Down From The Tower – Black Girls and STDs
April 4, 2008 by Marc Lamont Hill
Melissa Harris-Lacewell
Marc,
A week ago one of our “Down from the Tower” readers sent me the March 12th NYTimes story reporting on the Center for Disease Control’s recent study finding that nearly half of African-American teenagers were infected with at least one sexually transmitted infection as compared to 20 percent of white teens.
Given that you and I are both raising young daughters I decided this is something we have to discuss.
The easy answer for us to lock our girls in their respective rooms until they are 30-years -old. I am happy to help you find a home- schooling tutor. Much as I would like this, I know that eventually young people have to go out into the world.
The second easy answer is to assume this issue is solely about bad choices and poor morals and to believe that we can protect our kids by enforcing abstinence until marriage. I certainly hope that my daughter makes that choice, but given the difficult and crazy choices teenagers face, I also have to believe there are ways that policy can make a difference.
African American girls are at particular risk for a lifetime of maternal and infant mortality, unintended pregnancies leading to higher abortion rates, and the growing epidemic of HIV/AIDS. Black women are nearly four times more likely to die in childbirth than white women. Black women are 23 times more likely to be infected with HIV/AIDS and 14 times more likely to die from the disease. The numbers of black girls receiving abstinence-only instruction instead of comprehensive sex education has significantly increased as compared to white girls. This means young black women are not being taught about contraceptive use for preventing pregnancy and protecting against sexually transmitted diseases.
These statistics scare and paralyze me. But I have a few suggestions of things we can do
1) Write or call our U.S. Representatives and Senators and demand they make sure women of color have access to health care.
2) Work aggressively in our public schools and on our campuses to make sure that free condoms are widely and easily accessible.
3) Contact the Center for Reproductive Rights and get the facts about sexual health. Share the information with all the young women in your life: nieces, daughters and neighbors.
4)Send suggested questions and topics to the cable networks hosting presidential debates and make sure that the racial disparities in reproductive health care are part of any discussion on health care reform.
5) Write letters to the editor to major newspapers such as the New York Times, Los Angeles Times, Chicago Tribune and Washington Post, demanding more coverage of maternal mortality in the U.S., the growing epidemic of HIV/AIDS among Black women, and how abstinence- only education is affecting black girls.
These seem like small steps, but at least they make me feel empowered in the face of these devastating facts. What do you think we should do?
Melissa
Marc Lamont Hill
Melissa,
First of all, let’s not dismiss the whole “lock them in their rooms forever” thing so easily. I’ve done some research on this, it’s definitely doable. But I digress…
Like you, I was devastated by the news that black girls are being infected at such exorbitant rates. As an educational researcher, I can’t help but think about the ways that contemporary approaches to sex education have only intensified the problem.
Over the past decade, congress has dumped millions of dollars into abstinence-only programming in order to curb teen pregnancy and disease infection. As most of us suspect, the programs simply don’t work. Based on data from multiple studies, students enrolled in abstinence-only programs had sex at the same age as those who didn’t. (According to a study conducted by Mathematica, students in both programs had sex at the age of 14.9)
In addition to being fiscally wasteful, abstinence-only education programs are notorious for distributing questionable, ambiguous, and outright fallacious information about sexual health. According to a 2004 study of 13 programs, 11 provided serious factual errors about the failure rate of contraceptives, the effectiveness of condoms in preventing HIV, and complete lies about the relationship between abortion and infertitily, premature birth, and ectopic pregnancy. Through this misinformation, abstinence-only advocates place young people at a greater risk for disease and unwanted pregnancy.
Many schools have also used “purity pledges” as a means of reinforcing the ideals of abstinence-only education. Like the curricular interventions, however, these strategies only reinforce the very things that they are designed to thwart. According to a study published in the American Journal of Sociology, purity pledges only work when the students taking them are in the minority. In such settings, students used the pledges as part of a counter-cultural movement that was linked to their identity development. As a result, students delayed their first sexual experience by nearly 18 months. (Note: This was found only to be effective among 15-17 year olds with no effect on older teens) The more students that take the pledges, however, the less effective they are at postponing sex. In fact, in places where the majority of teens took the pledge, there was no change in students’ sexual decision making.
Of course, some will argue that “something is better than nothing,” and that purity pledges are valuable even if they can only “save” a few teens from the horrors of sex. In reality, however, the slight gains made by purity pledges are countervailed by other factors linked to the pledges. For example, purity pledgers are considerably more likely to engage in unprotected oral, vaginal, and anal sex than non-pledgers. Also, purity pledgers are much more likely not to get tested for STDs, as well as recognize or report them. Since STD rates are similar among pledgers and non-pledgers despite this underreporting, it is likely that purity pledges actually increase the chances of getting an STD. Why? Because purity pledges and the abstinence-only training that accompanies them often deprive our youth of the informational tools necessary to protect themselves.
