Virginity Pledges: The Heritage Foundation Weighs in

(from nytimes.com: http://www.nytimes.com/2005/06/15/health/15pledge.html)

Excerpts (for those of you with a moral code that forbids registering with the NYTimes):

"Challenging earlier findings, two studies from the Heritage Foundation reported yesterday that young people who took virginity pledges had lower rates of acquiring sexually transmitted diseases and engaged in fewer risky sexual behaviors.

The new findings were based on the same national survey used by earlier studies and conducted by the Department of Health and Human Services. But the authors of the new study used different methods of statistical analysis from those in an earlier one that was widely publicized, making direct comparisons difficult.

Independent experts called the new findings provocative, but criticized the Heritage team’s analysis as flawed and lacking the statistical evidence to back its conclusions. The new findings have not been submitted to a journal for publication, an author said. The independent experts who reviewed the study said the findings were unlikely to be published in their present form. "

"The team needs to do “a lot of work” on its paper, said David Landry, a senior research associate at the Alan Guttmacher Institute in New York. He said in an interview that it was “a glaring error” to use the result of a statistical test at a 0.10 level of significance when journals generally use a lower and more rigorous level of 0.05.

Dr. Johnson, a co-author, defended the team’s methods and said many journal articles used the higher level and let readers decide the merits of the findings. "

"Mr. Landry also criticized the Heritage team’s reliance on self-reports of sexually transmitted diseases among those who took the pledge, saying that group would be less likely to report them. “The underreporting problem is so severe that it makes that data highly questionable,” Mr. Landry said. "

"Mr. Landry and Dr. Freya Sonenstein, who directs the center for adolescent health at the Johns Hopkins Bloomberg School of Public Health, urged the Heritage team to try to publish its findings.

“It’s healthy to have a good dialogue” on issues like virginity pledges, Mr. Landry said."

That 10% threshold they use is sort of a big deal - you rarely see it used in real life - statistical significance typically defined by the 5% or 1% thresholds.

Of course, the sample bias problem they cite is an even bigger problem, but then again, we’re in an age when science is in the eye of the beholder.

The thing about the Heritage Foundation is that they are at least predictable - you always know in advance that what they write will have dubious empirical backing, and that their positions were wrought well before the data was collected.

Heard a similar piece on NPR yesterday on the very same subject. New study released by the Dept. of Health and Human Services on abstinence only education programs. Text of the news release below. News Release

FOR IMMEDIATE RELEASE
Tuesday, June 14, 2005

Contact: HHS Press Office
(202) 690-6343 Interim Report Shows Some Success of Abstinence Education Programs

HHS today announced first-year findings showing that students participating in abstinence education programs have a more positive view toward abstinence than students not participating. The information was released in an interim report of an evaluation designed to measure the impacts of a select set of abstinence education programs.

“Students who are in these programs are recognizing that abstinence is a positive choice,” HHS Assistant Secretary for Planning and Evaluation Michael O’Grady said. “Abstinence education programs that help our young people address issues of healthy relationships, self-esteem, decision-making, and effective communications are important to keeping them healthy and safe. We need to build the scientific knowledge base on abstinence education programs, so we know what works and what needs improvement.”

The report released today, was prepared by Mathematica Policy Research, Inc., under contract to the department. It is part of a longitudinal study that follows youth participating in four abstinence education programs over five years. The programs are in Miami, Florida; Milwaukee, Wisconsin; Clarksdale, Mississippi; and Powhatan County, Virginia.

The report provides a snapshot of attitudinal measures after the first year of participation in abstinence programs. The study does not have findings yet on the overall effectiveness of the programs in promoting abstinence or reducing the risks of pregnancy and sexually transmitted diseases. Because students surveyed are young in age, future reports will be instrumental in determining the longer-term impact of these programs on behaviors, as students begin to contemplate and/or engage in sexual activity. A future report, drawing on additional waves of data collection will examine the longer-term effects of participation in the programs.

Abstinence education programs were authorized as part of welfare reform enacted in 1996 under Title V, Section 510, of the Social Security Act. The federal government and states have funded them since 1998, with up to $50 million per year available from the federal government and up to another $37.5 million available from states. The programs teach that abstinence from sexual activity as an unmarried person is the “only certain way to avoid out-of-wedlock pregnancy, sexually transmitted diseases and other associated health problems.”

