Adolescent Reproductive Health Research

adolescent reproductive health

Adolescent reproductive health research at CPCE focuses on increasing adolescent utilization of preventive health services, such as HPV vaccination, annual gynecology assessments, STI screening, and contraception services, as well as developing innovative interventions for clinical care settings to meet this priority.

Through this work, we aim to reduce teen pregnancy, STI transmission, and other risky sexual behaviors by promoting healthy reproductive health behaviors. We conduct secondary analyses of large, national datasets and health system-based electronic medical records; randomized trials of clinical and behavioral interventions, qualitative (interview and focus group) studies; and analyze the impact of insurance policies on clinical care.

Highlights of this line of research include:

A recent paper that was accepted for publication by Perspectives on Sexual and Reproductive Health found that females who perceived themselves to be overweight were more likely to engage in risky sexual behaviors.

An ongoing study has found that insurance companies in the Philadelphia marketplace are not in compliance with the Affordability Care Act’s (ACA) mandate to cover contraceptive services without copays which is limiting adolescent access to contraceptive services.

Preliminary results from a recent clinical trial demonstrates that adolescent women ages 14 to 22 years report lower levels of pain at the time of insertion of a contraceptive intrauterine device when given a paracervical nerve block compared to those randomized to receive a sham (no-medication) block. Preliminary results from this recent clinical trial also show that compared to older adolescents (ages 18 to 22 years) those who are younger (under age 18 years) are more likely to present with complaints of common side effects for which they were counseled about prior to initiating their contraceptive method.

What's Next?

Team members are actively working on the following projects:

  • Study of Pain Control with Paracervical Block and Insertion of Skyla IUD (SOPHI Study) – A multisite study examining the effect of paracervical nerve blocks on pain during IUD insertion adolescent women.
  • Adolescent IUD Experiences in First Year of Use – Exploring factors influencing IUD uptake and experiences during the first year of use among adolescent women.
  • Improving Adolescent Reproductive Health through Online Family Engagement: Testing the ‘Parents are TALKING’ Website – Developing and testing an interactive website to improve parental communications with adolescents regarding reproductive health topics.
  • Role of Romantic Relationships in the Sexual Behavior of Obese and Non-Obese Girls – Examining the effect of peer and intimate relationships on obese and non-obese girls’ sexual behaviors.
  • Teenage Pregnancy Prevention Program – Developing and testing an adolescent-centered model of contraceptive care to reduce teen pregnancy, including an Initial Reproductive Health Visit (IRHV) for adolescents aged 12 to 19 years, a health coaching program to support contraceptive adherence, and a youth and parent peer contraceptive advisor program.

Funding: Bayer Healthcare Pharmaceuticals, Inc.; National Institutes of Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development; U.S. Department of Health and Human Services, Office of Adolescent Health; The Society of Family Planning; The University of Pennsylvania Center for Public Health Initiatives

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Please contact Jennifer Harding, MPA, Administrative Director of Research at the Center for Pediatric Clinical Effectiveness (CPCE) and PolicyLab and the Division of Adolescent Medicine, for more information about this line of research.

Adolescent Reproductive Health Published Research

Akers AY, Cohen E, Marshal M, Roebuck G, Yu L, Hipwell, A. Objective and Perceived Weight: Associations with Risky Adolescent Sexual Behavior. Perspectives on Sexual and Reproductive Health. Forthcoming.