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Special Report on Sexuality
Non-Education
April 7, 2004
Ignorance Is Not Bliss
Around the country, students are being told that condoms don’t
work to prevent AIDS, premarital sex leads to emotional instability
and the inability to have a happy marriage, and people who have
sex outside of marriage are immoral. And the government is paying
for it. The Bush administration has proposed doubling funding for
“abstinence-only” sex education programs to $270 million,
despite the fact that these programs are largely unproven, fail
to provide young adults with the information they need to prevent
pregnancy and STDS, and may violate the separation of church and
state.
Abstinence-only programs rely on a fear-based curriculum to “scare”
students away from all sexual activity while simultaneously promoting
the belief that the only proper context for sex is marriage. For
instance, students in McLennan County, Texas, are told that it’s
not uncommon for women to have genital warts “as large as
two fists” hanging from their genitalia as a result of premarital
sex and that using condoms “is like playing Russian roulette.
There is a greater risk of condom failure than the bullet being
in the chamber.”
Students receiving “sex ed” from the FACTS program,
which is used in the Portland, Oregon, area, are told “there
is no such thing as ‘safe’ or ‘safer’ premarital
sex. There are always risks associated with it, even dangerous,
life-threatening ones.” CLUE 2000, which was developed by
Pure Love Alliance, a project of the Unification Church, says that
“choosing to become sexually active can damage you ability
to love, degrade your emotional self worth and distort interpersonal
relationships.”
The Teen-Aid program tells young adults that “premarital sex,
especially with more than one person, has been linked to the development
of emotional illness.” Among the laundry list of negative
consequences of premarital sexual activity identified by Facing
Reality are: inability to concentrate on school, shotgun wedding,
heartbreak, infertility, loneliness, cervical cancer, poverty, loss
of self-esteem, suicide, substance abuse, loss of faith, difficulty
with long-term commitments, loss of honesty, depression, and death.
As of 1999, one-third of all schools in the country were teaching
abstinence exclusively, according to surveys by the Kaiser Family
Foundation and the Alan Guttmacher Institute. And federal funding
for abstinence-only education is set to double despite the fact
that there is no scientific evidence that these programs work.
A History of Abstinence
Abstinence-only programs originated during the Reagan Administration
with the Adolescent Family Life Act (AFLA), which was passed in
1981 to promote chastity among teens. Early AFLA programs frequently
promoted specific religious values. The ACLU filed suit against
AFLA programs in 1983 and, after a decade in court, in 1993 reached
an out-of-court settlement that stipulated that AFLA programs would
not include overt religious references and would be medically accurate
and respect teens’ self-determination in contraceptive choice.
In 1994, Rep. John Doolittle (R-CA) introduced a measure to restrict
HIV prevention and sexuality education in school-based sex ed programs.
This attempt was largely unsuccessful because of prohibitions on
federal mandates on local curricula. Two years later, abstinence
advocates launched a far more successful attempt to mandate abstinence-until-marriage
education. Heritage Foundation policy analyst Robert Rector, a leading
proponent of abstinence, worked with representatives from the Family
Research Council, the Christian Coalition and other conservative
groups to draft a measure that was included in the 1996 welfare
reform bill. The measure provided a new entitlement program to encourage
states to promote abstinence and funded it at $50 million a year
over five years.
Funding for abstinence-only has increased steadily since 1996. Total
spending on abstinence-only education, including the welfare-reform
and AFLA programs, was $80 million in 2001, and increased to $100
million in 2002 and $120 million in 2003. Bush has proposed spending
$270 million in 2005 in the latest budget he sent to Congress. “What
Congress has to realize is that, by denying youth critical information
about contraception and prevention in the era of AIDS, they are
placing the health and lives of young people in jeopardy,”
said James Wagoner, president of Advocates for Youth.
The Whole Story
States that accept the abstinence-only money are required to adhere
to a strict, eight-point definition of abstinence education, which
includes the following principles:
- Sexual activity outside of marriage is likely to have harmful
psychological and physical effects.”
