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Understanding EVIDENCE
This website offers public health practitioners, as well as CDC grantees, researchers, program evaluators, technical assistance providers, and other decision-makers, resources for making evidenced-informed decisions around youth violence prevention. The free, interactive training modules, case studies, and other resources on the site can help users define the multiple forms of evidence, identify standards of rigor, explore ways to collect evidence, and understand key stages of evidence-based decision making.
Youth Violence Protective Factors
The Centers for Disease Control and Prevention’s National Center for Injury Prevention and Control convened a panel of experts in the fields of youth development, violence prevention, and analytic methods to discuss protective influences against youth violence and how these can shape prevention efforts. Work from this panel is featured in a special supplement of the American Journal of Preventive Medicine titled, “Protective Factors for Youth Violence Perpetration Issues, Evidence, and Public Health Implications."
Patterns of Health Insurance Coverage Around the Time of Pregnancy Among Women with Live-Born Infants — Pregnancy Risk Assessment Monitoring System (PRAMS), 29 States, 2009
This report summarizes 2009 PRAMS data from 29 states, presenting information on the prevalence of health insurance coverage stability the month before pregnancy, during pregnancy, and at the time of delivery. Results show most women had stable coverage across the three periods, with nearly one-third experiencing changes in health insurance coverage in the period between the month before pregnancy and the time of delivery. These changes were largely due to starting out uninsured or having private insurance before pregnancy and having Medicaid at delivery.
Prevalence of Sexual Violence Against Children and Use of Social Services — Seven Countries, 2007-2013
As a member of the global public-private partnership Together for Girls, CDC collaborated with Cambodia, Haiti, Kenya, Malawi, Swaziland, Tanzania, and Zimbabwe to conduct national household surveys of children and youth, ages 13–24, to measure the extent of violence against children. The lifetime prevalence of experiencing any form of sexual violence in childhood ranged from 4.4% among females in Cambodia to 37.6% among females in Swaziland, with prevalence in most countries greater than 25%. In most countries surveyed, the proportion of survivors who received services, including health and child protective services, was ≤10.0%.
Sexual Activity, Contraceptive Use, and Childbearing of Teenagers Aged 15–19 in the United States
Using data from the 1988 to 2011-2013 National Survey of Family Growth, this report provides trends and recent national estimates of sexual activity, contraceptive use, and childbearing among teenagers ages 15-19. Key findings include:
- In 2011-2013, 44% of female teenagers and 47% of male teenagers had experienced sexual intercourse, percentages which have declined significantly over the past 25 years.
- Seventy-nine percent of female teenagers and 84% of male teenagers used a contraceptive method at first sexual intercourse, the most common of which was the condom.
- Young women who did not use a method of contraception at first sexual intercourse were twice as likely to become teen mothers as those who used a method.
Second National Survey of Children’s Exposure to Violence
Children’s Exposure to Violence, Crime, and Abuse: An Update (PDF, 16 pages) presents findings from the second National Survey of Children’s Exposure to Violence (NatSCEV II), conducted in 2011. NatSCEV II gathered data about exposure to violence among a new group of 4,500 children and youth, and added new categories of crime and victimization. Findings from the NatSCEV II show that 60% of young people were exposed to violence in the past year, and more than one in 10 reported five or more exposures.
Report: Births in the United States
This NCHS Data Brief presents several key demographic, maternal, and infant health indicators by race and Hispanic origin, using 2014 final birth data. The number of births in the United States increased slightly in 2014, with rates rising for non-Hispanic white and Asian or Pacific Islander women. There were historic lows for Hispanic women and American Indian or Alaska Native women. In 2014, teen childbearing fell to another historic low for each race and Hispanic origin group.
Reports: Autism and Developmental Disabilities Monitoring Network
These reports estimate the number of children with autism spectrum disorder and other developmental disabilities living in different areas of the United States. New data indicate that 1 in 68 school-aged children are on the autism spectrum, highlighting the importance of services and supports for these children now and as they grow into adolescence and adulthood.
