Archive for the ‘Uncategorized’ Category

Sexual Violence and Teen Pregnancy

Wednesday, September 10th, 2008

Sexual violence is a major cause, directly and indirectly, of teen pregnancy. If we want to end teen pregnancy, we need to end sexual violence against teenagers.

Although I’ve read the many of the relevant statistics before, I’ve never made the connection this clearly, until the SAFER blog alerted me to this article on the website of the Center for American Progress. Written by Malika Saada Saar, the Executive Director of The Rebecca Project for Human Rights, the article draws a clear line between sexual violence against women—especially women of color—and an increased likelihood of becoming pregnant as a teenager.

Some key stats:

An estimated 60 percent of teen girls’ first pregnancies are preceded by experiences of molestation, rape, or attempted rape.

The average age of first intercourse for abused girls is 13.8, in contrast to the national average of 16.2. Only 28 percent of the abused girls used birth control at first intercourse, compared to 74 percent of girls in the general population.

Approximately 40 percent of black women report coercive sexual contact by the time they turn 18. Native Americans are victims of rape or sexual assault at more than double the rate of other racial groups—and are more likely to be victimized by non-Native American perpetrators.

Her whole argument is well worth the read as it points to the need to strengthen ties between the anti-violence and reproductive health communities. Successfully tackling teen pregnancy is going to require tackling sexual violence. Sex ed needs to have anti-violence components. Parents and pediatricians need to talk to teens about sexual violence (not just to women about protecting themselves, but to all teens about respecting everyone’s bodily autonomy). And we need to make sure that any teenager (male or female) who has experienced abuse gets counseling—and that includes making sure such counseling is covered by health insurance and Medicaid. Saar’s article really brought home to me how broadly we need to think about teens’ reproductive health if we truly want to reduce teen pregnancy.

By Nora Niedzielski-Eichner

Teen Sex Need Not Equal Teen Pregnancy

Saturday, September 6th, 2008

The fact that teen pregnancy rates in the U.S. top 400,000 annually minght lead some to assert that American teens are more sexually active than teens in other countries.

Not so.

Check out this graphic from The New York Times illustrating that while teen sex is universal,  countries that have implemented comprehensive sex ed, like Denmark and Great Britain, lead the world in preventing unintended teen pregnancy, and subsequently, teen abortion.

pregnancychart3forweb3.gif

By Tara Sweeney

“Let’s Talk About Sex”

Saturday, September 6th, 2008

An excellent op-ed by Charles Blow in The New York Times today stresses the value and the dire need for comprehensive sex ed in America:

Sarah Palin has a pregnant teenager. And, she’s not alone. According to a report published in 2007, there are more than 400,000 other American girls in the same predicament.

In fact, a 2001 Unicef report said that the United States teenage birthrate was higher than any other member of the Organization for Economic Cooperation and Development. The U.S. tied Hungary for the most abortions. This was in spite of the fact that girls in the U.S. were not the most sexually active. Denmark held that title. But, its teenage birthrate was one-sixth of ours, and its teenage abortion rate was half of ours.

If there is a shame here, it’s a national shame — a failure of our puritanical society to accept and deal with the facts. Teenagers have sex. How often and how safely depends on how much knowledge and support they have. Crossing our fingers that they won’t cross the line is not an intelligent strategy.

To wit, our ridiculous experiment in abstinence-only education seems to be winding down with a study finding that it didn’t work. States are opting out of it. Parents don’t like it either. According to a 2004 survey sponsored by NPR, the Kaiser Family Foundation and Harvard’s Kennedy School of Government, 65 percent of parents of high school students said that federal money “should be used to fund more comprehensive sex education programs that include information on how to obtain and use condoms and other contraceptives.”

We need to take some bold steps beyond the borders of our moralizing and discomfort and create a sex education infrastructure that actually acknowledges reality and protects our children from unwanted pregnancies, or worse.

Britain is already taking these steps. London’s Daily Telegraph reported last month on a June study that found that “one in three secondary schools in England now has a sexual health clinic to give condoms, pregnancy tests and even morning-after pills to children as young as 11.”

Furthermore, a bipartisan group from the British Parliament is seeking to make sex education compulsory for “children as young as four years old.” In a letter to the paper, the group laid out its case: “International evidence suggests that high-quality sex and relationship education that puts sex in its proper context, that starts early enough to make a difference and that gives youngsters the confidence and ability to make well-informed decisions helps young people delay their first sexual experience and leads to lower teenage pregnancy levels.”

