http://www.planetwire.org/files.fcgi/7689_Ab_Only_Ed_Kohler_.pdf

Abstinence-Only and Comprehensive Sex Education and the Initiation
of Sexual Activity and Teen Pregnancy
Pamela K. Kohler, R.N., M.P.H, Lisa E. Manhart, Ph.D. and William E.
Lafferty, M.D.

Journal of Adolescent Health 42 (2008) 344–351

Abstract
Purpose: The role that sex education plays in the initiation of sexual
activity and risk of teen
pregnancy and sexually transmitted disease (STD) is controversial in
the United States. Despite
several systematic reviews, few epidemiologic evaluations of the
effectiveness of these programs on
a population level have been conducted.

Methods: Among never-married heterosexual adolescents, aged 15–19
years, who participated in
Cycle 6 (2002) of the National Survey of Family Growth and reported on
formal sex education received
before their first sexual intercourse (n  1719), we compared the
sexual health risks of adolescents who
received abstinence-only and comprehensive sex education to those of
adolescents who received no
formal sex education. Weighted multivariate logistic regression
generated population-based estimates.

Results: Adolescents who received comprehensive sex education were
significantly less likely to
report teen pregnancy (ORadj  .4, 95% CI  .22– .69, p < .001) than
those who received no formal
sex education, whereas there was no significant effect of
abstinence-only education (ORadj  .7,
95% CI  .38 –1.45, p < .38). Abstinence-only education did not reduce
the likelihood of engaging
in vaginal intercourse (ORadj  .8, 95% CI  .51–1.31, p < .40), but
comprehensive sex education
was marginally associated with a lower likelihood of reporting having
engaged in vaginal intercourse
(ORadj  .7, 95% CI  .49 –1.02, p < .06). Neither abstinence-only nor
comprehensive sex
education significantly reduced the likelihood of reported STD
diagnoses (ORadj  1.7, 95% CI 
.57–34.76, p < .36 and ORadj  1.8, 95% CI  .67–5.00, p < .24 respectively).

Conclusions: Teaching about contraception was not associated with
increased risk of adolescent
sexual activity or STD. Adolescents who received comprehensive sex
education had a lower risk of
pregnancy than adolescents who received abstinence-only or no sex education.
© 2008 Society for Adolescent Medicine. All rights 

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