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The Jamie Lynn Generation

The following op-ed will be published in newspapers nationwide this week (thanks to the amazing folks at American Media Forum.)

The Spears family can't be shocked by much these days, not with Britney in every tabloid. Still the recent news seemed to unsettle them. Their 16-year-old daughter Jamie Lynn is pregnant. And while no bad news is unprofitable for the Spears (it is rumored Jamie Lynn, a TV star in her own right, was paid one million dollars to break the news in OK! Magazine), this particular note of fame does appear to have taken the family aback. ("I was in shock. I mean, this is my 16-year-old baby," her mother told OK!) It seems that no matter how well-to-do, (or bizarre) the family, it's always a tragedy to have one's child's adolescence taken away by pregnancy. While Jamie Lynn Spears is not your average teen, her situation is becoming a more common experience for many girls of her generation: premature parenthood.

A Center for Disease Control (CDC) report released this month reveals that in 2006 there was a dramatic rise in teen births among 15 to 19 year olds in the United States bringing to a grinding halt a steady 14-year decline. In fact, Jamie Lynn's situation exemplifies a reversal of many positive trends that began in the 1990s. Specifically there was a steep drop in abortion and unwanted pregnancy rates. During this period even sexual activity among high school students declined significantly. And those teens who were having sex -- as would an average of half of them would before graduating high school - were more likely to use protection.

Now these gains are slowing or reversing. Sadly, these reversals seemed inevitable. After all, since 2000 we have turned away from using every strategy that the previous decade proved effective.

Today's teens are the victims of a one and a half billion dollar social experiment: The national implementation of the abstinence until marriage policy. Like the "Just Say No" to drugs campaigns of the Reagan years, it too has been a colossal failure.

Abstinence-only programs have not only failed to convince kids not to have sex, but have led many not to use contraception. To scare teens away from sexual activity, abstinence-only programs focus on the dangers of sex. If contraception is ever mentioned it is to highlight (and exaggerate) its failure rates. If a girl is told that even if her boyfriend uses a condom she'll get pregnant once every seven times -- as the popular abstinence program "Choosing the Best Way" instructs -- the incentive to use one dissipates.

Those promoting abstinence-only, mainly religious political groups, say parents should have the right to teach children according to their beliefs. What the same groups fail to mention is that the vast majority of parents -- 93 percent according to a 2004 Kaiser Family Foundation poll -- want their teens taught comprehensive sex ed, including accurate information about protection from pregnancy and disease. If there is a prevailing belief among parents it is decidedly anti-abstinence-only education. They're in good company too: All mainstream organizations of health professionals that deal with young people strongly criticize federal support for current abstinence programs. These include the American Public Health Association, the American Medical Association, the American Academy of Pediatrics, the American Psychological Association, and the Society for Adolescent Medicine. Last month 10 of the top experts in the fields of adolescent sexual and reproductive health advised Congress to completely de-fund abstinence-only programs because they withhold "potentially life-saving information from youth."

The toll of withholding potentially life-saving information is becoming tragically evident. In the states where the abstinence-only approach is more likely to be used disease is up. School districts in the South are five times more likely than in the Northeast to teach only abstinence. Today, the southern states have the highest rate of new HIV/AIDS infections, the highest rate of STDs, as well as the highest rate of teen births. While over the last decade other regions have made major strides in decreasing or stagnating HIV infection rates, according to the CDC the South accounts for 45 percent of all new cases.

Many states are realizing that instilling ignorance about sex and protection in our teens is the real moral violation. Teens need accurate information in order to make important life decisions. That is why, to date, 15 states have refused federal money for abstinence-only funding. Parents in the remaining 35 states must demand that their governors and statehouses reject federal grants for these ineffective and dangerous programs too. It's the only time just saying no might actually work.


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Anonymous Anonymous said...

Jamie Lynn's adolescence has not been taken away, she still has a few years before that will happen. What's changed is that she is now a pregnant and perhaps soon to be a adolescent mother .
"Teens need more accurate information in order to make important life decisions". Does that include information as to what might happen once they do become pregant? Information beyond having an abortion, such as what it takes to properly raise a child, emotionaly and financialy - sometimes alone. The burden it may place on her family. The fact that life is going to change dramaticaly when you are a teen in a family way. Are our educators simply reinforcing the notion that sex is going to happen so when you choose to do it be wise to it, and leaving the parents to pick up the pieces when things go wrong? It seems the schools are telling our adolescents the safe way to go about it without providing the accurate information about the potential harmful consequences. That sadly is left to the parents once the damage is done.

January 2, 2008 10:40 PM  
Anonymous Anonymous said...