That may be extreme, but many Americans can’t even talk about sex without giggling, squirming or blushing. Let’s start there. Talk to your kids about sex tonight, with confidence and a straight face. “I’d prefer you waited to have sex. That said, whenever you choose to do it, make sure you use one of these condoms.” It works.

By Tara Sweeney

TGIF

Friday, September 5th, 2008

With John McCain’s selection of Alaska Governor Sarah Palin for the VP spot, followed by the Republican National Convention, it’s been a tough week for choice.

Time for some humor. Last night The Daily Show’s Samantha Bee went inside the RNC to ask about attendees about where they stand on Sarah Palin and on choice:

By Tara Sweeney

New Census Report Shows Millions of Americans Remain Uninsured

Wednesday, August 27th, 2008

Yesterday the Census released their new findings on the state of health care coverage and poverty in America. The new data shows that the number of uninsured Americans decreased from 47.0 million in 2006 to 45.7 million in 2007.

During the same time period the number of individuals covered by employer-sponsored health insurance decreased. As David Johnson, chief of the Census Bureau’s Housing and Household Economic Statistics Division, explained at a press conference yesterday, “the main reason for the fall in the uninsured rates” is increased enrollment in government health programs. This illustrates the important role that public health insurance programs such as Medicaid play in helping Americans obtain needed health care. The new data also illustrates the positive impact of state health reform efforts. Massachusetts, which recently mandated health coverage for almost all residents, had the lowest number of uninsured, with only 7.9% of the population uninsured in 2006-07, compared with Texas, the state with the highest uninsured rate at 24.8% of the population.

Despite the decrease in the number of uninsured, it’s important to remember an incredibly high number of people in this country — over 45 million — still do not have access to needed health care! As Families USA explains, the current number of uninsured individuals (45.7 million) “exceeds the combined population of 24 states plus the District of Columbia.”

Millions of women across the country lack access to basic health care, including needed reproductive health services. Approximately 14% of women were uninsured in 2007. Women of color were particularly at risk of being uninsured with rates of 17.9% of Black women, 28.9% of Hispanic women, and 15.7% of Asian-American women, compared with 9.6% of White women.

It’s not just adults that don’t have access to health care. The new data shows that, despite a decrease, over 8 million children remain uninsured. These numbers are way too high for a country that spends more on health care than any other industrialized nation.

In addition, it’s important to remember that this data was collected before the economic downturn overtook the country late last year. As the number of individuals living in poverty, losing their jobs, and facing unaffordable mortgages continues to increase, the number of uninsured Americans will continue to grow.

This new data is another large reminder of why we all must get involved to work towards creating comprehensive health care reform in this country. We must ensure that every person in this country has access to needed health care, including comprehensive reproductive health services, when they need it.

By Myra Batchelder

Criticizing HHS Regs on “O’Reilly”

Monday, August 25th, 2008

National Institute for Reproductive Health’s own VP of Communications Mary Alice Carr appeared on The O’Reilly Factor on Friday, courageously taking on Laura Ingraham over the new HHS Regulations:




Mary Alice, responding with level-headed accuracy to Ingraham’s vitriolic barking, was wise to point out that the new regulations contain a needless reaffirmation of existent law, since the conscience clause opt-out is actually widely used by doctors. Mary Alice also emphasized that if women are not receiving the care they need from their doctors, they at least have a basic right to accurate referrals and information, so that their conscience is no less important than their doctors’.

Ingraham clearly sees no need for greater access to abortion care and information, since she disagrees that there’s even a scientific basis for abortion care (note Mary Alice’s “are you freaking kidding me?!?” response). Ingraham also thinks that “it’s pretty easy to find an abortion provider.” Perhaps we should e-mail her a copy of the Guttmacher study that found that 87% of counties in America do not have an abortion provider and that the number of providers actually fell by 24% from 1992 to 2005.

Ingraham closed the segment out by taking the conversation to that inevitable anti-choice terminus of equating abortion with “killing a baby.” And there we have it from America’s finest Fair and Balanced news network…

By Tara Sweeney

Repro Health Hero of the Week: California Supreme Court

Saturday, August 23rd, 2008

This Monday, the California Supreme Court unanimously ruled against two doctors who refused to artificially inseminate Guadalupe Benitez, a lesbian woman. The doctors insist that they refused treatment on the basis that Benitez was not married and performing the procedure would go against their religious beliefs and infringe upon their First Amendment rights. However, Benitez states that her doctor gave her fertility medication, then voiced that she would not perform insemination because Benitez was a lesbian and should not have children. The problem worsened when another physician at the medical group informed her that she made the staff uncomfortable and referred her to another doctor.