First year findings include: Students in abstinence education programs were more supportive of abstinence and less supportive of teen sex than students not in the programs. Students in abstinence education programs had an increased awareness of the possible consequences of teen and nonmarital sex. Youth in both the experimental and control groups reported similar scores in areas such as support for marriage, self image, perceptions of peer pressure to have sex, and friends support for abstinence.

“We look forward to continuing the work of this important study,” Assistant Secretary O’Grady said. “As we continue to assemble the scientific data, we can begin to pull together best practices for policymakers, educators, and family members alike.”

The report is available at http://aspe.hhs.gov/hsp/05/abstinence/.

I just think it’s great that one of the guys is named “Dr. Johnson”

The release of the study by the health and human services department goes on to support the efficacy of abstinence only programs as reported by the Heritage foundation.

Wow, what a non-news release: “HHS today announced first-year findings showing that students participating in abstinence education programs have a more positive view toward abstinence than students not participating.” Whoop-de-doo. And “The study does not have findings yet on the overall effectiveness of the programs in promoting abstinence or reducing the risks of pregnancy and sexually transmitted diseases.”

The release of the study by the health and human services department goes on to support the efficacy of abstinence only programs as reported by the Heritage foundation.

Exactly where does it do that?

I’m encouraged by the findings of both reports.

It’s showing that abstinence programs are truly working.

Many will (and have of course) say this is a chicken/egg thing. Ultimately who cares? If more kids are willing to join in these programs, and those who are in them are less likely to engage in risky sexual behavior, then ultimately there are less poor decisions being made. Does it really matter if they wouldn’t have had sex if they were in the program? The important thing is that they don’t.

On the other hand, it would be good if we could get a better understanding of the causality of the programs and decisions.

Interestingly enough, here is another quote from the actual press release:

The report provides a snapshot of attitudinal measures after the first year of participation in abstinence programs. The study does not have findings yet on the overall effectiveness of the programs in promoting abstinence or reducing the risks of pregnancy and sexually transmitted diseases. Because students surveyed are young in age, future reports will be instrumental in determining the longer-term impact of these programs on behaviors, as students begin to contemplate and/or engage in sexual activity. A future report, drawing on additional waves of data collection will examine the longer-term effects of participation in the programs.

It seems to me that they are in fact avoiding any judgments of “efficacy” so your prior statements are a bit premature, to put it mildly.

The study is preliminary and very young. As with anything instilling and teaching at a young age yields efficacy at a later age.

The results are encouraging.

I think the problem with these types of programs is specifically about efficacy. As in, a lot of people, both layman and professionals, don’t believe they work.

I mean, you don’t have to look all that far to get a viewpoint on it - think back to when you were in high school. Do you really think that telling kids not to have sex is going to have an appreciable impact on their behavior? I think its probably akin to pissing in the wind. Some might consider the more practical approach, albeit not held by this administration, is that kids should have all the information possible, including contraception information, because it is better to be forewarned rather than set them off stumbling in ignorance. My point is to believe that telling teens not to have sex is to forget your own youth.

Your opinion is certainly valid and well thought out. I acknowledge your points. They appear to be in the minority as I don’t know any parent who wouldn’t stress the values, both emotional and physical, of abstinence teaching.

I agree, I really do.

I don’t think having kids sign a pledge is the first or last step in the process. However, I don’t think we should abandon the program/s just because the causality is hard to prove. If it reaffirms the convictions of those who sign the pledges then I think it has a reasonable efficacy.

I would have never signed a pledge of this manner in HS, < insert I was a loser joke here >. I also refused to sign the “I won’t drink when I go to prom” pledge, even though I didn’t take a sip of alcohol till a week before my 21st birthday. I thought the pledge was stupid, I knew toooooooooo many kids who signed it in front of their parents to fool them. My parents respected me not signing it because they knew I wouldn’t drink.

I really appreciated the public middle and HS programs I had on sex and drugs/alcohol. They gave me information, and as a semi-intelligent teenager I decided on my own that I didn’t want to do drugs or drink. I knew a lot of kids that heard the information and did everything they were told was risky, I knew a lot of kids who never heard the info and did all the stuff too. Telling a teen simply to not have sex is ridiculous, explaining to them why not is smarter, realizing that explaining why not to won’t be 100% effective is the smartest of the three.