- “Abstinence from sexual activity is the only certain way
to avoid out-of-wedlock pregnancy, sexually transmitted diseases,
and other associated health problems.”
- “A mutually faithful monogamous relationship in the context
of marriage is the expected standard of human sexual activity.”
Advocates of comprehensive sex education—which educates teens
about the benefits of delaying sexual activity but also includes information
about contraceptives and STD prevention—point to a number of
problems with the abstinence approach. According to a report by the
Sexuality Information and Education Council of the United States (SIECUS),
abstinence-only programs deny young adults the information they need
to make “informed, responsible decisions about their sexuality.”
These program deny the reality that most teenagers engage in increasing
intimate sexual behaviors as they age and that, according to the Centers
for Disease Control and Prevention (CDC), 50 percent of high school
students have had sexual intercourse. In addition, the requirement
that abstinence programs discuss abstinence as the only sure way to
avoid STDs “clearly prevents funded programs from discussing
the effectiveness of condoms and contraception in preventing unintended
pregnancy and disease transmission” and discourages the use
of condoms.
Abstinence-only programs also routinely suggest that condoms and other
contraceptives are unreliable. The Choosing the Best program tells
teens that condoms fail more than 25 percent of the time and that
condoms are extremely difficult to use, requiring more than 10 steps,
including the bizarre statement that the final, post-intercourse step
to condom use is cleaning the genital area with “rubbing alcohol
or dilute solutions of Lysol.”
According to SIECUS, abstinence-only programs prominently discuss
the most extreme consequences of untreated STDS and fail to discuss
routine STDs prevention and screening, which leaves sexually active
teens at risk. Sexuality educator Debbie Roffman, author of Sex and
Sensibility: The Thinking Parent’s Guide to Talking Sense About
Sex, says that efforts to scare teens away from sex with horror stories
can backfire because it erodes their sense of control. “You
want kids to be appropriately concerned, but you also want to leave
them feeling in control. Tell them the truth, but tell them the good
news is that these are preventable diseases—there are many things
you can do to prevent them,” she said.
The programs’ emphasis on abstinence until marriage as the “expected
standard” also flies in the face of the fact that the vast majority
of men and women are not virgins when they marry. They also assume
that all people desire to enter into a “mutually faithful monogamous
relationship in the context of marriage,” disregarding people
who choose not to marry and gays and lesbians who are legally barred
from marrying. The programs also promote the idea that sexual activity
outside of marriage is harmful, when there is no evidence to prove
this is true and most people engage in sexual activity prior or outside
of marriage with no negative consequences.
The programs also attempt to stigmatize premarital sex as immoral
and shameful. The Nevada State Health Division was forced to suspend
public service announcements for its abstinence-only program after
they generated controversy. The ads proclaimed that teenage girls
often feel “dirty and cheap” when they break up with boyfriends
they have had sex with, that condoms don’t protect against some
STDs, and that sexually active teens are more likely to commit suicide.
Where's the Evidence?
In addition to delivering messages that may harm teens, abstinence-only
programs are largely unproven as to their effectiveness in meeting
basic public health goals such as preventing teen pregnancy and delaying
sexual intercourse. A 2001 report by then-Surgeon General David Satcher
said that there was no evidence that abstinence-only programs work
and said sex ed programs should provide information on contraceptives
and safe sex practices. The report called for “access to education
about sexual health and responsible sexual behavior that is thorough,
wide-ranging, [and] begins early.”
There is evidence that abstinence programs may be damaging to teens.
A study out in February of this year found that a five-year, federally
funded abstinence-only program in Minnesota called “Minnesota
Education Now and Babies Later” actually increased sexual activity
among teens and increased expectations among teens that they would
be sexually active.
There has been an overall 28% decline in teen pregnancy over the past
decade. While most sexual health experts attribute the decline to
an increase in contraceptive use and a decrease in sexual activity
due to better education, particularly about AIDS, abstinence advocates
say the decline shows the effectiveness of abstinence education. “As
abstinence education has spread from a few classrooms in the 1980s
to thousands of schools across the country today, the message is getting
through. Teens are making decisions for virginity, and the results
are clear,” said Leslee Unruh, president of the Abstinence Clearinghouse,
which serves as a resource for abstinence-only programs.
