The House of Representatives passed the historic health care reform bill on March 21, following a compromise restricting women's access to insurance for abortions, in order to gain the votes of anti-choice Democrats needed for passage of the bill. That group of legislators includes Bart Stupak, the author of the highly restrictive Stupak amendment. The somewhat less restrictive Nelson admendment is now law, as it was part of the Senate health reform bill passed by the House.
President Obama agreed to issue an executive order clarifying that the Hyde amendment annual ban on the use of federal funds for abortion would apply to the health reform bill, promising not to rescind the order during his term of office. The President signed the health reform bill into law on March 23.
The House also passed a "reconciliation" bill to revise and improve the health reform legislation. The next step is for the Senate to consider the reconciliation bill. Opponents, mainly Republicans, promise to do all they can to undercut Democratic efforts to quickly pass the bill.
Wednesday, March 24, 2010
Friday, February 19, 2010
DoD stocks EC!
The Department of Defense will now stock emergency contraception! As a New York Times editorial states, the decision "marked welcome, if overdue, progress in meeting the needs of women serving the United States in the military." This decision came after the Pentagon's Pharmacy and Therapeutics Committee voted in November 2009 to include EC on the list of mandatory drugs for military facilities. The panel had previously issued similar recommendations in 2002 but the Bush administration chose to ignore them.
The New York Times article goes on to state that "Next, Pentagon officials and members of Congress need to address the callous treatment of servicewomen with regard to abortion," noting that military facilities currently can offer abortion only in cases of inces, rape or danger to the woman's life. "And even in cases of rape and incest, the women must pay for the procedure...It is outrageous that politics is allowed to interfere with the health care decision of women who wear the nation's uniform." (New York Times, 2/15/10)
The New York Times article goes on to state that "Next, Pentagon officials and members of Congress need to address the callous treatment of servicewomen with regard to abortion," noting that military facilities currently can offer abortion only in cases of inces, rape or danger to the woman's life. "And even in cases of rape and incest, the women must pay for the procedure...It is outrageous that politics is allowed to interfere with the health care decision of women who wear the nation's uniform." (New York Times, 2/15/10)
Tuesday, February 9, 2010
Review by the Guttmacher Institute of "Efficacy of a Theory-Based Abstinence-Only Intervention Over 24 Months," Guttmacher.org/media/.../03/EvidenceCheck/Jemmott-study.PDF.
In the review, under "Background," the advisory states: "An abstinence-only intervention aimed at young, urban African-American adolescents successfully delayed sexual initiation among participants in the program... While the evaluated program is the first abstinence-only intervention to demonstrate this positive impact in a randomized control trial, it was not a rigid "abstinence-only-until-marriage" program of the type that, until this year, received significant federal funding. The evalution, therefore, add important new information to the question of "what works" in sex education, but it essentially leaves intact the significant body of evidence showing that abstinence-only-until-marriage programming that met previous federal guidelines is ineffective."
In the review, under "Background," the advisory states: "An abstinence-only intervention aimed at young, urban African-American adolescents successfully delayed sexual initiation among participants in the program... While the evaluated program is the first abstinence-only intervention to demonstrate this positive impact in a randomized control trial, it was not a rigid "abstinence-only-until-marriage" program of the type that, until this year, received significant federal funding. The evalution, therefore, add important new information to the question of "what works" in sex education, but it essentially leaves intact the significant body of evidence showing that abstinence-only-until-marriage programming that met previous federal guidelines is ineffective."
Monday, February 8, 2010
While the recent report "Efficacy of a Theory-Based Abstinence-Only Intervention Over 24 Months" might be exciting for abstinence-only proponents, you need to be careful of what the study actually found and what it could mean. The authors of the study, John B. Jemmott III, Loretta S. Jemmott, and Geoffrey T. Fong cautioned that abstinence programs are not an effective long-term solution. "A common shortcoming of behavior-change interventions is that efficacy is demonstrated in the short term but disappears at longer-term follow-up," the report said. "This may particularly be a problem for abstinence interventions. Unlike many risk behaviors (e.g. cigarette smoking, drug use), sexual intercourse is an age-graded behavior; the expectation is that people will eventually have sexual intercourse." (We don't yet have the full report and are trying to obtain one, to substantiate these quotes. They appeared on this site: http://www.cnn.com/2010/HEALTH/0202/abstinence.study/index.html.)
The study was conducted on 662 black 12-year olds in urban public schools over a period of two years, to help those 12-year olds delay sex until they were ready. There were four different courses: an 8-hour abstinence-only intervention which targeted reduced sexual intercourse; an 8-hour safer sex-only intervention which targeted increased condom use; 8-hour and 12-hour conprehensive interventions which targeted sexual intercourse and condom use; and an 8-hour health-promotion control intervention which targeted health issue unrelated to sexual behavior (link to the abstract at Pediatrics and Adolescent Medicine: http://archpedi.ama-assn.org/cgi/content/short/164/2/152?home).
According to the Advocates for Youth webiste, the Jemmotts stated that "It (the abstinence-only intervention) was not designed to meet federal criteria for abstinence-only programs. For instance, the target behavior was abstaining from vaginal, anal, and oral intercourse until a time later in life when the adolescent is more prepared to handle the consequences of sex. The intervention did not contain inaccurate information, portray sex in a negative light, or use a moralistic tone. The training and curriculum manual explicitly instructed the facilitators not to disparage the efficacy of condoms or allow the view that condoms are ineffective to go uncorrected." http://www.advocatesforyouth.org/index.php?option=content&task-view&id-1559&Itemid-835. It included contraceptives and STI information if requested by the students.
