37. Bernard Weinraub, 'Reagan Aide Backs Birth-Aid Education,' New York Times, June 24, 1981, C12.

38. A SIECUS-Advocates for Children Survey in 1999 found that 70 percent opposed the federal abstinence- only standards and thought they were unrealistic in light of kids' actual sexual behavior. SIECUS, SHOP Talk Bulletin 4 (June 11, 1999).

39. 'State Sexuality and HIV/STD Education Regulations,' National Abortion Rights Action League fact sheet, February 1997.

40. 'Sex Education That Teaches Abstinence 'Wins Support,' Associated Press, New York Times, July 23, 1997.

41. 'Between the Lines: States' Implementation of the Federal Government's Section 510(b) Abstinence Education Program in Fiscal Year 1998,' SIECUS report, Washington, D.C., 1999.

42. Six in ten believe that sexual intercourse in the teen years was always wrong, and nine out of ten wanted their kids to be taught about abstinence at school. Yet eight in ten also wanted them to learn about contraception and preventing sexually transmitted diseases. SIECUS, SHOP Talk Bulletin 4 (June 11, 1999).

43. 'Adolescent Sexual Health in Europe and the U.S.—Why the Difference?' 2d ed., Advocates for Youth report, Washington, D.C., 2000.

44. Douglas Kirby, 'No Easy Answers: Research Findings on Programs to Reduce Teen Pregnancy,' National Campaign to Prevent Teen Pregnancy report, Washington, D.C., 1997.

45. Marl W. Roosa and F. Scott Christopher, 'An Evaluation of an Abstinence-Only Adolescent Pregnancy Prevention Program: Is 'Just Say No' Enough?' Family Relations 39 (January 1990): 68-72.

46. John B. Jemmott III, Loretta Sweet Jemmott, and Geoffrey T. Fong, 'Abstinence and Safer Sex: HIV Risk-Reduction Interventions for African American Adolescents,' Journal of the American Medical Association 279, no. 19 (May 20, 1998): 1529-36.

47. Ralph J. DiClemente, Editorial: 'Preventing Sexually Transmitted Infections among Adolescents,' Journal of the American Medical Association 279, no. 19 (May 20, 1998).

48. National Institutes of Health Consensus Development Conference Statement, Interventions to Prevent HIV Risk Behaviors, February 11-13, 1997 (Bethesda, Md.: NIH), 15.

49. Ron Haskins and Carol Statuto Bevan, 'Implementing the Abstinence Education Provision of the Welfare Reform Legislation,' U.S. House of Representatives memo, November 8, 1996, 1.

50. Haskins and Bevan, 'Implementing the Abstinence Education Provision,' 8-9.

51. 'Changes in Sexuality Education from 1988-1999.'

52. Victor Strasburger, Getting Your Kids to Say 'No' in the '90s When You Said 'Yes' in the '60s (New York: Simon and Schuster, 1993), 87-88.

53. Sol Gordon and Judith Gordon, Raising a Child Conservatively in a Sexually Permissive World (New York: Simon and Schuster, 1989), 101.

54. Peter C. Scales and Martha R. Roper, 'Challenges to Sexuality Education in the Schools,' in The Sexuality Education Challenge: Promoting Healthy Sexuality in Young People, ed. Judy C. Drolet and Kay Clark (Santa Cruz, Calif.: ETR Associates, 1994), 79.

55. Colleen Kelly Mast, Sex Respect: Parent-Teacher Guide (Bradley, 111.: Respect Inc., n.d.), 45.

56. Other educators have pointed out the implicit inaccuracy of the impression these slides leave: unfortunately, one of the most common STDs, chlamydia, is asymptomatic.

57. Teaching Fear, 8.

58. Medical Institute for Sexual Health, National Guidelines for Sexuality and Character Education (Austin, Tex.: Medical Institute for Sexual Health, 1996), 82.

59. Saint Augustine, Confessions (Oxford: Oxford University Press, 1991), 24-25.

60. Medical Institute for Sexual Health, 'National Guidelines,' 89.

61. 'HIV: You Can Live without It!' (Spokane, Wash.: Teen-Aid, Inc., 1998), 33.

