Social marketing is advocated here as a viable approach for increasing responsible teenage contraception. The innovative field is reviewed and the major issues dealing with the adoption and implementation of a social marketing approach to teenage contraception are discussed. Research on teenagers' sexual and contraceptive attitudes and behaviors is also reviewed. The discussion emphasizes that the use and adoption of effective contraceptive methods requires both individual level decision-making and interpersonal negotiation with contraceptive providers. Some of the key individual level considerations are presented here within the context of a problem-solving framework for contraceptive use. It is concluded that interdisciplinary efforts are needed to expand and integrate our knowledge of teenagers' fertility-related attitudes and behaviors to facilitate effective social marketing strategies. Particular emphasis is placed on improving our understanding of the social psychological processes underlying how teenagers, both individually and in conjunction with others, consider, discuss, and decide upon the various contraceptive methods.
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References
1.
ALAN GUTTMACHER INSTITUTE . Questions and answers about Title X and family planning . Issues in Brief, 1984, 4(1), 1-4 . (a)
2.
ALAN GUTTMACHER INSTITUTE . What government can do about teenage pregnancy . Issues in Brief, 1984, 4(2), 1-4 . (b)
3.
ALAN GUTTMACHER INSTITUTE . Should government “squeal” on teens seeking contraception?Issues in Brief, 1984, 4(3), 1-4 . (c)
4.
BENNETT, S. M. , & DICKINSON, W. B.Student-parent rapport and parent involvement in sex, birth control, and venereal disease education . Journal of Sex Research, 1980, 16(2), 114-130 .
5.
BLOOM, P. N. , & NOVELLI, W. D.Problems and challenges in social marketing . Journal of Marketing, 1981, 45, 79-88 .
6.
BRACKEN, M.Contraception and pregnancy after dropping out of family planning clinics: A national interview survey in Jamaica . Social Biology, 1976, 23, 55-56 .
7.
CHILMAN, C. S.Adolescent sexuality in a changing American society: Social and psychological perspectives. Bethesda, Maryland: U.S. Department of Health, Education, and Welfare (N.I.C.H.D.) , 1978.
8.
CHILMAN, C. S.Social and psychological research concerning adolescent childbearing: 1970-1980 . Journal of Marriage and the Family, 1980, 42, 793-805 .
9.
CVETKOVICH, G. , & GROTE, B.Psychosocial maturity and teenage contraceptive use: An investigation of decision-making and communication skills . Population and Environment, 1981, 4(4), 211-226 .
10.
CVETKOVICH, G. , GROTE, B. , LIEBERMAN, E. S. , & MILLER, W.Sex role development and teenage fertility-related behavior . Adolescence, 1978, 8, 231-236 .
11.
DELAMATER, J. , & MACCORQUODALE, P.Premarital contraceptive use: A test of two models . Journal of Marriage and the Family, 1978, 40, 235-247
DRYFOOS, J. G.Contraceptive use, pregnancy intentions and pregnancy outcomes among U.S. women . Family Planning Perspectives, 1982, 14(2), 81-94 .
14.
FORD, K. , ZELNIK, M. , & KANTER, J. F.Sexual behavior and contraceptive use among socio-economic groups of young women in the United States . Journal of Biosocial Science, 1981, 13, 31-45 .
15.
FOX, G. L.The family's role in adolescent sexual behavior. In T. Ooms (Ed.), Teenage pregnancy in a family context: Implications for policy. Philadelphia: Temple University Press , 1981, pp. 73-130.
16.
FOX, K. F. A. , & KOTLER, P.The marketing of social causes: The first 10 years . Journal of marketing, 1980, 44, 24-33 .
17.
GOLD, D. , & BERGER, C.The influence of psychosocial and situational factors on the contraceptive behavior of single men: A review of the literature . Population and Environment, 19836(2), 113-129 .
18.
GOLDSMITH, S. , GABRIELSON, M. O. , GABRIELSON, I. , MATHEWS, V. , & POTTS, L.Teenagers, sex, and contraception . Family Planning Perspectives, 1972, 4, 32-38 .
19.
GORDON, S.The sexual adolescent: Communicating with teenagers about sex. North Scituate, Massachusetts: Duxbury Press , 1973.
20.
HALEY, R. I.Benefit segmentation: A decision-oriented research tool . Journal of Marketing, 1968, 32, 30-35 .
21.
HEROLD, E. S.Contraceptive embarrassment and contraceptive behavior among young single women . Journal of Youth and Adolescence, 1981, 10(3), 233-242 .
22.
HEROLD, E. S.The health belief model: Can it help us to understand contraceptive use among adolescents?Journal of School Health, 1983, 53(1), 19-21 .
23.
HEROLD, E. S. , & GOODWIN, M. S.Premarital sexual guilt and contraceptive attitudes and behavior . Family Relations, 1981, 30, 247-253 .
