You may have heard that the FDA may finally remove age restrictions for the morning-after emergency contraception pill in the United States. If you've heard that, you may have started to hear some panic or fear-factoring, not just gratitude and relief.
I want to focus this entry on the second of the optional questions in the demographics survey. The question was this: Since using Scarleteen, which of any of the following has changed for you, and by how much?
What we most wanted to see was not the areas where we may have done a good job or where our users already felt things were going very well for them, but areas where it would seem sound to say we currently are not having the impact we'd like to with positive changes. In other words, this question seemed likely to be most useful in identifying our potential weak spots, rather than our strengths, and could give us a clearer sense on how and where we should look most to improve our content and approaches.
Depending on your view, the answer to that question might seem really obvious or very tricky and hazy.
At a recent conference I was part of in London, Alan McKee presented a talk which included a piece published in the International Journal of Sexual Health (2010, 22(1), Healthy sexual development: a multidisciplinary framework for research. What McKee and his colleagues determined to be the core parts of healthy sexual development had me jumping up and down in my seat with joy (literally: I may have disturbed my fellow attendees with my bouncing). It summed up the things we try to support, encourage and inform our users with and keep core at Scarleteen so well, and so much of what I think -- after many years of thinking hard about and working with these issues, and being fully and broadly immersed in them with a very diverse population -- truly is central to healthy sexual development.
I'm delighted to have permission to excerpt and reprint this framework here.
Anyone who knows me or who knows anything about me usually knows that my pre-teen and teen years were incredibly difficult. I dealt with neglect and abuse in my family, starting from about the time I was 10. I was sexually assaulted twice before I even became a teenager. I was queer. I was suicidal and was a self-injurer. I struggled to find safe shelter sometimes. Few people seemed to notice, even though after I gave up trying to use my words, I still used my eyes to try and tell them constantly.
I'm 40 now, and in a whole lot of ways, I felt older at 16 than I feel now. Some days, I am truly gobsmacked that I survived at all, let alone with my heart and mind intact and rich.
A lot of why I survived is about having gotten support.
I remember it very clearly. I was a senior in high school and we were all noshing together in the lunch room when Darla, who was two years my junior, blurted out that she had seen her boyfriend naked and that they were planning to have sex soon. It would be her first time, although we thought he probably had more experience. ”I sure hope it gets smaller before it goes in, because my hole isn’t that big!” she declared and we all laughed together.
I want to begin taking the birth control pill for the first time. Is it possible for me to start taking my first birth control pill on the SECOND day of my period? I won't be having unprotected sex. But if I start taking the birth control pill on the 2nd day is it less affective? And also after taking the birth control pill for a series of time, when is it 95% affective?...
As you may know, at Scarleteen we do not yet endorse suppressing menstruation/continuous birth control -- using a hormonal method of birth control in order to skip withdrawal bleeds/periods -- for women under 18, because there still is yet to be any study done or published with adolescent women to evaluate if it is safe or medically sound for those in that stage of physical development.
There is yet no available data concerning the long term effects of menstrual suppression on a woman's overall health, at any age. I should also mention that no studies have been published yet about the safety or efficacy of suppressing periods with the patch or vaginal ring.
However, there have been published and reviewed studies for women over 18 using oral contraceptives for suppression.
A new photo book entitled 'American Youth' was recently released. This glossy, 240-page photographic document features snapshots and extended photo essays on young people from all across the United States, from all walks of life: races and ethnicities, religions, sexual orientations, socioeconomic backgrounds, and more. The subjects' commonality is their age (those who come of age this decade a.k.a. people born between 1982-1991) and their country of residence.
Patient Teenagers? A Comparison of the Sexual Behavior of Virginity Pledgers and Matched Nonpledgers, Janet Elise Rosenbaum, PhD, AM; Health Policy PhD Program, Harvard University:
Five years after the pledge, 82% of pledgers denied having ever pledged. Pledgers and matched nonpledgers did not differ in premarital sex, sexually transmitted diseases, and anal and oral sex variables. Pledgers had 0.1 fewer past-year partners but did not differ in lifetime sexual partners and age of first sex. Fewer pledgers than matched nonpledgers used birth control and condoms in the past year and birth control at last sex.