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Teenage pregnancy: a theoretical analysis of a social problem.

This paper begins by contrasting the two basic ways of defining a social problem (i.e., as a "problem" in society or of society). The implications of these two definitions are discussed within the context of the various approaches which have emerged from each. A typology is then developed which allows these divergent approaches to be synthesized into three broad categories (Social Disorganizational, Social Definitional, and Social Organizational). This typology helps to further clarify the implications of isolating certain noxious conditions (whether personal or social) and conceptualizing them as social problems. These implications for the emergence, scope, and possible solution to the problem of teenage pregnancy are discussed. The paper concludes with a theoretical critique that leaves little room for optimism about the piecemeal solutions to teenage pregnancy offered by either the social disorganizational or the social definitional approaches, yet it recognizes the unlikely prospects that the holistic solution is likely to be adopted soon. The paper thus concludes that this problem is likely to be with us for some time to come, and the best that we can hope to do is to treat the symptoms.

Adolescent↗

Strengthening the backbone of primary health care.

This article discusses how to increase the effectiveness of district health systems, with particular reference to the setting of priorities and targets, the realization of various forms of joint action, and the improvement of management and other skills.

Community Health Services↗

The right to die.

Explore the source record for details and available documents.

Abortion, Legal↗

How technology is reframing the abortion debate.

Since the 1973 Supreme Court decision legalizing abortion, medical and scientific developments have focused greater public and professional attention on the status of the fetus. Their cumulative effect may influence legal, social, and moral thought and set the stage for a change in public opinion and a challenge to legalized abortion. There is as yet no inexorable convergence of medical data and legal opinion that would undermine the rational of Roe v. Wade. But the prochoice movement must find room for an open airing of the moral questions if abortion is to remain what it should be--a legally acceptable act.

Aborted Fetus↗

Definitive birth control and the physician--ethical issues.

We analyze the ethical issues related to the physician's role in informing about, advising, rejecting, or performing a definitive birth control procedure (sterilization). We define a rational request for tubal ligation, the limited delaying (or facilitating) role that guidelines for deciding on ligation should have, the justifiable reasons for rejecting a request, and the physician's obligations and options. We also consider the need to supply adequate information, the implications of recommending a second-best treatment, and the pivotal place of the "likelihood of regret" in medical decision-making.

Contraception↗

Fertility reduction policies and poverty in Third World countries: ethical issues.

This article begins with a discussion of the motivation for fertility reduction and related population policies. Next, it identifies the two major approaches to evaluating these policies in the population ethics literature: the individualistic approach and the international approach. Each approach is then characterized according to the kinds of policies evaluated, the ethical principles that are most prominent, and the major conclusions drawn. Major empirical gaps in the population ethics literature are identified, and pertinent social science issues concerning the effectiveness of family planning programs, the socioeconomic determinants of fertility, and the interpersonal or community determinants of fertility are discussed. Finally, these issues are linked with the United Nations World Population Plan of Action to identify ethical questions that warrant detailed scrutiny.

Developing Countries↗