With state after state rejecting funding for so-called "abstinence-only" education (sex education that includes no information about avoiding sexually transmitted diseases and pregnancy, and focuses instead on telling teenagers not to have sex until marriage), educators in the United States are taking another look at what does and doesn't work to prevent teen pregnancy. Studies have shown that abstinence-only education does virtually nothing to prevent kids from having sex; the most recent one, released in April 2007, revealed that about half of all kids in both comprehensive and abstinence-only sex education programs had had sex by the end of the study period, and more than a third of both groups had had two or more partners. The only noticeable difference between the groups was that the abstinence-only group used birth control less frequently. Meanwhile, about 900,000 US teenagers get pregnant every year.
So what kind of sex education does work at preventing teen pregnancy? According to the National Campaign to Prevent Teen Pregnancy, the criteria for effective sex education include:
• Curriculum-based education that includes discussion of contraceptive use.
• Youth development programs that focus on keeping young people engaged in their communities and schools, including community service projects.
• Programs that send a clear message that certain choices are better for participants' sexual health than others; e.g., it's better to use contraception than have sex without it, or that it's better to be faithful than promiscuous.
• Programs that are age-appropriate and engage both girls and boys, involving them in the creation of their sex ed curriculum.
The need to do something about teen pregnancy in the United States is as obvious as the failure of abstinence-only curricula. Teen pregnancy has been affirmatively linked to increased poverty, dependence on social services, risky behaviors, a lack of education, and poor outcomes for children born to teenage mothers. According to the Campaign, teen pregnancy costs US taxpayers at least $7 billion each year in direct health
care, foster care, criminal justice, and public assistance costs. The US has one of the highest teen pregnancy rates in the developed world--almost twice as high as those of England, Wales and Canada, and eight times as high as those of the Netherlands and Japan, despite similar levels of sexual activity. It's time for the US to abandon programs that don't work and try something new: Comprehensive, medically accurate, non-condescending sex education.







