Showing posts with label teenage pregnancy. Show all posts
Showing posts with label teenage pregnancy. Show all posts

31 Dec 2008

Families in Britain: an evidence paper

The DCSF web site reports, "The family dominates public and policy debate and there is much discussion about the state of family in Britain. This paper assembles the key trends and sets out a framework to think about the family. The paper aims to provide a framework to take stock of family life in Britain and map recent trends and changes as well as explore future pressures on families. It also aims to understand what lies behind headline trends and to understand the implications of these. This paper and the family policy principles it sets out will hopefully stimulate further discussion which will continue to inform the Government's work and underpin the ambition for a truly family-friendly Britain."

My comments on 'Families in Britain: an evidence paper' [December 2008] are set out below. It was published recently by the Cabinet Office Strategy Unit and the DCSF and includes the following:

Page 85 - Marriage is associated with successful outcomes
Page 86 - Lone parenthood is associated with less successful outcomes
Page 87 - Stepfamilies are associated with less successful outcomes than biological two-parent families
Page 88 - Parental separation is associated with a range of adverse childhood, adolescent and adult outcomes for children e.g. in terms of cognitive development, education and labour market disadvantages

Page 85 [married couples] are happier, less prone to depression and suicide and live longer.

Government Ministers have become so accustomed to parroting the mantra "we shall not promote one type of family structure over another", that no matter how strong the evidence to the contrary, they are blind to it, even when it is in their own documents.

Ironically, of course, the government doesn't adhere to this mantra, as it tries desperately to halt the increase in teenage motherhood and the spread of sexually transmitted infections with ever increasing quantities of contraceptives.

If the evidence does not endorse teenage motherhood as a good basis for healthy outcomes for children, why not promote the structure which does, rather than the alternatives that have outcomes closer to those from teenage motherhood?

(The National Statistics [published on the web 28th February 2008] 'Trends in suicide by marital status in England and Wales,1982-2005' Abstract states, "A protective effect of marriage has been observed in a number of previous studies .......... despite changes in marriage patterns over the last 25 years, those who are married still have the lowest risk of suicide, and there has generally been no obvious decline in the difference in suicide rates between those who are married and those who are not.")

You might think with the evidence from a number of studies about the "protective effect of marriage" that the Ministers promoting a report entitled 'Families in Britain: an evidence paper' would want to draw attention to the "protective effect of marriage", but, not a bit of it, the Ministers use the opportunity in their Foreword to calmly spin the evidence away from married couple relationships - which the evidence supports - towards 'diversity', which it does not.

A further example of spin is on Page 99, with "Life Event Marriage/cohabitation"; this is a conflation of two entirely different events, only one of which is to a publicly committed and enduring relationship.

This conflation of marriage and cohabitation lies at the heart of what some bishops are complaining about when they speak of policies that are 'morally corrupt'.

The Rt Revd Graham Dow, Bishop of Carlisle, is reported as saying, "the breakdown of the family is a crucial element in the difficulties of our present society .... The Government hasn’t given sufficient support to that because it is scared of losing votes.... Labour’s failure to back marriage and its “insistence on supporting every choice of lifestyle” ha[s] had a negative effect on society."

An example of this 'negative effect' has been revealed recently: the banks bought into the Government's "every choice of lifestyle" agenda - and created the toxic debt - which now they are too ashamed to acknowledge by publishing mortgage arrears figures by marital status. The previous generation of bankers would never have lent money to cohabiting couples with inherently unstable relationships in the amounts which have been advanced in the last decade. Toxic relationships are behind the toxic debt and the financial meltdown.

On a practical level, the MPs, Graeme Allen and Iain Duncan Smith, are jointly promoting 'Early Intervention: Good Parents, Great Kids, Better Citizens'. Please ask your MP to support this initiative.

There is common ground developing across the political spectrum in welfare reform with direct payments and 'Self-Directed Support for every child and young person' as described in "A whole-life approach to personalisation". These principles could be applied to supporting marriage and family life.

25 Jun 2008

Lies, damned lies, teenage pregnancy and abortion

"The number of abortions, including among young girls, has hit a record high, official figures showed.

Procedures to women living in England and Wales have increased across all age groups since records began, the Department of Health confirmed.

Yearly figures showed the number of abortions among girls under 14 rose 21%, from 135 abortions in 2006 to 163 in 2007.

There was also an 11% rise among girls aged 14, from 907 abortions in 2006 to 1,008 in 2007. Furthermore, there were 3,205 abortions to girls aged 15 in 2007, a 9% increase on the 2,948 in 2006.

