Choice!
Email
530.521.3273 The Clinic! 800.714.8151 24/7 WHS
530.274.3331 Citizens for Choice

The Clinic!
Reproductive healthcare for women, men, and teens. No appointment necessary!
120 Richardson St., Suite A, Grass Valley --- Mondays 10:30 to 5 & Wednesdays noon to 6
Thank you WHS for keeping The Clinic! open

Information Baskets
condoms and reproductive information can be found
at local businesses.
 
Home & events
Programs & services
Politics & your body
Contact us

The Clinic!

Donate, volunteer, or both!

$  
Public health & education
Newsletters
Crisis Pregnancy Centers
Family Sexuality Education Workshops
Links
   

Abstinence-only

is not education
and it does not work
!

 

Abstinence until you're ready may be right for you, as long as you receive comprehensive sex education. California is the only state to refuse federal funding for abstinence-until-marriage sex education programs and it has cut the teen-pregnancy rate from the highest in the nation in 1992 by 52%, an all-time low. Proof that a comprehsive sex education works. Abstinence-only until marriage does not work -- it does not promote abstinence, it promotes unsafe sex.

Why abstinence-only until marriage does not work

  • it has not lessened teen pregnancies
  • it has not delayed the age at which sex begins
  • it gives no education on how to protect yourself once you do start having sex
  • it iis an affront to gay couples who can't get married, an affront to everyone who does not want to get married
  • it ignores the scientific studies that have shown it not to work. Some of those studies are listed below

Even after all the research showing that abstinence-until-marriage does not work, the Healthcare Reform bill that was just passed has a little-noticed provision in it that reinstates 250 million dollars for this failed approach to reproductive education and health.

As James Wagooner of the Washington group Advocates for Youth states, "To spend a quarter-billion dollars on abstinence-only-until-marriage programs that have already been proven to fail is reckless and irresponsible. When on top of that you add the fact that this puts the health and lives of young people at risk, this becomes outrageous."

No to abstinence-only!

What are the studies?
Congress of the U.S.: In 2007, a study ordered by Congress found that middle school students who took part in abstinence-only sex education programs were just as likely to have sex in their teenage years as those who did not (C. Trenholm, B. Devaney et al. 2007). The study followed more than 2,000 students from age 11 or 12 in 1999 to age 16 in 2006. It included those who had participated in one of four abstinence education programs as well as a control group who had not. By age 16, about half of each group — participants in an abstinence-only program as well as the control group — were still abstinent. Abstinence program participants who became sexually active during the study period reported having similar numbers of sexual partners as their peers of the same age, and first had sex at about the same age as other students. The study also found that students who took part in the programs were just as likely to use contraception when they did have sex as those who did not participate. Abstinence-only education advocates claim the study was too narrow, began when abstinence-only curricula were in their infancy, and ignored other studies that have shown positive effects. A study released November 7, 2007 showed that abstinence only programs had little positive effect, while those including education on birth control were having positive outcomes including teenagers delaying the initiation of sex, reducing the frequency of sex, reducing the number of sexual partners and increasing condom or contraceptive use.

Rep. Henry Waxman (D, California), Abstinence-Only Curricula Contain False Information about the Effectiveness of Contraceptives. The Content of Federally Funded Abstinence-Only Education Programs, 2004 More details are below. http://www.democrats.reform.house.gov/Documents/20041201102153-50247.pdf

U.S. Surgeon Generals: a number of US surgeon generals support a comprehensive approach to sex education.According to an Associated Press article detailing the Surgeon General's position, Richard Carmona, MD, stated that sex education programs should include discussion of condoms and other forms of birth control. The AP quoted Dr. Carmona as saying "As part of comprehensive education, we should be talking about all of the issues."

Dr. Carmona has added his voice to a long list of former Surgeons General from as far back as President Reagan's administration who support a comprehensive approach to sex education:

  • Dr. C. Everett Koop stated, "There is no doubt that we need sex education in public schools and that it [should] include information on heterosexual and homosexual relationships… [starting] at the lowest grade possible."
  • Stressing the need for "scientific, dependable information about HIV and AIDS," Dr. Antonia Novella wrote in the Surgeon General's Report to the American Public on HIV Infection and AIDS about the need for information on using latex condoms correctly to prevent the spread of disease.
  • Dr. Joycelyn Elders, in a 1993 editorial for the Journal of the American Medical Association, stated, "Comprehensive health education should be taught to all children, starting in kindergarten and continuing through high school."
  • Dr. David Satcher, in his Call to Action to Promote Sexual Health, stated the need to "assure awareness of optimal protection from sexually transmitted diseases and unintended pregnancy."

Criticisms by associations: Abstinence-only education has been criticized in official statements by the American Psychological Association,[16] the American Medical Association,[17] the National Association of School Psychologists,[18] the Society for Adolescent Medicine,[19] the American College Health Association,[19] the American Academy of Pediatrics,[20] and the American Public Health Association,[21] which all maintain that sex education needs to be comprehensive to be effective.

"Taking a pledge doesn't seem to make any difference at all in any sexual behavior," said Janet E. Rosenbaum of the Johns Hopkins Bloomberg School of Public Health, whose report appears in the January issue of the journal Pediatrics. "But it does seem to make a difference in condom use and other forms of birth control that is quite striking."

Study Links Drop in Teen Contraception Use to Abstinence-Only Policies, NYT Editorial States
[June 18, 2009

Columbia University's Mailman School of Public Health states that since 2003, there has been a 10% decrease in contraception use among teenagers, while their level of sexual activity has not changed, a New York Times editorial states. From 1991 to 2003, increased use of contraceptives among teens was a significant factor in declining rates of teenage pregnancy, the editorial says. According to the study's authors, the decrease in contraception use since 2003 is consistent with recent increases in teen birth rates.

