Michael New

New study claims big benefits of no-cost contraception: media swoons

Michael New
Michael New

October 10, 2012 (LifeSiteNews.com) - A new study which recently appeared in the journal Obstetrics and Gynecology has the mainstream media swooning. A program which provided free contraception to over 9,000 women in the St. Louis area purportedly resulted in dramatic reductions in abortions, repeat abortions, and teen births. This study has been covered by USA Today, the Associated Press, CBS News and countless other media outlets.

Specifically, the researchers enrolled 9,256 adolescents and women in the program. Participants were recruited from the two abortion facilities in the St. Louis region and through provider referral, advertisements, and word of mouth. All participants received the reversible contraceptive method of their choice. However, the researchers highlight the fact that 75 percent of women taking part in the study chose a long-acting reversible contraceptive (LARC) — either an IUD or an implant. Many will doubtless use these findings to buttress their case for mandates on contraceptive coverage in insurance programs and greater government spending on contraceptives. However, there are at least five reasons why this study greatly overstates the impact of no-cost contraception.

1) No control group: The main problem with this study is that it fails to include an adequate control group. Each of the 9,256 participants in the study was a volunteer. As such, women in the study very likely had a stronger desire to avoid a future pregnancy than women who declined to participate. Most research indicates that a desire to avoid pregnancy has a significant impact on the likelihood of becoming pregnant. As such, comparing the abortion rate and the birth rate of study participants to national and state averages is a flawed comparison. A better idea would have been to randomly select some percentage of the volunteers, inform them that they were not going to receive free contraception, but continue to track their births and abortions in exchange for some compensation. That would have allowed for a meaningful comparison between a treatment group and a control group.

2). Limited impact on repeat abortion rate: The study makes much of the fact that between 2006 and 2010 there was a statistically significant decline in the repeat abortion rate in St. Louis City and County. This may well be true. However, the results indicate that the repeat abortion rate fell from about 48 percent in 2006 to about 45 percent in 2010 — hardly a dramatic decline.

3) Exaggerated impact on overall abortion rate: The authors also make much of the fact that the number of abortions performed at Reproductive Health Services on women who resided in St. Louis City and County declined by 20.6 percent between 2008 and 2010. However, Reproductive Health Services is not the only abortion provider in the St. Louis area. Furthermore, only a small percentage of St. Louis area women took part in the program. Now, the authors use a weighting method and, as such, do not provide the actual number of abortions performed on program participants. However, my back-of-the-envelope calculations indicate that much of this abortion decline was among women not taking part in this no-cost contraceptive program.

4) The weighting mechanism overstates effectiveness of contraception program: Program participants were not a random sample of women residing in the St. Louis area. They were more likely to be African-American, young, and low-income. As such, the authors weigh the data to compare birth rates and abortion rates of program participants to birth rates and abortion rates of a similar demographic cohort. Consequently, these contraceptive methods likely appeared more effective than they actually were — because they were being used by a demographic with both relatively high birth rates and abortion rates.

Now, sometimes weighting data makes sense. Some demographic groups have a higher incidence of sexual activity and use contraceptives less consistently. However, since a high percentage of study participants used long-acting contraceptive methods, weighting makes less sense. Long-acting contraceptive methods work automatically and their effectiveness should be less sensitive to the frequency of sexual activity. In the spirit of full disclosure, the authors should publicly provide the raw, unweighted data on the birthrate and abortion rate of study participants. That would provide a much better measure of the effectiveness of this program.

5) The results are not generalizable to a large population: The authors state that IUDs are more popular in Europe than they are in the United States. There are a variety of reasons for this. However, one factor the authors overlook is that many physicians in the United States are unwilling to insert IUDs because of liability issues. Indeed, IUDs users have an increased risk of pelvic inflammatory disease and perforation of the uterus. Also, if a woman using an IUD wants to get pregnant, her IUD would have to be removed by a physician. For this reason, even if these long-term methods were available at no cost, it is not clear that many women would choose to use them.

Interestingly, the study only tracked the abortion rates and birth rates among program participants. There was no effort to analyze how the provision of no-cost contraception impacted sexual activity, the incidence of sexually transmitted diseases, or any other public-health outcomes. If the authors are going to use this research to argue for mandatory coverage of long-acting contraceptives, they should continue to monitor and report on the health outcomes of study participants in the future. This is an important consideration, given that long-acting contraceptives pose some serious health risks.

All in all, the pro-life movement receives plenty of criticism from the mainstream media and supporters of legal abortion for not being more contraceptive-friendly. However, in reality there is little evidence that supports the effectiveness of contraceptive programs. Separate studies from both the Guttmacher Institute and the Centers for Disease Control both indicate that a low percentage of sexually active women forgo contraception due to high cost or lack of availability.

