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Boys and sex would only stop us, catch us, or so my mother had warned. Clinton is the county seat of Van Buren County, Arkansas, and, with slightly more than 2, people, the biggest town in the area. I moved away for college when I was While I was gone, I heard updates: who was getting married, having children, getting divorced. Who had died. One of the most alarming trends emerged about a decade ago. In , a team of population-health experts at the University of Illinois at Chicago found that white women who did not graduate from high school were dying about five years younger than such women had a generation before—at about 73 years instead of Their white male counterparts were dying three years younger.
From to , the decline in life expectancy in the U. Many of them were also dying from cancer, heart disease, or respiratory diseases like chronic obstructive pulmonary disease and lung cancer, a study found—even as these conditions became less deadly for the rest of the population.
What was going on? I returned to Arkansas more and more, trying to reconnect to my hometown, looking for answers. In , on a visit home, Darci contacted me out of the blue. We visited, and as we caught up and reminisced, I began to realize that I could pinpoint the time when our lives had first begun to diverge.
It started during those boy-crazy middle-school years, when we were at the cusp of growing up, when our futures had not yet been written. Others got pregnant. A few days after that, the girl went into labor. I knew that what had happened was both wrong and not unusual. Arkansas had, and continues to have, one of the highest rates of teen pregnancy in the United States. Girls became pregnant in our middle and high schools, at least one a year.