I don’t think it’s a question of abandoning the program or not.

The problem is that if you’re married to the idea of abstinence programs, you tend to discount if not completely ignore other programs, such as those which discuss contraception, family planning, etc., because of the ideological concerns involved. You only need to see what the Bush Administration has done with regards to funding of these programs and their restrictions to see this in play.

And then when you go down this road where you ignore contraception issues, and the success of these programs, you end up failing in your larger goal.

So as a matter of empirical success, you have this problem. If the goal is to reduced STD transmission and teen pregnancies, you have to go with what works, not what you wish would work. And for god’s sakes, don’t go with what doesn’t work at the exclusion of what does, just to satisfy your moral views as to what should be available. It’s the imposition of a morality which not everybody may share at the expense of efficacy. That’s just ignorance.

The ignorance is founded in how you think the programs are being presented.

You believe that the only solution being discussed is abstinence. In fact, in the programs that I’m familiar with, all options are being laid on the table. Cause and effect of each choice is presented. Solutions associated with each scenario are discussed with abstinence being the first and preferred choice on the list.

This is the proper way to present abstinence or for that manner…any program.

You are simply incorrect. As discussed below, “abstinence-only” programs are sanctioned, funded and not uncommon. Don’t assume evenhandedness when it doesn’t exist. From Planned Parenthood - note the references.

Abstinence-Only “Sex” Education

Table Of Contents:

* Background
* Abstinence-Only Education: The Costs — Social and Financial
* Resources
* Cited References

Introduction

Abstinence-only education is one of the religious right’s greatest challenges to the nation’s sexual health. But it is only one tactic in a broader, longer-term strategy. Since the early 1980s, the “family values” movement has won the collaboration of governments and public institutions, from Congress to local school boards, in abridging students’ constitutional rights. Schools now block student access to sexual health information in class, at the school library, and through the public library’s Internet portals. They violate students’ free speech rights by censoring student publications of articles referring to sexuality. Abstinence-only programs often promote alarmist misinformation about sexual health and force-feed students religious ideology that condemns homosexuality, masturbation, abortion, and contraception. In doing so, they endanger students’ sexual health.

Background

In 1981, Congress passed the Adolescent Family Life Act, also known as the “chastity law,” which funded educational programs to “promote self-discipline and other prudent approaches” to adolescent sex, or “chastity education.” Grant applications to create such programs poured in, and the dollars poured out — to churches and religious conservatives nationwide. The ACLU challenged AFLA in court, calling it a Trojan horse smuggling the values of the Christian Right — particularly its opposition to abortion — to public-school children at public expense: a classic affront to the principle of separation of church and state (Heins, 2001; Schemo, 2000; Levin-Epstein, 1998; Pardini, 1998).

A dozen years later, the U.S. Supreme Court held that funded programs must delete direct references to religion (for instance, the suggestion that students take Christ on a date as chaperone), and the granting process was reined in. But it was too late. Some of the biggest federal grant recipients, including Sex Respect and Teen-Aid, had already turned their curricula into robust for-profit businesses. Christian fundamentalist groups, which built much of that infrastructure, remain among the most vehement opponents of comprehensive, medically accurate sexuality education today.

In 1996, Congress struck again, attaching a provision to welfare legislation that established a federal program to exclusively fund programs teaching abstinence-only. Since the inception of the abstinence-only movement, approximately $135 million a year, totaling nearly $1 billion, has been spent on programs whose only purpose is to teach the social, psychological, and health benefits that might be gained by abstaining from sexual activity (Boonstra, 2004; Take Back Our Rights, 2004).

In FY 2005, Congress devoted approximately $170 million to abstinence-only education (Committee on Government Reform, 2004). At the state level, legislatures are copying the federal abstinence-only statute, often adding explicit prior-restraint provisions. New Jersey, for instance, proposed the imposition of close surveillance on teaching materials — and teachers. Even if such proposals don’t pass, these bills have a censorial and chilling effect. Utah’s governor vetoed a similar bill in that state, but directed state agencies to monitor sexuality education programs for “inappropriate” language and subject matter.