Among all girls aged under 16, there was a 10% rise, from 3,990 abortions in 2006 to 4,376 in 2007.......

Across all age groups, there was a 2.5% increase in the number of women living in England and Wales having an abortion, from 193,700 in 2006 to 198,500 in 2007, today's figures showed.”

Despite its failure, the sex education lobby is fighting back:

“Based on information from 70% of English Local Authorities, the SEF [Sex Education Forum], the national authority on sex and relationships education (SRE), based at NCB [National Children’s Bureau], found that of the 2,185 schools surveyed, 29% had an on-site sexual health service.

Confidential sexual health services on the school site make it easier for young people to get help with problems early. Health professionals build on what young people learn in SRE by giving young people crucial one-to-one advice about their health and wellbeing as well as access to contraception, pregnancy and STI [Sexually Transmitted Infections] testing services if needed.

Research confirms that the combination of good SRE in schools, linked to easily accessible, confidential, sexual health services is key to reducing teenage pregnancy rates and improving sexual health."

Not surprisingly, this mantra is being echoed enthusiastically and unquestioningly by writers in dozens of newspapers and journals.

But, in a response to comments made by the Government concerning his research

Professor David Paton, an economist at the Nottingham University Business School, wrote:

“In March 2002, a paper was published in the Journal of Health economics entitled “The Economics of Family Planning and Underage Conceptions (Paton, 2002). In this paper, an economic model of rational choice was presented which suggested that “improving access to family planning can have an ambiguous impact on underage conception and abortion rates” (p. 223). In the rational choice model, the reason for this ambiguity is that access to family planning may increase the likelihood of young people engaging in sexual activity in the first place. I tested this model on a panel data covering UK regions between 1984 and 1997. Over this period, I found no evidence that the provision of family planning reduced either conception or abortion rate for the under 16s.”

Professor Paton concluded in his subsequent research paper:

“The discussion in this paper makes it clear that the sources cited by the Government do not support the Government’s assertion that international research contradicts the findings in Paton (2002). Rather, it would be fairer to state clear that the international research has not come to any strong conclusion relating to the impact of access to family planning services on teenage pregnancy rates. The strongest evidence available in the sources cited by the Government, together with evidence from other well-regarded studies, far from being contradictory, is perfectly consistent with the key finding of Paton (2002) that increased access to family planning does not reduce underage pregnancy rates.”

Needless to say, the BBC follows the herd by parroting:

“Government advisers called for high quality sex education at school and investment in contraception services for young people. ............”

Rather than refer to an earlier BBC report:

Dr David Paton, of Nottingham University Business School, said:

"We found that as you increase access to family planning services pregnancy rates for this group either do not change or there is some evidence they go up.

"They certainly don't decrease which is what the government wants. It seems family planning seems to encourage more people to have sex, which teamed with a high contraceptive failure rate can cancel out any gain."

Professor Paton comments:

‘One of the problems with research on sexually transmitted infections is that we only have data on diagnoses and not on actual infections. With some of these infections, most notably chlamydia, there are often no symptoms at all. It could be that the increase in diagnosis rates just reflects the fact more young people are aware about diseases like chlamydia and are getting themselves tested.’

‘In fact, the notable feature about my results is that I found a significantly positive correlation between increases in family planning services and increases both in rates of chlamydia and in rates of those sexually transmitted infections where the symptoms are more noticeable.’

One explanation for these results is that easier access to family planning for young people may have been partly responsible for the increase in risky sexual behaviour among young people. The increase in this risk-taking behaviour may then have outweighed any positive impact of family planning policies.”

On 4th January 2008 Professor David Paton said:

"The underlying social deprivation of an area, family breakdown rates and religion seems to have a greater effect on teenage pregnancy rates than more obvious policies such as sex education or providing access to family planning.

"There has been a tendency for the Government's teenage pregnancy strategy to focus on creating schemes where teenagers can get the morning after pill or other forms of family planning at school or clinics.

"The danger with this sort of approach is that it can lead to an increase in risky sexual behaviour amongst some young people.

"There is now overwhelming evidence that such schemes are simply not effective in cutting teenage pregnancy rates."

Professor David Paton repeated his comments more recently [19th June 2008]:

'Pretty much all the research on school-based family planning clinics suggests they have little or no impact on teenage pregnancy rates.

'There is a possibility that such services change the behaviour of some young people and may increase risk-taking sexual behaviour.'

Fortunately, David Cameron is reacting with more sensible proposals:

“One way is to start early - and insist, for example, that there's no sex education in schools unless it includes relationship education.”

