The Effects of State‐Mandated Abstinence‐Based Sex Education on Teen Health Outcomes

  title={The Effects of State‐Mandated Abstinence‐Based Sex Education on Teen Health Outcomes},
  author={Jillian B. Carr and Analisa Packham},
  journal={Health Economics},
In 2011, the USA had the second highest teen birth rate of any developed nation, according to the World Bank. [] Key Result We find that state-level abstinence education mandates have no effect on teen birth rates or abortion rates, although we find that state-level policies may affect teen sexually transmitted disease rates in some states. Copyright © 2016 John Wiley & Sons, Ltd.

Figures and Tables from this paper

The impact of sex education mandates on teenage pregnancy: International evidence.

There is some evidence that laws mandating sex education in schools are associated with higher rates of teenage fertility, and parental opt out laws may minimise adverse effects of sex education mandates for younger teens.

Effect of an Abrupt Change in Sexual and Reproductive Health Policy on Adolescent Birth Rates in Ecuador, 2008–2017

Several countries have implemented “family-centered” abstinence-only policies for teenagers, as opposed to encouraging utilization and expansion of reproductive health services and education. Little

The Effect of State-Level Sex Education Policies on Youth Sexual Behaviors

Two types of sex education are generally offered in the U.S. abstinence-only and comprehensive sex education. There is no clear scientific consensus over which approach minimizes the risk of

The Role of Policy on Sexual Health Education in Schools: Review

  • Maureen RabbitteM. Enriquez
  • Education, Medicine
    The Journal of school nursing : the official publication of the National Association of School Nurses
  • 2019
The role of policy on sexual health education, which can have an impact on the health and well-being of adolescents, is examined to examine the role of AOE in schools and how parents and administrators can advocate for policy change.

Funding for Abstinence-Only Education and Adolescent Pregnancy Prevention: Does State Ideology Affect Outcomes?

The millions of dollars spent on abstinence-only education has had no effect on adolescent birthrates, although conservative states are the most responsive to changes in sexuality education-funding streams.

The Impact of Abstinence-Only Sex Education Programs in the United States on Adolescent Sexual Outcomes

Though there are many evaluations of abstinence-only sex education programs in the United States, there is a relatively small body of literature exploring the programs’ impact specifically on

More comprehensive sex education reduced teen births: Quasi-experimental evidence

Significance Sex education for youth in the United States has been the topic of considerable debate among researchers, policy makers, and the public at large. In this study, we focus attention on

Abstinence-Only-Until-Marriage: An Updated Review of U.S. Policies and Programs and Their Impact.

  • J. SantelliL. Kantor M. Ott
  • Political Science
    The Journal of adolescent health : official publication of the Society for Adolescent Medicine
  • 2017

Let’s Talk About Sexual Immaturity in Adolescence: Implications for School-Based Sex Education

While rates of sexual activity among adolescents have declined, they remain high among adolescents living in poverty. Risky sexual behaviors are often compounded, placing adolescents at greater risk



Abstinence-Only Education and Teen Pregnancy Rates: Why We Need Comprehensive Sex Education in the U.S

The integration of comprehensive sex and STD education into the biology curriculum in middle and high school science classes and a parallel social studies curriculum that addresses risk-aversion behaviors and planning for the future are proposed.

State abstinence education programs and teen birth rates in the US

Title V, Section 510 of the Social Security Act, passed in 1996 and implemented in 1998, appropriates funding to states for the purpose of educating minors on the benefits of abstinence before

Impacts of abstinence education on teen sexual activity, risk of pregnancy, and risk of sexually transmitted diseases.

The findings show no significant impact on teen sexual activity, no differences in rates of unprotected sex, and some impacts on knowledge of STDs and perceived effectiveness of condoms and birth control pills.

School-based teenage pregnancy prevention programs: a systematic review of randomized controlled trials.

  • S. E. BennettN. Assefi
  • Medicine
    The Journal of adolescent health : official publication of the Society for Adolescent Medicine
  • 2005

Associations between sexuality education in schools and adolescent birthrates: a state-level longitudinal model.

Evidence is provided that increased sexuality education within school curricula is associated with lower adolescent birthrates, and the effect of sexuality education disappeared when taking into consideration the demographic characteristics, religiosity, and abortion policies of the state.

Abstinence-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy.

  • P. KohlerL. ManhartW. Lafferty
  • Medicine, Psychology
    The Journal of adolescent health : official publication of the Society for Adolescent Medicine
  • 2008

Does sex education affect adolescent sexual behaviors and health?

  • Joseph J. Sabia
  • Psychology
    Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management]
  • 2006
While sex education is associated with adverse health outcomes, there is little evidence of a causal link after controlling for unobserved heterogeneity via fixed effects and instrumental variables, suggesting that those on each side of the ideological debate over sex education are, in a sense, both correct and mistaken.

Sexuality education policies and sexually transmitted disease rates in the United States of America

Analysis of US case reports of gonorrhoea and chlamydial infection for 2001–2005 against state policies for abstinence coverage in sexuality education found having no abstinence education policy has no apparent effect on STD rates for adolescents.

Consequences of sex education on teen and young adult sexual behaviors and outcomes.

  • L. LindbergI. Maddow-Zimet
  • Psychology
    The Journal of adolescent health : official publication of the Society for Adolescent Medicine
  • 2012

Effective approaches to reducing adolescent unprotected sex, pregnancy, and childbearing

  • D. Kirby
  • Medicine
    Journal of sex research
  • 2002
Four groups of programs which have reasonably strong evidence that they delay sex, increase condom or contraceptive use, or reduce teen pregnancy or childbearing are described.