Here are a few examples of the problems created by the abstinence-only approach to sexuality “education”:

* Public funds go to religious institutions for anti-sexuality education. In Montana, the Catholic diocese of Helena received $14,000 from the state's Department of Health & Human Services for classes in the "Assets for Abstinence." In Louisiana, a network of pastors is bringing the abstinence-only message to religious congregations with public funds, and the Governor's Program on Abstinence is appointing regional coordinators and other staff members from such religious organizations as the Baptist Collegiate Ministries, Rapides Station Community Ministries, Diocese of Lafayette, Revolution Ministries, Caring to Love Ministries, All Saints Crusade Foundation, Concerned Christian Women of Livingston, Catholic Charities, Christian Counseling Center, and Community Christian Concern ("Abstinence Program's...," 2000; "Diocese Will...," 2000).

* Public schools host "chastity" events. In California, Pennsylvania, Alabama, and many other states, schools regularly host chastity pledges and rallies on school premises during school hours. During these rituals, students often pledge "to God" that they will remain abstinent until they marry (Gish, 2000; Neill, 2000; Todd, 1999; "Valentine's Day...," 2000).

* Textbooks are censored. In Texas, the State Board of Education approved the purchase of new health textbooks that exclusively promote abstinence. As Texas is the second largest buyer of textbooks in the United States, it is likely that these same books will appear in classrooms throughout the nation. The school board in Franklin County, North Carolina, ordered three chapters literally sliced out of a ninth-grade health textbook because the material did not adhere to state law mandating abstinence-only education. The chapters covered AIDS and other sexually transmitted infections, marriage and partnering, and contraception. In Lynchburg, Virginia, school board members refused to approve a high school science textbook unless an illustration of a vagina was covered or cut out (Elliott, 2004; Gold, 2004; Associated Press, 2000; Quillen, 1997).

* Crucial health programs are canceled. In response to a petition from 28 parents, a highly regarded, comprehensive, AIDS-prevention presentation for high school students in the Syracuse, New York, area, given by the local AIDS Task Force, was canceled for future students. In Illinois, critics blasted a U.S. Centers for Disease Control and Prevention program, called "Reducing the Risk," because they claim it is inconsistent with an abstinence-only message (Craig, 1997; "Group Calls...," 2000).

* Sexuality education teachers are disciplined for doing their jobs. In Belton, Missouri, a seventh grade health teacher was suspended when a parent complained that she had discussed "inappropriate" sexual matters in class. The teacher had answered a student's query about oral sex. In Orlando, Florida, a teacher was suspended when he showed a student-made videotape called Condom Man and his K-Y Commandos, about preventing AIDS transmission ("Belton Teacher...," 1998; Berry, 1999; Pulley & Carroll, 1998).

* Teachers are threatened with lawsuits; student journalists intimidated. In Granite Bay, California, an article in the student paper prompted charges that a sexuality education teacher engaged in "sexual misconduct" and threats of a lawsuit against the teacher and the paper's faculty adviser. The article took the position that newly mandated abstinence-only education was doing nothing to stop either sexual activity or widespread sexual ignorance among students. In Santa Clarita, California, a high school principal censored from the student paper an article entitled "Sex: Raw and Uncensored." The article was actually about the benefits of abstinence and methods of safer sex ("Feature Up...," 1999-2000; Holding, 2000).

* Students suffer from ignorance. Comprehensive, medically accurate sexuality education is becoming the exception rather than the rule; as a result, more students lack basic information. In Granite Bay, one student asked where his cervix was, and another inquired if she could become pregnant from oral sex. Students in New York City protested that the increased focus on abstinence-only has curtailed access to education about HIV/AIDS. The Colorado Council of Black Nurses decided to return $16,000 in abstinence-only funding, because the program "was just too restrictive. It did not teach responsible sexual behavior" (Grossman, 1998; Holding, 2000; "Nurses Drop...," 1999).

Waxman Report Identifies Misinformation in Abstinence-Only Curriculum

In 2004, Rep. Henry Waxman (D— CA), released a report about the state of abstinence-only sexuality education. The report found that the curricula used by more than two-thirds of government-funded abstinence-only programs contain misleading or inaccurate information about abortion, contraception, genetics, and sexually transmitted infections:

* The abstinence-only program Me, My World, My Future states, "Tubal and cervical pregnancies are increased following abortions." According to obstetric textbooks, previous abortions are not correlated with ectopic pregnancies (Cunningham, et al., 2001).