Additionally, there is a body of research documenting the ineffectiveness of various contraception programs. For instance, the Daily Mail reported that a program launched by the British government in 1999 to provide “comprehensive” sexual education and birth control to British teens resulted in consistent increases in the teen pregnancy rate. Similarly, a study of a free contraception program in Scotland which appeared in the journal Contraception in 2004 found no decline in abortion rates. Finally, a study of a free contraception program in San Francisco which appeared in the Journal of the American Medical Association found this program produced no decrease in unintended pregnancy rates. Of course, these studies typically receive scant attention from the mainstream media.


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African denounces Western elites pushing population control in his country

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By Ben Johnson

An op-ed in one of the leading publications in Uganda has denounced the promotion of IUD use and other long-acting reversible contraceptives (LARCs) in the nation as a colonialist form of population control.

An article published in New Vision, which bills itself as “Uganda's leading daily,” and which was posted online after being translated into broken English, contradicts the frequent claim that there is a desperate cry from Africans and brown people generally to provide the “unmet need” for contraception in the Third World.

Programs to convince African women to use the IUD or other forms of contraception “are projects of multibillion international agencies distributing them under the guise of helping the poor countries to control birth rates,” Stephen Wabomba wrote.

The use of the IUD leads to an increase in “the spread of STIs/HIV/AIDS, infections or increased rates of Pelvic Infection Diseases (PID),” and other maladies, he said. The IUD, which is inserted into the uterus and may work for years at a time, offers no protection against sexually transmitted diseases and often does not prevent fertilization.

Western governments and NGOs are very much “aware of the side effect[s] but still force them on us through sensational marketing strategies by claiming that there is unmet need” for contraception “in Uganda,” he wrote.

He instead suggested the use of Natural Family Planning methods as the “best alternative” for married couples, as well as increased “funding of chastity and abstinence education in Uganda.”

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He called on every citizen of Uganda “to stand up and be counted as a lover of life” and become a “protector of the voiceless and defenseless unborn children being aborted every day.”

Wabomba is heeding his own advice by acting as director of the Pregnancy Help Center in Jinja, the second largest city in Uganda. The town of 87,000 is perched on the shores of Lake Victoria.


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Guilherme Ferreira Araújo

UN tells Chile and Peru to legalize abortion

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By Guilherme Ferreira Araújo

On July 7 and 8, the United Nations Human Rights Commission (UNHCR) discussed Chile’s abortion laws and issued a report asking for liberalization of those laws.

According to the report, Chile “should establish exceptions to the general prohibition of abortion, contemplating therapeutic abortion and in those cases in which the pregnancy is a consequence of a rape or incest.”

Chile is one of the few countries that prohibits abortion in all cases.  So far, the country has managed to stand against internal and external pressure to legalize abortion.

But during her campaign, President Michele Bachelet promised to make the legalization of abortion a priority.  Indeed, last May she stated that her intention was to reopen the debate so that the government could approve therapeutic abortion before the end of this year.  The U.N. report also said that Chile “should make sure that reproductive health services are accessible to all women and adolescents."

One of the reasons the UN is using to pressure Chile’s government to change their abortion laws is the high number of clandestine abortions allegedly taking place in Chile. The UNHRC points to “official data” showing 150,000 annual clandestine abortions. However, not only is it impossible to corroborate that figure, but other sources show that this number could be exaggerated by a factor of 10.  According to an article published in the Chilean news publication, Chile B, the annual number of clandestine abortions in Chile may vary between 8,270 and 20,675.

Inflating the number of illegal abortions and maternal mortality is a common tactic of the pro-abortion movement’s effort to legalize the deadly practice. Dr. Bernard Nathanson, founder of the National Abortion Rights Action League (NARAL), famously admitted the tactic after becoming pro-life.

“We claimed that between five and ten thousand women a year died of botched abortions,” he said. "The actual figure was closer to 200 to 300 and we also claimed that there were a million illegal abortions a year in the United States and the actual figure was close to 200,000. So, we were guilty of massive deception."

Chile has also been used as a prime example that legalized abortion does not reduce maternal mortality.

A study published in 2012 by Plos One Institute found that since 1989 when Chile banned abortion, there has been an annual decrease in maternal death. That study, and others compiled and published by the Chilean MELISA Institute strongly challenge the myth that abortion is safe or even necessary to increase maternal health.

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Notwithstanding the empirical data, the United Nations is also hard at work to pressure Chile’s neighbor to the North, Peru, to liberalize its own abortion laws.  In the case of Peru it is the Committee on the Elimination of Discrimination Against Women (CEDAW) that has issued the report, not the UNHRC.  CEDAW representatives examined Peru’s case on July 1 and suggested that Peru should legalize abortion in case of rape and severe abnormalities of the unborn child.

