Abstract

This review article examines the ongoing efforts to address the issue of adolescent pregnancy in the United States, spanning national, state, and local initiatives. It summarizes the trends and strategies employed in prevention efforts, drawing insights from past experiences and presenting recommendations for future directions. Over the years, diverse interventions ranging from educational campaigns to clinical services and community-wide collaborations have been implemented, contributing to notable reductions in adolescent pregnancy rates. However, persistent racial/ethnic, geographic, and socioeconomic disparities underscore the need for more targeted and inclusive approaches. Many adolescents, particularly those most in need of sexual health resources, remain underserved by existing programs and policies. As understanding grows regarding the role of social determinants of health and the impacts of structural racism, future interventions must prioritize equity and inclusion. Recommendations include enhancing the quality and sustainability of educational programs, involving youth in policy and program design, leveraging technology for improved health literacy, expanding access to services through telehealth, and addressing structural racism and health equity in program and policy design. These strategies aim not only to reduce unintended adolescent pregnancy but also to promote overall adolescent health and well-being.