* Choosing the Best, The Big Talk Book states, "esearch confirms that 14 percent of the women who use condoms scrupulously for birth control become pregnant within a year." In fact, when used correctly and consistently, only two percent of couples who rely on the latex condom as their primary form of contraception will experience an unintended pregnancy (Hatcher, et al., 2004).

* Why kNOw states, "Twenty-four chromosomes from the mother and 24 from the father join to create ." Human cells are actually comprised of 46 chromosomes; 23 from each parent (Cunningham, et al., 2001).

* WAIT Training incorrectly states that HIV can be transmitted through tears and sweat. According to the U.S. Centers for Disease Control and Prevention (CDC), HIV is only transmissible through blood, semen, and vaginal secretions.

The Waxman Report also found that many abstinence-only curricula even go so far as to blur the line between religion and science, and treat gender stereotypes as scientific fact (Committee on Government Reform, 2004).

Abstinence-Only Education: The Costs — Social and Financial

Since 1996, nearly $1 billion in federal and state matching funds has been committed to abstinence-only education (Boonstra, 2004). Because of the requirement that states match federal funds for abstinence-only programs, state dollars that previously supported comprehensive, medically accurate sexuality education — which includes but is not limited to abstinence-education — have been diverted to abstinence-only programs (Schemo, 2000).

The vast majority of Americans and parents support comprehensive, medically accurate sexuality education. Eighty-one percent of Americans and seventy-five percent of parents want their children to receive a variety of information on subjects including contraception and condom use, sexually transmitted infection, sexual orientation, safer sex practices, abortion, communications and coping skills, and the emotional aspects of sexual relationships. Fifty-six percent of Americans do not believe that abstinence-only education prevents sexually transmitted infections or unintended pregnancies. Given the choice, only one to five percent of parents remove their children from responsible sexuality education courses (Albert, 2004; Research!America and APHA, 2004; AGI, 2003a; AGI, 2003b; KFF, 2000; Kirby, 1999).

Fewer than half of public schools in the U.S. now offer information on how to obtain birth control, and only a third include discussion of abortion and sexual orientation in their curricula. A large, nationally representative survey of middle school and high school teachers published in Family Planning Perspectives reported that 23 percent of teachers in 1999 taught abstinence as the only means of reducing the risk of sexually transmitted infections and pregnancy, compared with two percent in 1988. The study’s authors attributed the change to the heavy promotion of abstinence — not sound educational principles (Darroch, et al., 2000; Wilgoren, 1999). Currently, 35 percent of public school districts require abstinence to be taught as the only option for unmarried people and either prohibit the discussion of contraception or limit discussion to its ineffectiveness (AGI, 2003a).

Abstinence-only sexuality education doesn’t work. There is little evidence that teens who participate in abstinence-only programs abstain from intercourse longer than others. It is known, however that when they do become sexually active, teens who received abstinence-only education often fail to use condoms or other contraceptives. In fact, 88 percent of students who pledged virginity in middle school and high school still engage in premarital sex. The students who break this pledge are less likely to use contraception at first intercourse, and they have similar rates of sexually transmitted infections as non-pledgers (Walters, 2005; Bearman and Brueckner, 2001). Meanwhile, students in comprehensive sexuality education classes do not engage in sexual activity more often or earlier, but do use contraception and practice safer sex more consistently when they become sexually active (AGI, 2003a; Jemmott, et al., 1998; Kirby, 1999; Kirby, 2000; NARAL, 1998).

The U.S. has the highest rate of teen pregnancy in the developed world, and American adolescents are contracting HIV faster than almost any other demographic group. The teen pregnancy rate in the U.S. is at least twice that in Canada, England, France, and Sweden, and 10 times that in the Netherlands. Experts cite restrictions on teens’ access to comprehensive sexuality education, contraception, and condoms in the U.S., along with the widespread American attitude that a healthy adolescence should exclude sex. By contrast, the “European approach to teenage sexual activity, expressed in the form of widespread provision of confidential and accessible contraceptive services to adolescents, is . . . a central factor in explaining the more rapid declines in teenage childbearing in northern and western European countries” (Singh & Darroch, 2000). California, the only state that has not accepted federal abstinence-only money, has seen declines in teenage pregnancy similar to those seen in European countries. Over the last decade, the teenage pregnancy rate in California has dropped more than 40 percent (“California reduces…,” 2004).

