New Studies Demonstrate Ab-Only Ineffectiveness, Yet Again

John Santelli and Leslie Kantor

New studies published in the journal Sexuality Research and Social Policy demonstrate again that abstinence-only programs do not help teens delay initiation of sex -- while comprehensive sex ed programs were found to be effective.

Studies published in a special issue of the journal Sexuality
Research and Social Policy, which we edited, conclude that
abstinence-only-until-marriage sex education programs fail to change sexual behavior in teenagers,
provide inaccurate information about condoms, and violate human rights
principles. The articles make clear that abstinence-only programs are
based on ideology and politics–and go against the consensus of public
health science.

Perhaps most relevant for federal and state policymakers is a review of the impact of 56 adolescent sexual behavior programs,
comparing abstinence-only and comprehensive sex education programs. It
finds that most abstinence-only programs of the type that have received
$1.5 billion in federal funding do not help teens delay initiation of
sex and that there is no scientific evidence to warrant their
widespread use. In contrast, the review finds that most comprehensive
sex education programs, which emphasize both abstinence and the use of
protection for those who do have sex, were found to have a positive
impact and should be replicated more widely. It concludes that a
comprehensive approach to sex education is effective and does not send
a confusing message to young people.

Another article in the special issue finds that three commonly used, abstinence-only curricula often provide inaccurate medical information to adolescents,
including false or misleading statements about the effectiveness and
safety of condoms. These abstinence-only curricula inflate the actual
failure rate of condoms, suggesting that using condoms is somewhat like
playing "Russian roulette" with HIV. These study results are consistent
with earlier reviews that found medical inaccuracies throughout a wide
sample of abstinence-only program curricula.

The reasons that many states have rejected federal abstinence-only funds
are the subject of a third article. States refusing funding generally
cite concerns about the efficacy and accuracy of abstinence-only
curricula. Those states also tend to have progressive governments and
strong advocates for comprehensive sexuality education. As of August
2008, 25 states had opted out of Title V funding including Alaska,
Arizona, California, Colorado, Connecticut, Delaware, District of
Columbia, Idaho, Iowa, Maine, Massachusetts, Minnesota, New Jersey, New
Mexico, New York, Ohio, Pennsylvania, Rhode Island, Tennessee, Vermont,
Virginia, Washington, Wisconsin, and Wyoming.

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Lastly, abstinence-only programs violate key human rights principles,
as their silence or misinformation on condom effectiveness violates
young people’s right to information and to the means with which to
protect their health. Abstinence-only approaches also impinge on the
rights and responsibilities of teachers and health educators to provide
accurate and complete information. The authors of this article examine
both Texas and Uganda in their demonstration of the ways that human
rights approaches can help to illustrate limitations on programs that
restrict access to information.

In sum, the articles show that abstinence-only programs contain
medical inaccuracies, fail to help young people to change behavior, and
conflict with ethical standards.

This post first appeared on The Hill’s Congress Blog.

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