Report: Reduced Disparities in Birth Rates Among Teens Aged 15–19 Years — United States, 2006–2007 and 2013–2014
This Morbidity and Mortality Weekly Report describes a study that examined trends in births for teens aged 15-19 by race/ethnicity and geography and analyzed the socioeconomic indicators previously associated with teen births. Results show significant declines in teen birth rates and birth rate ratios nationally and in many states, with the largest decline occurring among Hispanics (51%), followed by blacks (44%), and whites (35%).
Resource: Essentials for Childhood Framework: Steps to Create Safe, Stable, Nurturing Relationships and Environments for All Children
This framework proposes strategies communities can use to promote children and families’ positive development and to prevent child abuse and neglect. It includes four goal areas and suggested steps based on best available evidence to achieve each goal.
Resource: STOP SV: A Technical Package to Prevent Sexual Violence
This technical package (PDF, 48 pages) provides strategies based on the best available evidence to help communities and states prioritize the prevention activities with the greatest potential to reduce sexual violence and its consequences. This accompanying infographic highlights statistics related to sexual violence as well as the prevention strategies found in the technical package.
Resource: INSPIRE — Seven Strategies for Ending Violence Against Children
This evidence-based technical package (PDF, 108 pages) contains solutions to help countries and communities prevent and respond to violence against children and adolescents.
Resource: Striving to Reduce Youth Violence Everywhere (STRYVE)
This web app provides information and space for practitioners and teams to develop and edit customized youth violence prevention plans and measure progress.
Resource: A Comprehensive Technical Package for the Prevention of Youth Violence and Associated Risk Behaviors
This technical package (PDF, 64 pages) highlights six youth violence prevention strategies that represent the best available evidence on preventing youth violence and its consequences. It also articulates a select set of strategies and approaches to achieve the vision of CDC’s national initiative, Striving To Reduce Youth Violence Everywhere. Communities and states can use this resource to guide and inform decision-making related to youth violence prevention efforts.
2017 Youth Risk Behavior Survey (YRBS) Results
These reports present information about the percentages of high school and middle school students who engage in certain risk behaviors, along with the status of school health policies and programs designed to address those behaviors.
2019 Youth Risk Behavior Survey (YRBS) Results
The 2019 YRBS results present a promising picture for some behaviors and experiences among high school students; however, other areas reveal that teens are still engaging in behaviors that put them at risk. While these health risk behaviors vary by sex, race/ethnicity, sexual orientation and grade, the 2019 YRBS results show that there is more work to do to help all teens create lifelong healthy behaviors.
Preventing Teen Dating Violence and Youth Violence Program
Different types of violence are connected and often share the same root causes. CDC’s Preventing Teen Dating and Youth Violence by Addressing Shared Risk and Protective Factors program funds 5 local health departments to engage in primary prevention activities to prevent teen dating violence and youth violence.
Directory of Community-Based Organizations Serving People with Disabilities
With support from CDC’s NCBDDD, the National Association of County and City Health Officials has developed the Directory of Community-Based Organizations Serving People with Disabilities. This resource provides an overview of organizations that serve people with disabilities in communities across the country.
Births: Preliminary Data for 2014
This report presents preliminary 2014 data on births in the United States (PDF, 19 pages). The report shows births by age, live-birth order, race, and Hispanic origin of mother. Information on the birth rate for teenagers is also included.
The Personal Responsibility Education Program (PREP): Launching a Nationwide Adolescent Pregnancy Prevention Effort
Authorized by Congress through the Affordable Care Act, PREP was designed to reduce teen pregnancies and their negative consequences. State PREP grantees had discretion to design their programs, but were expected to be evidence-based, provide education on both abstinence and contraceptive use, and educate youth on at least three of six adulthood preparation topics. States are also encouraged to target their programming to high-risk populations. This report illustrates states’ program decisions, using data gathered through telephone interviews with state grantee officials. Learn more (PDF, 92 pages).
Support for Child Victims and Witnesses of Human Trafficking
This set of graphic novels is now available to help young trafficking survivors, ages 2–18, navigate the justice system as a victim or witness. These resources help youth understand the justice system, their rights, and roles of different practitioners. Practitioner and Caregiver Guides and excerpts of support from individuals with lived experience are included.