When it comes to teen pregnancy, the US ranks substantially higher than other industrialized Western countries. The Centers for Disease Control and Prevention says the US has about 24 births per 1-thousand girls. The teen birth rate in Rochester is about 1.6 times the national rate and 2.5 times the rate in New York State. That’s according to the City of Rochester. But this is a story where the narrative is slowly changing. On this segment of Need to Know we examine where things stand now with Rochester’s historically high pregnancy rate, the risk factors, the link between teen pregnancy and poverty, and the innovative approaches being used to teach teens about pregnancy prevention.