quinta-feira, junho 16, 2005

Pledges of Virginity

Studies Rebut Earlier Report on Pledges of Virginity

Challenging earlier findings, two studies from the Heritage Foundation reported yesterday that young people who took virginity pledges had lower rates of acquiring sexually transmitted diseases and engaged in fewer risky sexual behaviors.
The new findings were based on the same national survey used by earlier studies and conducted by the Department of Health and Human Services. But the authors of the new study used different methods of statistical analysis from those in an earlier one that was widely publicized, making direct comparisons difficult.
Independent experts called the new findings provocative, but criticized the Heritage team's analysis as flawed and lacking the statistical evidence to back its conclusions. The new findings have not been submitted to a journal for publication, an author said. The independent experts who reviewed the study said the findings were unlikely to be published in their present form.
The authors of the new studies, Dr. Robert Rector, a senior research fellow in policy studies at the foundation, and Dr. Kirk A. Johnson, a senior policy analyst there, said their findings contradicted those published in March in The Journal of Adolescent Health by Dr. Peter Bearman, the chairman of the sociology department at Columbia University, and Hannah Brückner of Yale University. The earlier study found that a majority of teenagers who took the pledge did not live up to their promises and developed sexually transmitted diseases about the same rate as adolescents who had not made such pledges. It also found that the promise did tend to delay the start of intercourse by 18 months.
The new study, reported at a meeting in Arlington, Va., sponsored by the Department of Health and Human Services, found that over all, adolescents who made virginity pledges were less likely to engage in any form of sexual activity. If those who made promises did become sexually active, their array of sexual behaviors was likely to be more restricted than those of adolescents who did not make a pledge, Dr. Rector's team said.
Those who made pledges were less likely to engage in vaginal intercourse, oral sex, anal sex and sex with a prostitute, and they were less likely to become prostitutes than were adolescents who did not take such a pledge, the Heritage team said.
The team needs to do "a lot of work" on its paper, said David Landry, a senior research associate at the Alan Guttmacher Institute in New York. He said in an interview that it was "a glaring error" to use the result of a statistical test at a 0.10 level of significance when journals generally use a lower and more rigorous level of 0.05.
Dr. Johnson, a co-author, defended the team's methods and said many journal articles used the higher level and let readers decide the merits of the findings.
Mr. Landry also criticized the Heritage team's reliance on self-reports of sexually transmitted diseases among those who took the pledge, saying that group would be less likely to report them. "The underreporting problem is so severe that it makes that data highly questionable," Mr. Landry said.
Dr. Bearman said: "Our analyses showed that pledgers are less likely to get tested for S.T.D.'s, be diagnosed as having an S.T.D. and to see a doctor because they are worried about having an S.T.D. Most S.T.D. infections are asymptomatic, and therefore, people don't know that they have an S.T.D. unless they get tested. The use of self-report data for S.T.D.'s is therefore extremely problematic."
Mr. Landry and Dr. Freya Sonenstein, who directs the center for adolescent health at the Johns Hopkins Bloomberg School of Public Health, urged the Heritage team to try to publish its findings.
"It's healthy to have a good dialogue" on issues like virginity pledges, Mr. Landry said.
The Centers for Disease Control and Prevention in Atlanta, which helped pay for the study, declined through a spokeswoman to comment on the new study. The centers did not analyze the data from the earlier study and did not plan to analyze the new Heritage findings, the spokeswoman said.
In an unusual feature of a scientific report, the Heritage team said that Dr. Bearman's team "deliberately misled the press and the public" about some of its findings.
"That is an offensive statement," Dr. Bearman said.

By LAWRENCE K. ALTMAN
NYTimes - June 15, 2005