Evidence map›Paper›PMID 30676806›Full record

ArticleAmerican journal of public health2019

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

Ashley M Fox, Georgia Himmelstein, Hina Khalid, Elizabeth A Howell

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Preferences and Experiences Regarding Pregnancy Options Counseling in Adolescence and Young Adulthood: A Qualitative Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
  6. Article
  7. More comprehensive sex education reduced teen births: Quasi-experimental evidence.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Ashley M FoxAshley 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 Blavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Georgia HimmelsteinAshley 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 Blavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Hina KhalidAshley 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 Blavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Elizabeth A HowellAshley 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 Blavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Institute of Semitic Studies · US

Funding

Scientific and Technical Computing CoreP2CHD047879 · NICHD · PRINCETON UNIVERSITY · PI SALGANIK, MATTHEW J. · 2014 to 2018
$2.0M
NICHD NIH HHS P2C HD047879
6 · The paper itself

Abstract

objectivesTo 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.

methodsWe 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.

resultsFederal 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.

conclusionsThe 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.

Indexed as

Sexual AbstinenceAdolescentFamily Planning ServicesFemaleForecastingHumansPregnancyPregnancy in AdolescenceSex EducationUnited States

Identifiers

PMID30676806
PMCPMC6366514
OpenAlexW2911299470

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.