Birth Control or Purity Balls, That is the Question

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I wrote last week about the decline in the nation’s teen birth rate, and how abstinence groups would try to claim the downturn is the result of chastity pledges and purity rings. (They have, but you need to be an approved member of the Abstinence Clearinghouse to read the “good news.”)

Now, the American Journal of Public Health has released a study, Explaining Recent Declines in Adolescent Pregnancy in the United States: The Contribution of Abstinence and Improved Contraceptive Use, that pops that theory. The study’s doctors write:

“The current emphasis of U.S. domestic and global policies, which stress abstinence-only sex education to the exclusion of accurate information on contraception, is misguided.”

The study, via interviews with nearly 1400 women in 1995 and 1150 in 2002, looks at the relative contribution of abstinence behavior and improved contraceptive use to the recent decline in pregnancy rates (really teen birth rates) among U.S. women between the ages of 15 to 19. Investigators estimate that the likelihood of pregnancy in this age group declined 34 percent between 1995 and 2002, and that 86 percent of the decline in pregnancy risk was attributable to improved use of contraception.

They found that reduced sexual activity explained only 14 percent of the decline in teen pregnancy. To be fair, let it be recalled that abstinence-only ed didn’t become a bankrolled operation until 2000. But also to be fair, there has been zero evidence that such education is more effective than comprehensive sex education which includes, gasp, discussion of birth control options.

According to the study, among 18 to 19-year-olds, the decline in pregnancy risk was entirely due to improved contraceptive use, which includes increases in the use of birth control pills, condoms, or both. The study authors conclude:

“These data suggest that the U.S. appears to be following patterns seen in other developed countries where increased availability and increased use of modern contraceptives have been primarily responsible for declines in teenage pregnancy rates…Our findings raise questions about current U.S. government policies that promote abstinence from sexual activity as the primary strategy to prevent adolescent pregnancy.”

Questions indeed. They’re being polite.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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