Lately I’ve been visiting conservative news sites, to “get into the minds of the enemies”, as it were. Tonight I happened across an article at townhall.com on the efficacy of advocating condom use vs. abstinence only in sex ed courses.
Abstinence only education is polemic because some expect and intend for sex education to be normative, while others intend for it to be informational. In the latter camp are those who, like myself, believe sexual education is to be exactly that: education, not sermonizing.
Call me a pie in the sky optimist– or maybe I was just an exceptional teenager–, but I tend to believe giving a teenager the information to act responsibly is sufficient. When I took sex ed, the course was purely informational.
The former camp is occupied by the social engineers: their idea is that by making sexual education normative, we can lower the rate of teen pregnancies and reduce the prevalence of STDs — it seems the majority of people fall in this camp. So, the legitimate question arises: what is the best policy of sex education to implement? It’s not too hard to objectify ‘best’: the best policy is the one which most lowers the rate of teen pregnancies and most reduces the prevalence of STDs.
Unfortunately, there are those like the author of this article who would shove Christian sexual ethics down the throat of wider society, in the name of beneficial social engineering. These folk are easily identifiable by their studied ignorance of the society-wide impact of an abstinence only policy, which can be measured empirically, in favor of best-case individual results.
That being said, the thesis of the article is that the abstinence only approach to teaching sex ed is more effective than approaches which additionally advocate condom use at preventing unwanted teen pregnancies. To support her claims, she appeals to this graph
which is pretty damning at first sight. If 17% of women who used condoms during intercourse got pregnant by age 20, it looks like condoms don’t work as well as advertised– I remember learning in sex ed that the failure rate for condoms is in the single digits. What’s going on?
Big surprise! It turns out that this graph is a misleading redrawing — note how ambiguously the title parses– of the original graph on page 19 of this CDC report (click for larger image if you need to)
which depicts the conception rate for women based on whether or not they used condoms the first time they had intercourse. Yep– just the first; after that, they could have been consistently unprotected, and they’d still be included in the data set.
According to the FDA, when condoms are used correctly during each act of intercourse, the expected failure rate is 3%; however, when condoms are incorrectly or inconsistently used, the failure rate jumps to 14%. Given these statistics, I think the townhall graphic is more a commentary on the fact that women who use condoms don’t use them consistently enough to reap their full contraceptive benefits.
Questions of whether the townhall graphic was deliberately mislabeled and misinterpreted or not aside, this study does not provide a basis for evaluating the efficacy of abstinence only vs. condom advocacy as approaches to sex ed. It is simply an illustration of the obvious: abstinence 100% of the time is a more effective contraceptive method than condom use some of the time. Really?!
If the author of this article wanted to convince me that abstinence only is better than condom advocacy, she’d do better to compare the percentage of pregnancies among teens who were educated in abstinence only programs versus the percentage of pregnancies among those who were educated in programs which offered condom use as an alternative. Until she, and others who support abstinence only programs can do that, I’ll stick to my belief that the best sex ed programs are those which deliver the same purely informational message as the NIH:
Sexual abstinence or sex with a single partner in a mutually monogamous, committed relationship remain the surest ways to prevent STDs, including HIV infection. Latex condoms should continue to be used consistently for other kinds of sexual partnerships.