The compound fraud of abstinence-only programs

The most comprehensive study ever done on adolescent health and sexuality was completed this year. Subsidized by 17 separate agencies of the federal government — to the tune of $45 million — investigators interviewed more than 20,000 young people. What did researchers learn? That abstinence only and “virginity pledges” don’t work.

“Sex education doesn’t cause all these negative outcomes. What causes these negative outcomes is kids who are having sex and aren’t protecting themselves,” says Columbia University’s Peter Bearman. [….]

“The downside is that, when they have sex, pledgers are one-third less likely to use condoms at first sex,” says Bearman. “So all of the benefit of the delay in terms of pregnancy-risk and in terms of STD acquisition — poof — it just disappears because they’re so much less likely to use a condom at first sex.”

Teenagers exposed to the federally-funded abstinence lessons don’t use contraception, are more likely to have oral and anal sex (in order to technically preserve their “virginity”), are less likely to get tested for sexually transmitted diseases, and less likely to discuss sexual health with their doctor. Perhaps most importantly, 88% of the teenagers who go through these abstinence programs — nearly nine out of 10 — end up having sex before marriage.

That is, if you’re in the reality-based community. If you find the evidence inconvenient, as conservatives do, you reject the research, snub the scholars, and pretend that the data confirms all of your beliefs anyway.

As James Dobson’s Focus on the Family put it:

Virginity pledge programs don’t work, and the teens who pledge abstinence are more likely to engage in riskier sex — at least according to a March report in the Journal of Adolescent Health. Unsatisfied with that conclusion, The Heritage Foundation re-examined the same data — and found the opposite to be true.

So, who’s right? The scholars and the Department of Health and Human Services or the Heritage Foundation, the nation’s leading conservative think tank? I haven’t seen the Heritage study, but apparently their research methods leave something to be desired.

Independent experts called the new findings provocative, but criticized the Heritage team’s analysis as flawed and lacking the statistical evidence to back its conclusions. The new findings have not been submitted to a journal for publication, an author said. The independent experts who reviewed the study said the findings were unlikely to be published in their present form. […]

The team needs to do “a lot of work” on its paper, said David Landry, a senior research associate at the Alan Guttmacher Institute in New York. He said in an interview that it was “a glaring error” to use the result of a statistical test at a 0.10 level of significance when journals generally use a lower and more rigorous level of 0.05.

Dr. Johnson, a co-author, defended the team’s methods and said many journal articles used the higher level and let readers decide the merits of the findings.

Mr. Landry also criticized the Heritage team’s reliance on self-reports of sexually transmitted diseases among those who took the pledge, saying that group would be less likely to report them. “The underreporting problem is so severe that it makes that data highly questionable,” Mr. Landry said.

Note to the folks at Heritage: take a refresher in quantitative analysis. Yes, it can be challenging, but you can avoid embarrassments like this one.

It is true that the level of significance used in statistical analyses is somewhat arbitrary. However, p

  • Dr. Johnson, a co-author, defended the team’s methods and said many journal articles used the higher level and let readers decide the merits of the findings.

    Sounds straight out of Lewis Carroll. Republican science: measuring things with a rubber ruler.

    There’s actually a lot to say about the so-called .05 alpha-level, but not in what passses for public discourse in America.

    This gives me an opportunity to write a short (very short) story from my experience last night. Here it is.

    Just as we extracted a “Cold Case” tape to start a “Dukes of Hazzard” re-run our one-size-fits-all Northwest Cable News show announced a 7.4 quake 30 miles off the Northern CA coast. The map showed a 100-mile thick red line all along the Pacific coast from Mexico to Alaska, warning of a possible tsunami.

    The matched blond/e bubble-heads on the screen we talking on the phone to a faceless guy who said that if a tsunami was under way it would hit Crescent City at 8:29 (11 minutes from then). We went on watching Bo and Luke until just before 8:29. I always set my watch with the US Naval Observatory online, so I was sure of our timing.

    At that point Ken and Barbie were talking to someone in Alaska who said she couldn’t make any technical comments because only the propeller heads at her shop were qualified and they were busy at their computers (so why was she the spokesperson?). At 8:34 the bubble-heads had shifted to a cousin bubble-head “on the scene” (in a Portland studio) who said she had heard the tsunami would sink the Oregon coast sometime in the next hour. But she wasn’t sure and no one should worry.

    A check back about 8:45 showed our bubble-heads asking what a Seattle weatherman, Jeff Renner (who had had time to be properly coiffed and quaffed by now), what it felt when he first heard that a 7.4 quake (which had earlier been downgraded to 7.0) might be followed by a tsunami (which had now been reduced from “warning” to “bulletin”). He bloviated for a few minutes, saying nothing coherent, before we returned to watch Uncle Jessie running shine for Boss Hogg.

    When we next switched to a taped “Daily Show” they were still trying to think of some way to turning nothing into something. I kept wondering about that expert who had said it would all be over one way or another at 8:29 at Crescent City. I also pondered, briefly, the state of journalism in America. No wonder Bush gets away with it.

    Any news about Paris Hilton?

  • Mr. Carpetbagger,

    Thanks for continuing to hammer the fraud and cruelty perpetrated by the Silver Ring Thing and other abstinence-only hucksters. These groups are a two-fer for Bush through the use of our federal dollars: it keeps the coming generations of youth ignorant and stupid, having to rely on fraudlent junk science in the most intimate aspects of their lives — just like good sheeple; AND their brand of Christianity in inculcated into the youth in ways and at a time that makes them most vulnerable.

    I do take (mild) issue, however, with the terminology with which you describe the Heritage Foundation’s response to this federal study. It’s a small point, but frames are critical. Your words:

    “So, who’s right? The scholars and the Department of Health and Human Services or the Heritage Foundation, the nation’s leading conservative think tank? I haven’t seen the Heritage study …”

    You call it a Heritage “study” when in fact it is nothing more than an opinion piece (and poorly analyzed opinion at that). What YOU wrote in this post is an opinion piece, too.

    I’m quite certain you know the difference between a “study” and an “opinion,” based on the consistently excellent commentary here on this site. But as you also know, our progressive messages can and are seriously undercut by the unconscious use of inaccurate terminology and unthinkingly using Rethug frames.

    Thanks again for keeping us so well informed!

  • Sorry about that. I shouldn’t have used the “less than” sign. Anyway, p less than 0.05 is almost universally accepted as the proper level of significance and decades of research have demonstrated its relibilty as a meaningful cutoff. The Heritage guys must not have gotten significance that 0.05 so they just reported it as significant at the 0.1 level. I wish I could do that. Okay, enough from me.

  • smiley: For future reference, you can make the less-than sign in HTML by typing an ampersand, the letters lt, and a semicolon, without anything in between them. At least, this usually works. Testing: 5 < 6.

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