Benitez first sued in 2001 citing state law that prohibits businesses from discriminating against patrons. She won her case in 2004, but the ruling was overturned in appeals the following year under the pretense that the doctor’s religious rights had been violated. The court’s decision on Monday affirmed that the anti-discrimination law extended to doctors and that equal access to medical care was the first priority. While doctors can decide what services they will offer, they cannot deny those services to gay and lesbian patients. Also, a result of this case, the law was amended in 2006 to prohibit discrimination based on marital status, which was the doctor’s only defense.

By Kristen Ramos

HHS Regulations: Round Two

Friday, August 22nd, 2008

On Thursday, HHS proposed a new set of regulations addressing conscience clause opt-outs for health care professionals. These regulations reiterate that providers are able to refuse to provide abortion care to women, regardless of circumstances.

An earlier set of regulations proposed by the Bush administration tried to classify contraception as abortion, meaning health care professionals would have been able to deny women birth control too. Thanks to protests from the pro-choice community, the redefinition of abortion didn’t make it into the newest round of draft regulations.

Nonetheless, NARAL Pro-Choice America, Planned Parenthood Federation of America, National Family Planning and Reproductive Health Association, and Senators Hillary Clinton and Patty Murray have all issued statements criticizing the regulations, citing that they are alarmingly vague and invite concern that current abortion regulations will be stretched to apply to contraception as well as abortion.

HHS is accepting comments on these regulations for the next 30 days — you can have your say by e-mailing consciencecomment@hhs.gov.

By Tara Sweeney

Democrats’ New Abortion Plank

Wednesday, August 20th, 2008

The Democratic party unrolled a new abortion plank last week. Where the old plank simply emphasized women’s privacy and the endurance of Roe v. Wade, the new plank added phrasing about family planning, stating,

The Democratic Party also strongly supports access to affordable family planning services and comprehensive age-appropriate sex education which empower people to make informed choices and live healthy lives. We also recognize that such health care and education help reduce the number of unintended pregnancies and thereby also reduce the need for abortions. The Democratic Party also strongly supports a woman’s decision to have a child by ensuring access to and availability of programs for pre and post natal health care, parenting skills, income support, and caring adoption programs.

The new position also cuts out the assertion that “Abortion should be safe, legal, and rare.”

Both commentators and pro-choice advocates are hailing the new platform, as it reinforces the vision that while Roe v. Wade will always be the bedrock of reproductive rights, we also need access to expanded services and options, like health care equality to sex ed. As President of NARAL Pro-Choice New York and the National Institute for Reproductive Health Kelli Conlin told the LA Times yesterday, “It’s high time that Americans start looking at the reproductive health movement as much broader than just abortion focused…This really underscores that nicely.”

By Tara Sweeney

Sex Education an Inssue on Both Sides of the Pond

Wednesday, August 13th, 2008

In a recent report, England’s Independent Advisory Group on Sexual Health and HIV made recommendations for compulsory sex and relationship education nationwide. The goal is to decrease teen pregnancies and the growing rates of STIs among the young population. Right now, half of new STI cases are among 16-24 year olds who only account for 12% of the population. In one school that already teaches Sex and Relationship Education, six and seven year olds are taught about male and female body parts through the use of flash cards. While some think learning about the human body at an earlier age may make adolescents more curious about sex, much of the programming on TV and ads on the streets already display such images. The difference is that with a compulsory plan in place, curiosity is less likely to result in STIs or teen pregnancy since students will be informed about contraception and birth control.

Here in the US, where there is no federal mandate for sex ed. According to the Guttmacher Institute’s State Policies in Brief fact sheet, less than half the states in the union mandate sex education in public schools, while 23 states require abstinence be stressed over contraception if it is taught. Only 14 states and the District of Columbia require contraception be covered and no state requires that contraception be stressed. To change these figures and improve education it would be necessary to move the focus from abstinence-only to comprehensive sex education, which would cover information on contraception, abortion, relationships and sex, STDs, as well as sexual expression.

Even if better programs could be provided, they still would not be compulsory as is the plan for England, leaving the possibility of young adults lacking necessary education. In many cases, comprehensive sex education is still antagonized by parents, as it was in Montgomery County in upstate New York when Planned Parenthood was brought in to provide sex education classes for 7th and 8th graders. Parents of students there began to protest the presence of Planned Parenthood, even though it is through the help of such organizations that the county could help rid itself of the second highest teen birthrate in all of New York State.

The high STI rates in England and the high pregnancy rates in Montgomery County seem to be indicative of failures of the sex education programs in place. Despite this fact, many American parents are unwilling to change these faulty systems, leaving their children ignorant and vulnerable, while England is striving to move forward with sex education reform.

By Kristen Ramos