{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:01:16Z","timestamp":1777896076898,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Linacre Q"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Since contraceptives have been used to remove fertility from the conjugal act, the social consequences predicted in the encyclical Humanae vitae, such as the rise in cohabitation, decline of marriage, rise of divorce, and single parenthood, have exceeded expectations. The degradation of the sexual act from total mutual self-giving to momentary union has led to doubting the significance of the biological truth of the body and opened the door to gender fluidity. Promiscuity became normative, and the need for consent became eroded until women revolted with the #MeToo movement. Promiscuity, cohabitation, and divorce have resulted in 40 percent of children born to unmarried parents whose tenuous unions often leave the children in melded and dysfunctional families. Relation-free \u201chookups\u201d have become the norm among young adults, leaving a flood of emotionally damaged women, an epidemic of sexually transmitted infections, and unplanned pregnancies, to which the healthcare industry has responded by doubling down on the means which caused the problem in the first place with near-coercive promotion of long-acting, reversible contraceptives (LARCs). LARCs must be inserted and removed professionally and make reproductive choice moot. Respecting the truth of the body is the precise counter measure. A woman\u2019s cyclic fertility is easily observed with reliable biomarkers\u2014natural family planning\u2014which requires the whole person. Fertility awareness\u2013based methods of family planning have no side effects, are easy to learn, and can be used to achieve as well as delay conception. The self-discovery inherent in learning fertility literacy has empowered adolescent girls and boys to understand and value their sexuality and fertility and avoid choosing harmful behaviors. Why does society continue to treat fertility as if it were a disease?<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Summary:<\/jats:title>\n                    <jats:p>Removing the idea of pregnancy from the sexual act as the result of readily available contraception has effectively limited choices about sexual behavior to the satisfaction of momentary desires. As Humanae vitae predicted, fewer marriages were contracted, divorce increased and now 40% of children are born out of wedlock despite extensive public education campaigns to promote contraception. Side effects of the hormonal pill have reduced their use so health care professionals have doubled down, providing long acting contraceptives which do not require the user to exercise choice before each act of intercourse, or of taking a pill. There is a much better way to regulate births\u2013to learn to read the book of nature. Fertility is not a disease to be removed from the body. All that is needed is to understand the natural signs of fertility\u2013natural family planning, now called FABM\u2013Fertility Awareness-Based Methods. These have no side effects, enhance couple communication and offer effective choice for child spacing and demonstrably support premarital chastity for teens.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0024363918817319","type":"journal-article","created":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T05:44:21Z","timestamp":1546494261000},"page":"322-326","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Rejecting\n                    <i>Humanae Vitae<\/i>\n                    : The Social Costs of Denying the Obvious"],"prefix":"10.1177","volume":"85","author":[{"given":"Hanna","family":"Klaus","sequence":"first","affiliation":[{"name":"Natural Family Planning Center of Washington DC, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,3]]},"reference":[{"key":"bibr1-0024363918817319","unstructured":"AAPLOG (American Association of Pro-Life Obstetricians and Gynecologists). 2018. \u201cStudies Linking Abortion to Preterm Birth, Adverse Mental Health Outcomes, and Breast Cancer.\u201d https:\/\/aaplog.org\/studies-linking-abortion-to-preterm-birth-adverse-mental-health-outcomes-and-breast-cancer\/. Accessed October 15, 2018. [Extensive appendices on all 3 topics.]"},{"key":"bibr2-0024363918817319","unstructured":"ACOG (American College of Obstetricians and Gynecologists). 2011. FACT Sheet. Adapted from World Health Organization (WHO) Department of Reproductive Health and Research, Johns Hopkins Bloomberg School of Public Health\/Center for Communication Programs (CCP). Knowledge for Health Project. Family Planning: A Global Handbook for Providers (2011 update). Baltimore, MD; Geneva, Switzerland: CCP and WHO; 2011; and Trussell J. Contraceptive failure in the United States.\n                      Contraception\n                      83:397\u2013404. www.acog.org."},{"key":"bibr3-0024363918817319","unstructured":"Castle Sarah, Askew Ian. 2015. \u201cContraceptive Discontinuation: Reasons, Challenges, and Solutions.\u201d http:\/\/www.familyplanning2020.org\/microsite\/contraceptive-discontinuation."},{"key":"bibr30-0024363918817319","first-page":"3","author":"Fagan Patrick F","year":"2009","journal-title":"Marriage and Religion Research Institute"},{"key":"bibr4-0024363918817319","volume-title":"Blurred Lines","author":"Gregorianis Patricia","year":"2018"},{"key":"bibr5-0024363918817319","volume-title":"Unprotected","author":"Grossman Miriam","year":"2017"},{"key":"bibr6-0024363918817319","first-page":"3","author":"Hruz Paul W.","year":"2017","journal-title":"The New Atlantis"},{"key":"bibr7-0024363918817319","doi-asserted-by":"publisher","DOI":"10.2307\/3097748"},{"issue":"4","key":"bibr8-0024363918817319","first-page":"244","volume":"43","author":"Klaus Hanna","year":"1976","journal-title":"Linacre Quarterly"},{"issue":"3","key":"bibr9-0024363918817319","first-page":"75","volume":"2015","author":"Klaus Hanna","year":"2015","journal-title":"Humanum Review"},{"key":"bibr10-0024363918817319","doi-asserted-by":"publisher","DOI":"10.1179\/2050854915Y.0000000009"},{"key":"bibr11-0024363918817319","doi-asserted-by":"publisher","DOI":"10.1016\/j.osfp.2012.09.002"},{"key":"bibr12-0024363918817319","unstructured":"National Center for Health Statistics and the Centers for Disease Control). 2010. \u201cMeasuring Childbearing Patterns in the United States.\u201d https:\/\/www.census.gov\/newsroom\/cspan\/childbearing\/20120817_cspan_childbearing_slides.pdf."},{"key":"bibr13-0024363918817319","volume-title":"Cheap Sex","author":"Regnerus Mark","year":"2017"},{"key":"bibr14-0024363918817319","first-page":"1154","volume":"73","author":"Skovlund C. W.","year":"2016","journal-title":"Journal of the American Medical Association Psychiatry"},{"key":"bibr15-0024363918817319","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2011.0144"}],"container-title":["The Linacre Quarterly"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0024363918817319","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0024363918817319","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0024363918817319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:15:41Z","timestamp":1777623341000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0024363918817319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1177\/0024363918817319"],"URL":"https:\/\/doi.org\/10.1177\/0024363918817319","relation":{},"ISSN":["0024-3639","2050-8549"],"issn-type":[{"value":"0024-3639","type":"print"},{"value":"2050-8549","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}