As of January 2009, Kentucky ranked 8th highest in the US in teenage births, with a teenage birth rate of 51.3 per 1,000 females ages 15-19 years of age, which was significantly higher than the national rate which was 39.1 per 1,000 females. The birth rate of Non-Hispanic Black females ages 15 -19 in Kentucky was even higher at 57 per 1,000. Major contributing factors to high adolescent pregnancy and birthrates are engagement in high risk sexual behaviors such as having multiple partners and lack of consistent use of condoms and other forms of birth control. The purpose of this study was two-fold. First, we set out to test the efficacy of an adapted version of RtR, compared to a counterfactual condition, The Power of We. Second, we tested the efficacy for the first time of a new teen pregnancy prevention intervention, Love Notes, compared to the same counterfactual condition. The study was aimed at unmarried youth, ages 14-19, living in impoverished urban neighborhoods in western and southern Louisville with an emphasis on refugee and foster youth in order to understand which interventions work in the 21st Century and for which groups. This report describes the implementation and impact of each intervention on key outcomes of condom and birth control use, number of sexual partners, number who remained virgins and number of pregnancies.
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