Commentary Sexual Health

Teen Sex and Contraception on Television: Where’s the Personal Responsibility?

Martha Kempner

In the last few weeks, I learned that Bristol Palin was on the pill and all of the stars of 16 and Pregnant used condoms.  I find this slightly curious because, as we know, all of them ended up parents before they graduated from high school. If I didn’t know any better, I would start to wonder if contraception just doesn’t work.  But since I do know better, I am instead left wondering if the media is letting our most famous teen get one over on us and in the process perpetuating myths and misunderstandings about birth control.

In the last few weeks, I learned that Bristol Palin was on the pill and all of the stars of 16 and Pregnant used condoms.  I find this slightly curious because, as we know, all of them ended up parents before they were old enough to vote. If I didn’t know any better, I would start to wonder if contraception just doesn’t work.  But since I do know better, I am instead left wondering if the media is letting our most famous teen parents get one over on us and in the process perpetuating myths and misunderstandings about birth control.

Birth Control Pills Work

In her book Bristol Plain explains how the first time she had sex took place while drunk on a camping trip and she feels that Levi “stole” her virginity, though she was not raped.  (I have already admitted that I’m obsessed with Bristol and discussed this odd explanation of hers in an earlier piece.) Despite this, she went on to have a sexual relationship with him for the next two years and became pregnant with their son, Tripp.  In her book Palin explains that at the time she got pregnant, she was on birth control pills that “had been prescribed to her for cramps.”

That reminded me of a sex ed lecture that I had during my senior year in high school (yes, senior year, because when it came to sex, East Brunswick High School didn’t like to tell us about anything until after they were sure we had already tried it). The health teacher held up a packet of pills and said “Some of your friends may be on these, but that’s just for cramp control.” We all stifled our laughter and fought the urge to say in our best sarcastic teen voice “yeah, right.” Some of our friends were on it, hell, some of us were on it, and it wasn’t just for cramp control.

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Sure some women use the pill for the benefits it provides other than birth control—it regulates one’s period, can reduce cramps and other premenstrual issues, and some brands can actually help control acne. The good news is that even if the motivation to start or keep taking the pill is something other than contraception, if taken correctly, that very same pill will prevent pregnancy.  When pressed by Barbara Walters in a recent appearance on The View, Bristol said: “I was on birth control when I got pregnant yeah, but it obviously was not used effectively.” 

It’s in the passive voice but I guess it’s as close as we will get to some personal responsibility.

Birth control pills are extremely effective at preventing pregnancy.  As Planned Parenthood explains, “Less than 1 out of 100 women will get pregnant each year if they always take the pill each day as directed. About 9 out of 100 women will get pregnant each year if they don’t always take the pill each day as directed.”  Maybe Bristol was part of that unluckily less than one percent. Or maybe, because Bristol wasn’t thinking of her birth control pills as pregnancy prevention, she was more lax in taking them than she should have been.  In truth, given the other revelations in the book—that Levi was having sex with a number of other women and got another one pregnant around the same time—she probably should have been using condoms instead or in addition to the pill because condoms are the only birth control method that can protect against sexually transmitted diseases (STDs) as well as pregnancy.

Condoms Work

Unfortunately, condoms get a really, really bad rap on television. A friend of mine who teaches middle school and high school sex-ed classes says that she asks all of her classes if they’ve ever seen a TV show in which “the condom broke” and without fail every student raises his/her hand.  Maybe her students watched the recent reunion show for MTV’s 16 and Pregnant.  Called 16 & Pregnant: Life After Labor, it features couples sitting down for in-depth interviews with Dr. Drew Pinsky, MTVs go-to sex expert (despite the fact that his background is actually in addiction).  I have to admit that I did not watch the whole episode and I apologize for not knowing the names of the couples I am talking about.  In the first clip I saw, Dr. Drew asks one couple what went wrong with contraception when they got pregnant.  The young woman is tentative and starts with a long, drawn-out, and almost apologetic “well….” Her partner jumps right in with “the condom broke.”  Despite the fact that the set up was suspicious and he must know how unlikely this is, Dr. Drew does not challenge that assertion or ask the couple if they were sure they were using it correctly. Similarly, when the next couple says they were using condoms and, once again the guy claims that it broke, Dr. Drew just repeats the words “it broke” and continues. 

Like any birth control method, condoms have a method failure rate.  This refers to failures caused by a defect in the actual product such as a tear.  Method failure of the male condom is very rare; it is estimated to occur less than 2 percent of the time. Moreover, not all condom breaks pose any risk for pregnancy—a condom that breaks while a person is putting it on for example, would not lead to pregnancy as long as the couple used a new condom for intercourse.

