Abstract：
BACKGROUND:Previous research has suggested that comprehensive teenage pregnancy prevention programs that address sexual education and life skills development and provide academic support are effective in reducing births among enrolled teenagers. However, there have been limited data on the costs and cost effectiveness of such programs. PURPOSE:The study used a community-based participatory research approach to develop estimates of the cost-benefit of the Pathways/Senderos Center, a comprehensive neighborhood-based program to prevent unintended pregnancies and promote positive development for adolescents. METHODS:Using data from 1997-2003, an in-time intervention analysis was conducted to determine program cost-benefit while teenagers were enrolled; an extrapolation analysis was then used to estimate accrued economic benefits and cost-benefit up to age 30 years. RESULTS:The program operating costs totaled $3,228,152.59 and reduced the teenage childbearing rate from 94.10 to 40.00 per 1000 teenage girls, averting $52,297.84 in total societal costs, with an economic benefit to society from program participation of $2,673,153.11. Therefore, total costs to society exceeded economic benefits by $559,677.05, or $1599.08 per adolescent per year. In an extrapolation analysis, benefits to society exceed costs by $10,474.77 per adolescent per year by age 30 years on average, with social benefits outweighing total social costs by age 20.1 years. CONCLUSIONS:This comprehensive teenage pregnancy prevention program is estimated to provide societal economic benefits once participants are young adults, suggesting the need to expand beyond pilot demonstrations and evaluate the long-range cost effectiveness of similarly comprehensive programs when they are implemented more widely in high-risk neighborhoods.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Rosenthal MS,Ross JS,Bilodeau R,Richter RS,Palley JE,Bradley EHdoi
10.1016/j.amepre.2009.08.014subject
Has Abstractpub_date
2009-12-01 00:00:00pages
S280-7issue
6 Suppl 1eissn
0749-3797issn
1873-2607pii
S0749-3797(09)00528-5journal_volume
37pub_type
杂志文章abstract：BACKGROUND:Oklahoma's tribal tobacco shops are distributed throughout the state, including in urban areas. During the time frame of this study, state excise tax rates for cigarettes varied by tribe and region, and took five distinct levels, ranging from 5.75 cents to $1.03 per pack. PURPOSE:To describe the pricing beh...
journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：
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journal_title：American journal of preventive medicine
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更新日期：2017-03-01 00:00:00
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journal_title：American journal of preventive medicine
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doi：
更新日期：1997-09-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
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更新日期：2005-04-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.06.020
更新日期：2011-10-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.08.044
更新日期：2006-01-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2005-01-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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更新日期：2018-01-01 00:00:00
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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journal_title：American journal of preventive medicine
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