Every reputable sexuality education organization in the U.S., as well as prominent health organizations including the American Medical Association, have denounced abstinence-only sexuality education. And a 1997 consensus statement from the National Institutes of Health concluded that legislation discouraging condom use on the grounds that condoms are ineffective “places policy in direct conflict with science because it ignores overwhelming evidence . . . 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” (NIH, 1997).

Resources

Planned Parenthood Federation of America has developed the Reality-based Education And Learning for Life (R.E.A.L. Life) kit, a collection of 17 documents that can be used by professionals, parents, and other community members to advocate for responsible sexuality education. The R.E.A.L. Life kit can be purchased for $10.

It is available online at http://store.yahoo.com/ppfastore/reallifkitre.html.

Cited References

“Abstinence Program’s ‘Project Reality’ Training is May 6.” (2000, May 4). Bayou Catholic Shriever (LA).

AGI — Alan Guttmacher Institute. (2003a, accessed 2004, June 24). Facts in Brief: Sexuality Education. .
http://www.guttmacher.org/pubs/fb_sex_ed02.html.

_____. (2003b, accessed 2004, December 21). Sex Education: Needs, Programs and Policies. .
http://www.guttmacher.org/presentations/ed_slides.html.

Albert, Bill. (2004, accessed 2004, December 21). With One Voice 2004: America’s Adults and Teens Sound Off about Teen Pregnancy. Washington, DC: National Campaign to Prevent Teen Pregnancy. .
http://www.teenpregnancy.org/resources/data/pdf/WOV2004.pdf

Associated Press. (2000, September 6). “Lynchburg School Board Will Censor Illustration in Anatomy Textbook.” AP-ES-09-06-00 1233EDT.

Bearman, PS & H Brueckner. (2001). “Promising the Future: Virginity Pledges and First Intercourse.” American Journal of Sociology, 106(4), 859-912.

“Belton Teacher Placed on Leave.” (1998, February 26). Star-Herald (Belton, MO).

Berry, Mike. (1999, February 11). “Condom Video Gets High School Teacher Suspended,” Orlando Sentinel, D1.

Boonstra, Heather. (2004). “Abstinence Promotion and the U.S. Approach to HIV/AIDS Prevention Overseas.” The Alan Guttmacher Institute.

“California Reduces Teen Birth Rate Through Sex Education.” (2004, May 9, accessed 2004, May 13). The Mercury News (San Jose, CA).

Committee on Government Reform. (2004, accessed 2004, December 1). The Content of Federally Funded Abstinence-Only Education Programs. .
http://www.democrats.reform.house.govDocuments/20041201102153-50247.pdf

Cunningham, Gary F., et al. (2001). Williams Obstetrics: 21st Edition. New York: McGraw-Hill.

Craig, Jon. (1997, October 11). “Parents’ Objections Cancel AIDS Program.” Post-Standard (Syracuse, NY), B1.

Darroch, Jacqueline E., et al. (2000). “Changing Emphases in Sexuality Education in U.S. Secondary Public Schools, 1988-1999.” Family Planning Perspectives, 32(5), 204-11, 265.

“Diocese Will Lead Classes on Abstinence.” (2000, January 15). Helena Independent Record (Montana).

Elliott, Janet. (2004, November 6). “Altered School Books Given Board Approval.” Houston Chronicle (Houston, TX), B1.

“Fact Sheet: Public Support for Sexuality Education.” (2000, June/July). SIECUS Report, 29-32.

“Feature Up in Smoke When Principal Axes Sex Stories.” (1999-2000, Winter). Student Press Law Center Report, 20.

Gish, J. (2000, February 7) “No Sex, Please, We’re Teens.” Evening Sun, (Hanover, PA).

Gold, Scott. (2004, November 22). “Revision Marches to Social Agenda.” Los Angeles Times (Los Angeles, CA), A13.

Grossman, Jill. (1998, March 19-25). “Students Fight for Sex Education.” The Westsider.

“Group Calls for Halt on HIV/AIDS Program Due to Explicit Material.” (2000, October 1). News Leader (Rochelle, IL).

