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abortion activity and contraceptive adolescent pregnancy adolescent sexual assess birth control method child CM CM cognitive development condom contraceptive behavior curricula curriculum Defining Issues Test determine engage in sexual father's occupation females findings four dilemmas gender Gilligan girl grade level grid Guttmacher Institute higher stages hypothesis important indicated influence Knowledge Scores Kohlberg Kohlbergian Kurtines lack of variance levels of moral levels of reasoning love and commitment low correlations males McCutchan Publishing Corporation method of birth Minitab moral development moral dilemmas Moral Education moral judgment moral reasoning mother number of sexual Orientation overall stage percent reported percentage premarital sex Purpel questionnaire reasoning and sexual responsibility Sex Education sexual activity sexual behavior sexual dilemmas sexual intercourse sexual partners sexual relationships sexuality and contraceptive sexuality education showed significant correlations social stage levels stage of reasoning stages of moral statistically significant Table 4.9 cont teenage pregnancy teens variance in stage