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Tuesday, January 30, 2007
Janice Shaw Crouse :: Townhall.com Columnist
Teen Sex Leads to Depression and Drug Use
by Janice Shaw Crouse
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Researchers have long recognized that risky behavior and depression are linked for adolescents; prevailing theories assumed that depressed teens turned to drugs and sex for self-medication. Now there is solid evidence that teen girls who experiment with risky behaviors (i.e., sex and drugs) are more vulnerable to depression and that teen boys who engage in binge drinking and heavy marijuana use are prone to depression.

In an article published in the American Journal of Preventive Medicine, five authors from different departments (Psychology, Pediatrics, Maternal and Child Health, Research and Evaluation, and Internal Medicine) at The University of North Carolina at Chapel Hill (UNC-CH) explored whether “gender-specific patterns of substance use and sexual behavior precede and predict depression or vice versa.” The data for the UNC-CH study came from the National Longitudinal Study of Adolescent Health — well-known for the large sample size and longitudinal design that allows temporal ordering among a nationally representative sample of U.S. adolescents. Further, aspects of the UNC-CH findings were replicated in five other studies. The UNC-CH study, though, moved beyond previous ones by considering typical patterns found during adolescence and by examining gender differences.

The UNC-CH scholars found conclusively that sex and drug behavior predicted an increased likelihood of depression, but depression did not predict behavior. Among girls, both experimental and high-risk behaviors predicted depression. Among boys, only high-risk behavior increased the odds of later depression.

The message is clear: teens engaging in risky behavior are at risk for depression. No wonder teen depression is so widespread when almost half (47 percent) of high school students reported in 2003 (the number has dropped since then) that during the past month they had had intercourse, 45 percent reporting drinking alcohol and 22 percent reported that they had used marijuana. Almost one-third of the students said that their feelings of sadness and hopelessness had kept them from doing normal activities over the past year.

It is important to also note that only four percent of students who abstained from drugs and sex had a problem with either depression or suicide.

So much for the cultural mantra that “sex is no big deal” and that all we need to do for teens is provide them with condoms and teach them “safe sex” practices.

Not surprisingly, this is another study to report that girls are far more negatively affected by early sexual activity than are boys. Sadly, too, girls who are already engaging in other risky behaviors have increased odds of drug experimentation if they are depressed. Depressed girls who are abstinent, however, have decreased odds of engaging in any high-risk behavior.

So, why is the left so determined to continue the myth that teens are going to “do it anyway”; that they are captive to their hormones so we must provide them with “protection” and ignore everything else? Continued...

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About The Author
Janice Shaw Crouse is a former speechwriter for George H. W. Bush and now political commentator for the Concerned Women for America Legislative Action Committee.
 
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What about the results?
Studies have shown that while early adolescent sex is not predictive of depressive symptoms, it is likey to cause them. That is not to necessarily say that every single teenager that has sex will therefore be depressed, but it is important for parents to note that there is an increased likelihood of depression, based on this and dozens of other studies.
This study has shown that, among abstinent teens, depression did not increase the likelihood of engaging in experiemental behavior patterns, and it greatly lowered the likelihood of engaging in high-risk behavior patterns by the second wave. So if your kid is abstinent, depression is not likely to effect his or her chances of becoming sexually careless. The same study also noted that even modest involvement in sexual experimentation elevated depression risk. These are based on statistics between two waves of 13,500 teens, and the numbers cannot be denied.

Which behavior came first?
In response to the entry by Janice Crouse, it must be noted that the data for The University of North Carolina at Chapel Hill study, which claims that “sex and drug behavior predicted an increased likelihood of depression, but depression did not predict behavior,” came from the National Longitudinal Study of Adolescent Health. Longitudinal studies are correlational research studies, which indicate that no causal relationships can be detected because it is not a controlled experiment; it is merely observation. Therefore, there is not “solid evidence” claiming those who engage in risky behaviors like sex and drugs will become depressed. In contradiction to Crouse, the message is certainly not clear. Are teens who engage in risky behavior at risk for depression, as Crouse claims? Possibly. But isn’t it also possible that depressed teens are at risk for engaging in risky behavior? The relationship between the two is in fact, quite fuzzy. In addition, it is not sensible to state that it is a myth that teens are going to ‘do it anyway,’ referring to sex, because some teens most certainly will. Even if only a few teens ‘do it anyway,’ isn’t it vital that these teens know about safe-sex practices? It is true that contraceptive methods and the prevention of disease transmission is not entirely effective, however it is still important that teens be educated on theses issues in case they decide to buy into this so-called ‘myth.’ I agree that “we ought to be telling adolescents the truth…and make them aware of the possible consequences and risks that they are taking,” but part of this truth involves providing them with “condoms and teach[ing] them safe-sex practices,” which Crouse undermines. Adolescents will only be denied the truth if they are not given all resources and information regarding sex, the consequences that come of it, and safe-sex practices. Providing abstinence-only programs not only misguides adolescents to believe that abstinence is the only option, but by limiting sex education and “protection,” teens or even adults who do become sexually active may be uninformed and thus perpetuate the spread of disease and cause harm to others.
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