The truth of the matter is that when it comes to condoms (all birth control in fact), most failure is user failure; the failure of the couple to use the condom correctly and to use it every time.  User failure rates for condoms are closer to 17 percent, which means that out of 100 couples who use condoms as their primary means of birth control, about 17 will become pregnant in the first year.  It’s really important to understand that for the purposes of this calculation, couples are counted as a condom users (and any pregnancy is counted as a condom failure) if they say that it is their main form of birth control—even if they were wearing the condom on their pinky finger or there was no condom in the room the day they got pregnant.   

It would have been nice if Dr. Drew had challenged these couples’ assertions that it was all the fault of the condom. Instead of smiling and nodding, he could have asked if they were sure they had used a condom every time and if they were sure they knew exactly how to use one.  Though I suppose few people mistakenly wear them on their finger, I am surprised by research that suggests that people put them on upside down, open the package with a sharp object like scissors, put the condom on too late (after intercourse), and take it off too early (before ejaculation). This would have been a great opportunity for Dr. Drew to remind the couples (and the viewers) of the steps in using condoms or even better to have demonstrated them.  It’s not hard to use a condom but everyone should be taught how.

Emergency Contraception is an Option Even if You Just Forgot

Instead, Dr. Drew went on to talk with each of these couples about emergency contraception (EC).  While this is also a worthwhile educational opportunity (he told viewers they could get it at a pharmacy and that if they take it within 3 days of unprotected sex it markedly reduces the risk of pregnancy), he managed to throw condoms under the bus while doing so as his explanation started with “if there’s a failure with a barrier method like a condom….”  That is certainly one of the times people use EC, however, it seems more likely that the failure would be one omission—simply not using birth control for whatever reason.  MTV’s audience should understand that emergency contraception can also be used under those circumstances. 

One of the young women interviewed claimed that not only did the condom break but she took emergency contraception the next morning and it didn’t work either. Dr. Drew seems alarmed by this (though his reaction shot is from the back so it’s hard to tell) but he doesn’t express this alarm and throws her a lifeline by saying “that’s the thing about morning after pills, if you’re already pregnant you’re going to stay pregnant, you must have just ovulated….” She agrees, and says that her doctor said the same thing.  If she was already pregnant, EC would not work but it also wouldn’t have been the “fault” of the broken condom.  The idea that she ovulated that very day and that’s why EC failed is a little hard to believe.  That is some really bad luck.

Personal Responsibility

I hate to be the cynic here but in an Occam’s Razor sort of way—the simplest explanation is most likely to be true—these young people didn’t use condoms and they didn’t use emergency contraception. They weren’t using birth control and they got pregnant.  That’s not bad luck.  That’s an expected outcome of unprotected sex.

I’m not really suggesting that Dr. Drew call his interviewees liars on national television, but I do worry about the example being set by these teens who, by blaming the birth control methods, are essentially refusing to take personal responsibility for what happened.

I don’t fault them entirely for this refusal to take the blame given what we as a society tell (and don’t tell young people) about sex. We bombard them with images and messages that invoke sexuality but remind them that “good” kids don’t have sex. We hold back information about birth control and make the methods themselves hard to come by based on the warped theory that if we provide information and access we are giving them license to have sex.  And then we remind them that good kids really don’t get pregnant.

Bristol Palin touches upon these conflicting messages in her account of her sexual history when she explains that part of the reason she kept having sex with Levi was the idea that she had already broken her moral code and therefore it was not such a big deal to do it again. And one of the teens on Life After Labor touches on another message when she admits that she didn’t take EC after the condom broke because she didn’t want her mom to know that she was having sex.  While I’ve never met her mom or seen the show, I’d bet most parents would rather find out their daughter was having sex when she came to ask for help obtaining EC than when she came to announce she was pregnant.  Still, many kids do fear their parent’s reaction and disapproval and it can clearly get in the way of their ability to access contraception and make responsible decision.

I’ve spent my career arguing that teen sex is not inherently bad. I believe teenagers are capable of making mature and responsible decisions about sex.  I have suggested on many occasions that instead of trying to get teens to stop having sex, we should be teaching them how to think critically about it. And, I have repeatedly reminded others that teens often make better decisions than adults (they’re more like to use condoms, for example). All of these arguments, however, are made harder to stand behind when teens refuse to admit that they’ve made a mistake.

As adults, it is our responsibility to give teens positive messages about sexuality and to be approachable (before or after the fact) when they have questions or need help. We have to teach all teens (whether they are sexually active or not) how to use contraceptive methods properly and provide them access to these methods.  If they choose to be sexually active, it is their responsibility to use it every time and to use it correctly.  And if they make a mistake, it is their responsibility to say “sorry, I made a mistake, it was my fault”—especially if they are appearing on national TV.  

News Sexual Health

State with Nation’s Highest Chlamydia Rate Enacts New Restrictions on Sex Ed

Nicole Knight Shine

By requiring sexual education instructors to be certified teachers, the Alaska legislature is targeting Planned Parenthood, which is the largest nonprofit provider of such educational services in the state.