Serious sex education should start with all of the good reasons to abstain from sex when you are too young to understand the significance of the sexual act, both physically and emotionally.
It can then move on to a discussion of contraceptives, their use and effectiveness in preventing conception and sexually transmitted diseases. Education should also focus on the possibility of becoming pregnant since no contraceptive method is 100% reliable. Abortion should be addressed, as well birthing and raising a child if abortion is not the choice to be made. The need to rely on the family, school, and social services to be successful in both raising a child and having a productive life should be discussed. To simply say “if you’re going to do it use a contraceptive” doesn’t seem like much of an education to me. Kind of like saying we’ve shown you how to add 2+2 now go be an engineer. The big question is at what age is substantial sex education appropriate and to what degree should the school involve the parents? Without agreement between both parties you are going to end up with a confused child.

January 3, 2008 2:23 AM  

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The Top Ten Birth Control Events of the Year (Jamie Lynn didn't make the list)

BirthControlWatch.org Cheers and Jeers of the Year

1. Jeer: The Cost of Birth Control on College Campuses Skyrocketed
When Bush signed the Federal Deficit Reduction Act of 2005, few knew it would scale back access to contraception for the group of people who need it most: college-age women. But that's just what it did. It eliminated incentives for pharmaceutical companies to offer contraception at a discount to college health centers. In 2007, those centers ran out of their reduced-rate stock and were forced to increase prices to cover the new inflated costs. For many college women, birth control prices went up 900 percent – from $5 to $50. Since college women already have the country’s highest rate of unintended pregnancies, making contraception less affordable for them was a plan for disaster.

2. Cheer: Governors Said No to Abstinence-Only Money
In 2007, Colorado and New York joined the movement to reject federal funding for school programs that teach abstinence as the only sure way to prevent pregnancies and sexually transmitted diseases and provide inaccurate information about birth control. With the addition of these two important states, a total of 14 states have now rejected efforts by the federal government to promote inaccurate, ideology-based and ineffective abstinence-only programs. As a result, more than a third of the funds available under this federal program are going unclaimed or unused. The 14 states are: California, Colorado, Connecticut, Maine, Massachusetts, Minnesota, Montana, New Jersey, New York, Ohio, Rhode Island, Virginia, Wisconsin and Wyoming.

3. Jeer: Congress Abandoned an Effort to Repeal the Global Gag Rule
The Senate voted early in the year to repeal the so-called Global Gag Rule, the Bush administration policy barring U.S. aid to any overseas group that provides abortions, counsels about them or advocates liberalized abortion laws. The House later voted to allow at least donated contraceptives to go to such groups, while leaving the policy in place. But President Bush threatened to veto any measure that contained language weakening the gag rule. When the gag rule language became entangled with the huge omnibus spending bill that funded the entire government at the end of the year, its fate was sealed. Both House and Senate negotiators surrendered it rather than calling Bush’s bluff, so the gag rule survives into 2008..

4. Cheer: Bush’s Former Surgeon General Defected from the War on Sex
Former Surgeon General Dr. Richard Carmona revealed that the Bush administration routinely blocked him from speaking about or issuing reports on abstinence-only sex education and emergency contraception when he served as surgeon general from 2002 to 2006. "Anything that doesn't fit into the political appointees' ideological, theological or political agenda is often ignored, marginalized or simply buried," Carmona said at a hearing of the House Oversight and Government Reform Committee. "The problem with this approach is that in public health, as in a democracy, there is nothing worse than ignoring science or marginalizing the voice of science for reasons driven by changing political winds."

5. Jeer: Anti-Contraception Extremists Were Appointed to the Top Federal Contraception Post
In 2006, President Bush chose Dr. Eric Keroack to direct Title X, the nation’s contraception program for the poor, despite Keroack’s stated belief that “the crass commercialization and distribution of birth control is demeaning to women, degrading of human sexuality and adverse to human health and happiness,” In March, Dr. Keroack resigned under suspicion of Medicaid fraud in his private practice in Massachusetts. In 2007, Bush chose as Keroack’s replacement Dr. Susan Orr, who told the Weekly Standard that any effort to get health insurers to pay for birth control is "about making everyone collaborators with the culture of death."


6. Cheer: Title X Finally Got a Funding Increase
After years of flat-funding, Title X, the federal program to provide family planning services to low-income people, finally got a slight budget increase. The $17 million dollar bump was the third largest increase in 25 years, and it is needed now more than ever. Had Title X funding just kept pace with medical cost inflation since 1980, it would now be getting more than $725 million per year, more than double the proposed fiscal 2008 level of $300 million. Even though strapped for resources, it is estimated that clinics with Title X support prevented almost 20 million unintended pregnancies, nine million of which would have ended in abortion. Imagine the results if the program were funded to meet the need.