24.
HEROLD, E. S. , & McNAMEE, J. E.An explanatory model of contraceptive use among young single women . Journal of Sex Research, 1982, 18(4), 289-304 .
25.
HOLMES, J. , & RIECKEN, G.Using business marketing concepts to view the private, non-profit, social service agency . Administration in Social Work, 1980, 4(3), 43-52 .
26.
JESSOR, S. , & JESSOR, R.Transition from virginity to nonvirginity among youth: A Social-psychological study over time . Developmental Psychology, 1975, 11, 473-484 .
27.
JORGENSEN, S. R.Contraceptive attitude-behavior consistency in adolescence . Population and Environment, 1980, 3(2), 174-194 .
28.
KANTER, J. F. , & ZELNIK, M.Contraception and pregnancy: Experience of young unmarried women in the United States . Family Planning Perspectives, 1973, 5, 21-35 .
29.
KANTER, J. F. , & ZELNIK, M.Sexual and contraceptive experience of young unmarried women in the United States, 1976 and 1971 . Family Planning Perspectives, 1977, 9(2), 55-71 .
30.
KATATSKY, M. E.The health belief model as a conceptual framework for exploring contraceptive compliance . Health Education Monographs, 1977, 5, 232-243 .
31.
KOTLER, P.Marketing for non-profit organizations. Englewood Cliffs, New Jersey: Prentice-Hall , 1975.
32.
KOTLER, P.Strategies for introducing marketing into nonprofit organizations . Journal of Marketing, 1979, 43, 37-44 .
33.
KOTLER, P. , & ZALTMAN, G.Social marketing: An approach to planned social change . Journal of Marketing, 1971, 35, 3-12 .
34.
LACZNIAK, G. R. , & MICHIE, D. A.The social disorder of the broadened concept of marketing . Journal of Marketing Science, 1979, 7, 214-231 .
35.
LACZNIAK, C. R. , LUSCH, R. F. , & MURPHY, P. E. , Social marketing: Its ethical dimensions . Journal of Marketing, 1979, 43, 29-36 .
36.
LAZER, W. , & KELLEY, E. J.Social marketing: Perspective and viewpoints. Homewood, Illinois: Richard D. Irwin , 1973.
37.
LINCOLN, R.Editorial . Family Planning Perspectives, 1983, 15(3), 104 .
38.
LINDEMANN, C.Birth control and unmarried young women. New York: Springer Publishing Company , 1974.
39.
LUCK, D. J.Social marketing: Confusion compounded . Journal of Marketing, 1974, 38, 70-72 .
40.
LUCKER, K.Taking chances: Abortion and the decision not to contracept. Berkeley: University of California , 1975.
41.
LUSCH, R. F. , LACZNIAK, G. R. , & MURPHY, P. E.The “ethics of social ideas” versus the “ethics of marketing social ideas.”Journal of Consumer Affairs, 1980, 14, 156-164 .
42.
McCARTHY, E. J.Basic marketing: A managerial approach (3rd ed.). Homewood, Illinois: Richard D. Irwin , 1968.
43.
McKENRY, R. , WALTERS, L. , & JOHNSON, C.Adolescent pregnancy: A review of the literature . Family Coordinator, January, 1979, 17-28 .
44.
MINDICK, B. , & OSKAMP, S.Longitudinal predictive research: An approach to methodological problems in studying contraception . Journal of Population, 1979, 2(3), 259-276 .
45.
MOSHER, D. L.Misgivings about sex . Sexual Behavior, 1972, 2(8), 50-56 .
46.
MOSHER, D. L.Sex differences, sex experience, sex guilt, and explicitly sexual films . Journal of Social Issues, 1973, 29(3).
47.
MOSHER, D. L. , & CROSS, H. J.Sex guilt and premarital sexual experience of college students . Journal of Consulting and Clinical Psychology, 1971, 36, 27-32 .
48.
MOTT, F. L.Early fertility behavior among american youth. Evidence from the 1982 National Longitudinal Surveys of Labor Force Behavior of Youth , Paper presented at the Annual Meeting of The American Public Health Association, Dallas, November 1983.
49.
MOTT, F. L. , HAURIN, R. , & MARSIGLIO, W.The impact of longitudinal data files on research on women's roles . Paper presented at The American Sociological Association, Detroit, September 1983.
50.
MUSHKAT, M., Jr.Implementing public plans: The case for social marketing . Long Range Planning, 1980, 13, 24-29 .
51.
NADELSON, C. C. , NOTMAN, M. T. , & GILLON, J. W.Sexual knowledge and attitudes of adolescents: Relationship to contraceptive use . Obstetrics and Gynecology, 1980, 55(3), 340-345 .
52.
