duration and exposure. The results showed reductions in birth rates in Target Area A where there was a greater concentration of community changes and a slight increase where there were far fewer changes. This report provides a method for describing empirically the contribution of environmental change to more distant population-level outcomes.
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http://heb.sagepub.com
Date
2002
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Sage Publications, Inc.
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Keywords
Adolescent Pregnancy, Community Change, Health Outcomes, Prevention, South Carolina, School, Kansas
Citation
Paine-Andrews, A; Fisher, JL; Patton, JB; Fawcett, SB; Williams, EL; Lewis, RK; Harris, KJ. Analyzing the contribution of community change to population health outcomes in an adolescent pregnancy prevention initiative. HEALTH EDUCATION & BEHAVIOR, 29(2) 2002. 183-193.