CHICAGO — Groundbreaking research suggests that pregnancy rates are much higher among teens who watch a lot of TV with sexual dialogue and behavior than among those who have tamer viewing tastes.

"Sex and the City," anyone? That was one of the shows used in the research.

The new study is the first to link those viewing habits with teen pregnancy, said lead author Anita Chandra, a Rand Corp. behavioral scientist. Teens who watched the raciest shows were twice as likely to become pregnant over the next three years as those who watched few such programs.

Previous research by some of the same scientists had already found that watching lots of sex on TV can influence teens to have sex at earlier ages.

Shows that highlight only the positive aspects of sexual behavior without the risks can lead teens to have unprotected sex "before they're ready to make responsible and informed decisions," Chandra said.

The study was released today in the November issue of Pediatrics. It involved 2,003 12- to 17-year-old girls and boys nationwide questioned by telephone about their TV viewing habits in 2001. Teens were re-interviewed twice, the last time in 2004, and asked about pregnancy.

Among girls, 58 became pregnant during the follow-up, and among boys, 33 said they had gotten a girl pregnant.

Participants were asked how often they watched any of more than 20 TV shows popular among teens at the time or which were found to have lots of sexual content. The programs included "Sex and the City," "That '70s Show" and "Friends."

Pregnancies were twice as common among those who said they watched such shows regularly, compared with teens who said they hardly ever saw them. There were more pregnancies among the oldest teens interviewed, but the rate of pregnancy remained consistent across all age groups among those who watched the racy programs.

Chandra said TV-watching was strongly connected with teen pregnancy even when other factors were considered, including grades, family structure and parents' education level.

But the study didn't adequately address other issues, such as self-esteem, family values and income, contends Elizabeth Schroeder, executive director of Answer, a teen sex education program based at Rutgers University.

"The media does have an impact, but we don't know the full extent of it because there are so many other factors," Schroeder said.

But Bill Albert, chief program officer at the nonprofit National Campaign to Prevent Teen Pregnancy, praised the study and said it "catches up with common sense."

"Media helps shape the social script for teenagers. Most parents know that. This is just good research to confirm that," Albert said.