The limits of abstinence-only in preventing sexually transmitted infections

Fortenberry, J. Dennis

doi:10.1016/j.jadohealth.2005.02.001

Cited by 26 publications

(18 citation statements)

References 10 publications

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“…The lack of individuals in the study who reported this type of behavior appears to be in conflict with studies suggesting that anal and oral sex are on the rise as a way to maintain virginity (Fortenberry, 2005). However, the appearance of this single case may also confirm the presence of this mindset and practice within the sample.…”

Section: Discussioncontrasting

confidence: 62%

Examining Female Life Events: Implications for Counselors and Educators

Schwiebert

Alston

Bradford

et al. 2008

The Journal of Humanistic Counseling, Education and Development

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This article reports the findings of a study examining the impact of female life events (men-arche   This study grew out of personal, anecdotal conversations about experiences of becoming a woman in the 1980s. As we reflected on adolescent experiences of menarche, "the sex talk," and loss of virginity, common themes emerged of negative messages, awkward conversations, and shame. As adults, we were able to find some humor and perspective related to these themes. It led us to wonder about the potential negative impact these combined experiences had on our development of sexual agency, which refers to the feeling as if one can do and act within the sexual domain. Informal expanded discussion with our peers resulted in numerous accounts of similar experiences during puberty. This further piqued our interest in studying possible connections between the early experiences of becoming a woman and the subsequent ability to engage in healthy sexual practices in adulthood.An initial review of the literature indicated a paucity of research focused on potential connections among the key events in female sexual development. Teitelman (2004) went so far as to state, "there are no studies that specifically examine girls' perspectives of family

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Section: Discussioncontrasting

confidence: 62%

Examining Female Life Events: Implications for Counselors and Educators

Schwiebert

Alston

Bradford

et al. 2008

The Journal of Humanistic Counseling, Education and Development

View full text Add to dashboard Cite

show abstract

“…Because most religions have restrictions on sexual behavior, it is likely the church exerts structural barriers that increase risk by controlling the information that is provided to adherents (Bersamin et al, 2007;Santelli, 2006). For example, if the message about sexual health is limited to abstinence, then the broader conversation about risk is neglected (Fortenberry, 2005;Santelli, 2006). In addition, many adolescents hear the morality in abstinence messages as meaning only vaginal intercourse is considered sex (Sanders & Reinisch, 1999), resulting in participation in oral or anal intercourse with the belief they are safe activities (Brü ckner & Bearman, 2005).…”

Section: Hypothesis 2 Findingsmentioning

confidence: 99%

Risky Sexual Behavior Among Young Adult Latinas: Are Acculturation and Religiosity Protective?

Smith

2013

The Journal of Sex Research

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A sexual health disparity exists among U.S. Latinas, who have rates of sexually transmitted infections (STIs) that are more than double their peers. Previous research has identified acculturation and religiosity as key social determinants of sexual health, but such findings have been inconsistent, with some researchers identifying protective benefits and other researchers noting increased risk. The purpose of this study was to explain how intrinsic and extrinsic religiosity as well as acculturation predict risky sexual behavior using Structural Equation Modeling of a nationally representative sample of self-identified Latinas (N=1,168) from the National Longitudinal Survey of Adolescent Health. Results indicated that intrinsic religiosity and acculturation assert protective effects while extrinsic religiosity increases risk. Recommendations for policy, intervention, and future research are offered.

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Section: The Provision Of Comprehensive Versus Abstinence-until-marrimentioning

confidence: 99%

“…STDs among young adults did not significantly differ according to whether or not a virginity pledge was made at some point during adolescence, even though pledgers have fewer years of sexual exposure, fewer partners, and fewer risky partners. Pledgers were less likely to seek and obtain care related to STIs, perhaps reflecting the perceived risk and stigma in seeking STI-related care, increasing the probability of additional transmission (34,35).While in the short term abstinence funding clearly will continue to represent an important source of funding for states, significant resources are still needed to assure that school-based education is comprehensive, medically accurate, and uses best practices determined by scientific research (49, 50). Policies should also require training for teachers and other personnel who provide education and should invest resources in the evaluation of local programs (49, 50).…”

mentioning

confidence: 99%

A PUBLIC HEALTH SUCCESS: Understanding Policy Changes Related to Teen Sexual Activity and Pregnancy

Brindis

2006

Annu. Rev. Public Health

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Key Words teenage pregnancy prevention, policy strategies, adolescent reproductive health ■ Abstract Teenage pregnancy prevention has long been on the American public health agenda. Over the past decade, a number of concurrent federal, state, and local policies have responded to the myriad and diverse needs of adolescents, from supporting adolescents who have not initiated sexual intercourse to strategies aimed at avoiding a repeat pregnancy among teenage parents. Key policies, including comprehensive family life education, access to contraceptive care, and youth development, have resulted in delays in sexual debut, improved contraceptive use, and have achieved reductions in pregnancies, abortions, and births. Although improvements are documented across all ethnic and racial subgroups, substantial health disparities continue to exist. Synergistic policy approaches represent a substantial change from the past when narrow, single-issue strategies were adopted and were limited in their effectiveness. Renewed efforts to implement narrow policy approaches (e.g., abstinence-until-marriage or restrictions to contraceptive access) need to be considered in light of existing research findings. INTRODUCTIONAfter steadily rising in the late 1980s and peaking in 1991, childbearing rates among teenagers fell steadily throughout the 1990s and early twenty-first century. By 2002, the overall teenage pregnancy rate declined from 111 in 1980 to 83.6 per 1000 women aged 15-19, while the birthrate declined from 53.2 in 1980 to a record low of 41.7 per 1000 women aged 15-19 in 2003 (38, 43, 57) (Figure 1). Thus, there is now some hope that this seemingly intractable problem is beginning to change. In spite of decreases across all ethnic and racial groups, epidemiological data continue to document significant disparities within subgroups of adolescents (20,38,43,57).Young women from all economic and ethnic backgrounds face unintended pregnancies, but poor youth and youth of color are more likely to become 0163- 278BRINDIS adolescent parents (1). For example, 8% of non-Hispanic white teens had a first birth by age 20, compared to 20% of non-Hispanic black teens and 24% of Hispanics ( Figure 2) (1). Overall, there is strong agreement that teen pregnancy and birthrates in the U.S. are still too high and that reducing the number of births to teens remains an important policy goal (28,31,56,62,63). Furthermore, a growing and more ethnically and racially diverse adolescent population, coupled with the current budget crisis, and increasingly narrow policies at the federal and state levels threaten to affect these important declines (14,24). This is especially worrisome as the deleterious effects of early parenthood, especially in poor communities, have been amply documented: poorer health status for mother and her baby, worse educational outcomes, limited future employment opportunities, and greater incidence of poverty (62,63). Early parenthood is also clearly linked to an array of other critical social concerns, including welfare depen...

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The limits of abstinence-only in preventing sexually transmitted infections

Cited by 26 publications

References 10 publications

Examining Female Life Events: Implications for Counselors and Educators

Examining Female Life Events: Implications for Counselors and Educators

Risky Sexual Behavior Among Young Adult Latinas: Are Acculturation and Religiosity Protective?

A PUBLIC HEALTH SUCCESS: Understanding Policy Changes Related to Teen Sexual Activity and Pregnancy

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