Bristol Palin, "arguably the most famous teen mother in America" (according to ABC), will make her acting debut on ABC Family's Secret Life of the American Teenager next season. She'll be playing herself - a teen mom - who meets the show's lead character, Amy Juergens, at a music program for teen moms. (Amy got pregnant during a one night encounter at band camp two summers ago). There is going to be a lot of snark about this - a) because the show is made for young teens (not snarky grownups) and can be a bit over the top when it comes to sex talk, b) because Bristol and her family have asked for privacy and being on TV isn't very private, and c) because Bristol is now an advocate for abstinence. In fact, the mean grrls at Jezebel are already on the case. As a mean girl (and Jez fan) myself, I expected nothing less.

But instead of being mean about it I'd like to applaud ABC Family for putting this show on the air in the first place, sticking with this storyline beyond Amy's first-season pregnancy, showing a glimpse of what teen parenthood might be like for an upper middle class girl in the leafy green suburbs of TV land, exploring in its own Secret-Life way how a single teen pregnancy affects not just the girl (and guy), but also their families, their friends, their worldviews and their futures, and for incorporating stories about sex that include gossip, regret, condoms, masturbation, waiting, and even helpful parental advice. The viewers love it.

Today the CDC released a report on the effectiveness of various approaches to teen pregnancy and HIV/STI prevention. The study was conducted by the Task Force on Community Preventative Services, an independent panel convened by the CDC. The report suggests that such prevention programs are most effective when they combine a clear message on the benefits of postponing sexual activity with medically accurate and comprehensive information on how to reduce the risks of pregnancy and STIs among teens who are having sex--including the use of contraception.

Most of the American public gets this. It's common sense. Yet, today's results are debated by many, with some saying they prove comprehensive sex ed programs work and abstinence education programs don't, and some saying the reverse. This debate arises in part because comprehensive sex ed and abstinence-only actually encompass many, many different programs, with varying levels of effectiveness behind them. The debate is fueled as much by ideology as it is by science and will likely continue for some time to come.

For those practitioners, educators and parents looking for a common-sense way forward in the meantime, I suggest focusing on specific programs rather than programmatic approaches. Some, but not all, comprehensive programs have rigorous evidence of positive impacts. These have been well-summarized. To date, none of the abstinence-only curricula have this level of evidence behind them, although that is not to say there may not be some in the future.

Efforts have their best chance of success if they stay grounded in science, whatever the state of the science is at the time. It's also important to realize that, while the reproductive health education we provide our teens in school is critical, no curriculum, regardless of its underlying ideology, is a silver bullet. Communities that truly care about preventing teen pregnancy need a comprehensive approach that includes not only schools, but also parents, community leaders, the media, and teens themselves.

I must admit that I have been a reluctant participant to blogging, but finally something caught my attention. Recently, I had two interactions with a shopping mall that revealed to me the younger generation's--albeit, misguided in my opinion--obsession with looking good. I am a child of the 60's, when mothers routinely reminded us to wear clean underwear and never to leave the house without a slip and girdle when wearing a dress. As an African-American, I was often told to be careful with the selection of the color of my lipstick, so that my lips would not be too pronounced. "The times they are a-changin'".

On September 17th, the journal Reproductive Health published an article, "Religiosity and teen birth rate in the United States," on the relationship between teen birth rates and "religiosity" (level of religious affiliation) by state. The study found that the states with the highest religiosity also had the highest teen birth rates, even when controlling for income and abortion rates (the study also found that high religiosity correlated with lower income levels and lower likelihood of abortion). Predictably in this contentious field, there are already some who question the overall analytic approach of the study.

Even so, the speculation of the study's authors that "conservative religious communities in the U.S. are more successful in discouraging use of contraception among their teen community members than in discouraging sexual intercourse itself" is worth contemplating. On a personal level (I'll leave the policy theorizing for Rachel Maddow), I've spoken to several of my colleagues from religious backgrounds about this study and they all echoed the theory offered by several blogs and articles--that teens from religious backgrounds are less likely than other teens to use contraception when they do have sex because they don't think it works, or because they feel that thinking about contraception would suggest premeditation and intention.

It was the weirdest "talk" we had ever had.

My mother had always been very open and honest with me when I had questions about sex and relationships, but this just took the cake. So what was this strange piece of unsolicited advice I received as we drove through my high school boyfriend's neighborhood?

"I know you really love him, but don't marry him. It's okay to have sex with him if you think that's the right thing to do."

Maybe she saw the gleam in my angst-y, seventeen-year-old eyes as we drove past his house on the way home from school that day. Maybe she remembered what it was like to be a teenager in love. Maybe she and her sisters had visited a spirit guide on their annual girls' night out earlier that year who told her that her youngest daughter would marry before the age of 20 (true story). Whatever it was - and I'm assuming it's probably a combination of all three of these factors - this was a message she delivered with the same urgency and conviction as the information she had been giving me about my body and birth control, the realities of raising kids, and all the other important stuff for my entire life.