Will Abstinence Plus curb tidal wave of teen pregnancies?

October 6, 2012 10:01:39 PM

Sarah Fowler - sfowler@cdispatch.com

 

As the Columbus Municipal School District and Lowndes County School District move forward with teaching state-required sex education in the classrooms, educators, students and their parents have very different opinions on the effectiveness of the fledgling program.  

 

Of the 39,825 babies born in Mississippi in 2011, a troubling 5,459 of those births were to teenage mothers. Teen motherhood is particular distressing in the black community: Of the 1,726 babies born to mothers between the ages of 10 and 17, 1071 were born to black mothers. 

 

In Lowndes County, 131 babies were born to mothers ranging from ages 10-19 in 2011, 85 of them to black mothers.  

 

With rates for teenage pregnancy reaching startling numbers across the state, particularly in the black community, Mississippi educators and legislators struggled to keep sex education relevant and engaging to students.  

 

Out of that struggle, Abstinence Plus was created. School districts across the state had to make a decision to teach either Abstinence Only or Abstinence Plus in the classrooms.  

 

If the district chose to teach abstinence, students would be encouraged to abstain from sex.  

 

With Abstinence Plus, students are still encouraged to abstain from sex but are taught the dangers of having unprotected sex from a health standpoint.  

 

 

 

Sobering statistics  

 

Dr. Martha Liddell, superintendent for the Columbus Municipal School District, said the school district chose to teach Abstinence Plus after consulting with educators, parents, school nurses and a representative from the Mississippi Department of Health.  

 

"We heard statistics that would blow your mind," Liddell said. "There are a lot of children involved in sexual relationships." 

 

Liddell said that during that initial meeting, both she and fellow educators were "floored" to learn that girls as young as nine years old were being diagnosed with sexually transmitted diseases (STDs).  

 

"This is an issue for our nation and an issue for our state," Liddell said. "We chose Abstinence Plus to teach students how making the wrong decision can affect your health."  

 

Abstinence Plus will be taught at every age level from sixth grade to 12th grade as part of health classes. The students will be separated by gender, and the course will span a six-week period.  

 

Liddell said separating the genders will encourage open, candid dialogue. 

 

"A lot of times, the boy will pressure the girl for sex," Liddell said. "By educating them on the dangers and encouraging them to say 'no,' we're teaching them to be empowered as a girl." 

 

For some young girls in Lowndes County, that empowerment can't come soon enough.  

 

Carrie, a 14-year-old freshman at New Hope High School, lost her virginity to her boyfriend when she was 13.  

 

Carrie and her boyfriend had sex for the first time in her bedroom while her parents were at home. She insisted the two used a condom but admitted she really didn't understand the dangers of contracting an STD.  

 

"We just wanted to try it,'' she said. Carrie said she hasn't had sex since that first encounter. 

 

Her friend, Shacarla, also 14, said she has chosen not to have sex because she wants to wait to get married before having sex.  

 

"It's more of like a religion thing," she said. "I guess it's, you know, waiting for your husband." 

 

Both Carrie and Shacarla said their parents talked to them about sex but neither had an in-depth conversation.  

 

"We talked sort of, but not deep into it," Shacarla said 

 

The girls readily admitted they both have friends their age who are already mothers.  

 

Unrealistic expectations 

 

Dr. James Holzhauer, an OB/GYN in Columbus, said that most teenage pregnancies result from one of two things:  

 

"Kids have a certain amount of wishful thinking," Holzhauer said. "They have a belief that if they do get pregnant, they can create their own family. They romanticize the idea." 

 

Another reason for teen pregnancy, he said, is that teens are simply not protecting themselves by using some form of birth control. 

 

"It's spontaneity," Holzhauer said. "People aren't prepared for it. There's also the thrill of living dangerously. They think it's more romantic." 

 

As a result, Holzhauer estimates he delivered between 450 and 500 babies last year.  

 

In addition, he said he also diagnosed an estimated 500 STD cases in females last year.  

 

When asked how many men have STDs in Lowndes County, Holzhauer said there was no way to know.  

 

"A boy finds out he has an STD because his girlfriend tells him," Holzhauer said. "Boys almost never go to the doctor." 

 

Of the STDs he has diagnosed, the doctor said herpes is "rampant."  

 

"Herpes is very wide-spread," he said. 

 

Reese, a 17-year-old junior at New Hope, said that while he would not describe himself as "sexually active," he does have sex. He also said that he and his girlfriend always use a condom.  

 

Reese's 14-year-old friend, Gianni, said he has not had had sex because he has plans for his future that would be derailed if he contracted an STD or became a father.  

 

"I'm single," he said. "I stay away from that stuff. I've got to go to college." 

 

Taylor, a 16-year-old New Hope student, said pregnancies have become commonplace among her classmates. 

