Prevention Strategy For High Risk African American Adolescents

Running head:HEALTHCARE
Sexual Risk Behavior Critical Analysis
Name of the Student
Name of the University
Author Note

HEALTHCARE1
The first paper by Marseille et al. (2018) is a systematic review and meta-analysis that
assesses the effectiveness of teenage pregnancy prevention programs in the schools of the
United States. The introduction of this paper provides a background for the study by
describing the prevalence of STIs and teenage pregnancy, highlighting the need for such
interventions. The rationale of the systematic review was detailed and justified the research
question. None of the previous review papers target the effectiveness of pregnancy risk-
reducing programs in schools. The methods utilized were those suggested by Cochrane
collaboration, and the meta-analysis was conducted by pooling the studies into non-RCT and
RCT studies. As for the results, this systematic review included studies that showed variable
results. Overall, the analysis showed no significant difference in pregnancy rates due to
school-based prevention programs. However, it also declares that even though the data was
not promising, there may be specified approaches that are useful.
The strength of this paper is that it is a systematic review, which ensures high validity,
and the review method is approved by Cochrane Collaboration. The limitation is that this
included studies that had a very high risk of bias. The level of evidence that was included in
the systematic review was low or very low.
The second paper by Travers et al. (2019) focuses on the implementation of
adolescent sexual healthcare practices in New York. The introduction highlighted the need
for this implementation by examining the statistics of sexual health-related issues in the
Bronx, New York, as well as their prevalence in different races. Evidence-based healthcare
practices were implemented in the clinical settings of the Bronx. Bronx Teens Connection
(BxTC) aimed to provide training and technical assistance to the healthcare workers, and a
survey was conducted to evaluate success. The results show a steady increase in
contraceptive use and hormonal implants in adolescents.