Hatcher, Robert A., et al. (2004). Contraceptive Technology: 18th Revised Edition. New York: Ardent Media Inc.

Heins, Marjorie. (2001). Not in Front of the Children: “Indecency,” Censorship, and the Innocence of Youth. New York: Hill and Wang.

Holding, Reynolds. (2000, July 2). “Student’s Sex Article Prompts Sad Legal Lesson.” San Francisco Chronicle, 3.

Jemmott, John, et al. (1998). “Abstinence and Safer Sex HIV Risk-Reduction Interventions for African-American Adolescents, A Randomized Trial.” JAMA, 279(19), 1529-1536.

KFF— Kaiser Family Foundation. (2000). Sex Education in America: A View from Inside the Nation’s Classrooms. Menlo Park, CA: The Kaiser Family Foundation.

Kirby, Douglas. (1999). “Sexuality and Sex Education at Home and School.” Adolescent Medicine: State of the Art Reviews 10(2), 195-209.

_____. (2000, July). “Effective Approaches to Reducing Adolescent Unprotected Sex, Pregnancy, and Childbearing.” Report to the Surgeon General.

Levin-Epstein, Jodie. (1998, November). “Fact Sheet: ‘Abstinence Unless Married’ Education,” Center for Law and Social Policy.

NARAL — National Abortion and Reproductive Rights Action League. (1998, May). “Teens in Crisis: A Comprehensive Strategy to Protect Adolescent Health.”

Neill, M. (2000, February 18). “544 High School Students Make Promise of Abstinence.” The Times (Cullman, AL).

NIH — National Institutes of Health. (1997, February 11-13). “Interventions to Prevent HIV Risk Behaviors.” NIH Consensus Statement, 15(2),15-16.

“Nurses Drop ‘Crazy’ Sex-Ed Program.” (1999, March 18). Rocky Mountain News (Denver, CO).

Pardini, Priscilla. (1998). “Federal Law Mandates 'Abstinence-Only Sex Ed: Fundamentalists Successfully Pushed Stealth Legislation.” Rethinking Schools, 12(4), 16-18.

Pulley, Russ & Robert Carroll. (1998, February 22). “Discussion in Health Class Draws Parental Complaint.” Kansas City Star, B4.

Quillen, Martha. (1997, September 25). “Franklin Schools Slice Sex-Ed Chapters Out of Health Books.” The News & Observer (Raleigh, NC), A1.

Rabasca, Lisa. (1999, retrieved 2001, September 19). “Not Enough Evidence to Support ‘Abstinence-Only.’” APA Monitor, 30(11) . http://www.apap.org/monitor/dec99/pi1html

Research!America and APHA. (2004, accessed 2004, December 28). Research!America / APHA National Poll on Americans’ Attitudes toward Public Health. .
http://www.researchamerica.org/polldata/apha2004.pdf

Schemo, Diana Jean. (2000, December 28). “Sex Education With Just One Lesson: No Sex.” New York Times, A1.

Singh, Susheela & Jacqueline E. Darroch. (2000). “Adolescent Pregnancy and Childbearing: Levels and Trends in Developed Countries.” Family Planning Perspectives, 32(1), 914.

“Take Back Our Rights.” (2004, May 10). The Nation.

Todd, H. (1999, August 8). “Abstinence Workshop Insertion Criticized.” Herald Zeitung (New Braunfels, TX).

“Valentine’s Day Kick Off True Love Waits Campaign.” (2000, January 26). Mercury Register (Orville, CA).

Walters, Joanna. (2005, January 2). “No Sex is Safe Sex for Teens in America.” The Observer.

Wilgoren, Jodi. (1999, December 15). “Abstinence is Focus of U.S. Sex Education.” New York Times, A18.

Lead Author — Sex & Censorship Committee, National Coalition Against Censorship.

Current as of January 2005

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What a biased resource…Planned Parenthood…do you actually think this source isn’t biased?

I don’t put an ounce of credence to this article.

Perhaps you should read it before you say that.

It cites specific statutes and situations which contradict your earlier statements. Inconvenient, I know, but these are laws.

Unless Planned Parenthood is now fabricating laws and studies.

Read the text and tone of the reference. It cites no credible facts and/or studies to back its viewpoint.

I prefer to stick by the studies of real organizations. Not those that have an agenda like planned parenthood.