The organism suggested that the government eliminate all laws that punish women who abort and asked that Peru “urgently” adopt a law to fight violence against women, a notion often used as a euphemism for legalizing abortion.  

The CEDAW commission presented the conclusions of the report on July 22 and put special emphasis on the abortion issue. This happens despite the strong opposition to abortion in Peru. A recent survey showed that 79 percent of Peruvians support the Catholic Church’s position on abortion.

The CEDAW pressure on Peru is not new. In 2011, after the UN sanctioned Peru for denying an abortion to a teenager, Carlos Polo, Director of the Population Research Institute’s Latin American office, stated that the UN organism doesn’t have the right to force Peru to approve abortion.


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People ask me all the time, “How do you live with your past?” My answer is silly, but it is a true story. Youtube screenshot
Abby Johnson Abby Johnson Follow Abby

I helped so many women abort their babies. Now how do I live with that?

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By Abby Johnson
Abby Johnson business card Planned Parenthood

I have many memories of my time with Planned Parenthood. I spent eight years of my life there. Some memories are good, some are not. But they are contained in my mind. It’s easy to forget them. I have forgotten so much about my time there in just four and a half short years. 

I found my old business card the other day. That is a tangible memory for me. It made me think of the day that I heard I had been promoted to direct the clinic. I was so happy…hugging and jumping up and down with my supervisor. She was so proud of me.

I thought about the day I moved everything into my new, big office. I put pro-choice stickers all over my file cabinet. I called my parents to share the news. They were, of course, proud of me, but hated my work. I can’t imagine how conflicted they were in their minds and hearts. Human resources sent me my new paperwork. There was my new title, my new and amazing salary. 

A few days later, my new business cards came. I remember putting them in my new business card holder on my desk. I filled up the business card holder that I kept in my purse. I had already become used to hearing myself say my new title.

I was proud of myself. I was proud of the hard work I had put in to earn that new title. I worked so many hours, sacrificed so much time from my family. But I knew it would be worth it. And now I had the job title to prove it.

I remember proudly passing out my new business cards to anyone that would take one. Being pro-choice was not just a movement to me; it was a lifestyle. I wholeheartedly embraced that lifestyle and loved being a part of it. 

These tangible reminders that I occasionally find are sometimes hard to work through. I remember receiving the records from my medication abortion. That tangible reminder of my past was difficult to manage. I look at my “Employee of the Year” award that I received from Planned Parenthood and think back to the night I received it. I ended up putting that old award on my desk as a reminder of where I came from and how much my life has changed. Seeing that plaque no longer brings back those tangible memories. 

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One of the reasons I was so taken aback when finding my old business card was not just because it was a reminder of how proud I had been to run an abortion clinic…something I find deplorable now. It was because of the things I took part in while I had that big title.

The memories of handing women small monetary checks in order to pay for their silence after we had left them with a serious infection after their abortion. The memories of watching women bleed out on our abortion table and being instructed not to call the ambulance because we didn’t want to let the pro-lifers know that we had a medical emergency. The memories I have of “joking” about the babies that died in our facility by abortion. The memories I have of training our abortion facility employees on the “normalcy” of abortion and how to convince women that abortion is the best choice for them.

Part of being a former abortion clinic worker is learning how to deal with your past sin. It may be the lady who came to your clinic for an abortion that you bump into at the store. It could be standing in front of your former abortion facility and remembering all of the damage your words and actions did to so many women. It could be finding that old business card that reminds you of the pride you felt when you became the director of an abortion facility. 

People ask me all the time, “How do you live with your past?” My answer is silly, but it is a true story. 

One day I was watching the kid’s movie “Kung Fu Panda” with my daughter. In the film there is a wise, old tortoise named Oogway. He is talking to one of his students who is frustrated with his current situation. Oogway asks his student, “Do you know why today is called the present? Because it is a gift.”

That little line by an animated tortoise hit me like a ton of bricks. Today is a gift. There is absolutely nothing we can do with our past. And there is very little we can do to control our future. We live NOW. We serve NOW. We choose to move on from our past NOW. 

I don’t know what your past sins are. And I don’t know how frequently you are reminded of them. But as someone who has to face their past sins on pretty much a daily basis, I can tell you that you can be free from their burden. Being reminded of your past doesn’t mean that you have to live with constant grief. It simply means that you have been given the opportunity to transform your past into something positive…maybe you can help others make different choices than you did, maybe you can help others heal from the same struggles that you lived through. I don’t know what you are being called to do, but as the saying goes, “God can turn our mess into a message.” 

Carrying around past burdens doesn’t help us in any way. Know that you can be forgiven. Accept that forgiveness. Use your life to help others. The present is indeed a gift.

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