7. Jeer: Washington State Pharmacists Got Permission to Reject Prescriptions for Emergency Birth Control
In November, a federal judge appointed by President Bush suspended Washington state's requirement that pharmacists fill prescriptions for emergency contraception. The District Court's ruling, known as ”refuse and refer,” allows a pharmacist to reject a woman's prescription as long as he or she refers the woman to another pharmacy. Emergency contraception is only effective if taken within 72 hours of unprotected sex, and it gets less effective during every hour of those 72 hours. This ruling allows pharmacists to give women the runaround, minimizing the drug’s effectiveness and making pregnancy more likely. The decision is being appealed.

8. Cheer: An Definitive Study of Abstinence-Only Programs Confirmed Again that They Don’t Work
A long-awaited national study by Mathematica Policy Research Inc. concluded that abstinence-only sex education, a cornerstone of the Bush administration's social agenda, does not keep teenagers from having sex. Neither does it increase or decrease the likelihood that if they do have sex they will use a condom. Authorized by Congress in 1997, The report, Impacts of Four Title V, Section 510 Abstinence Education Programs: Final Report, followed 2,000 children from elementary or middle school into high school. “After 10 years and $1.5 billion in public funds, these failed abstinence-only-until-marriage programs will go down as an ideological boondoggle of historic proportions,” said James Wagoner, President of Advocates for Youth.

9. Jeer: “W” Stands for Wrong: For the Sixth Consecutive Year, President Bush Turned His Back on the Women of the World
The U.S. Congress passed a 2007 Foreign Operations Appropriations bill that included $34 million for UNFPA, the United Nations Population Fund. The money would have meant vital assistance to end fistula, improve maternal health worldwide, prevent HIV/AIDS, and provide family planning and other essential programs to the poorest people on earth. However for the sixth consecutive year President Bush refused to release the funding.

10. Cheer: Countries with the Sharpest Declines in Abortion Rates Were Found to be Those Where Contraception Use Has Increased Dramatically
According to a worldwide study reported by the Guttmacher Institute and the World Health Organization (WHO) in The Lancet in October, abortion rates fell most significantly in countries where contraception is widely available. The world’s lowest abortion rate in 2003 was in Western Europe, where contraceptive services and use are widespread and safe abortion is easily accessible.


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Anonymous Ruben said...

Studies show abstinence works - try reading them
>>An Definitive Study of Abstinence-Only Programs Confirmed Again that They Don't Work

First of all, there has been no such definitive study. Even Douglas Kirby, the author of Emerging Answers 2007, makes no such claim.

Secondly, Dr. Stan Weed has produced a recent study showing a Virginia abstinence program works. (Additionally, there are other studies).

Third, you make many claims which you don't substantiate - such as the one I point out above and and in other where you claim that "Study after study proves that contraceptive use is the only way to prevent abortion" - without actually citing the studies.

Why not at least cite your sources? I suspect you don't because either you haven't really read them or the statements you make regarding their conclusions are not exactly accurate.

So yea, I'm calling you out - provide the names of these studies.

December 21, 2007 11:04 AM  
Blogger Cristina Page said...

Here's one summary of evidence with citations:

http://www.siecus.org/policy/research_says.pdf

December 26, 2007 1:31 PM  
Anonymous ruben said...

Dear Ms. Page,

Thank you for your reply, I’m sure you are very busy and I appreciate the time you took to do so.

First and foremost, considering that you are a widely read author, highly visible, and influential to others who write on these issues, I think it is highly important for you to provide clarification on your statement that “Study after study proves that contraceptive use is the only way to prevent abortion;”

Can you please provide the names of such studies, and if not, a correction to your article? (The SEICUS source does not support this claim) And if not, would you please publish a retraction/correction?

It’s important to clear up this point because your statement will be used as a source for others who are trying to educate the public on this issue.

Second, concerning the SEICUS source you cite, it seems the evidence used is selective in nature – for example, consider the following statement:

>>Scientific evidence simply does not support an abstinence-only-until-marriage approach

Hmm, seems that the scientific evidence includes, "An Abstinence Program's Impact on Cognitive Mediators and Sexual Initiation," a peer reviewed study showing the effectiveness of a Virginia Abstinence until marriage program. And no, it’s not the only peer reviewed study – For example, the study "Abstinence and Safer Sex HIV Risk-Reduction Interventions for African American Adolescents" published in JAMA also shows its effectiveness

And the evidence is far from complete nor is it exhaustive, despite the Mathematica, BMJ, and Emerging answers studies. If you think the BMJ study is the last word on this, read professional reactions to the study at:

http://www.bmj.com/cgi/eletters/335/7613/248#175100

- you’ll discover that there are problems with the BMJ study as well.

