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  <title>Matthew Blake's blog</title>
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  <updated>2008-04-29T08:32:40-04:00</updated>
  <entry>
    <title>Hearings Assess the &quot;Only&quot; in Abstinence-Only</title>
    <link rel="alternate" type="text/html" href="http://www.rhrealitycheck.org/blog/2008/04/29/hearings-assess-the-only-in-abstinence-only" />
    <id>http://www.rhrealitycheck.org/blog/2008/04/29/hearings-assess-the-only-in-abstinence-only</id>
    <published>2008-04-29T09:42:21-04:00</published>
    <updated>2008-04-29T08:32:40-04:00</updated>
    <author>
      <name>Matthew Blake</name>
    </author>
    <category term="Contraception" />
    <category term="Sexuality Education" />
    <category term="STI/HIV/AIDS Prevention" />
    <category term="abstinence-only" />
    <category term="AIDS" />
    <category term="Congressional hearing on ab-only" />
    <category term="Contraception" />
    <category term="HIV" />
    <category term="sexuality educatio" />
    <category term="sti" />
    <summary type="html"><![CDATA[ <p>A congressional hearing Wednesday by the House oversight committee that promised to "assess the evidence" on abstinence-only demonstrated that social conservatives still shape the public debate on sexuality education.</p>
     ]]></summary>
    <content type="html"><![CDATA[ <p>A congressional hearing Wednesday by the House oversight committee promised to &quot;<a id="my78" href="http://oversight.house.gov/story.asp?ID=1888" title="assess the evidence">assess the evidence</a>&quot; on abstinence-only sex education.</p>
<p>That evidence includes two independent reports that abstinence-only programs have no effect on teenage sexual activity and do not meet a basic scientific standard. These studies have led to a growing momentum in Congress to eliminate abstinence-only funding.</p>
<p>But instead of analyzing these studies, a four-hour hearing by the House Committee on Oversight and Government Reform rarely moved beyond championing the value of pre-marital abstinence. The discussion played into the central tenant of abstinence-only education: only abstinence, not condoms or contraception, can prevent sexually transmitted diseases and unwanted pregnancies.</p>
<p>The hearing showed that social conservatives continue to shape the public debate on this. Abstinence-only education, one plank of Newt Gingrich&#39;s 1994 &quot;Contract With America,&quot; is now a big part of the Bush administration&#39;s public-health agenda, receiving $1.3 billion since 1997. Despite the current calls to end funding, the conservatives who framed the abstinence-only policy have created a formidable obstacle for opponents to overcome.</p>
<p>&quot;It&#39;s going to be hard to make inroads,&quot; said Heather Boonstar, a senior fellow at the Guttmacher Public Policy Institute, an organization that conducts sexual health research. &quot;Social conservatives are going to fight it tooth and nail.&quot;</p>
<p>The oversight hearing looked like the next step toward <a id="qya4" href="http://www.prospect.org/cs/articles?articleId=12609" title="ending a program">ending a program</a> that only discusses condoms and contraception in terms of their failure rates, and teaches, &quot;A mutually faithful monogamous relationship in the context of marriage is the expected standard of sexual activity.&quot;</p>
<p>The effort to end it gained steam after a 2006 Government Accountability Office <a id="k_.x" href="http://64.233.169.104/search?q=cache:rq9tOyOedgUJ:www.gao.gov/new.items/d0787.pdf+GAO,+abstinence-only+education&amp;hl=en&amp;ct=clnk&amp;cd=1&amp;gl=us" title="report">report</a> on abstinence-only programs, funded by the federal government&#39;s Dept. of Health and Human Services. GAO, an auditing arm of Congress, found that the programs were exempt from the HHS&#39;s usual requirement that its programs must give medically accurate information about condoms. In addition, the three abstinence programs studied weren&#39;t producing clear results and lacked any self-evaluation for success.</p>
<p>Last April, the Dept. of Health and Human Services-funded Mathematica Policy Research Group did its own <a id="iu9-" href="http://www.rxpgnews.com/health/Abstinence_Education_Programs_Have_No_Impact_on_Sexual_Beahviour_23770.shtml" title="evaluation">evaluation</a> of abstinence education. Beginning in 1997, when the federal government first gave states a total of $50 million toward abstinence-only education, Mathematica researchers followed students in four abstinence-only programs. They found that &quot;abstinence-only programs had no effect on the sexual abstinence of youth.&quot;</p>
<p>Since Mathematica&#39;s findings, 17 states have said no to federal abstinence-only money. &quot;Forty-two percent of teens now live in states that have turned down funding,&quot; Guttmacher said.</p>
<p>But the $50 million to state government&#39;s is only part of the $176 million in this year&#39;s federal budget for abstinence-only education. Of that money, $113 million is federal grants given directly to Community Based Abstinence Education, or CBAE, programs.</p>
