ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2022
Increases in Student Knowledge and Protective Behaviors Following Enhanced Supports for Sexual Health Education in a Large, Urban School District.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Pornography use and its association with risk taking sexual behaviours among Irish adolescents.Public health in practice (Oxford, England) · 2026Article
- School-based interventions for sexual education and sexual violence prevention in adolescence: systematic review.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026Review
- HIV knowledge, sexual attitudes, and PrEP-Eligible behaviors among college students in Southwest China: a cross-sectional study.BMC infectious diseases · 2024Article
- Sexual-Related Knowledge, School and Family Sexuality Education and Its Association with Experience of Sexual Intercourse among Vocational Secondary School Students in China.Children (Basel, Switzerland) · 2022Article
- The CDC's Division of Adolescent and School Health Approach to Sexual Health Education in Schools: 3 Decades in Review.The Journal of school health · 2022Review
- Prospects of e-Coaching as a Platform for Empowering Families of Person With Mental Disorder: A Qualitative Study.SAGE open nursingArticle
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8 authors.
Funding
Abstract
purposeSchool-based sexual health education (SHE) can teach students critical knowledge and skills. For effective SHE, school districts can offer support, including strong curricula and professional development. This study assessed changes in students' sexual health knowledge and sexual behaviors following implementation of enhanced support for SHE delivery in one school district.
methodsSexual health knowledge was assessed at the beginning and end of middle and high school health education classes in a large, urban district (n = 7,555 students). Sexual behaviors were assessed using Youth Risk Behavior Survey data from the district (2015 and 2017) and state (2017). Analyses explored differences in behavior from 2015 (n = 2,596) to 2017 (n = 3,371) among intervention district students and compared intervention district students (n = 3,371) to other students in the same state (n = 1,978).
resultsHierarchical linear model regression analyses revealed significant knowledge gains among students. Logistic regression results revealed that among students in the intervention district, 6 of 16 examined behaviors moved in the intended direction from 2015 to 2017; 1 moved in the unintended direction. Logistic regression results of 2017 data revealed that in comparison of intervention district students to other students in the state, intervention district students had significantly higher odds of reporting condom use at last sex (adjusted odds ratio [AOR] = 1.36, 95% confidence interval [CI] = 1.07-1.72) and significantly lower odds of reporting having had sex with 4+ persons (AOR = .72, 95% CI = .55-.94) or alcohol or drug use before last sex (AOR = .63, 95% CI = .42-.94).
conclusionsFindings suggest potential effects of the district's SHE in increasing knowledge and improving behaviors and experiences among youth.
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