One of the most effective writers is a parent:

“I think if parents are to be successful in raising counter-cultural kids, they need to work out how their kids are going to survive the indoctrination offered by the school system - or else remove them from the line of fire...........

At the top of my mind today is sex education. We had a parents’ evening meeting about it at my childrens’ junior school, and I was frankly outraged at what is being done.As part of this, we were shown a ‘tasteful’ video which the kids were going to see, including a cartoon couple having sex.

If anyone but a teacher were to make my kids watch videos of people having sex, he would be put on the sex offenders’ register.

We were also given a handout which included the claim that ‘Research has shown that sex education helps to reduce teenage sexual activity.’

When questioned the head was unable to refer me to that research - he had simply copied the quotation out of the booklet supplied with the video.

To his credit he was embarrassed to admit this...

On further examination, the booklet offered no reference to research to back up the claim either.

Moreover the booklet was produced by Brook.

Much of the research evidence I have seen suggests that early and explicit sex education is a co-factor with early sexual activity, as is the provision of the services that Brook offers.

In an age of evidence-based medicine it is extraordinary that the response to the failure of the government’s sex education strategy (soaring levels of STDs among teenagers, for example) is to try more of the same....

I had a further meeting with the head, who admitted the school’s policy was a fudge, and I sent him this letter as a follow up...

Dear Mr **********

Sex and Relationships Education

Thank you for making time to see me at such short notice this morning, and also for the courtesy and understanding with which you discussed my concerns.

As I mentioned, [my wife] and I having discussed this further, we would now like to confirm that we will be withdrawing [our children] from all parts of this programme which are not compulsory as part of the National Curriculum.

I thought it might be helpful to summarise those concerns, as you mentioned you may wish to discuss them with the County Advisor.

The primary concern is the ideological one. On one side there are those like me who believe that we should be educating our children for life-long monogamous marriages; on the other, those who want to see children as informed, active, consumers of sex.

If you think I am over-stating the position, look at the www sites for fpa and Brook, where they make their position, including condoning under-age sex, very explicit. They are advocates of children’s right to enjoy their sexuality, and are among the country’s leading campaigners for and providers of abortion.

It is evident that Brook and fpa talk the language of ‘relationships’ to get their material past parents: there is none of that concern in their www sites. But of course any teenager can convince himself that the current infatuation is ‘a meaningful loving relationship.’ That kind of thinking provides no protection against promiscuity - but then it is not intended to.

The middle ground is made up of those who would prefer children to delay having sex and not be too promiscuous, but believe that they can’t be stopped. That risks being a self-fulfilling prophecy, transforming the historical pattern of a very small number of children being sexually active into a much larger number being so.

The evidence on early sexual activity and multiple partners seems pretty clear: the two go together, and are an unhealthy combination, physically, emotionally and psychologically. Oddly, Brook and fpa, who are so keen to deal in fact, ignore these facts absolutely - as they ignore the research which shows that 70% of girls who engage in sex early (pre-16) regret it later on and wish they had waited.

These different ideologies naturally lead to radically different approaches to sex education. I believe sex is private (indeed sacred), and that taboos (and even some things labelled by the government’s experts as prejudices) are often helpful in protecting children from premature exposure to adult issues and from aberrant thoughts and behaviours. The other side believe that anything goes (as long as it is consensual), and that openness and choice are the primary virtues.

Whilst I fully understand that the school has to comply with the government’s directives on this, the government’s view is not the only one, and some research suggests their policy to be ill-founded. I can give you details of that if you are interested (eg Marsilio and Mott’s study, based on interviews with 12000 US children which identified 4 co-factors of teenage sexual activity, of which one was sex education,)

The reason that the government is so keen on pushing this into junior schools seems to be the remarkable failure of it at senior level - indeed the more they push sex education, the more promiscuous the children seem to become with all the attendant physical, emotional and psychological damage that implies. Again, I can supply data showing the increase in teenage promiscuity coinciding with sex education, and also with the existence of Brook Advisory Centres in a locality. For example, those areas targeted by the government with special measures have seen greater increases in teenage conceptions (Oxfordshire 7.3%, Cornwall 16.4% and Torbay 22.4%) I can also supply research questioning the lessons drawn from the Dutch experience (which may be the source for the research cited in the booklet you quoted).

My second major concern is the psychological impact of sex education at this age. The risk is that it disrupts the children’s latency period - a development period widely acknowledged by psychologists when they are not naturally interested in sex. Many psychologists see the disruption of this by sex education as abusive and dangerous. For one psychologist’s assessment of this, see Melvin Anchell’s Killers of Children. I believe our children have a right to stay children and stay innocent, and that the fact that there are commercial interests desperate to turn them into adolescent consumers earlier and earlier should not drive education policy.

