Global Research Review of Comprehensive Sex-Education (CSE)

Re-Examining the Evidence for School-Based Comprehensive Sex Education: A Global Research Review

Link to Original Article: The Institute for Research and Evaluation

Irene H. Ericksen, M.S.* and Stan E. Weed, Ph.D.**

ABSTRACT

Purpose. To evaluate the global research on school-based comprehensive sex education (CSE) by applying rigorous and meaningful criteria to outcomes of credible studies in order to identify evidence of real program effectiveness.

Methods. The Researchers examined 120 studies of school-based sex education contained in the reviews of research sponsored by three authoritative agencies: the United Nations Educational, Scientific and Cultural Organization, the U.S. federal Teen Pregnancy Prevention Program, and the Centers for Disease Control and Prevention. Their reviews screened more than 600 studies and accepted only those that reached a threshold of adequate scientific rigor. These included 60 U.S. studies and 43 non-U.S. studies of school-based CSE plus 17 U.S. studies of school-based abstinence education (AE). The Researchers evaluated these studies for evidence of effectiveness using criteria grounded in the science of prevention research: sustained positive impact (at least 12 months post-program), on a key protective indicator (abstinence, condom use—especially consistent use, pregnancy, or STDs), for the main (targeted) teenage population, and without negative/harmful program effects.

Results. Worldwide, six out of 103 school-based CSE studies (U.S. and non-U.S. combined) showed main effects on a key protective indicator, sustained at least 12 months post-program, excluding programs that also had negative effects. Sixteen studies found harmful CSE impacts. Looking just at the U.S., of the 60 school-based CSE studies, three found sustained main effects on a key protective indicator (excluding programs with negative effects) and seven studies found harmful impact. For the 17 AE studies in the U.S., seven showed sustained protective main effects and one study showed harmful effects.

Conclusions. Some of the strongest, most current school-based CSE studies worldwide show very little evidence of real program effectiveness. In the U.S., the evidence, though limited, appeared somewhat better for abstinence education.

* Senior Research Analyst, The Institute for Research & Evaluation, Salt Lake City, Utah, U.S.A.
** Founder & Director, The Institute for Research & Evaluation, Salt Lake City, Utah, U.S.A.

Click HERE for a PDF file of the study, available for FREE download and distribution.

Short Videos on the Study Findings

https://vimeo.com/337241706
https://vimeo.com/337243836
https://vimeo.com/337244684
https://vimeo.com/337243313

Graphic Summary of the Study Findings

Dagga industry is successfully hooking our kids on today’s high potency dagga

New state-level data from the National Survey on Drug Use and Health, the most authoritative study on drug use conducted by the Substance Abuse and Mental Health Administration (SAMHSA), finds that marijuana use in “legal” states among youth, young adults, and the general population continued its climb. 

Dagga use rates in “legal” states continue to drastically outnumber the use of marijuana/dagga in states that have not legalized the drug. Highlights include:

  • Past-month marijuana use among young people aged 18-25 in “legal” states has increased 8 percent in the last year (30.94% versus 28.62%). Use in this age group is 50 percent higher in “legal” states than in non-legal states (30.94% versus 20.66%).
     
  • Past-month youth use (aged 12-17) in states with commercial sales continued its recent upward trend. Since last year, “legal” Washington experienced the largest surge in past month youth use with an 11 percent increase (9.94% versus 8.96%). Colorado experienced a four percent increase (9.39% versus 9.02%). 
     
  • Massachusetts overtook Colorado as the top-ranking state for overall first-time use, which is now number two.
     
  • Past-month youth use in “legal” states is 40% higher than in non-legal states (8.92% versus 6.26%). Past-year youth use in “legal” states is roughly 30% higher than in non-legal states (15.82% versus 12.10%).
     
  • First-time youth use in “legal” states is 30% higher than non-legal states (6.96% versus 5.38%)

“This data shows that the marijuana industry is achieving its goal of hooking our kids on today’s highly potent marijuana,” said Dr. Kevin Sabet, a former senior drug policy advisor to the Obama Administration. “As we learned just this week from the Monitoring the Future survey, the number of young people who perceive marijuana as being harmful is at a historic low. Given the recent data linking high potency marijuana with serious mental health issues, addiction, and future substance abuse, this is extremely concerning.