The Heritage Foundation released a review of 10 “promising”
abstinence-only programs, but none of the studies were peer-reviewed
and most of the programs were small and had been operating for only
a short time. The study did find that teens who took “virginity
pledges” delayed sexual activity for 18 months longer than those
who did not, but in a finding that seems to support the worst fears
of comprehensive sexuality advocates, teens who took the pledge were
more likely not to use contraceptives once they did become sexually
active.
A review of comprehensive sex ed programs sponsored by the National
Campaign to Prevent Teen Pregnancy found that these types of programs
do not promote sexual activity among teens, as abstinence advocates
charge. The review also found no evidence that abstinence-only programs
were effective.
The public supports comprehensive sex education. A recent poll found
that only 15% of Americans believe that schools should teach abstinence-only
and withhold information on contraceptives. The vast majority said
that teens should be taught a more comprehensive approach, either
one that stresses abstinence as the best approach but provides information
on contraceptives (46%) or primarily focuses on teaching teens how
to make responsible decisions about sex (36%).
Whose Morality Is It, Anyway?
In addition to being unproven programs that deprive sexually developing
teens of the information they need to make wise decisions, abstinence-only
programs promote a narrow moral view about the role of sexuality in
human relationship supported by extremist organizations that oppose
reproductive choice and women’s equality. According to Cornell
University Law Professor Gary Simson, abstinence-only programs may
violate the First Amendment because they “are rooted in the
purpose of endorsing the view of sex urged by, and identified with,
the Christian Coalition and its allies in the ‘religious right’.”
Simon says that programs like Sex Respect are designed to “give
effect to the conservative Christian view that both premarital sex
and homosexual conduct are sinful and therefore to be avoided.”
A federal judge found in 2002 that an abstinence-only program widely
used in Louisiana schools improperly advanced religion and promoted
religious messages. Money in the program was used to hold prayer rallies
outside of abortion clinics and perform “Christ-centered”
skits with abstinence messages. One program used the virgin birth
to emphasize God’s desire for “sexual purity.” Under
an agreement reached with the ACLU, the state will monitor future
program content for religious references.
People of faith overwhelming support providing young adults with the
accurate information about sexuality that they need to make responsible
choices. A national poll of 900 voters commissioned by the Religious
Coalition for Reproductive Choice found that American of all faiths
want responsible sexuality education taught in schools, including
73% of Catholics and 67% of Christian fundamentalists. Religious support
for sexuality education is long-standing. In 1968, influential Protestant,
Catholic and Jewish organizations released a joint statement calling
for each community to provide “resources, leadership and opportunities
as appropriate” for sexuality education in light of their religious
tradition.
The American Baptist Church, the Episcopal Church, the Presbyterian
Church (USA), the Unitarian Universalist Association, the United Church
of Christ, the United Methodist Church, and Reform and Conservative
Judaism have passed resolutions affirming the need for sexuality education
within their own faiths and the public schools. The Religious Coalition
has several resources to help provide faith-based comprehensive sexuality
education. In addition, the Rev. Carlton Veazey is serving on Dr.
David Satcher’s National Advisory Council on Sexual Health,
which is working to promote sexual health and responsible sexual behavior.
But conservatives are busy as well. In addition to the doubling of
funds for abstinence education in the president's FY 2005 budget,
the next frontier for abstinence education is adults. Robert Rector
envisions promoting the gospel of abstinence to young adults in their
20s as well as teens--a move that dovetails with Bush administration
plans to devote $1.5 billion to promote marriage, especially among
low-income men and women, to reduce out-of-wedlock births. But many
public health experts argue that there is a better way to reduce illegitimacy
that coercing poor women into marriage--comprehensive education about
sex and family planning options.
This report was researched and written by journalist and reproductive
rights expert Patricia Miller for the Religious Coalition for Reproductive
Choice.
For additional information, please contact info@rcrc.org
or 202-628-7700 ext. 12.
For a foot-noted version of this article as a PDF file, please email
info@rcrc.org
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