School-based health centers and the decline in black teen fertility during the 1990s in Denver, Colorado.

Objectives: We examined the changes in Black adolescent fertility rates in high-school areas with school-based health centers and compared them over time with changes in rates in high-school areas without school-based health centers.

Methods: Fertility rates were estimated for high-school areas with and without school-based health centers with geocoded birth certificate and school enrollment data.

Results: A high adolescent fertility rate (165 births/1000) in 1992 among Black students in Denver high-school areas with school-based health centers declined to a low rate (38/1000) in 1997 that matched the rate of school areas that did not have school-based health centers.