Thursday, May 11, 2006

Sex, Science, and Static - Pro-abstinence politics meddles with a CDC conference.

Sex, Science, and Static - Pro-abstinence politics meddles with a CDC conference.
By Amanda Schaffer. Copyright by The MedicaL Examiner
Posted Friday, May 5, 2006, at 5:28 PM ET

The upcoming National STD Prevention Conference, sponsored by the Centers for Disease Control and Prevention, among other groups, has just been given an unhealthy shot of ideology. The conference was supposed to include a symposium designed to explore how abstinence-only sex education may undermine other efforts to reduce STDs. The papers and panelists had gone through the customary vetting of peer review. But now the symposium has been abruptly retooled to include two proponents of abstinence programs—and to exclude a well-respected detractor. This is bad news, not only because abstinence-only work is scientifically unfounded but also because the switch represents a new level of government intrusion into the peer-review process of a major scientific meeting.

The biannual STD conference, which takes place next week, is one of the premier professional forums in the country for discussing sexually transmitted diseases. It is expected to draw at least 1,200 academic scientists, STD clinicians, and public-health practitioners. The symposium that's been meddled with was originally titled, "Are Abstinence-Only-Until-Marriage Programs a Threat to Public Health?" Its convener, Bruce Trigg of the New Mexico Department of Public Health, proposed a skeptical look at abstinence education, which the Bush administration is funding to the tune of hundreds of millions of dollars. As moderator, Trigg promised to ground the critique in scientific evidence. His panelists were to be John Santelli of Columbia's School of Public Health and William Smith of the Sexuality Information and Education Council of the United States, a well-regarded sexual-health organization. Santelli recently wrote a position paper on abstinence-only education for the Society for Adolescent Medicine in which he argued that abstinence programs are medically unethical because they misrepresent and withhold basic health information.

Trigg's symposium proposal went through all the steps of peer review, including an expert panel, and was accepted. This week, however, a different title and lineup were announced on the conference's Web site. Now called "Public Health Strategies of Abstinence Programs for Youth," the program will no longer be moderated by Trigg, though he and Santelli will still present. Smith, by contrast, has been bumped from the program.

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