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- W2031267029 abstract "It will take more than condoms to reverse the tide of sexually transmitted infections engulfing Britain’s young peopleThe Chief Medical Officer, Sir Liam Donaldson, unequivocally states in his first update for this year, that “Evidence does not exist to suggest that abstinence approaches are effective” 1 in reducing teenage pregnancy. This is an extraordinary claim, since there is a wealth of evidence suggesting that abstinence approaches can be very effective in delaying the age of first intercourse, reducing unplanned pregnancy, and lowering rates of sexually transmitted infections.However unjustified by the evidence, the Chief Medical Officer’s claim might at least be understandable if the “safer sex” approaches which have dominated sexual health education in the UK for decades had led to an overall improvement in sexual health, but this is clearly not the case. Under headlines such as “NHS clinics overwhelmed as promiscuity takes its toll on a whole generation”, David Hinchliffe, chair of the Commons Health Select Committee inquiry into sexual health stated, “Frankly the whole sexual health service is a shambles. . . .I do not use the word crisis lightly, but I think we have a crisis here”.2 The UK still has the highest teenage pregnancy rates in Western Europe (though, as in the USA, they are currently improving). Steep rises in cases of chlamydia (doubled in five years), gonorrhoea (up 86% in five years), and the resurgence of syphilis look set to continue unabated. Against this background, the Department of Health’s cursory dismissal of abstinence education is deeply regrettable.In the USA, where abstinence education is most widely established, there are two main types of approach: abstinence-only, where the focus is wholly on encouraging teenagers not to have sex, providing a rationale for this lifestyle choice, and equipping them with skills such as assertiveness …" @default.
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- W2031267029 date "2003-07-01" @default.
- W2031267029 modified "2023-10-13" @default.
- W2031267029 title "Abstinence under fire" @default.
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- W2031267029 doi "https://doi.org/10.1136/pmj.79.933.365" @default.
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