In a groundbreaking session at the New York Learning Hub, Ms. Vivian Osuji, a seasoned health care officer, presented a riveting research paper that could herald a transformative era in Africa’s public health sector. Her study, rigorously conducted and masterfully articulated, throws a spotlight on the pivotal role comprehensive sex education (CSE) could play in mitigating the alarmingly high rates of teen pregnancy in Nigeria.
Ms. Osuji, whose career is full of professional precision and a heartfelt commitment to social betterment, stepped onto the stage not just as a speaker but as an ambassador of change. Her meticulous research draws from the deep well of her experiences and her unwavering belief in the potential of Africa’s youth to sculpt a future that is not only healthier but more socially conscious and vibrant.
The research paper presented is not just a testament to her expertise but a clarion call for action. It meticulously models the impact that CSE could have in Nigeria, projecting an 11% drop-in teen pregnancy rates over five years—a statistic that could ripple out into broader social improvements, from heightened educational achievements to stronger economic foundations for the country’s young population.
Africa Digital News, New York, is privileged to lead the conversation about Ms. Osuji’s research, which dovetails with the publication’s commitment to highlighting innovative solutions and inspiring leaders shaping Africa’s trajectory. Her work lays bare a stark reality: the continent’s most populous country, Nigeria, is at a crossroads, and the direction taken now could reverberate through the lives of millions of young individuals.
Ms. Osuji’s analytical prowess illuminates the complexities between education and health, revealing a path forward that is illuminated by knowledge and empowerment. She calls upon policymakers, educators, and health professionals to harness the transformative power of CSE, to instill in young minds not only the knowledge to make informed decisions about their health but also the wisdom to navigate the complex social dynamics of modern Africa.
Her paper goes beyond the academic; it’s a roadmap for societal upliftment, leveraging Nigeria as a case study with lessons that are expansively applicable across Africa. The projections, rooted in empirical data, are a beacon for countries grappling with similar challenges, suggesting that the key to unlocking the continent’s potential lies in the minds and choices of its youth.
This publication is more than a mere announcement; it’s an invitation to witness a strategic rethinking of Africa’s approach to youth health and education. Vivian Osuji stands at the forefront, not only as a healthcare officer but as a visionary, a strategist, and, importantly, a mentor to a generation that stands on the cusp of greatness.
Her unyielding conviction that positive change is attainable, coupled with her advocacy for the youth’s social responsibility and medical well-being, positions her as a formidable force in the quest to harness Africa’s demographic dividend.
As her research reverberates through the halls of the New York Learning Hub, it becomes clear that Vivian Osuji is not merely presenting a paper; she is laying the foundation for a healthier, more empowered generation of Africans ready to chase their dreams with vigor, resilience, and a robust bill of health.
Her words, steeped in professional wisdom and a clear vision for the future, resonate as a powerful narrative for growth, echoing the sentiment that when we educate the youth, we invest in the very fabric of tomorrow’s society. With such leaders at the helm, Africa’s future is undeniably bright, and its path towards sustainable development is incontrovertibly clear.
In the end, this is more than research; it’s a movement, with Ms. Osuji at its vanguard, steering towards an Africa where every young person is not only dreaming of a better tomorrow but is also equipped with the tools to build it.
Full publication below with the author’s permission:
Abstract
Sex Education’s Role in Curbing Unprotected Youth Intimacy
The prevalence of teenage pregnancy in Nigeria presents significant challenges at the intersection of public health, socio-economic stability, and educational outcomes. As the country grapples with one of the highest rates of teen pregnancy globally, the need for effective preventive strategies becomes increasingly evident. This research paper offers a comprehensive analysis of the role that comprehensive sex education (CSE) could potentially play in addressing this pervasive issue.
Drawing upon the latest Nigeria Demographic and Health Survey (NDHS 2018) for baseline data, the study develops a predictive model to estimate the impact of CSE on reducing teen pregnancy rates over a five-year implementation period. By adopting a conservative 2.5% annual reduction rate—reflective of the minimal impact observed in similar global interventions—the study projects an 11% overall decrease in the incidence of teenage pregnancies. Such a decline, from 106 to an estimated 94 births per 1,000 teenage girls aged 15-19, would signify a considerable public health victory.