I think the point here, is that you should not paint with a broad brush on this issue – it only serves to misinform the public. What we have a case of “dueling studies” – some studies conclude programs are effective, some don’t, but the debate is far from settled.

Third, there has yet to be a “definitive” study on the issue. If so, please provide the name of said study.

Fourth, may I suggest that relying on a single source – in this case a fact sheets from SEICUS - might result in your credibility as a writer on these issues being called into question? For example, this particular fact sheet you cite is not exactly accurate, thorough, or comprehensive in nature – and does not indicate that “Study after study proves that contraceptive use is the only way to prevent abortion” or that a “Definitive Study” on the issue has been published. – there has been no such definitive study to my knowledge.

Sincerely,
Ruben

December 28, 2007 12:48 AM  
Blogger NoRoomForContraception.com said...

- still waiting for the names of these studies or a retraction...
--------------------------------------
I think it is highly important for you to provide clarification on your statement that “Study after study proves that contraceptive use is the only way to prevent abortion;”

Can you please provide the names of such studies, and if not, a correction to your article? (The SEICUS source does not support this claim) And if not, would you please publish a retraction/correction?

January 18, 2008 5:34 PM  

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Have You Been a Victim of Birth Control Sabotage?

The Family Violence Prevention Fund, a national anti-violence organization, is investigating the prevalence of "birth control sabotage:" when a man, in an attempt to control his partner, tampers with or steals her method of birth control in an attempt to undermine her pregnancy prevention. The National Women's Health Network explains,

"According to a recent study of girls with a history of abusive relationships, birth control sabotage is one of the tools that abusers use to maintain control of their partners. A quarter of teenage girls in this small study conducted in poor neighborhoods in Boston reported that their abusive partners actively tried to get them pregnant, undermining their efforts to use condoms and other forms of birth control to prevent pregnancy and making explicit statements about wanting the girls to become pregnant. Abusers commit birth control sabotage in different ways, including purposely poked holes in condoms and flushing birth control pills down the toilet."

To get a better understanding of how prevalent common birth control sabotage is and what has happened to girls and women who have gone through it, the Family Violence Prevention Fund is searching for girls and women who have experienced birth control sabotage (or had a partner who tried to control their reproductive decision-making in any way) who are willing to speak out about the experience in a safe space and get help. Women who are comfortable sharing their experiences can email safewomenstories@gmail.com, and those who prefer to talk with someone by phone, should send an email to set up a conversation.



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Anonymous Anonymous said...

"birth control sabotage" is also when a woman lies to her boyfriend about being on the pill or pokes holes in condoms etc to get pregnant. In fact more often than not it IS the woman who does this to her boyfriend/husband. It can be about control or an attempt to save a not-so-good relationship, or it can simply be the woman deeply desires a baby with the one she loves and he is unwilling to give her what she wants. I was the latter in my case and I know plenty other women who have done it out of the same reason. Do I condone it? No. Do I feel guilty sometimes? Yes. But I understand why I and others have done it.

September 9, 2009 4:10 PM  
Blogger mom said...

birth control sabotage? same situation happened to my son.We took a girl in because she said her homelife was bad. She just started dating him. She had no job and I just thought that she needed someone to give her a chance. She told him she was on birth control and two months dating she ended up preg. that's when she told him she lied. She hacked into his computer and tried to sabotage that so the police are involved now. She did alot of terrible things on the comp that I could never imagine doing. It all came out at once. She told him she wanted him to get her preg so he would have to stay with her and take care of her. After visiting her family, I came to find out that also her father is on the megans law list. She has admitted doing alot of comp wrong doings to other guys she dated now. She should have come with a warning lable. She hasn't seen a dr. and now she has told a few people including me that the child isn't his. So where do we go from here? So what do the nice guys do?

September 22, 2009 1:16 PM  

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The Dog Whistlers: The One Question the "Pro-Life" Presidential Candidates Don't Want You to Ask

98% of American women have done it.
37 million Americans are currently doing it.
Most of the GOP candidates oppose it.
What is it?

If you said "sex," you were close. The answer is "use contraception." In recent weeks, the GOP candidates have been asked a lot about their views on abortion but not one has been asked his position on contraception (or even prevention in general). Really big oversight. Maybe its because everyone just assumes they all support contraception. After all, who doesn't?

