In “Explaining Recent Declines in Adolescent Pregnancy in the United States: The Contribution of Abstinence and Improved Contraceptive Use,” hereafter “Explaining Recent Declines,” researchers John S. Santelli, Laura Duberstein Lindberg, Lawrence B. Finer, and Susheela Singh discuss what led to the major decline in US adolescent pregnancy rates from 1995 to 2002. Working with the Guttmacher Institute, a reproductive health research organization, they found that the decline in US adolescent pregnancy rates between 1995 and 2002 was primarily due to improved contraceptive use. They published their article in 2007 after the US government had increased funding for abstinence-only education between 1998 and 2007. “Explaining Recent Declines” challenged US policies by asserting that there was minimal evidence to support abstinence-only sex education as the primary strategy to prevent adolescent pregnancy.

In 1902, editors of the medical journal Alkaloidal Clinic Wallace C. Abbott and William Francis Waugh published Sexual Hygiene, a book about normal sexual physiology and behavior in Chicago, Illinois. Though the book includes a collection of passages from other books, articles, speeches, and documents surrounding sexual physiology and behavior, it does not include text regarding sexual hygiene. Rather, the book contains a preface and twenty-eight chapters on topics including masturbation, incomplete or delayed intercourse, and impotence, meaning the inability for a female to achieve an orgasm or a male to achieve an erection. Though physicians and those who served as experts in the book used seemingly factual scientific evidence to back up their claims, later scientific understanding of male and female physiology disproved many of those assertions. Sexual Hygiene is an early US discussion of sex by medical authorities that provides examples of historical medical misconceptions about sexual practices, physiology, gender roles, and context for understanding reproductive medicine during the early 1900s.