Modern Medical Myths Modern Medical Myths

about 8ex Education about 8ex Education

Dr Trevor 8tammers Dr Trevor 8tammers
St Mary's University College, Twickenham St Mary's University College, Twickenham
ontraception is all we ontraception is all we
need need
Most Teenage Pregnancies Result Most Teenage Pregnancies Result
from Failed Contraception from Failed Contraception
80% of teenagers requesting MAP were 80% of teenagers requesting MAP were
using contraception at time of conception using contraception at time of conception
57% Condoms 34% Combined Pill 57% Condoms 34% Combined Pill
Pearson VA Pearson VA et al et al BMJ BMJ 5;30:44 5;30:44
7% of pregnant teens received 7% of pregnant teens received
contraception from GP, % advised in the contraception from GP, % advised in the
previous year previous year
Churchill D Churchill D et al BMJ et al BMJ 000;3:48 000;3:48
Gillick Ruling
Health of the
Nation
Teenage Pregnancy
Strategy
0
0
40
0
80
00
R
a
t
e
s
75 80 85 0 5 000 005
U Family Planning rate U conception rate
U16 FamiIy PIanning & Conception Rates, EngIand 1975-2005
!74708841%003,0!703,3.$97,90
004 target
00 target
Teenage Pregnancy
Strategy
U Conceptions
U8 Conceptions
Teenage STs
0
0
40
0
80
00
0
40
R
a
t
e
s
5 000 005 00
Teenage Pregnancy
Strategy
0
0
0
30
40
50
0
%
0
5
0
5
R
a
t
e
s
5 000 005
U conception rate % LAs in MAP Pharmacy scheme
U16 Conception Rates & Pharmacy MAP schemes
EngIand 1995-2005
ondoms are 99% effective ondoms are 99% effective
against 8Ts against 8Ts
Condoms are highly effective (5%) Condoms are highly effective (5%)
against HV transmission in vaginal sex against HV transmission in vaginal sex
BUT HV is very rare in the UK and USA BUT HV is very rare in the UK and USA
ondoms are effective ondoms are effective
at encouraging risky sex at encouraging risky sex
Condoms have a Condoms have a 5% failure rate in 5% failure rate in
preventing conception preventing conception
These rates are in experienced and These rates are in experienced and
motivated couples motivated couples
Risk displacement can increase Risk displacement can increase
numbers of unplanned conceptions in numbers of unplanned conceptions in
population use population use
Richens diagram Richens diagram
Teen sex improves mental Teen sex improves mental
health health
#egret over underage #egret over underage
sex sex
70% of girls who had underage sex 70% of girls who had underage sex
expressed regret in later teens expressed regret in later teens
Dickson N et al Dickson N et al BMJ BMJ 8;3: 8;3: 33 33
45% of girls, 3% boys expressed 45% of girls, 3% boys expressed
immediate regret immediate regret
Wight et al Wight et al BMJ BMJ 000;30:43 000;30:43 4 4
8aved sex makes matters 8aved sex makes matters
worse worse
8aved sex makes matters 8aved sex makes matters
worse worse
www.dh.gov.uk/assetRoot/04/09/03/25/ www.dh.gov.uk/assetRoot/04/09/03/25/
04090325.pdf 04090325.pdf
There is no evidence saved There is no evidence saved
sex works sex works
The abstinence The abstinence centred TeenSTAR centred TeenSTAR
sex education intervention was sex education intervention was
effective in the prevention of effective in the prevention of
unintended adolescent pregnancy' unintended adolescent pregnancy'
Cabezon et al Cabezon et al J Ad H J Ad H 005 005 6 6 4 4
ver U8 8tates have imposed ver U8 8tates have imposed parental parental
involvement laws involvement laws for abortion since 98 for abortion since 98
Teenage abortion rates down
Teenage births don't change or go down
verall teenage pregnancy rates down
Teenage 8Ts down
8tudies on Parental Notification 8tudies on Parental Notification
PhiIip Levine (JnI of HeaIth Econ): PhiIip Levine (JnI of HeaIth Econ): Parental Parental
involvement laws reduce the abortion rate of involvement laws reduce the abortion rate of
minors by about 5 minors by about 5 0% . but they do not 0% . but they do not
increase minors' births increase minors' births
Joyce (New Eng JnI Med): " Joyce (New Eng JnI Med): "Abortion rates fell by Abortion rates fell by
% among 5, 0% among and 0% among % among 5, 0% among and 0% among
7 7 year olds. year olds.
KIick & Stratmann (JnI LegaI Stud): KIick & Stratmann (JnI LegaI Stud): the the
enactment of parental involvement laws reduces enactment of parental involvement laws reduces
risky sexual activity among teenage girls. We risky sexual activity among teenage girls. We
estimate reductions in gonorrhea rates of 0 % estimate reductions in gonorrhea rates of 0 %
for Hispanics & % for whites. for Hispanics & % for whites.
. Sexual morality is irrelevant . Sexual morality is irrelevant
There is no reason to suppose that There is no reason to suppose that
there is such a thing as sexual there is such a thing as sexual
morality. There is nothing wrong morality. There is nothing wrong
with sex of any kind including with sex of any kind including
fetishism, bestiality, necrophilia, fetishism, bestiality, necrophilia,
buggery, incest, paedophilia and buggery, incest, paedophilia and
the variety approved by the variety approved by
missionaries missionaries
ohn Harris
want.. to demolish want.. to demolish
the very tenacious the very tenacious
idea that there is idea that there is
something good, or something good, or
at least morally at least morally
respectable about respectable about
things or practices things or practices
on even inclinations on even inclinations
that can be thought that can be thought
of in some sense, of in some sense,
natural natural
Sexual morality is integral Sexual morality is integral
%here's more to sex than skin on skin. %here's more to sex than skin on skin.
Sex is as much a spiritual mystery as Sex is as much a spiritual mystery as
physical fact. As written in Scripture, "%he physical fact. As written in Scripture, "%he
two become one". Since we want to two become one". Since we want to
become spiritually one with the Master, become spiritually one with the Master,
we must not pursue the kind of sex that we must not pursue the kind of sex that
avoids commitment and intimacy leaving avoids commitment and intimacy leaving
us more lonely than ever us more lonely than ever the kind of sex the kind of sex
that can never "become one" that can never "become one"
I Cor 6v16 I Cor 6v16- -18 %he Message 18 %he Message