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CONTEXT: Abstinence‐only education has had little demonstrable impact on teenagers' sexual behaviors, despite significant policy and funding efforts. Given the struggle over resources to improve teenagers' reproductive health outcomes, the views of clinicians serving teenagers at high risk for unintended pregnancy and STDs merit particular attention.

METHODS: In 2005, a qualitative study with 31 clinicians serving low‐income, at‐risk patients was conducted.

A semistructured interview guide was used to ask clinicians about adolescent pregnancy, HIV and STD prevention counseling, and when they include abstinence. Thematic content analysis was used to examine the content of the counseling and the techniques used in different situations.

RESULTS: Providers reported offering comprehensive counseling, presenting abstinence as a choice for teenagers, along with information …