62. Margaret Atwood, The Handmaid's Tale (New York: Houghton Mifflin, 1986), 24.

63. Scales and Roper, 'Challenges to Sexuality Education,' 70.

64. Irving R. Dickman, Winning the Battle for Sex Education, pamphlet (New York: SIECUS, 1982); Debra Haffner and Diane de Mauro, Winning the Battle: Developing Support for Sexuality and HIV/AIDS Education, pamphlet (New York: SIECUS, 1991); Teaching Fear.

65. The ad ran in the New York Times, April 22, 1997, the Los Angeles Times, April 28, 1997, as well as the West Coast editions of Time, Newsweek, and People during that month.

66. 'Trends in Sexual Risk Behaviors among High School Students—U.S. 1991-97,' Morbidity and Mortality Weekly Report 47 (September 18, 1998): 749-52. Teens may be doing better than adults. 'Most Adults in the United States Who Have Multiple Sexual Partners Do Not Use Condoms Consistently,' Family Planning Perspectives 26 (January/February 1994): 42-43.

67. Susheela Singh and Jacqueline E. Darroch, 'Adolescent Pregnancy and Childbearing: Levels and Trends in the Developed Countries,' Family Planning Perspectives 32 (2000): 14-23. The government recorded the lowest number of teen pregnancies in 1997: 94.3 per thousand women ages fifteen to nineteen, a drop of 19 percent since 1991. Most of those pregnancies are among eighteen- and nineteen-year-old women. In 1999, the U.S. teen birth rate hit its lowest level since recording began in 1940. Of every thousand teenage women, 4.96 gave birth. Centers for Disease Control and Prevention National Center for Health Statistics, National Vital Statistics Report 4, no. 4 (2001).

68. About three-quarters of girls use a method the first time; as many as two-thirds of teens say they use condoms regularly—three times the rate in 1970. Long-acting birth control injections and implants have also gained popularity among teens. 'Why Is Teenage Pregnancy Declining? The Roles of Abstinence, Sexual Activity and Contraceptive Use,' Alan Guttmacher Institute Occasional Report, 1999. The National Campaign to Prevent Teen Pregnancy asked teens themselves the main reason they thought teen pregnancies had dropped in the last decade. Of 1,002 youths surveyed, 37.9 percent named worry about AIDS and other STDs; 24 percent credited a greater availability of birth control; and 14.9 percent said the decline was due to more attention to the issue. Only 5.2 percent named 'changing morals and values,' and 3.7 percent said, 'Fewer teens have sex.' With One Voice: American Adults and Teens Sound Off about Teen Pregnancy (Washington, D.C.: National Campaign to Prevent Teen Pregnancy, 2001).

69. Singh and Darroch, 'Adolescent Pregnancy and Childbearing.'

70. 'Teen Pregnancy 'Virtually Eliminated' in the Netherlands,' Reuters Health/London news story (accessed through Medscape), March 2, 2001.

71. 'United States and the Russian Federation Lead the Developed World in Teenage Pregnancy Rates,' Alan Guttmacher Institute press release, February 24, 2000.

72. J. Mauldon and K. Luker, 'The Effects of Contraceptive Education on Method Use at First Intercourse,' Family Planning Perspectives (January/February 1996): 19.

73. J. C. Abma et al., 'Fertility, Family Planning, and Women's Health: New Data from the 1995 National Survey of Family Growth,' Vital Health Statistics 23, no. 19 (1997).

74. Peggy Brick et al., The New Positive Images: Teaching Abstinence, Contraception and Sexual Health (Hackensack, N.J.: Planned Parenthood of Greater Northern New Jersey, 1996), 31.

75. Peter Bearman, paper presented at Planned Parenthood New York City's conference Adolescent Sexual Health: New Data and Implications for Services and Programs, October 26, 1998; Diana Jean Schemo, 'Virginity Pledges by Teenagers Can Be Highly Effective, Federal Study Finds,' New York Times, January 4, 2001.

76. Lantier, 'Do Abstinence Lessons Lessen Sex?'

77. 'Trends in Sexual Risk Behaviors among High School Students—United States 1991-1997,'