 

"About half our school is pregnant," she said. "They don't care. I don't have no babies. I'd rather go to college." 

 

When asked about STDs, the group of teens became animated, all echoing the same response of fear.  

 

"I don't know what I would do," Reese said. "I would break down." 

 

"If one person has it and they sleep with someone, the whole school has it," Taylor added. 

 

"Which is why I don't sleep with anyone," quipped Gianni.  

 

Dr. Holzhauer said encouraging students to make plans for their future is a way to encourage them to not make reckless decisions about having sex.  

 

He said he counsels his patients, helping them imagine a future that does not include being a teen mother.  

 

"I ask them, 'Do you want a baby or do you want a family?' I want them to visualize a future where they are grown women in charge of their lives, where things are good for them. 

 

"Kids I see who are motivated to accomplish something in their lives are rarely the ones I see who come in here with a pregnancy." 

 

 

 

Parental involvement 

 

Ward 5 Councilman Kabir Karriem said he thinks part of the problem of teenage pregnancy and STDs could be solved if parents were more involved with their children at home.  

 

"We've got to have more of an open dialogue at home," Karriem said. "There needs to be more parental involvement. We need to educate our children, but educate our parents, too." 

 

Liddell said the school will be offering classes to parents so they too can educate themselves on teen pregnancy and STDs and counseling them on how to talk to their children about sex.  

 

Bonnie Browning is a mother to a 16-year-old and 12-year-old and said there is an open dialogue in her home when it comes to talking about sex. She said she hoped she has created an environment where her children feel comfortable talking to her about sex.  

 

She hopes that Abstinence Plus will teach other children how to communicate with their parents.  

 

"Communication needs to be taught as well," Browning said. "So many times these kids don't have anyone to talk to or to go to. Then they fall in the gap and that's where we lose them." 

 

Mike and Jennifer Enfinger are parents of two daughters, ages 12 and eight.  

 

Jennifer Enfinger said that she wasn't worried about her daughter having sex yet.  

 

"She's got goals set, she's not into boys yet," she said. "I'm not worried. She'll text, but I'll ask her who she's talking to and she'll say, 'They're just friends, Mom.'" 

 

Mike Enfinger said that he feels sex education needs to be taught in the school because he fears most parents don't talk to their kids about sex until it's too late. 

 

"They're at school more than they are at home,'' he said. "They're around their friends. If they're not going to be taught at home, it needs to be taught at the school." 

 

Karriem echoed that thought.  

 

"What is the definition of insanity? Doing the same thing over and over and expecting different results. What we're doing is not working. 

 

"We're in a crisis. Our babies are having babies and generation after generation after generation are becoming young mothers. We need to start doing some things differently." 

 

 

 

No birth control at schools 

 

Studies show that the availability of free birth control dramatically reduces the number of pregnancies and abortions. Schools in New York, responding to an epidemic of pregnancies among their students, have started the controversial practice of handing out Plan B, a birth control that is taken after sex if another birth control option failed or was not used.  

 

That's not an option the Columbus schools are considering, said Liddell. She said no form of birth control would be issued to students, including condoms.  

 

"That's not our purpose and not our role as a school district," Liddell said. "That's not a business this school district wants to be in. That's something that should be left up to the parents." 

 

For most teenagers, the thought of buying condoms is awkward, but condoms are given out at the health department with no questions asked.  

 

James, a 17-year-old student at New Hope High School, said that while getting the free condoms may be embarrassing, it's worth the risk.  

 

"It would be awkward, but you can either get free condoms or (buy) $20 diapers,'' he said.  

 

If a parent is aware that their teen is sexually active, Holzhauer said there are other options besides condoms or the birth control pill.  

 

The doctor said he has implanted a device called Implanon in 10-15 teenagers a month for the past several years.  

 

Merck, the company that produces the device, describes it as "a flexible plastic rod about the size of a matchstick that contains a progestin hormone called etonogestrel." Implanon does not protect against sexually transmitted diseases.  

 

"Their mothers know they're being sexually active and want them protected,'' Holzhauer said of those he has implanted with the device.  

 

He added the implant is beneficial because for most teenagers, taking a pill every day is a big responsibility.  

 

Implanon is effective for up to three years.  

 

Holzhauer added that those who choose not to change their lifestyle or their behavior are likely to get pregnant again.  

 

"One third of the teenagers I see come back within short order with another teenage pregnancy," he said. 

 

Liddell is optimistic about the Abstinence Plus program and said that by educating teenagers of the dangers of sex, she thinks they are less likely to engage in sexual activity.  

 

"I think it's going to save a lot of kids," she said. 

 

Only time, and next year's birth rates, will tell if she's right.

Sarah Fowler covers crime, education and community related events for The Dispatch. Follow her on Twitter @FowlerSarah