Alaska is imposing a new hurdle on comprehensive sexual health education with a law restricting schools to only hiring certificated school teachers to teach or supervise sex ed classes.

The broad and controversial education bill, HB 156, became law Thursday night without the signature of Gov. Bill Walker, a former Republican who switched his party affiliation to Independent in 2014. HB 156 requires school boards to vet and approve sex ed materials and instructors, making sex ed the “most scrutinized subject in the state,” according to reproductive health advocates.

Republicans hold large majorities in both chambers of Alaska’s legislature.

Championing the restrictions was state Sen. Mike Dunleavy (R-Wasilla), who called sexuality a “new concept” during a Senate Education Committee meeting in April. Dunleavy added the restrictions to HB 156 after the failure of an earlier measure that barred abortion providers—meaning Planned Parenthood—from teaching sex ed.

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Dunleavy has long targeted Planned Parenthood, the state’s largest nonprofit provider of sexual health education, calling its instruction “indoctrination.”

Meanwhile, advocates argue that evidence-based health education is sorely needed in a state that reported 787.5 cases of chlamydia per 100,000 people in 2014—the nation’s highest rate, according to the Centers for Disease Control and Prevention’s Surveillance Survey for that year.

Alaska’s teen pregnancy rate is higher than the national average.

The governor in a statement described his decision as a “very close call.”

“Given that this bill will have a broad and wide-ranging effect on education statewide, I have decided to allow HB 156 to become law without my signature,” Walker said.

Teachers, parents, and advocates had urged Walker to veto HB 156. Alaska’s 2016 Teacher of the Year, Amy Jo Meiners, took to Twitter following Walker’s announcement, writing, as reported by Juneau Empire, “This will cause such a burden on teachers [and] our partners in health education, including parents [and] health [professionals].”

An Anchorage parent and grandparent described her opposition to the bill in an op-ed, writing, “There is no doubt that HB 156 is designed to make it harder to access real sexual health education …. Although our state faces its largest budget crisis in history, certain members of the Legislature spent a lot of time worrying that teenagers are receiving information about their own bodies.”

Jessica Cler, Alaska public affairs manager with Planned Parenthood Votes Northwest and Hawaii, called Walker’s decision a “crushing blow for comprehensive and medically accurate sexual health education” in a statement.

She added that Walker’s “lack of action today has put the education of thousands of teens in Alaska at risk. This is designed to do one thing: Block students from accessing the sex education they need on safe sex and healthy relationships.”

The law follows the 2016 Legislative Round-up released this week by advocacy group Sexuality Information and Education Council of the United States. The report found that 63 percent of bills this year sought to improve sex ed, but more than a quarter undermined student rights or the quality of instruction by various means, including “promoting misinformation and an anti-abortion agenda.”

News Politics

Tim Kaine Clarifies Position on Federal Funding for Abortion, Is ‘for the Hyde Amendment’

Ally Boguhn

The Democratic Party voiced its support for rolling back the restriction on federal funding for abortion care in its platform, which was voted through this week.

Sen. Tim Kaine (D-VA), Hillary Clinton’s running mate, clarified during an interview with CNN on Friday that he still supports the Hyde Amendment’s ban on federal funding for abortion care.

During Kaine’s appearance on New Day, host Alisyn Camerota asked the Democrat’s vice presidential nominee whether he was “for or against” the ban on funding for abortion. Kaine replied that he had “been for the Hyde Amendment,” adding “I haven’t changed my position on that.”

Robby Mook, Clinton’s campaign manager, told CNN on Sunday that Kaine had “said that he will stand with Secretary Clinton to defend a woman’s right to choose, to repeal the Hyde amendment.” Another Clinton spokesperson later clarified to the network that Kaine’s commitment had been “made privately.”

The Democratic Party voiced its support for rolling back the restriction on federal funding for abortion care in its platform, which was voted through this week.

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“We will continue to oppose—and seek to overturn—federal and state laws and policies that impede a woman’s access to abortion, including by repealing the Hyde Amendment,” reads the platform.

Kaine this month told the Weekly Standard that he was not aware that the party had put language outlining support for repealing Hyde into the platform, noting that he had “traditionally been a supporter of the Hyde amendment.”

Clinton has repeatedly said that she supports Hyde’s repeal, calling the abortion care restriction “hard to justify.”

Abortion rights advocates say that Hyde presents a major obstacle to abortion access in the United States.

“The Hyde amendment is a violent piece of legislation that keeps anyone on Medicaid from accessing healthcare and denies them full control over their lives,” Yamani Hernandez, executive director of the National Network of Abortion Funds, said in a statement. “Whether or not folks believe in the broken U.S. political system, we are all impacted by the policies that it produces. … Abortion access issues go well beyond insurance and the ability to pay, but removing the Hyde Amendment will take us light years closer to where we need to be.”