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Funding for Abstinence-Only Education and Adolescent Pregnancy Prevention

Does State Ideology Affect Outcomes

Bibliographic Data

ID11034893
AuthorsArthur M Fox (0000-0003-4106-7853, Institute of Semitic Studies), Ashley M Fox (Ashley M. Fox is with the Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, Albany, NY. Georgia Himmelstein is a PhD candidate in the Program in Demography and Social Policy at Princeton University, Princeton, NJ. Hina Khalid is with the Department of Economics, Information Technology University, Lahore, Pakistan. Elizabeth A. Howell is with the Departments of Population Health Science and Policy and Obstetrics, Gynecology, and Reproductive Science and the...), Georgia Himmelstein (Ashley M. Fox is with the Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, Albany, NY. Georgia Himmelstein is a PhD candidate in the Program in Demography and Social Policy at Princeton University, Princeton, NJ. Hina Khalid is with the Department of Economics, Information Technology University, Lahore, Pakistan. Elizabeth A. Howell is with the Departments of Population Health Science and Policy and Obstetrics, Gynecology, and Reproductive Science and the...), Hina Khalid (0000-0003-3799-4312, Ashley M. Fox is with the Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, Albany, NY. Georgia Himmelstein is a PhD candidate in the Program in Demography and Social Policy at Princeton University, Princeton, NJ. Hina Khalid is with the Department of Economics, Information Technology University, Lahore, Pakistan. Elizabeth A. Howell is with the Departments of Population Health Science and Policy and Obstetrics, Gynecology, and Reproductive Science and the...), Evan A Howell (0009-0008-0048-411X, Institute of Semitic Studies), Elizabeth A Howell (Ashley M. Fox is with the Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, Albany, NY. Georgia Himmelstein is a PhD candidate in the Program in Demography and Social Policy at Princeton University, Princeton, NJ. Hina Khalid is with the Department of Economics, Information Technology University, Lahore, Pakistan. Elizabeth A. Howell is with the Departments of Population Health Science and Policy and Obstetrics, Gynecology, and Reproductive Science and the...)
Year2019
Volume109
Issue3
Pages497-504
Publication date2019-03-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2018.304896
PMID30676806
OpenAlexW2911299470
LanguageEN
Citations received15
References cited18

Objectives. To examine the relationship between adolescent pregnancy–prevention and sexuality and abstinence-only education funding and adolescent birthrates over time. Also, to determine whether state ideology plays a moderating role on adolescent reproductive health, that is, whether the funding has its intended effect at reducing the number of adolescent births in conservative but not in liberal states. Methods. We modeled time-series data on federal abstinence-only and adolescent pregnancy–prevention and sexuality education block grants to US states and rates of adolescent births (1998–2016) and adjusted for state-level confounders using 2-way fixed-effects models. Results. Federal abstinence-only funding had no effect on adolescent birthrates overall but displayed a perverse effect, increasing adolescent birthrates in conservative states. Adolescent pregnancy–prevention and sexuality education funding eclipsed this effect, reducing adolescent birthrates in those states. Conclusions. The millions of dollars spent on abstinence-only education has had no effect on adolescent birthrates, although conservative states, which experience the greatest burden of adolescent births, are the most responsive to changes in sexuality education–funding streams

Abstinence · Adolescent health · Environmental health · Family planning · Human sexuality · Political science · Population · Pregnancy · Psychiatry · Sexual abstinence · Sociology · Adolescent Sexual and Reproductive Health · Child Abuse and Trauma · Demography · Medicine · Psychology · Reproductive Health and Contraception

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Citations per year2.14
Citation span2019 - 2026 (8)
Highly citedNo

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