Fact Sheet
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Abstinence-Only-Until-Marriage Programs
Over the past 25 years, Congress has spent over $1.5 billion on abstinence-only-until-marriage programs, yet no study in a professional peer-reviewed journal has found these programs to be broadly effective. Scientific evidence simply does not support an abstinence-only-until-marriage approach.
Federal Evaluation Finds Abstinence-Only-Until-Marriage Programs Ineffective
In April 2007, a federally funded evaluation of Title V abstinence-only-until-marriage programs was released. The study, conducted by Mathematica Policy Research Inc. on behalf of the U.S. Department of Health and Human Services, found that abstinence-only-until-marriage programs are ineffective. Of the more than 700 federally funded abstinence-only-until-marriage programs, the evaluation looked at only four programs. These programs were handpicked to show positive results and they still failed.[1]
Abstinence-Only Programs Do Not Impact Teen Sexual Behavior
In early November 2007, the National Campaign to Prevent Teen and Unplanned Pregnancy released Emerging Answers 2007, a report authored by Dr. Douglas Kirby, a leading sexual health researcher, discussing what programs work in preventing teen pregnancy and sexually transmitted diseases, including HIV. The report found strong evidence that abstinence-only-until-marriage programs do not have any impact on teen sexual behavior.[2]
“In sum, studies of abstinence programs have not produced sufficient evidence to justify their widespread dissemination…Only when strong evidence demonstrates that particular programs are effective should they be disseminated more widely.”
“At present, there does not exist any strong evidence that any abstinence program delays the initiation of sex, hastens the return to abstinence, or reduces the number of sexual partners. In addition, there is strong evidence from multiple randomized trials demonstrating that some abstinence programs chosen for evaluation because they were believed to be promising actually had no impact on teen sexual behavior.” Abstinence-Only Programs Do Not Affect Rates of HIV Infection or Sexual Behavior
A July 2007 “meta-study” published in the British Medical Journal reviewed the most recently available data examining the results of 13 abstinence-only trials including almost 16,000 students.[3]
Abstinence-Only-Until-Marriage Programs Negatively Impact Young People’s Sexual Health
Virginity pledges—promises that young people make to remain abstinent until marriage—are becoming increasingly popular in schools and communities across the country. While not a program in and of themselves, virginity pledges are so common in abstinence-only-until-marriage interventions that having taken such a pledge is often an indication that a young person has been involved in an abstinence-only-until-marriage program.
Numerous State Evaluations Fail to Find Abstinence-Only-Until-Marriage Programs Effective
Since1996, the federal government has spent over half a billion dollars on Title V abstinence-only-until-marriage programs despite the fact that numerous evaluations prove these programs to be, at best, ineffective.
Updated October 2009
[1] Christopher Trenholm, et. al., “Impacts of Four Title V, Section 510 Abstinence Education Programs: Final Report,” (Trenton, NJ: Mathematica Policy Research, Inc., April 2007), accessed 6 September 2007, <www.mathematica-mpr.com/publications/pdfs/impactabstinence.pdf>.
[2] Douglas Kirby, Emerging Answers 2007: Research Findings on Programs to Reduce Teen Pregnancy and Sexually Transmitted Diseases, (Washington, DC: The National Campaign to Prevent Teen and Unplanned Pregnancy, 2007), p. 15, accessed 5 February 2007, <http://www.thenationalcampaign.org/EA2007/EA2007_full.pdf>.
[3] Kristin Underhill, Paul Montgomery, Don Operario, “Sexual abstinence only programmes to prevent HIV infection in high income countries: systematic review,” British Medical Journal Online (July 2007), accessed 13 August 2007,<http://bmj.com/cgi/content/full/335/7613/248>.
[4] Peter Bearman and Hanah Brückner, “Promising the Future: Virginity Pledges and the Transition to First Intercourse,” American Journal of Sociology 106.4 (2001): 859-912.
[5] Ibid.
[6] Peter Bearman and Hanah Brückner, “After the promise: The STD consequences of adolescent virginity pledges,” Journal of Adolescent Health 36.4 (2005): 271-278.
[7] Peter Bearman and Hanah Brückner, “The Relationship Between Virginity Pledges in Adolescence and STD Acquisition in Young Adulthood.” Portions of study were presented at the National STD Prevention Conference, Philadelphia, PA, 9 March 2004, 10.
[8] Edward Smith, Jacinda Dariotis, Susan Potter, Evaluation of the Pennsylvania Abstinence Education and Related Services Initiative: 1998-2002 (Philadelphia, PA: Maternal and Child Health Bureau of Family Health, Pennsylvania Department of Health, January 2003) 10, accessed 15 April 2005, <http://www.dsf.health.state.pa.us/health/lib/health/familyhealth/evaluationpaabstinence1998-20021.pdf>.
[9] Ibid., 21.
[10] Patricia Goodson, et al., Abstinence Education Evaluation Phase 5: Technical Report (College Station, TX: Department of Health & Kinesiology–Texas A&M University, 2004), 170-172. Emphasis included in original document.
[11] “Texas Teens Increased Sex After Abstinence Program,” Reuters, 2 February 2005, accessed 17 February 2005, <http://news.yahoo.com/news?tmpl=story&u=/nm/20050131/hl_nm/health_abstinence_texas_dc>.
[12] LeCroy & Milligan Associates, Final Report Arizona Abstinence Only Education Program 1998-2003, (Phoenix, AZ: June 2003).
[13] Ted Carter, Evaluation Report for The Kansas Abstinence Education Program (Topeka, KS: Kansas Department of Health and Environment, November 2004), 19.
[14] Douglas Kirby, Meg Korpi, P. Barth Barth, Helen H.Cagampang, “The impact of the Postponing Sexual Involvement curriculum among youths in California,” Family Planning Perspectives 29 (1997): 100-108, accessed 15 April 2005, <http://www.guttmacher.org/pubs/journals/2910097.pdf>
[15] L.K. Olsen and D. Agley, “Analysis of Four Years of Abstinence-Only Human Sexuality Programs in Maryland,” abstract of paper presented at 130 the Annual Meeting of the American Public Health Association, 13 November 2002.
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