The third area of concern is the philosophical one. The whole approach explicitly outlaws any absolute moral teaching (We don’t judge others, we respect the choices of others...) in the sexual realm. It is curious, then, how ready the same non-judgmental policy condemns behaviour of which the government really disapproves (bullying, discrimination). In fact the implicit lesson of this whole approach is that sexual morality is subjective. This begs a massive philosophical question and risks teaching an absolute answer (ironically!) to children before they are even able to comprehend the issues at stake.

It seems to me therefore that the schools are being used by one side of an ideological debate, that the evidence supporting what you are required to do is, to say the least, unproven, and that the government is in effect experimenting with our children with potentially very grave consequences.

I can supply the research references for all the claims made above, if that would be helpful to you. Thank you once more for the time and trouble you took to understand and engage with these concerns and to explain where the school stands and how it intends to proceed.”

Letter ends.

What can we suggest to teachers they might usefully teach about relationships? There are plenty of rich sources within English Literature, History and Religious Studies. No doubt enlightened teachers use the opportunities these provide. Schools should develop a holistic approach, exploring and discussing relationships in the subjects mentioned above, making it a part of the ethos of the school.

For those interested in Jung’s idea of synchronicity, the readings on Sunday from the Common Lectionary were Genesis 21: 8-21 and Matthew 10: 24-39. In the first, Abraham drives out into the wilderness his first born son, Ishmael with his mother, Sarah’s maid, Hagar. In the second, Jesus says he comes not to bring peace but with a sword to divide families. Tough messages. Families are rapidly divided if the members retain tribal attitudes and fail to mature. Children, like Ishmael, become fatherless. All manner of poor social outcomes ensue. We are living with the consequences.

The sex education lobby is a new tribe of delinquents who think they can help people mature by dishing out condoms and morning after pills, despite the evidence to the contrary. When will the experiment end?

26 May 2007

Rules to stop 'sham' marriages unlawful

By Philip Johnston, Home Affairs Editor - Daily Telegraph

"Tough rules to stop illegal immigrants using sham marriages to get in to the country were declared unlawful by the Appeal Court yesterday. Judges said regulations brought in two years ago to block thousands of alleged ''marriages of convenience'' breached human rights laws............
The Appeal Court - upholding an earlier High Court ruling - said this was a "disproportionate interference'' in the human right to marry. Lord Justice Buxton said the scheme could only be lawful if it prevented sham marriages intended to improve the immigration status of one of the parties. "To be proportionate, a scheme must either properly investigate individual cases or at least show that it has come close to isolating cases that very likely fall into the target category,'' said Lord Buxton. "It must also show that the marriages targeted do indeed make substantial inroads into the enforcement of immigration control."

Much of the problem is caused the the Government's failure to adopt a holistic approach towards couple relationships. It presents a hostile attitude towards every aspect of marriage. Instead of trying to promote 'healthy marriages', like the Americans, the UK Government is trying merely to prevent bogus marriages, domestic violence, teenage pregnancy etc..

The Forced Marriage (Civil Protection) Bill needs an amendment [see earlier posts]. Engaged couples should be invited by Registrars to complete an internationally approved programme of marriage preparation such as one of those that meet the criteria of the US government's Healthy Marriage Initiative. At least 2 are available in the UK.

The judges said the Home Office was within its rights to stop sham marriages but it would need to legislate in "a proportionate manner". They said that could mean properly investigating individual cases.

If a couple decline to participate in one of the approved marriage preparation programmes suggested by a Registrar or member of the clergy and the celebrant is suspicious the proposed marriage is bogus, he/she would be behaving in "a proportionate manner" in declining to marry the couple and in referring the matter to the Home Secretary.

24 Apr 2007

Social capital - 'social responsibility'

Today the House of Lords considers amendments in Committee to the Statistics and Registration Service Bill [see earlier posts]. It provides an opportunity to insert an amendment for a Social Capital Index, as there is a clause [19] already in the Bill for the RPI [Retail Price Index].

Writing in the Guardian [23rd April 2007] David Cameron says:

“Government can encourage social responsibility by building and strengthening the institutions of a responsible society. Supporting families - because a stable home life is the best way to ensure children grow up as responsible citizens. Transferring power to local and neighbourhood institutions (and finding ways to promote people's engagement in them) - because that will make people behave more responsibly. And we have to trust people more: whether that's professionals in public services or people who want to volunteer in their community.”

