American teen programs

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Enter the terms you wish to search for. 19 had received formal instruction about STDs, HIV and AIDS or how to say no to sex. 2013, there were significant declines in adolescent females’ reports of having received formal instruction about birth control, STDs, HIV and AIDs, and saying no to sex. There was also a significant decline in adolescent males’ reports of having received formal instruction about birth control. Declines in formal sex education were concentrated among young people residing in rural areas. 19 reported having received formal instruction about how to use a condom. 21 reported that their health classes had included positive representations of LGBT-related topics.

There has been a shift toward evidence-based interventions in the United States over the last few decades. The first dedicated federal funding stream for evaluation of adolescent sexual health programs was established in 2010 and has contributed to improvement in the quality and quantity of evaluation research. Strong evidence suggests that approaches to sex education that include information about both contraception and abstinence help young people to delay sex, and also to have healthy relationships and avoid STDs and unintended pregnancies when they do become sexually active. Many of these programs have resulted in delayed sexual debut, reduced frequency of sex and number of sexual partners, increased condom or contraceptive use, or reduced sexual risk-taking. The federal government currently provides funding to evaluate new and innovative adolescent pregnancy prevention approaches, both in and out of school, as well as to replicate existing programs. 13 Evaluations of programs funded under this initiative have shown that roughly one in three had a positive impact—a larger proportion than typically found in evaluation efforts of this nature.

They systematically ignore or stigmatize many young people and do not meet their health needs. Abstinence-only-until-marriage programs threaten fundamental human rights by withholding information about human sexuality and potentially providing medically inaccurate and stigmatizing information. Research finds that programs that promote abstinence until marriage while withholding information about contraceptive methods do not stop or even delay sex. 17,18 Moreover, abstinence-only-until-marriage programs can actually place young people at increased risk of pregnancy and STIs. A large body of research has found no evidence that providing young people with sexual and reproductive health information and education results in increased sexual risk-taking. Most evaluations of sexual health programs focus on reducing levels of adolescent pregnancy, STIs and the behaviors that lead to them. But the broader goal of comprehensive sex education is to support young people’s development into sexually healthy adults.

16 topics that the CDC considers essential to sexual health education. Among schools requiring instruction about pregnancy prevention in 2014, the average class time spent on this topic annually was 4. 2 hours in high schools and 2. The share of schools providing sexual health education declined between 2000 and 2014, across topics ranging from puberty and abstinence to how to use a condom. Other SOURCES OF SEXUAL HEALTH information Adolescents may receive information about sexual health topics from a range of sources beyond formal instruction. Here we consider the role of parents, health care providers and digital media as potential sources of sexual health information for adolescents. 19 reported having talked with a parent about at least one of six sex education topics: how to say no to sex, methods of birth control, STDs, where to get birth control, how to prevent HIV infection and how to use a condom.

2013, the share of adolescents who had talked with parents about most sex education topics did not change. Although most parents provide information about contraception or other sexual health topics, their knowledge of these topics may be inaccurate or incomplete. Both the American Medical Association and the American Academy of Pediatrics recommend that adolescents’ primary care visits include time alone with health care providers to discuss sexuality and receive counseling about sexual behavior. 2015 that they spent time alone with a doctor or other health care provider during their most recent visit in the previous year. Many health care providers do not talk with their adolescent patients about sexual health issues during primary care visits. 17 lasted an average of 36 seconds.

Many adolescents feel uncomfortable talking with their health care provider about sexual health issues, and many providers also have concerns about discussing these issues. Concerns about confidentiality limit access to sexual and reproductive health care, especially when young people rely on their parents’ health insurance. 19 covered by their parents’ insurance reported that they would not seek sexual or reproductive health care because of concerns that their parents might find out. 17 who had ever had sex, those who reported concerns about confidentiality were one-third as likely to have received a contraceptive service in the previous year than those who did not have these concerns.

Many young people fall through the information cracks. Access to the Internet is nearly universal among adolescents in the United States. Digital media offer opportunities for youth to confidentially search for information on sensitive topics, and thus are a likely source of sexual health information for young people. Online sources may be particularly important for LGBTQ adolescents, whose needs may be left out of traditional sex education. 35 The confidentiality of the Internet may also be particularly attractive for these adolescents, who may not be comfortable discussing sexual health topics with parents or friends.