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- W2064399435 abstract "Sexually transmitted infections including HIV represent one of the most serious threats to the health of US adolescents. The development of programs designed to prevent the risk behaviors associated with these infections in adolescents is a public health priority. However there is considerable controversy about the most effective intervention approach. As part of the Welfare Reform Act the US Congress allocated approximately US$87 million for the period 1998-2002 for abstinence-only education. Until now few studies had rigorously investigated the relative effectiveness of abstinence versus safer sex approaches among adolescents. The May 20 1998 issue of the Journal of the American Medical Association presents such a study (Jemmott and colleagues). Among African American adolescents the abstinence approach was effective among youth not yet sexually active but its impact was short-term (3 months) and there was no impact on those already sexually experienced. In contrast adolescents exposed to safer sex education were still practicing condom use 6 and 12 months after the intervention. Moreover they were no more likely to become sexually active in the follow-up period and actually reported less frequent sexual activity than controls. This studys findings indicate a need to reconsider the role of abstinence programs as a HIV prevention strategy. However debate in this area continues to be driven by ideology rather than science. As the author concludes Ideologically motivated policy decisions may inadvertently cause a grave disservice to our youth many of whom are ill-equipped with the knowledge and skills necessary to reduce high-risk sexual behaviors. In the end we risk jeopardizing the health and well-being of a generation of youth." @default.
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- W2064399435 date "1998-05-20" @default.
- W2064399435 modified "2023-09-26" @default.
- W2064399435 title "Preventing Sexually Transmitted Infections Among Adolescents" @default.
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- W2064399435 doi "https://doi.org/10.1001/jama.279.19.1574" @default.
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