When the Cellphone Teaches Sex Education

The special cellphone, set on vibrate, begins to whir. Throughout North Carolina, anonymous teenagers are texting questions to it about sex.

“If you take a shower before you have sex, are you less likely to get pregnant?” asks one.

Within 24 hours, each will receive a cautious, nonjudgmental reply, texted directly to their cellphones, from a nameless, faceless adult at the Adolescent Pregnancy Prevention Campaign of North Carolina, based in Durham.

The Birds and Bees Text Line, which the center started Feb. 1, directing its MySpace ads and fliers at North Carolinians ages 14 to 19, is among the latest efforts by health educators to reach teenagers through technology — sex ed on their turf.

Sex education in the classroom, say many epidemiologists and public health experts, is often ineffective or just insufficient. In many areas of the country, rates of teenage pregnancy and sexually transmitted diseases remain constant or are even rising. North Carolina — where schools must teach an abstinence-only curriculum — has the country’s ninth-highest teenage pregnancy rate. Since 2003, when the state’s pregnancy rate declined to a low of 61 per 1,000 girls ages 15 to 19, the rates have slowly been climbing. In 2007, that rate rose to 63 per 1,000 girls — 19,615 pregnancies.

In the last 15 years, school officials and politicians in many states rancorously debated whether sex-ed curriculums should mention contraception. Meanwhile, public health officials became alarmed about the fallout of risky adolescent sexual behavior and grappled with how to educate teenagers beyond the classroom.