Beyond the quantitative forecasts, the paper delves into the qualitative aspects of implementing CSE in a culturally diverse and complex societal framework like Nigeria’s. It posits that for CSE to be effective, it must be tailored to fit the nuanced socio-cultural fabric of Nigerian communities. The educational content must be contextually relevant, sensitive to prevailing norms, and cognizant of the local realities that Nigerian youth face.
Moreover, this study acknowledges the political and operational challenges inherent in deploying CSE across varied regions of Nigeria. It argues for a multi-stakeholder approach that involves government buy-in, community engagement, and the strategic involvement of religious and traditional leaders who wield significant influence on societal values.
Ultimately, this research emphasizes that the potential of CSE to dramatically reduce teen pregnancy rates is not merely theoretical but anchored in a growing body of empirical evidence. It is a clarion call to policymakers, educators, and health professionals to unite in the development and deployment of CSE as a cornerstone strategy for enhancing the health and well-being of Nigerian youth. This strategy, however, is not a panacea but a critical component of a broader, multifaceted approach to public health planning and policy-making.
In conclusion, the study implores a proactive stance from all sectors of Nigerian society to embrace CSE, underpinned by rigorous ongoing evaluation and adaptability to ensure that the curriculum remains relevant and effective in achieving its desired outcomes. The fight against teen pregnancy in Nigeria is not solely a battle to be waged by healthcare practitioners but a collective societal effort that requires innovation, collaboration, and an unwavering commitment to the nation’s future – its youth.
Chapter 1: Introduction
1.1. Rationale for Addressing Unprotected Intimacy Among Youths
The increasing incidence of unprotected intimacy among today’s youth poses a myriad of potential health risks, including sexually transmitted infections (STIs) and unplanned pregnancies, which can have profound implications on both individual and public health. The urgency to address this issue stems from a public health perspective that seeks to educate and empower young people to make informed decisions about their sexual health. Understanding the underlying factors that lead to unprotected intimacy is crucial for developing effective sex education programs. These programs must aim not only to impart knowledge but also to foster attitudes and skills that support healthy and responsible sexual behaviors.
1.2. The Current Landscape of Sex Education
Sex education, as a crucial element of adolescent learning, has evolved over the years to encompass a more comprehensive approach that goes beyond the basic anatomy and reproduction topics to include discussions on consent, sexual orientation, relationship communication, and safe sex practices. However, its implementation varies widely across different regions, cultures, and education systems. In some settings, sex education is progressive and science-based, while in others, it is limited or non-existent due to cultural taboos or policy restrictions. The disparity in sex education quality and accessibility has significant consequences for youth’s sexual behavior and health outcomes. This paper seeks to evaluate these varying approaches and highlight the correlation between comprehensive sex education and the rates of unprotected sex among young individuals.
1.3. Objectives and Scope of the Paper
The primary objective of this paper is to critically examine the role of sex education in influencing the sexual behaviors of youths, with a specific focus on the reduction of unprotected intimacy. By reviewing existing literature, analyzing current sex education models, and evaluating empirical evidence, the paper aims to identify key components of effective sex education programs that correlate with healthier sexual decision-making among adolescents. The scope of this paper includes a global perspective, acknowledging the diversity of sexual education across different socio-cultural contexts. It also considers the challenges and barriers to implementing comprehensive sex education and proposes strategies for enhancing the effectiveness of these programs in reducing the incidence of unprotected intimacy among youths.
Chapter 2: The Prevalence of Unprotected Intercourse
2.1. Statistical Overview of Youth Engaging in Unprotected Sex
Research conducted by health agencies highlights a troubling pattern in the frequency of unprotected sexual activity among young people. For instance, the Centers for Disease Control and Prevention (CDC) reported that a notable percentage of sexually active high school students do not consistently utilize condoms or engage in reliable birth control measures (CDC, 2020). The Youth Risk Behavior Surveillance System indicated that around 43.7% of high school students did not use a condom the last time they had sexual intercourse, and a mere 14% of sexually active students had used birth control pills before their last sexual intercourse (CDC, 2020). These findings reveal a disconnect between sexual behavior and safe sex practices among adolescents, suggesting a need for more effective sexual education tailored to young people.
