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A Clash of Ideology and Science

Ralph J. DiClemente, PhD

JAMA. 1998;279:1574-1575.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The risk of acquiring a sexually transmitted infection (STI), including the human immunodeficiency virus (HIV), is one of the most significant threats to the health of adolescents.^1-2 In response to heightened concern about high rates of STIs and the threat of HIV among adolescents, the development and implementation of programs designed to prevent STI/HIV-associated sexual risk behaviors is a public health priority. While there is increasing consensus regarding the urgency of intervening to prevent STI/HIV-associated sexual risk behaviors, there is considerable controversy as to the most effective intervention approach to use. Safer-sex approaches address abstinence but emphasize information and training in safer-sex skills and behaviors. Abstinence interventions exclusively emphasize values, attitudes, and skills for postponing sexual intercourse.

Recently, this public health policy controversy has been amplified with the passage of the Welfare Reform Act (Pub L No. 104-193, 510). As part of this law, Congress allocated . . . [Full Text of this Article]

From the Department of Health Behavior, University of Alabama, Birmingham. Dr DiClemente is now with the Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University, Atlanta, Ga.

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