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When I was a boy of fourteen, my father was so ignorant I could hardly stand to have the old man around. But when I got to be twenty-one, I was astonished at how much he had learned in seven years.

Mark, Twain, “Old Times on the Mississippi,” Atlantic Monthly, 1874

Abstinence education advocates abstinence as the 100% sure way to prevent pregnancy and the transmission of sexually transmitted diseases (STDs). The U.S. teen pregnancy rates have been decreasing since the 1990s, but of all of the developed countries in the world, the United States still has the highest teen pregnancy rates. The Centers for Disease Control and Prevention estimate that approximately 19 million new STDs occur each year, almost half of them among young people ages 15 to 24. Teens with STDs are impacted emotionally and physically, and the annual medical cost directly attributed to STDs in the United States is well over $13 billion. Communities are looking for answers on how to address the complex issues of teen pregnancy and STDs. Abstinence education is seen as one such answer.

The premise of abstinence education is that abstinence is the best choice for youth when it comes to making sexual decisions. Schools and communities can decide what type of programming to provide to their young people. The current federal initiatives are driving the abstinence-until-marriage initiatives, and anyone receiving federal funding must adhere to specific guidelines. The evaluation of these programs shows some short-term impacts on attitudes and behavioral intent, but long-term studies on behavior are mixed. This entry provides a general overview of sexuality education, abstinence education, federal funding for abstinence programming, guidelines for selecting programs, and evaluation of abstinence programs.

Sexuality and Abstinence Education

Parents are the primary educators of their children. Some parents may not feel comfortable broaching the topics with their children, may not have the factual knowledge to share with their children, or may not know how to talk to their children in a developmentally appropriate manner. Who else can teach the children? The vast majority of children attend public school, and schools are a logical place to provide sexuality education. Programming may be taught by teachers, health educators, nurses, doctors, or other credentialed professionals. No matter who is teaching the children, it is important for the school to verify the accuracy of the curriculum, evaluate the credentials of the provider, and be sure the curriculum meets with school district policies.

Sexuality education guidelines are typically established at the state level and carried out at the local level. Almost every state mandates sexuality education, and some mandate abstinence education. Districts and communities may choose from a range of programs, from comprehensive sexuality education programs—which may cover birth control, a range of sexual behaviors, gender identity, life skills, and anatomy and physiology—to abstinence-only-until-marriage programs, which only discuss sexual activity within the context of marriage. School districts typically create policies delineating what type of sexuality education will be taught in what grades and what topics will be covered. Most school districts allow students, with parental permission, to opt out of sexuality education.

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