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Bill Barker

Thursday, May 15, 2003, 12:01 a.m.

 

(202) 419-3420

New Report Finds Nineteen Programs Are Proven to Reduce Risk of Teen Pregnancy, STDs, and HIV

Eleven Sex Ed Programs Delay Teen Sex, Yet Cannot Receive Federal Abstinence Grants

WASHINGTON, DC—Sixteen sex education programs and three youth development initiatives have been proven to reduce teen pregnancies and STDs or cause at least two beneficial changes in sexual risk behaviors, according to Science and Success, a new report released today by Advocates for Youth. The most common behavior change was a delay in the initiation of sex among teens—an outcome shared by 11 of the sex education programs and one early childhood education initiative. Despite their proven effectiveness, none of the sex education programs are eligible for funding through the federal government's multi-year, multi-million dollar abstinence initiative because, even though they encourage abstinence, these programs include information about condoms and contraception.

"Parents and educators deserve to know that there are research-based programs that have been proven to help teens delay sex—and that the federal government refuses to fund them," said James Wagoner, President of Advocates for Youth. "Decades of public health research show that teaching young people how to wait and how to protect themselves if they start having sex provides teens the best chance of success."

The 16 sex education programs in Science and Success range from school-wide initiatives implemented in junior and/or senior highs to targeted community-based programs to reach those teens at the greatest risk for pregnancy and disease. The report also identifies three youth development programs—two early childhood intervention initiatives and a service-learning program—that work. Evaluations took place in a number of large urban centers (including Atlanta, Boston, Hartford, Philadelphia, New York, Seattle, and Washington, DC) as well as small rural communities in Arkansas, California, Colorado, Mississippi, and South Carolina.

Advocates for Youth conducted an exhaustive review of existing research, identifying over 150 programs for consideration. Only nineteen of these programs met the stringent criteria set for inclusion in the report—rigorous scientific evaluation, publication in a peer-reviewed journal, and a statistically significant impact on at least two sexual risk behaviors. In addition to the 12 programs that delayed sexual initiation, many programs also increased use of condoms (11) and other contraceptives (8), and decreased the frequency of sex and number of sexual partners (6 each) among sexually active youth. Eight programs led to reductions in the number of teen pregnancies or cases of STDs.

Six of the programs had been cited by the Centers for Disease Control and Prevention (CDC) as part of its "Programs that Work" initiative, a project designed to help educators identify curricula proven to reduce teen sexual risk behaviors. Although research still supports these approaches, the CDC removed "Programs that Work" from its Web site last year and took down information about the role of condoms in protecting against disease—actions that have drawn criticism from members of Congress and public health groups.

Since 1996, more than $700 million in federal and state funds have been directed to programs that teach teens that abstaining from sex until marriage is the expected norm, while censoring information about the health benefits of condoms and other contraceptive methods. This spring, Congress will vote on whether to approve more financial support for these "abstinence-only-until-marriage" programs as part of omnibus welfare reform legislation and the annual appropriations for the Department of Health and Human Services. In addition, a recent vote on the floor of the U.S. House of Representatives has earmarked one-third of the funding for a new $15 billion global AIDS prevention initiative for programs that teach only abstinence.

Researchers have not found that teaching abstinence alone—without also educating young people about effective use of condoms and contraception—reduces teen sexual activity or risk behaviors. Public health experts also note that the decade-long decline in U.S. teen pregnancy rates largely pre-dates the federal government's investment in abstinence-only-until-marriage programs. In fact, the Centers for Disease Control and Prevention, the National Campaign to Prevent Teen Pregnancy, and the Alan Guttmacher Institute have all conducted studies showing that the decline in teen pregnancy resulted from effective contraceptive use and a decrease in sexual activity—trends that began long before federal abstinence funds reached the states in 1998.

"Despite recent declines, U.S. teen birth and sexually transmitted disease rates remain among the highest in the developed world," added Wagoner. "Given the country's economic climate, we should be investing our scarce resources in successful strategies, not wasting them on unproven programs driven by ideology."

The full report, Science and Success: Sex Education and Other Programs That Work to Prevent Teen Pregnancy, HIV & Sexually Transmitted Infections, is available upon request along with contact information for successful programs.

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Advocates for Youth is an international, nonprofit organization that creates programs and advocates for policies that help young people make safe, responsible decisions about their sexual and reproductive health.

For more information or to set up an interview with adolescent sexuality experts, please contact Bill Barker at (202) 419-3420.

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