Background: The purpose of this study was to gain insights into the perceptions and attitudes about teen pregnancy among high school students in a rural area with high teen pregnancy rates. Methods: Five focus groups were conducted with: (1) females in 9th-10th grades; (2) females in 11th-12th grades; (3) males in 9th-10th grades; (4) males in 11th-12th grades; and (5) pregnant/parenting females in 9th-12th grades. Results: Common themes among the students were that: (1) the number of teen pregnancies was increasing and was a growing concern; (2) financial difficulties and harm to education were associated with teen pregnancies; (3) teen females had many reasons for wanting a baby, but teen males just wanted to have sex; and (4) pregnancy happened by chance, or was simply an inadvertent consequence of having sex. Conclusions: To reduce teen pregnancy, the developmental asset model offers community members, teachers and parents guidelines to work together to develop key assets in youth that may protect against risky sexual behaviours. (Contains 5 tables.)