Tapping into Community Resiliency in Rural Adolescent Pregnancy Prevention: An Implementation Sciences Approach

Figures & data

Figure 1. Resilience-based implementation process for rural teen pregnancy prevention mapped onto the Consolidated Framework for Implementation Research (CFIR).

Table 1. Reach of programs and characteristics of participants in rural middle-school pregnancy prevention programs.

Characteristic		STAR (Southern Indiana)	DTL (Clinton County)
Total participants		7275^a	1946^b
	6th Grade	1635 (22.8%)	701 (36.2%)
	7th Grade	3713 (51.7%)	645 (33.4%)
	8th Grade	1834 (25.5%)	588 (30.4%)
Age - mean (SD)		12.73 ± 0.88	12.42 ± 1.02
Ethnicity	White	5499 (79.4%)	661 (36.0%)
	Latinx	499 (7.2%)	858 (46.7%)
	Native American	218 (3.1%)	20 (1.1%)
	African American	190 (2.7%)	44 (2.4%)
	Multiethnic / other	517 (7.5%)	253 (13.6%)
Gender	Male	3601 (49.7%)	968 (50.0%)
	Female	3607 (49.8%)	930 (48.0%)
	Gender non-binary	32 (0.4%)	37 (2.0%)
Ever had sex (yes)		368 (5.1%)	80 (4.3%)
Intention to have sex in next 6 months (yes)		565 (7.9%)	-
Substance use (ever)	Tobacco	1115 (15.5%)	215 (11.2%)
	Alcohol	2366 (33.0%)	645 (33.7%)
	Marijuana	508 (7.1%)	171 (8.9%)
	Prescription pills	280 (3.9%)	130 (2.9%)
Knowledge	Range 0–4	3.50 ± 0.72	n/a
Abstinence attitudes	Range 5–20	15.62 ± 2.97	16.01 ± 2.96
Healthy relationship skills			n/a
Confident saying “No” to sex^c		6113 (86.8%)
Can tell my partner to stop^c		6307 (89.5%)
Physical violence NOT normal in dating^c		6684 (93.7%)
NOT OK to check partners’ social media^c		5304 (74.0%)
Parent communication		6.61 ± 5.23 (Range 0–22)	5.04 ± 4.65 (Range 0–20)

^a Unique individuals—each school offered the program to only one grade.

^b Not unique individuals—Data are from 3 years in one school, which offered a 3 year program with 6th, 7th, and 8th grade components. Student may have participated in more than one grade.

^c Strongly Agree and Agree combined.

Figure 2. The process of implementing rural teen pregnancy prevention in rural communities using a community resilience process.

Table 2. Characteristics of Southern Indiana middle school participants by grade.

Characteristic	6th	7th	8th
n	1635	3713	1834
Age - mean ± SD	11.84 ± 0.56	12.67 ± 0.63	13.64 ± 0.62
Ever had sex (yes)	31 (2.0%)	180 (5.2%)	152 (8.8%)
Intention to have sex in next 6 months (yes)	44 (2.7%)	282 (8.3%)	231 (12.8%)
Intention to be abstinent in high school (yes)	1274 (81.5%)	2560 (71.6%)	1202 (67.8%)
Substance use (ever used)
Tobacco	86 (5.3%)	641 (17.5%)	369 (20.3%)
Alcohol	342 (21.2%)	1243 (34.0%)	745 (41.1%)
Marijuana	28 (1.7%)	300 (8.2%)	166 (9.2%)
Prescription pills	28 (1.7%)	157 (4.3%)	89 (4.9%)
Knowledge	3.40 ± 0.78	3.51 ± 0.71	3.56 ± 0.68
Abstinence attitudes (Range 0–20)	16.37 ± 2.59	15.42 ± 2.94	15.39 ± 3.24
Parent communication (Range 0–22)	5.13 ± 4.38	6.79 ± 5.30	7.60 ± 5.53

^a Strongly Agree and Agree Combined.

Data availability

The data that support the findings of this study are available on request from the corresponding author, M.O. The data are not publicly available due to confidentiality concerns (surveys cover sexual behavior, a sensitive topic, with minors).