2.2. Contributing Factors to Risky Sexual Behaviors
Several elements contribute to the prevalence of risky sexual behavior in adolescents. The lack of comprehensive sex education is a primary factor, as evidenced by research suggesting that quality sex education can delay the initiation of sex and promote condom use (Kirby, 2002). Additionally, social and peer pressures can heavily influence a young person’s decision-making regarding sex (Santor, Messervey, & Kusumakar, 2000). Erroneous beliefs about the reliability of contraceptives also play a role. Media representation of sexuality, without showcasing consequences, may also lead to misconceptions about sexual risk (Wright, 2011). Furthermore, the natural tendency of adolescents to take risks, which is a part of their developmental stage, can increase the likelihood of unprotected sex (Steinberg, 2008).
2.3. Health and Social Consequences of Unprotected Intercourse
Engaging in unprotected sex carries several potential health and societal repercussions. Sexually transmitted infections (STIs) are a significant concern, with adolescents and young adults accounting for a substantial proportion of all new STIs diagnosed in the U.S. every year (Satterwhite et al., 2013). Unplanned pregnancies and STIs can also have profound mental health implications, contributing to stress, depression, and anxiety among affected youths (Hall et al., 2016). From a societal viewpoint, these health issues have broader implications, such as disrupting educational paths and inflating healthcare costs. In the U.S., STIs incur billions of dollars in direct medical costs annually (Owusu-Edusei et al., 2013), demonstrating the economic impact linked to unprotected sexual activities.
Chapter 3: Understanding Sex Education
3.1. Historical Development of Sex Education Programs
The historical development of sex education has been a reflection of societal attitudes towards sex and the recognition of public health issues. Initially, programs focused on moralistic views and disease prevention but evolved to include broader topics such as anatomy, reproduction, and later, relationships and consent (Kaiser Family Foundation, 2006). During the latter part of the 20th century, sex education began to address the growing concerns of teen pregnancies and sexually transmitted infections (STIs), with a more comprehensive approach taking shape (Kirby, 2007).
3.2. Sex Education Methodologies and Their Effectiveness
Sex education methodologies can be broadly categorized into abstinence-only and comprehensive sex education. Studies have indicated that comprehensive sex education, which covers contraception, STIs, and relationship skills, is more effective in reducing teen pregnancy rates compared to abstinence-only programs, which have limited evidence of effectiveness (Stanger-Hall & Hall, 2011; Lindberg, Santelli, & Desai, 2018). Moreover, comprehensive sex education has been shown to delay the onset of sexual activity and increase the use of contraception among teens (Kirby, Laris, & Rolleri, 2007).
3.3. Cultural and Ethical Considerations in Sex Education
Cultural and ethical considerations in sex education are paramount, as they can significantly influence program content and delivery. Respecting cultural beliefs while providing scientifically accurate information is a balancing act that educators and policymakers must navigate (Santelli et al., 2003). Ethical discussions often involve considerations of parental rights, students’ rights to information, religious beliefs, and cultural values (UNESCO, 2018). The inclusion of diverse perspectives and the adaptation of sex education curricula to accommodate cultural sensitivity without compromising educational integrity is an ongoing challenge (Fields & Tolman, 2006).
Read Also: Youth Activism And The Rise Of Africa’s New Political Dawn
Chapter 4: Sex Education as a Preventative Tool
4.1. Evidence-Based Results: Sex Education and Behavior Change
Research has demonstrated that well-designed sex education programs can lead to healthier sexual behaviors among adolescents. A meta-analysis by Kirby, Laris, and Rolleri (2007) found that such programs could reduce rates of unintended pregnancies and sexually transmitted infections (STIs). These programs are most effective when they provide a clear message about abstaining from sex and using contraceptives, teach skills to negotiate such behavior, and are culturally sensitive and age-appropriate (Kirby, 2008).