Download PDF version of the state-level data

Source Link: https://www.samhsa.gov/data/sites/default/files/reports/rpt23236/NSDUHsaeShortTermCHG2018_1/NSDUHsaeShortTermCHG2018.pdf

Start of Doctors For Life International Chikuluma clinic in Malawi – 2019

The process of registering Doctors For Life International’s clinic in Chikuluma Malawi started in 2017 already. The chiefs of this community gave land after DFL conducted a free medical and eye surgery campaign in this region. The need for a permanent health facility became clear and thus DFL started registration. The construction of the clinic was finalised in around October 2019.

DR DE VOS UPDATE

26 November 2019

The Disciplinary committee must give their decision (together with reasons) whether to dismiss counts 3 and 4, and give their reasons for not dismissing counts 1 and 2.

Until then, Dr de Vos is not in a position to decide whether to apply to the High Court for review.

The next hearing date is 09 December 2019 at the Southern Sun, Newlands, Cape Town.

For more information contact: Martus De Wet of De Wet Wepener Attorneys at 057 004 0004 / Email: [email protected]

Marijuana Vaping Outbreak — Not Just a Black Market Issue

By Colton Grace

• 86 percent of the cases of illness and at least 2 deaths in this marijuana vaping outbreak have been connected to THC oils.

• At a time when we are investigating the causes of this rash of deaths and illnesses connected to marijuana oils and vapes, all marijuana legalization efforts and THC vaping oil sales should pause.

• This is not a black-market issue, it is the result of allowing Big Marijuana – an addiction- for-profit drug industry backed by Big Tobacco and companies like Juul – to mass produce these oils and vapes, along with candies, gummies, and other dangerously potent forms of the drug.

• Big Tobacco, E-Cigarette and Vaping Companies and the Marijuana industry share many of the same investors. The industries are connected by billions in investments.

FAQs:

Is the Vaping Crisis a reason to legalize marijuana?

No. Many “licensed, regulated” pot shops are selling the vapes at the center of this crisis, such as a confirmed case in Delaware and a death in Oregon. This crisis is an indication that a legalized marijuana industry will be just as difficult to regulate and as detrimental to public health as the tobacco industry (which is now invested in marijuana). All legalization efforts should pause given this crisis only 6 years into recreational legalization in Colorado and Washington State.

What’s more, researchers are still quite unclear as to the culprit responsible for the illness and death. The only unifying factor in the majority of cases is the presence of THC, the psychoactive chemical in marijuana. As such, no amount of “regulation” or “testing” can guarantee these devices are safe to use. The CDC and the FDA seem to agree, as they have urged Americans to avoid using any marijuana vaping device

Is the vaping crisis exclusively a black-market problem?

No. The CDC and FDA are asking the public to stop using all THC vapes, whether from the black market or “licensed” pot shops. Many “licensed, regulated” pot shops are selling the vapes at the center of this crisis, such as a confirmed case in Delaware and a death in Oregon. A recent study out of Colorado found that in cheap marijuana vaping devices, a soldering material may leak harmful heavy metals into vaping liquids when heated. This backs up a recent study by the Mayo Clinic finding several lung tissue samples from victims of the illness feature what resemble chemical burns, similar to the effects of mustard gas.

Logically, cheap vaping devices make greater targets for diversion to the black market, given the possibility of a greater profit margin. We have long known that the legal market fuels the illegal market and it was recently discovered that a marijuana vaping device producer in Californiawas supplying devices that couldn’t pass inspections to the black market.

Facts:

• At least 37 people have died from severe respiratory complications associated with vaping. At least 1,888 cases have been reported across the United States.i

• 84 percent of the deaths investigated have been associated with THC.ii

• Two of the deaths have been connected to marijuana products, one of which was associated with marijuana oil purchased at a legal dispensary in Oregon.iii No other states have released information about the kinds of vapes that were linked to the deaths.

