Aims

To support the free and open dissemination of research findings and information on alcoholism and alcohol-related problems. To encourage open access to peer-reviewed articles free for all to view.

For full versions of posted research articles readers are encouraged to email requests for "electronic reprints" (text file, PDF files, FAX copies) to the corresponding or lead author, who is highlighted in the posting.

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Tuesday, May 29, 2007

Alcohol, Drugs and Abortion
(1 Letter)
Published: May 25, 2007

To the Editor:

Atul Gawande’s May 19 column about abortion doesn’t mention a significant contributor to abortion: alcohol and drug abuse. Individuals, whether young teenagers or those in the 18-to-25 age group, in which abortions are concentrated, who are high on alcohol or other drugs like marijuana are likelier to have risky sex.

Most unplanned teenage pregnancy occurs when one or both parties are high at the time of conception.

Dr. Gawande rightly notes that parental engagement is key to reducing unintended pregnancy, but that engagement must also include sending children a clear message about the dangers of alcohol and drug abuse in this regard.

Joseph A. Califano Jr.
New York, May 21, 2007
The writer, the chairman and president of the National Center on Addiction and Substance Abuse at Columbia University, was secretary of health, education and welfare, 1977-79.

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