
MSNBC.com (04.19.05) - Friday, April 22, 2005
Terry Wynn
President Bush's 2006 budget contains a $39 million increase in federal funding for abstinence-until-marriage education, bringing its total to nearly $193 million per year. But such programs, often run by faith-based organizations, are frequently criticized for omitting information on condoms, masturbation, abortion, and sexual orientation.
"Safer sex programs not only include the message that abstinence is the more effective strategy, but also talk about self-management strategies and personal skills. In contrast, sexual abstinence programs do not cover these issues," said Dr. Michael Carey, who runs the Center for Health and Behavior at Syracuse University.
In longer relationships, Carey said, people tend to assume that both they and their partner are invulnerable to STDs. "People see being in love with their partner as making sex less risky, but microorganisms don't respect love," he said. Dr. Peter Vanable, whose Syracuse University research on HIV/AIDS is funded by the National Institutes of Health, said trust and relationship length are the key determinants of risky behavior and condom use.
Substance abuse can also lead people to make bad choices that put them at risk of STDs. Dr. Paul Chambliss, a general practitioner and HIV/AIDS expert in New York, said new theories suggest that people take drugs like crystal meth purposely to impair their judgment and suppress the guilt of unsafe sex. "You take the drug that will allow you to do the things you want to do," he said.
"You have to understand how all of these issues work together," said Tony Morris, director of AIDS in Minorities in Alabama. "Without addressing the social issues associated with risky behavior, individuals will continue to act irresponsibly."
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