Teen Pregnancy Prevention Program Recommendations from Urban and Reservation Northern Plains American Indian Community Members

Figures & data

Table 1 Demographic Characteristics of Study Sample (N = 183)

		Age^c	Gender^d		Race^e
Method	n	mean (range)	Female	Male	AI/AN (alone)	AI/AN (multiple)	White (alone)
Focus Groups (24 total)^a	163	33.5 (15–79)	91 (55.8)	71 (43.6)	135 (82.8)	24 (14.8)	2 (1.2)
Youth (Nonparents)	48	18.7 (15–24)	26 (54.2)	22 (45.8)	36 (75.0)	9 (18.8)	2 (4.2)
Youth (Parents)^b	57	21.8 (17–25)	34 (59.6)	22 (38.6)	44 (77.2)	13 (22.8)	—
Elders	58	58.5 (44–79)	31 (53.4)	27 (46.6)	55 (94.8)	2 (3.4)	—
Interviews (20 total)^a	20	48.4 (28–69)	19 (95.0)	1 (5.0)	9 (45.0)	—	10 (50.0)
School Personnel	10	47.5 (28–69)	9 (90.0)	1 (10.0)	5 (50.0)	—	4 (40.0)
Health Care Providers	10	49.3 (31–59)	10 (100.0)	—	4 (40.0)	—	6 (60.0)

^aThe focus group and interview data in bold represent the cumulative data for these two methods of data collection.^bTwo female parents did not complete the survey.^cThree participants from the elder focus group did not report their age.^dOne participant from the parent focus group identified as both male and female and gender is represented as missing.^eOne participant from the youth focus group did not report their race. One participant from the elder focus group identified as Hispanic only. One of the school personnel interviewed did not report their race.

Table 2 Suggestions for Program Content & Activities (N = 392 recommendations)

Response^a	N (%^b)	Example responses
Testimonials/Guest Speakers^c	62 (15.8)	“Yeah, when I was little, whenever we used to have people come to assemblies and stuff, that would really catch my eye. ‘Cause like, for one thing, you’re getting the kids out of class, and you have all the kids’ attention.” – urban male youth (nonparent)
Cultural Education^d	52 (13.3)	“I think getting back to our culture, cultural ways.” – reservation male elder
Hands-On Activities	43 (11.0)	“Just like a bunch of activities, like everybody said, different activities, games.” – urban male youth (parent)
Sex/Reproductive Health Education	41 (10.5)	“I think the schools, if they were more consistent in delivering and helping provide sexual health in an open, honest discussion, that there might be some changes.” – reservation health care provider
Teen Pregnancy Impact	33 (8.4)	“Educate them on what they could do if they didn't have a kid in high school compared to what they would do if they did have a kid, and how much difference it would make in their life.” – reservation male youth (nonparent)
One-On-One Setting	25 (6.4)	“It can start off one-on-one, and then maybe…” – reservation female youth (nonparent)
Contraception	22 (5.6)	“… like how to use contraceptives and teach them about contraceptives, because I didn't know about like Plan B until after I was pregnant. It would have been nice to know.” – reservation female youth (parent)
Group Setting	17 (4.3)	“I think these focus groups are good for young people.” – reservation female elder
Empowerment/ Self-Esteem	17 (4.3)	“You know, for the women, just show that, you know, they have respect for their body. You know, that it's not something that needs to be, you know, you don't have to do it, have sex, to be liked or loved or anything like that.” – reservation school personnel
Healthy Relationships	13 (3.3)	“How they can strengthen their relationship with the baby or maybe just start from there. You can have a baby and build a relationship with the father, the mother, or the grandparent, and start with that.” – urban female elder
Values/Morals	13 (3.3)	“I think our boys just need to learn to, well one, they need to learn to respect women.” – urban school personnel
Strengths-Based Approach	9 (2.3)	“Make it a positive outlook for them. Don't let them see their child as a regret, because that is the worst thing that can happen.” – reservation female youth (nonparent)
Youth Input	8 (2.0)	“Maybe ask them what they would like to see. Give them a survey, just like a piece of paper of what they would like to do at their age, high school, middle school, what they would like in a program. Ask them instead of just having this program all planned out, ‘This is what you’re going to do.’” – reservation female youth (parent)
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Table NaN Suggestions for Program Content & Activities (N = 392 recommendations) (Continued)

Response^a	N (%^b)	Example responses
Humor	7 (1.8)	“In the future, you can't get pregnant without a permit.” – urban male youth (parent)
Miscellaneous	6 (1.5)	“Get the mental health…” – urban school personnel
Media	6 (1.5)	“Find some medium that they understand. Like media's a big thing that teaches them how, you know, it's okay to do it. I mean, if the media would just reverse themselves now, but that doesn't sell.” – reservation male elder

^aThemes with less than five responses were not included in the table.^bPercent of responses that fall into this category.^cOne individual indicated a desire not to include testimonials/guest speakers in the program.^dSix individuals indicated a desire not to include cultural education in the program.