<p>Following the reports, congressional Democrats have pushed to eliminate this money. But Rep. David Obey (D-Wis.), chairman of the House Appropriations Committee, kept the program in this year&#39;s health spending bill, saying it would make President George W. Bush less inclined to veto programs Democrats wanted -- like <a class="glossary-term" href="/glossary/term/131"><acronym title="Reproductive Health: Auto generated by glossary_taxonomy_nodetitle, for Reproductive Health">reproductive health</acronym></a> clinics. &quot;Abstinence-only was in jeopardy,&quot; said Ron Haskins, co-director of the Brookings Institution Center on Children and Families. &quot;But Obey cut a deal.&quot;</p>
<p>Last month, 76 House members <a id="ui4b" href="http://moran.house.gov/apps/list/press/va08_moran/AbOnlyLetter.shtml" title="wrote to Obey">wrote to Obey,</a> urging him to expend political capital on eliminating the state and CBAE programs from next year&#39;s budget. &quot;Our tax dollars should be used to fund programs that benefit the public good,&quot; wrote Rep. James Moran (D-Va.), &quot;not on unsuccessful, ideologically driven boondoggles.&quot;</p>
<p>A group of legislators, including Rep. Christopher Shays (R-Conn.), have introduced the Responsible Education About Life or <a id="tnqo" href="http://www.thomas.gov/cgi-bin/thomas" title="REAL Act.">REAL Act.</a> It would move abstinence-only education dollars to abstinence-plus, or comprehensive sex-education. These would emphasize that abstinence is the sure way to prevent STD&#39;s and pregnancy, but would also explain the use of condoms and other contraceptives.</p>
<p>Shays, the last New England white shoe Republican in the House, tried to explain his position on Wednesday. &quot;Sometimes I think we&#39;re trying to repeal the laws of gravity here,&quot; Shays said Wednesday. &quot;There are natural instincts that young people will have and the REAL Act provides medically accurate information about both safe sex and contraception.&quot;  </p>
<p>But despite the reports and the shifting political winds, his GOP colleagues refused to see the debate as one about medical accuracy. &quot;This is a deep disagreement among competing values,&quot; said Rep. Mark Souder (R-Ind.). &quot;Abstinence-only education is the only holistic approach to teach about the distressing elements of premarital sex.&quot;  </p>
<p>Rather than ignore these emotional appeals, comprehensive sex-education proponents spent much of the hearing trying to prove they are pro-abstinence. &quot;There is a broad consensus,&quot; Rep. Henry A. Waxman, the committee chairman, said in his opening statement, &quot;that the benefits of abstinence should be part of any sex-education effort.&quot;</p>
<p>The concession that the federal government should value abstinence seemed to enable conservatives to stick with their tried-and-true logic. &quot;There is no more scientific fact,&quot; said Rep. Virginia Foxx (R-N.C.), &quot;that abstinence is the only way to prevent STD&#39;s and pregnancy.&quot;</p>
<p>Foxx and other social conservative&#39;s uncompromising stance gained traction in 1994, when the Republicans took control of Congress. Gingrich, as House Speaker, <a id="p85f" href="http://www.house.gov/house/Contract/persrespd.txt" title="emphasized abstinence only laws">emphasized abstinence-only laws</a> as a way to reduce the number of out-of-wedlock teenage mothers. The Republican Congress slipped $50 million for abstinence education into the 1996 Welfare Reform Act, after the bill had passed the House and Senate.</p>
<p>The provision laid out clear eight-point or &quot;<a id="iztd" href="http://www.acf.hhs.gov/grants/open/HHS-2007-ACF-ACYF-AE-0099.html" title="A-H">A-H</a>&quot; guidelines of what must be taught in order to receive funding. These include assertions like, &quot;Sexual activity outside of the context of marriage is likely to have harmful psychological and physical effects.&quot;</p>
<p>Abstinence funding increased by $13 million in 1999, when Congress created the CBAE federal grants. The grants then grew exponentially under the Bush administration, going from $20 million in 2001, to its current level of $113 million in 2005.</p>
<p>Marcella Howell, a vice-president for Advocates for Youth, a nonprofit organization devoted to sex education, said abstinence education was an early priority of Bush&#39;s social agenda. &quot;He kept saying during the 2000 presidential campaign he was going to triple abstinence funding,&quot; Howell said. &quot;It was a component of his faith-based initiatives.&quot;</p>
<p>With Bush on his way out, Howell said that prioritizing abstinence education might be as well. &quot;Democrats on the appropriations committee may feel enough pressure to eliminate the program,&quot; Howell said. But Howell added that for the funding to end, the debate must shift away from conservative ideology and toward accurate information.</p>
<p>On Wednesday, Rep. Jack Welch (D-Mass.) offered a brief glimpse of one such discussion. &quot;The GAO when they do this report is a neutral arbiter,&quot; Welch said. &quot;And the GAO has concluded these abstinence-only programs are not achieving results.&quot; </p>
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