He must be right about this. David Cameron is talking about how we build social capital. Unfortunately he is not yet addressing the issue of how we measure social capital and changes in it by neighbourhood. One day he will have to do this if he wants to establish his credentials as a politician who is really concerned about marriage and family life. Fine words butter no parsnips. They prompt the question, "Why are the Conservatives so coy about tabling an amendment for a Social Capital Index?" Ultimately, people measure what they value.

Fortunately there is a groundswell of recognition of the need for measuring changes in social capital. An excellent web site for information about social capital measurement is published by Paul Bullen, an Australian.

He provides a link to Indicators of Social and Family Functioning by R Zubrick, AA Williams, SR Silburn, (TVW Telethon Institute for Child Health Research, Perth,Western Australia) and G Vimpani (Child and Youth Health Network, University of Newcastle) May 2000.

The Executive Summary begins:

According to a ..... OECD Forum report (January, 1997):

‘pressures on social cohesion are likely to evolve over the next two decades as unemployment, earnings inequality, demographic shifts, technological progress, open trade, and greater competition in less constrained market places, continue to contribute to economic and social turbulence.’

"Australia is no less immune to these pressures, with a perceived decline in social cohesion which has placed stress on family and social functioning. Rapid economic and social change can manifest as serious problems in the developmental health and well-being of children, young people and their families. These problems include child abuse, early school failure, truancy, depression and suicide, alcohol and drug abuse, teenage pregnancy, juvenile offending, violence, relationship and family breakdown."

It supports my contention that we need a Social Capital Index as much as the RPI in the Statistics and Registration Service Bill and that a major element of this SCI should be the factors relating to social and domestic cohesion.

The components [problems] listed above are very similar to those which I have proposed for the index, which is reassuring.

15 Apr 2007

PSHE and Social Capital - absence of a moral code in the home puts some children under additional pressures

The following are extracts from the Ofsted report 'Time for change? Personal, social and health education' [Published: April 2007 Reference no: 070049]:

"At times, it is the school rather than the home that provides the moral code and, in its absence in the home, some children are put under additional pressures."

"Parents greatest challenge is to set clear expectations, and to be aware of and to accept responsibility for their children's behaviour. Some parents do not rise to this challenge."

"the ability to make moral judgements about what to do in actual situations and the potential to put these judgements into practice"

"Most of the schools in this survey ensure that their aims and values are well known to pupils and their parents, and that they are adhered to consistently. They will often refer to personal morality, the effects of actions and choices, and the nature of relationships concepts very relevant to SRE. However, some of the schools visited need to broaden their coverage of SRE and clarify what they mean by achievement in this area, so that it includes developing pupils' values and attitudes....."

"focusing on a pupil's individual needs and avoiding a one size fits all approach......... trying to bring together the work of mentors, counsellors and external support agencies with individual pupils and, if appropriate, with their families"

Consistent adherence to the aims and values of the school, including a moral code, is a worthy outcome arising from good teaching of PSHE. But pupils must find the mixed messages they are hearing very confusing:

(1) On the one hand government ministers repeat the New Labour mantra "we shall not promote one type of family structure as opposed to another".

(2) On the other, schools are trying to promote "personal morality, the effects of actions and choices, and the nature of relationships concepts very relevant to SRE......." and are concerned with "developing pupils' values and attitudes....."

In fact 'family structure' is a garbled concept in 'government speak' as teenage motherhood is deprecated and the government even produces league tables showing which local authorities are best at reducing teenage pregnancy. To pretend its attitude to family structure is a neutral one is belied by its own policies.

What is baffling is why - if this sort of league table is a valid concept in improving this aspect in particular of social and domestic cohesion - there are not comprehensive neighbourhood statistics and a league table comprising an index of other aspects of social and domestic cohesion together with a social capital index?

One minister [Maria Neagle] who said "we shall not promote one type of family structure as opposed to another" went on to say, "We must deal with people and families as we find them, and we must try to ensure that whatever structure children are brought up in, they have the best possible chance in life. In 97 per cent. of cohabiting couples, the father registers the birth of the child with the mother. We should not be prescriptive about precisely what the best structure is."

This is disingenuous, as the break-up rate of couples who are unmarried at the time of the birth of their child is far greater and faster than that of couples who are married at the time of the birth.

"We should not be prescriptive about precisely what the best structure is" looks and sounds like an argument that the government is not concerned with the facts, is unwilling to study the research on family structure, and will suppress - whenever it can - the publication of statistics that are relevant.

Faced with such humbug, what chance have schools got in promoting a moral code when the government is effectively opposed to the very idea and is actively promoting 'diversity' at every opportunity ?