• Reports link marijuana vapes to 86 percent of the lung illnesses being reported in the wake of the vaping epidemic.iv

• Though the marijuana industry blames illicit vaporizers exclusively for using Vitamin E acetate, one source working within the industry, Andrew Jones of Mr. Extractor, has said that 60 to 70 percent of all vapes contain Vitamin E acetate. Even still, no health official has pointed to any individual cause.v

• New York state has issued subpoenas to several vape companies as the investigation mounts.vi

• Medical marijuana users in Maryland have reported symptoms consistent with the lung illnesses resulting from vaping.vii

• According to the CDC, 36 percent of the victims of the vaping-related illnesses are 20 years old or younger.viii

• A recent study showed adolescents who vaped were 3.5 times as likely to smoke marijuana.ix

• Since Monitoring the Future (MTF) first began recording vaping trends among young people in 2017, the survey has demonstrated significant increases among key demographics. In 2017, 1.6 percent of 8th graders, 4.3 percent of 10th graders, and 4.9 percent of 12th graders reported past-month marijuana vaping use. In 2018 the numbers increased to 2.6 percent, 7 percent, and 7.5 percent respectively.x

• The MTF notes that “the doubling from 5.2% in 2017 to 10.9% in 2018 of 30-day prevalence of vaping marijuana among college students is among the largest one-year proportion increases for any substance” in 40 years.xi

• In Arizona, a survey of 50,000 10th and 12th graders found that one quarter (25%) of teens were using has used highly potent marijuana concentrates at least once.

PDF version of this article: https://learnaboutsam.org/wp-content/uploads/2019/10/11-01TP.pdf

References:

https://www.cdc.gov/media/releases/2019/p1028-first-analysis-lung-injury-deaths.html

https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html

https://www.usatoday.com/story/news/health/2019/09/05/vaping-death-oregon-man-dies-thc-vape-%20dispensary/2218501001/

https://www.nejm.org/doi/full/10.1056/NEJMoa1911614

https://www.inverse.com/article/59207-vitamin-e-acetate-thc-vapes

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2748383

http://www.monitoringthefuture.org//pubs/monographs/mtf-vol2_2018.pdf

https://www.livescience.com/marijuana-concentrates-teen-use.html

WMA DECLARATION ON EUTHANASIA AND PHYSICIAN-ASSISTED SUICIDE

Adopted by the 70th WMA General Assembly, Tbilisi, Georgia, October 2019

The WMA reiterates its strong commitment to the principles of medical ethics and that utmost respect has to be maintained for human life. Therefore, the WMA is firmly opposed to euthanasia and physician-assisted suicide.

For the purpose of this declaration, euthanasia is defined as a physician deliberately administering a lethal substance or carrying out an intervention to cause the death of a patient with decision-making capacity at the patient’s own voluntary request. Physician-assisted suicide refers to cases in which, at the voluntary request of a patient with decision-making capacity, a physician deliberately enables a patient to end his or her own life by prescribing or providing medical substances with the intent to bring about death.

No physician should be forced to participate in euthanasia or assisted suicide, nor should any physician be obliged to make referral decisions to this end.

Separately, the physician who respects the basic right of the patient to decline medical treatment does not act unethically in forgoing or withholding unwanted care, even if respecting such a wish results in the death of the patient.

WMA DECLARATION ON EUTHANASIA

29 October 2019, DE VOS UPDATE:

The legal team for Dr De Vos argued that the case against him is a nullity and that it should be struck off the roll. Arguments continued until 16h30 and will continue today at 9h30.

Among other things, De Vos’ legal team argued that the charges are vague, the delay of almost three years is excessive, and that the HPCSA has not provided the prescribed information to De Vos’ legal team despite the ruling of the disciplinary committee on 27 August.

The HPCSA prosecutor argued that all information has been provided. This was disputed by De Vos’ legal team. Some additional information was then provided.

However, the committee must still rule on all the points raised by De Vos’ legal team.

Arguments will continue tomorrow at 9h30 at the Southern Sun Hotel, Newlands.

More more information contact Doctors For Life International at [email protected]

Angola Medical Outreaches

Photos from various medical outreaches to Angola by Doctors For Life

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Mozambique Medical Outreaches

Photos from various medical outreaches to Mozambique by Doctors For Life

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