NATHANSON, C. A. , & BECKER, M. H.Contraceptive behavior among unmarried young women: A theoretical framework for research . Population and Environment, 1983, 6(1), 39-59 .
53.
PLANTZ, M. C.Salient hopes and fears: Social marketing to promote human services . Community Mental Health Journal, 1980, 16(4), 293-305 .
54.
POPULATION INFORMATION PROGRAM . Social marketing: Does it work?Population Reports Family Planning Programs, Series J, Number 21, The Johns Hopkins University , 1980.
55.
RAINS, P.Becoming an unwed mother. Chicago: Aldine-Athert , 1971.
56.
REICHELT, P. A.Psychosexual background of female adolescents seeking contraceptive assistance . Paper presented at the Annual Convention of the American Psychological Association, Washington, D.C., 1976.
57.
RODMAN, H. , LEWIS, S. H. , & GRIFFITH, S. B.The sexual rights of adolescents: Competence, vulnerability, and parental control. New York: Columbia University Press , 1984.
58.
ROEMER, R. , & PAXMAN, M.Sex education laws and policies . Studies in Family Planning, 1985, 16(4), 219-230 .
59.
ROGEL, M. J. , ZUEHLKE, M. E. , PETERSON, A. C. , TOBIN-RICHARDS, M. , & SHELTON, M.Contraceptive behavior in adolescence: A decision-making perspective . Journal of Youth and Adolescence, 1980, 9(6), 491-506 .
60.
ROGERS, E. M.Communication strategies for family planning. New York: Free Press , 1973.
61.
ROTHSCHILD, M. L.Marketing communication in nonbusiness situations: Or why it's so hard to sell brotherhood like soap . Journal of Marketing, 1979, 43, 11-20 .
62.
RUSS-EFT, D. , SPENGER, M. , & BAUN, A.Antecedents of adolescent parenthood and consequences at age 30 . Family Coordinator, 1979, 28, 173-179 .
63.
SCALES, P.Males and morals: Teenage contraceptive behavior amid the double standard . Family Coordinator, 1977, 26, 211-222 .
64.
SHAH, F. , ZELNIK, M. , & KANTER, J. F.Unprotected intercourse among unwed teenagers . Family Planning Perspectives, 1975, 7, 29-44 .
65.
SHETH, J., & WRIGHT, P.Marketing analysis for societal problems. Champaign, Illinois: University of Illinois Press , 1974.
66.
SORENSON, R. C.Adolescent sexuality in contemporary America. New York: World Publishing , 1973.
67.
STRAHLE, W. M.A model of premarital coitus and contraceptive behavior among female adolescents . Archives of Sexual Behavior, 1983, 12(1), 67-94 .
68.
SULLIVAN, G. , & WATT, S.Legalized abortion: Myths and misconception . Social worker, 1975, 43, 78-86 .
69.
SWINYARD, W. R. , & RAY, M. L.Advertising-selling interactions: An attribution theory experiment . Journal of Marketing Research, 1977, 14, 509-516 .
70.
THORNBURG, H. D.Behavior and values: Consistency or inconsistency?Adolescence, 1973, 8, 513-520 .
71.
TORRES, A. , & FORREST, J. D.Family planning clinic services in the United States, 1981 . Family Planning Perspectives, 1983, 15(6), 272-278 .
72.
TYRER, L. B. , & JOSIMOVICH, J.Contraception in teenagers . Clinical Obstetrics and Gynecology, 1977, 20, 651-663 .
73.
UPCHURCH, M. L.Sex guilt and contraceptive use . Journal of Sex Education and Therapy, 1978, 4(1), 27-31 .
74.
URBERG, K. A.A theoretical framework for studying adolescent contraceptive use . Adolescence, 1982, 17(67), 527-540 .
75.
WELLS, W. D.Psychographics: A critical review . Journal of Marketing Research, May 1975, 196-213 .
76.
WESTOFF, C. F. , CALOT,..G. , & FOSTER, A. D.Teenage fertility in developed nations: 1971-1980 . Family Planning Perspectives, 1983, 15(3), 105-110 .
77.
ZABIN, L. S. , & CLARK, S. D., Jr.Institutional factors affecting teenagers' choice and reasons for delay in attending a family planning clinic . Family Planning Perspectives, 1983, 15(1), 25-29 .
78.
ZABIN, L. S. , KANTER, J. F. , & ZELNIK, M.The risk of adolescent pregnancy in the first months of intercourse . Family Planning Perspectives, 1979, 11(4), 215-222 .
79.
ZELNIK, M. , & SHAH, F. K.First intercourse among young Americans . Family Planning Perspectives, 1983, 15(2), 64-70 .
80.
ZELNIK, M. , KANTER, J. F. , & FORD, K.Sex and pregnancy in adolescence. Beverly Hills, California: Logo Publications , 1981.
