This qualitative study shows that high risk adolescents hold a nuanced and developmental perspective on abstinence and the transition to sexual activity. To account for the ethnic diversity among the teen populations in the different states in a multivariate analysis of teen pregnancy and birth rates, we included only the proportion of white and black teens in the state populations as covariates, because the Hispanic teen population numbers were not normally distributed see below. Government Accountability Office; Oct, To understand adolescent sexual behavior, one must first understand adult sexual practices. We tested for homogeneity of error variances Levene's Test and for equality of covariance matrices Box test between groups.
We assessed whether the waivers access to family planning services had an effect on our analysis of teen pregnancy and birth rates across states, specifically whether they could bias our analysis with respect to the effects of the different levels of abstinence education. World Health Organization, In fiscal year , the Office of Population Affairs announced that program priorities for Title X grantees would include a focus on extramarital abstinence education and counseling, increasing parental involvement in the decisions of minors to seek family planning services, reporting of statutory rape, and working with faith-based organizations [ 26 ]. Censorship and manipulation of reproductive health information. Over U. According to the Guttmacher Institute, the national family planning program prevents 1. In general, teen pregnancy rates are calculated based on reported teen birth and abortion rates, along with an estimated miscarriage rate . Journal of Adolescent Health ; The publisher's final edited version of this article is available at Curr Opin Obstet Gynecol See other articles in PMC that cite the published article. We determined which states had received permission as of from the Federal Medicaid program to extend Medicaid eligibility for family planning services to large numbers of individuals whose incomes are above the state-set levels for Medicaid enrollment . This review article is a companion to the Society for Adolescent Medicine position paper. Since the increasing role of Medicaid in funding family planning was mainly due to the efforts of 21 states to expand eligibility for family planning for low-income women who otherwise would not qualify for Medicaid, we analyzed whether these Medicaid waivers for family planning services available in some states but not in others could bias our results. Changes in formal sex education: This paper documents the erosion of comprehensive sexuality education during a time of escalating spending on abstinence-only education. This qualitative study shows that high risk adolescents hold a nuanced and developmental perspective on abstinence and the transition to sexual activity. Written by Brigid McKeon. It calls into question whether it is realistic and ethical to hold anyone to a premarital abstinence ideal. These data are based on median household income from the Current Population Survey for from the U. Abstinence-only approaches have also influenced family planning and HIV prevention programs nationally and internationally. If abstinence only approaches cannot be shown to be effective in model programs with careful implementation and meticulous follow-up, they are unlikely to be effective elsewhere. Elster A, Fleming M. Early adolescent sexual behavior, however, is confounded by high rates of coercive sex, older partners, and the co-occurrence of other risk behaviors such as substance use. The right to information necessary for reproductive health and choice under international law. To understand adolescent sexual behavior, one must first understand adult sexual practices. No Time to Lose: Abstinence-only polices violate the human rights of adolescents because they withhold potentially life-saving information on HIV and other STIs. Feijoo AN, Grayton C.
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