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We very much appreciate the comments by Drs Rieger and Ganser concerning the definition of primary, secondary, and tertiary prevention. The comments of both of our colleagues are well taken and suggest a preventive medicine model that is applicable to the prevention of adolescent pregnancy.
McAnarney ER, Hendee WR. Adolescent Pregnancy Prevention: Primary, Secondary, and Tertiary-Reply. JAMA. 1990;263(6):813. doi:10.1001/jama.1990.03440060053026