If their statements and actions are indicators, most of the GOP candidates oppose contraception. Mitt Romney, Mike Huckabee, Ron Paul, Tom Tancredo, Duncan Hunter, Fred Thompson all define life as beginning at conception or fertilization, in other words when sperm meets egg. (It's worth noting that there's no medical way of knowing when sperm meets egg. According to the American College of Obstetricians and Gynecologists, a fertilized egg isn't even considered a pregnancy.) This "life at fertilization" assertion is what is called in the business " dog whistle" politics: a political message only a specific constituency can hear. The reason, of course, to keep the message on one frequency, is that in most cases the issue is deeply unpopular with most of the American people. The candidate's whistle, in this case, is a pledge to support the anti-abortion movement's campaigns to roll back access to contraception.

If a candidate pledges to define life as beginning at fertilization, then anything that prevents fertilization will end a life. And pro-lifers insist the pill does that. Birth control then becomes abortion, and as we know, abortion gets banned. Why hasn't the media sunk its teeth into this little curiosity? At the very least, it would make for some really great TV. Someone needs to ask any of the GOP candidates (except Guiliani) whether he supports access to birth control. 91% of the American public (the majority of the pro-life public included) does so strongly.

Along with pledging to give a fertilized egg full constitutional rights candidates prove their anti-contraception credentials in other ways. McCain boasts that he has consistently voted against funding pregnancy prevention for poor women. Romney vetoed an emergency contraception bill, calling it an 'abortion' drug. Ron Paul opposes federal funding for any contraceptive service.

These guys may try to outdo each other on anti-abortion rhetoric and explain, unflinchingly, how doctors will be thrown in jail when Roe fails (an inevitability in their minds). But it's the contraception question that really scares them. Because once the Presidential debate focuses on how the candidates plan to alter the average American's sex life (made possible thanks to family planning) it is lifted from the pink ghetto of "woman's issues" and becomes a concern of male voters too.

Study after study proves that contraceptive use is the only way to prevent abortion; the places on earth contraception is most available are also where abortion is most rare. According to Save the Children, the countries where infant and maternal mortality are the lowest is where contraception is used the most (because planned pregnancies are healthier pregnancies.) Using abortion rates, maternal and infant death rates, as measures, it's undeniable: the most pro-life thing a President can do is support the right to use contraception and make it widely available. The public knows this. And sometime before the primaries the candidates must be made to state openly whether they support contraception. Because the candidates know those professional pro-life dogs are still listening for the right whistle.


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Anonymous Emilys said...

Ms. Page, I regret to have to point out that you have erred somewhat noticeably.

I am a pro-life person, and although I know that the morning-after pill is essentially an abortifacient, I am well aware that THE pill is no such thing. I do the candidates the honor to have listened to them closely enough to get the impression that they too know that. By being vague about which pill, you have in essence lied by omission.

Another such error is in leaving the impression that there are only two forms of birth control: the morning after pill and abortion. If you really think that, you are woefully ignorant. Any adult woman in this nation should know about condoms, diaphrams, spermicides, THE pill, etc. There are LOTS of alternatives.

Pro-life people use the alternatives, not the morning after pill. We are not as stupid or ignorant as you seem to think us - assuming that your errors of omission are deliberate and not a product of ignorance on your own part.

December 10, 2007 9:34 AM  
Blogger Cristina Page said...

"Emilys"

Thanks for posting. Sorry to say you’re the one misinformed. There is not one pro-life organization in the United States that supports contraception. Not one. You believe they only classify "the morning after pill" as abortion? Think again. According to pro-life movement, every hormonal method of birth control (The pill, the patch, the shot, the ring, the IUD) is an abortion. The "morning after pill" and the PILL have the same exact pharmacology and work the same exact way. So you're statement "I know that the morning-after pill is essentially an abortifacient, I am well aware that THE pill is no such thing." is, by the pro-life movement's standards, a contradiction. The truth is, the morning after pill does not cause abortion nor does any other form of contraception. The leading pro-life physicians in the country agree with me on this and have implored the pro-life movement to stop leading campaigns to convince people like you that it, or any other hormonal method of birth control, does. The pro-life movement doesn't stop there though. The methods that they can't claim "cause abortion", like the condom, they oppose as well. (I have a whole chapter of my book dedicated just to their campaigns to get people to stop using the condom.) So, before you post again defending the pro-life movement it’s probably worth learning a little more about the pro-life movement's positions and the campaigns they are now leading. My book is a good starting place.

December 13, 2007 10:11 AM  

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