To fix these problems, it is critical that educators and activists push for a complete transformation of sexual health education in the United States. To be sure, such a transformation includes abstinence education as a desirable option, particularly for teenagers. In addition, as you mentioned, we must provide accurate information about how our bodies function, how diseases and infections are obtained, and how to protect ourselves from undesirable outcomes. This type of multi-faceted education does not encourage students to have sex, but to take responsibility for their own sexual health.
Finally, we must effect a shift from sex education to sexuality education. This means that we must no longer exhaust our pedagogical and intellectual resources scaring children, particularly young women, into “saving themselves” by exposing them to a littany of atrocious consequences for having sex. In addition to being ineffective, sexist, and heterosexist, these approaches to sex education ignore the critical importance of desire in our sexual lives.
Rather than merely teaching youth about how, when, and why they should say “no” when asked to have sex, we must also begin to engage them in conversations about what it means to want to ask the question. As scholars like Michelle Fine have argued, this “missing discourse of desire” obscures the critical role that young people must play as active agents in their own physical, mental, social, and sexual well-being.
As a parent, this is scary business. But it’s the only thing that can save our children.
- Categories: MLH
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6 Comments
1. Garrett wrote:
Some good points, but providing easy access to condoms isn’t a panacea to the teen STD rates, either.
April 4, 2008 @ 1:27 pm2. Jason wrote:
Reaganomics.
April 4, 2008 @ 3:31 pm3. Julie A wrote:
Good to watch if you can catch it…….
Television Watch: PBS to Air Series on Health Inequalities
What: Unnatural Causes: Is Inequality Making Us Sick?
When: Thursdays at 10 p.m., March 27, April 3, 10, and 17 (check local listings, since dates and times may vary.)
Starting March 27, PBS will air a four-hour documentary series (with eight episodes) on health disparities in the U.S. and the role that income inequality plays in health and well-being. The series offers a broad look at the harm to health from income inequality, racism, and neglected communities.
The series focuses on a wide range of health disparities, including the prevalence of diabetes, heart disease, and asthma in some communities. There are a number of important points demonstrating the damage from the inability to access a healthy diet. For example:
Episode 5, Place Matters, looks at disinvestment in urban neighborhoods and the resulting impact on health. This can range from the lack of safe playgrounds in which children can play or exercise to the lack of healthy foods in communities.
Episode 4, Bad Sugar, looks at the links between income and chronic diseases like diabetes. It further demonstrates the links among hunger, poverty, and obesity, and the impact of limited income on health.
Episode 8, Not Just a Paycheck, looks at the impact of unemployment and job insecurity on health.
To learn more about the series, visit the Web site (http://www.unnaturalcauses.org/) where you will find preview clips, information on the episodes, and discussion tips.
April 4, 2008 @ 4:54 pm4. Garrett wrote:
Better than Obamics, that’s for sure. Unless you want more than half your income to go to the government, that is . . .
but we digress.
5. Regkam2 wrote:
“When u believe in things that u don’t understand, u suffer from superstition” – Stevie Wonder
Its funny that we accept what these so-called experts say about our children. Rarely do we as a people go behind these ‘facts’ and do some critical research and engage in critical thought. It is a known fact that black females are sexually more conservative than white females. Where did they perform this ‘fact’? What are their sources? This is BS!! They are setting our youth up for this whole vaccination (Poisoning) deal in which they will try to force our girls to poison their systems and prevent future births.
Also, regarding HIV/Aids ‘epidemic’, an average of 16500 people die of ‘Aids’ for the past 5 yrs. That’s about 28 people per state per month. Less than 1,000,000 have been diagnosed since 1981. About 410,000 people have died of AIDS since 1981. 14 million people have died of heart disease since 1981; 9 million have died of cancer; and 1.8 million have died of prescription drugs. An average of 300,000 people have died at the hands of doctors in which doctors have prescribe the wrong drugs or have performed an erroneous surgical procedure (’death by doctor’).
Marc, I ask you and your co-horts purchase a book called ‘What If Everything You Knew About Aids is Wrong” by Christine Maggiore. Its an easy read and explains thoroughly the phenomenon of AIDs and HIV. Or one can go to http://www.aliveandwell.org
April 5, 2008 @ 11:51 pm6. Regkam2 wrote:
Here’s a novel idea, why not teach them spirituality and a strong sense of self and purpose? When children have a sense of spirit and purpose, they are less likely to engage in destructive behavior. Also, cut the TV off and make them pick up a book.
April 5, 2008 @ 11:54 pmLeave a Reply

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