According to the editorial, the study's authors suggest a "link between the shift in use of contraception and one of former President George W. Bush's great social-policy follies: highly restrictive abstinence-only sex education programs that deny young people information about sexually transmitted diseases, contraceptives and pregnancy." The editorial adds, "To the extent that these programs even mention condoms, typically it is to disparage their effectiveness." In response to "mounting evidence of the program's danger as a public health strategy," many states have forgone federal abstinence-only funds, the editorial says.

Other links to studies that have been done on abstinence-only programs:

Advocates for Youth: evaluations http://www.advocatesforyouth.org/publications/stateevaluations.pdf

Rep. Henry Waxman (D, California), The Content of Federally Funded Abstinence-Only Education Programs, 2004. Linked above.
Abstinence-Only Curricula Contain False Information about the Effectiveness of Contraceptives.

Many of the curricula misrepresent the effectiveness of condoms in preventing sexually transmitted diseases and pregnancy. One curriculum says that “the popular claim that ‘condoms help prevent the spread of STDs,’ is not supported by the data”; another states that “[i]n heterosexual sex, condoms fail to prevent HIV approximately 31% of the time”; and another teaches that a pregnancy occurs one out of every seven times that couples use condoms.

These erroneous statements are presented as proven scientific facts:

·Abstinence-Only Curricula Contain False Information about the Risks of Abortion. One curriculum states that 5% to 10% of women who have legal abortions will become sterile; that “[p]remature birth, a major cause of mental retardation, is increased following the abortion of a first pregnancy”; and that “[t]ubal and cervical pregnancies are increased following abortions.” In fact, these risks do not rise after the procedure used in most abortions in the United States.

·Abstinence-Only Curricula Blur Religion and Science. Many of the curricula present as scientific fact the religious view that life begins at conception. For example, one lesson states: “Conception, also known as THE CONTENT OF FEDERALLY FUNDED ABSTINENCE-ONLY EDUCATION PROGRAMS ii fertilization, occurs when one sperm unites with one egg in the upper third of the fallopian tube. This is when life begins.” Another curriculum calls a 43-day-old fetus a “thinking person.”

·Abstinence-Only Curricula Treat Stereotypes about Girls and Boys as Scientific Fact. One curriculum teaches that women need “financial support,” while men need “admiration.” Another instructs: “Women gauge their happiness and judge their success on their relationships. Men’s happiness and success hinge on their accomplishments.”

·Abstinence-Only Curricula Contain Scientific Errors. In numerous instances, the abstinence-only curricula teach erroneous scientific information. One curriculum incorrectly lists exposure to sweat and tears as risk factors for HIV transmission. Another curriculum states that “twenty-four chromosomes from the mother and twenty-four chromosomes from the father join to create this new individual”; the correct number is 23.

Consensus Development Program (CDP): http://consensus.nih.gov/1997/1997PreventHIVRisk104html.htm
Some programs based on an abstinence model propose that approaches such as the use of condoms are ineffective. This model places policy in direct conflict with science because it ignores overwhelming evidence that other programs are effective. Abstinence-only programs cannot be justified in the face of effective programs and given the fact that we face an international emergency in the AIDS epidemic.

The Consensus Development Program (CDP) is an unbiased, independent, evidence-based assessment of complex medical issues and is conducted by the National Institutes of Health (NIH). The program has operated since 1977.  Each conference is jointly sponsored and administered by one or more Institutes or Centers (ICs) of NIH and by the Office of Medical Applications of Research (OMAR) in the Office of the Director of NIH. Depending on the topic, other Federal agencies with biomedical components may join in sponsoring a CDP conference. In conjunction with each conference, the Agency for Healthcare Research and Quality (AHRQ) provides a systematic review of literature on the conference topic through one of its Evidence-Based Practice Centers.

The purpose of a CDP conference is to evaluate the available scientific information on a biomedical issue and develop a statement that advances understanding of the issue under consideration and  will be useful to health professionals and the public. The panel is an independent, broad-based, non-Department of Health and Human Services (DHHS), nonadvocacy group with appropriate expertise. The panel listens to the scientific data presented by invited experts and comments from the general public. The panel weighs the information and then composes a statement that addresses a set of predetermined questions. This statement is an independent report of the panel and is not a policy statement of NIH or the Federal Government and is not an advisory body to NIH.

 

Blog!

Facebook

Parents, do the birds and the bees give you butterflies? You're not alone! Join us on January 19 and/or 20 for an informal discussion on how to talk to your child about sex.

The Clinic! has mammogram referrals, and they could be free or low-cost! Info on mammograms.

CPS
Teens, visit Coalition for Positive Sexuality. Visit our links page for the description.

Read the review for Carole Joffe's book, Dispatches from the Abortion Wars.

Carol Joffe

Fake clinics, or "crisis pregnancy centers" give you one choice - theirs. NARAL has just completed a two-year study on CPCs, Unmasking Fake Clinics. You really need to read this.

Read about our local CPC

Comprehensive Sex Education California law says it's mandatory that schools teach HIV/AIDS classes twice and if they choose to teach sex education, it must be comprehensive and must follow the guidelines in the California Education Code. How is Nevada County holding up to this legal requirement?

.Are you pregnant and need a ride to your counseling or abortion appointment? ACCESS Women's Health Justice can help!

Questions about HPV (human papillomavirus)? This Nantional Cancer Institute Fact Sheet is a good source!

Abstinence-only education still doesn't work.