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Addressing Unintended Teen Pregnancy through Reproductive Health Service Delivery by School Nurses and Physicians

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Title: Addressing Unintended Teen Pregnancy through Reproductive Health Service Delivery by School Nurses and Physicians
Language: English
Authors: Rebecca Fisher (ORCID 0000-0002-5156-5955), Pamela S. Haller, Phoebe Danza, Kate L. Collier (ORCID 0009-0007-4966-5715), Lorraine Tiezzi
Source: Journal of School Health. 2026 96(4).
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 8
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Education Level: High Schools
Secondary Education
Descriptors: Pregnant Students, Adolescents, School Health Services, School Nurses, Physicians, High School Students, Contraception, Health Behavior, National Surveys, Risk, Prevention, Sex Education
Geographic Terms: New York (New York)
Assessment and Survey Identifiers: Youth Risk Behavior Survey
DOI: 10.1111/josh.70080
ISSN: 0022-4391
1746-1561
Abstract: Background: The Connecting Adolescents to Comprehensive Healthcare (CATCH) program built upon existing infrastructure for school nurses and physicians to provide limited reproductive health services to New York City public high school students. We evaluated CATCH reach, service delivery, and impacts on contraceptive use and pregnancy among female teens over the period 2011-2019. Methods: Our evaluation incorporated data from school rosters and CATCH patient records; the NYC Youth Risk Behavior Survey, to estimate contraceptive use among students without CATCH access for comparison with students with access; and NYC vital statistics, to estimate the pregnancies, abortions, and births averted by CATCH. Results: CATCH grew from piloting on five campuses to operating on 61 campuses with more than 80,000 students, reaching an estimated 53.7% of sexually active female students on those campuses by the 2018-19 school year. Use of most or moderately effective contraception (IUD, implant, pills, patch, ring, or Depo-Provera) among CATCH patients increased over time and was consistently higher than estimates for those same students if they had not had CATCH access. We estimate the program averted 3526 pregnancies among NYC teens. Conclusions: By supporting access to reproductive health care, CATCH contributed to contraceptive uptake and reduced pregnancies among NYC teens.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1501509
Database: ERIC
FullText Text:
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  Data: Addressing Unintended Teen Pregnancy through Reproductive Health Service Delivery by School Nurses and Physicians
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Rebecca+Fisher%22">Rebecca Fisher</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-5156-5955">0000-0002-5156-5955</externalLink>)<br /><searchLink fieldCode="AR" term="%22Pamela+S%2E+Haller%22">Pamela S. Haller</searchLink><br /><searchLink fieldCode="AR" term="%22Phoebe+Danza%22">Phoebe Danza</searchLink><br /><searchLink fieldCode="AR" term="%22Kate+L%2E+Collier%22">Kate L. Collier</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0007-4966-5715">0009-0007-4966-5715</externalLink>)<br /><searchLink fieldCode="AR" term="%22Lorraine+Tiezzi%22">Lorraine Tiezzi</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+School+Health%22"><i>Journal of School Health</i></searchLink>. 2026 96(4).
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: Y
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  Data: 8
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  Data: 2026
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="EL" term="%22High+Schools%22">High Schools</searchLink><br /><searchLink fieldCode="EL" term="%22Secondary+Education%22">Secondary Education</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Pregnant+Students%22">Pregnant Students</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22School+Health+Services%22">School Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22School+Nurses%22">School Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians%22">Physicians</searchLink><br /><searchLink fieldCode="DE" term="%22High+School+Students%22">High School Students</searchLink><br /><searchLink fieldCode="DE" term="%22Contraception%22">Contraception</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Behavior%22">Health Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22National+Surveys%22">National Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Risk%22">Risk</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+Education%22">Sex Education</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22New+York+%28New+York%29%22">New York (New York)</searchLink>
– Name: SubjectThesaurus
  Label: Assessment and Survey Identifiers
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  Data: <searchLink fieldCode="SU" term="%22Youth+Risk+Behavior+Survey%22">Youth Risk Behavior Survey</searchLink>
– Name: DOI
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  Data: 10.1111/josh.70080
– Name: ISSN
  Label: ISSN
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  Data: 0022-4391<br />1746-1561
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The Connecting Adolescents to Comprehensive Healthcare (CATCH) program built upon existing infrastructure for school nurses and physicians to provide limited reproductive health services to New York City public high school students. We evaluated CATCH reach, service delivery, and impacts on contraceptive use and pregnancy among female teens over the period 2011-2019. Methods: Our evaluation incorporated data from school rosters and CATCH patient records; the NYC Youth Risk Behavior Survey, to estimate contraceptive use among students without CATCH access for comparison with students with access; and NYC vital statistics, to estimate the pregnancies, abortions, and births averted by CATCH. Results: CATCH grew from piloting on five campuses to operating on 61 campuses with more than 80,000 students, reaching an estimated 53.7% of sexually active female students on those campuses by the 2018-19 school year. Use of most or moderately effective contraception (IUD, implant, pills, patch, ring, or Depo-Provera) among CATCH patients increased over time and was consistently higher than estimates for those same students if they had not had CATCH access. We estimate the program averted 3526 pregnancies among NYC teens. Conclusions: By supporting access to reproductive health care, CATCH contributed to contraceptive uptake and reduced pregnancies among NYC teens.
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  Data: As Provided
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  Data: 2026
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  Label: Accession Number
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  Data: EJ1501509
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        Value: 10.1111/josh.70080
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
    Subjects:
      – SubjectFull: Pregnant Students
        Type: general
      – SubjectFull: Adolescents
        Type: general
      – SubjectFull: School Health Services
        Type: general
      – SubjectFull: School Nurses
        Type: general
      – SubjectFull: Physicians
        Type: general
      – SubjectFull: High School Students
        Type: general
      – SubjectFull: Contraception
        Type: general
      – SubjectFull: Health Behavior
        Type: general
      – SubjectFull: National Surveys
        Type: general
      – SubjectFull: Risk
        Type: general
      – SubjectFull: Prevention
        Type: general
      – SubjectFull: Sex Education
        Type: general
      – SubjectFull: New York (New York)
        Type: general
      – SubjectFull: Youth Risk Behavior Survey
        Type: general
    Titles:
      – TitleFull: Addressing Unintended Teen Pregnancy through Reproductive Health Service Delivery by School Nurses and Physicians
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              Y: 2026
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              Value: 96
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