They model-estimated (not reality but a model) that 33.5% of the abstinence-only group would have sex by the 24-month follow-up, and 48.5% in the control group. The result was that 20.6% of the abstinence-only group reported having sex while 29% of the control group did. Remember, however, that the control group had health-promotion control intervention (that) targeted health issues unrelated to sexual behavior. Once we obtain the full report, we'll write about the other statistics.
It seems that the study showed that it's a good thing to teach comprehensive sex education to 12-year olds, with an emphasis on abstinence, with a continuation of comprehensive sex education for older children with abstinence as one of the subjects. It's a good thing to advocate for abstinence until a committed relationship - as long as medically correct and adequate information if provided about STIs, contraceptives, and other crucial issues as well. (and, as a few blogs have mentioned, perhaps they should also teach masturbation or at least dispel the myth that masturbation is bad).
Our Outreach team has been handing out pamphlets on abstinence for quite a while now...along with information on contracepton, STIs, self-esteem...and condoms. Maybe we're ahead of the curve!
The study was conducted on 662 black 12-year olds in urban public schools over a period of two years, to help those 12-year olds delay sex until they were ready. There were four different courses: an 8-hour abstinence-only intervention which targeted reduced sexual intercourse; an 8-hour safer sex-only intervention which targeted increased condom use; 8-hour and 12-hour conprehensive interventions which targeted sexual intercourse and condom use; and an 8-hour health-promotion control intervention which targeted health issue unrelated to sexual behavior (link to the abstract at Pediatrics and Adolescent Medicine: http://archpedi.ama-assn.org/cgi/content/short/164/2/152?home).
According to the Advocates for Youth webiste, the Jemmotts stated that "It (the abstinence-only intervention) was not designed to meet federal criteria for abstinence-only programs. For instance, the target behavior was abstaining from vaginal, anal, and oral intercourse until a time later in life when the adolescent is more prepared to handle the consequences of sex. The intervention did not contain inaccurate information, portray sex in a negative light, or use a moralistic tone. The training and curriculum manual explicitly instructed the facilitators not to disparage the efficacy of condoms or allow the view that condoms are ineffective to go uncorrected." http://www.advocatesforyouth.org/index.php?option=content&task-view&id-1559&Itemid-835. It included contraceptives and STI information if requested by the students.
They model-estimated (not reality but a model) that 33.5% of the abstinence-only group would have sex by the 24-month follow-up, and 48.5% in the control group. The result was that 20.6% of the abstinence-only group reported having sex while 29% of the control group did. Remember, however, that the control group had health-promotion control intervention (that) targeted health issues unrelated to sexual behavior. Once we obtain the full report, we'll write about the other statistics.
It seems that the study showed that it's a good thing to teach comprehensive sex education to 12-year olds, with an emphasis on abstinence, with a continuation of comprehensive sex education for older children with abstinence as one of the subjects. It's a good thing to advocate for abstinence until a committed relationship - as long as medically correct and adequate information if provided about STIs, contraceptives, and other crucial issues as well. (and, as a few blogs have mentioned, perhaps they should also teach masturbation or at least dispel the myth that masturbation is bad).
Our Outreach team has been handing out pamphlets on abstinence for quite a while now...along with information on contracepton, STIs, self-esteem...and condoms. Maybe we're ahead of the curve!
Tuesday, February 2, 2010
Are twenty-somethings really not taking control of our reproductive health?
A Health Fellow from the National Women's Law Center wrote about why teens who have a desire to not get pregnant when they have sex, then go on to have unplanned pregnancies - 7 in 10 pregnancies among unmarried 20-something women are unplanned. The studies the author cites show that:
- when it comes to contraception, they don't know much
- they don't believe that contraception works
- they think that it can't happen to them
Go to www.womenstake.org for the article.
It could also be that they're apathetic when it comes to reproductive rights. Abortion has always been legal for them, reproductive healthcare clinics have always been around to give them contraceptives. But reproductive rights are being eroded and it still takes work to make sure that they're not eroded.
A Health Fellow from the National Women's Law Center wrote about why teens who have a desire to not get pregnant when they have sex, then go on to have unplanned pregnancies - 7 in 10 pregnancies among unmarried 20-something women are unplanned. The studies the author cites show that:
- when it comes to contraception, they don't know much
- they don't believe that contraception works
- they think that it can't happen to them
Go to www.womenstake.org for the article.
It could also be that they're apathetic when it comes to reproductive rights. Abortion has always been legal for them, reproductive healthcare clinics have always been around to give them contraceptives. But reproductive rights are being eroded and it still takes work to make sure that they're not eroded.
Tuesday, January 26, 2010
Your best choice... is a choice.
A great many people equate "choice" and "reproductive healthcare" with abortion - and they are wrong. Reproductive healthcare includes pap smears, pelvics, birth control...and prostate exams. Reproductive healthcare is for everyone, even women in menopause. Did you know that HPV, the human pappillovirus that causes cervical cancer, can lay dormant for years and then activate itself and possibly become a pre-cancerous lesion? What would happen if a group of people decided that getting a pap smear (which can catch those pre-cancerous cells) is against their morals and they try to stop girls from getting checked?
Reproductive healthcare is for everyone. And everyone should have a choice.
A great many people equate "choice" and "reproductive healthcare" with abortion - and they are wrong. Reproductive healthcare includes pap smears, pelvics, birth control...and prostate exams. Reproductive healthcare is for everyone, even women in menopause. Did you know that HPV, the human pappillovirus that causes cervical cancer, can lay dormant for years and then activate itself and possibly become a pre-cancerous lesion? What would happen if a group of people decided that getting a pap smear (which can catch those pre-cancerous cells) is against their morals and they try to stop girls from getting checked?
Reproductive healthcare is for everyone. And everyone should have a choice.
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