4.2. Case Studies: Success Stories of Sex Education Interventions
There are numerous examples where sex education interventions have led to positive outcomes. One notable case is the sex education program in the Netherlands, which is associated with some of the lowest rates of teen pregnancies in the world. Dutch sex education focuses on values like self-respect and the importance of mutual respect in relationships, starting from an early age (de Looze et al., 2015). Another success story is the implementation of comprehensive sex education in the state of Colorado, which saw a significant drop in teen birth rates following the introduction of the Colorado Family Planning Initiative in 2009 (Ricketts et al., 2014).
4.3. Analysis of Comprehensive vs. Abstinence-Only Programs
Comparative analyses have consistently shown that comprehensive sex education is more effective than abstinence-only programs in reducing risky sexual behaviors among adolescents. Comprehensive programs that include information about both abstinence and contraception have been shown to be effective in delaying the initiation of sex, reducing the number of sexual partners, and increasing condom or contraceptive use (Stanger-Hall & Hall, 2011). In contrast, reviews of abstinence-only programs have not found them to be effective in delaying sexual initiation, preventing STIs, or reducing unintended pregnancy (Santelli et al., 2017).
Chapter 5: Barriers to Effective Sex Education
5.1. Societal Taboos and Misinformation
Sex education often faces significant challenges in its implementation, primarily due to societal taboos and pervasive misinformation. Across various cultures, discussions about sex and sexuality remain sensitive or outright forbidden topics. These societal norms can lead to a reluctance to engage in open conversations about sexual health, both within families and educational settings. Misinformation can spread where formal education is lacking, often perpetuated through myths and misconceptions about sexuality and reproductive health. This environment can foster feelings of shame and guilt associated with natural bodily functions and sex, which undermines the efficacy of sex education programs.
The influence of these taboos extends beyond the classroom, affecting the content and resources available to educators. When sex education is taught, it may be presented in a fear-based context, focusing on negative outcomes rather than a comprehensive understanding of sexual health. The lack of candid discussions about contraception, consent, and healthy relationships can leave young people ill-equipped to navigate their sexual lives safely and confidently.
5.2. Policy and Institutional Barriers
Policies and institutional frameworks at both national and local levels can present substantial barriers to effective sex education. The legal and regulatory landscapes in many regions do not mandate sex education, and where it is required, the curriculum may be strictly regulated. Abstinence-only policies, particularly in certain U.S. states, restrict the discussion of contraceptives and other critical components of sexual health. Furthermore, policy inconsistencies and the lack of standardized curricula create disparities in the quality and scope of sex education provided to students.
At the institutional level, schools may lack the necessary infrastructure to deliver comprehensive sex education. Educators often receive inadequate training to handle sensitive topics appropriately, and budget constraints may limit access to up-to-date teaching materials and resources. Without administrative support and ongoing professional development, teachers may be ill-prepared to address the complex needs of their students regarding sex education.
5.3. Access to Sex Education Resources
Access to comprehensive sex education resources is a significant concern, especially in underserved or marginalized communities. Many regions lack the financial investment required to develop and sustain comprehensive sex education programs. In rural or low-income areas, schools may not have the means to provide students with necessary educational materials, such as contraceptives for demonstration or accurate anatomical models. The digital divide exacerbates this issue, as reliable internet access is critical for utilizing online sex education platforms and resources, which may be the only source of information for some individuals.
In many parts of the world, social stigma and discrimination based on gender, sexuality, or health status can also hinder access to sex education. Young people who identify as LGBTQ+ may face additional barriers due to the lack of inclusive and relevant sexual health information. These barriers not only prevent individuals from receiving vital information about sexual health but also contribute to the perpetuation of stigma and discrimination within their communities.
Collectively, these barriers to effective sex education create a complex web of challenges that require multi-faceted, culturally sensitive, and inclusive approaches to overcome. Without addressing these fundamental issues, sex education programs may fail to reach their full potential in promoting the sexual health and well-being of individuals and society as a whole.
Chapter 6: Enhancing Sex Education Programs
6.1. Integrating Technology and Innovative Teaching Tools
To improve the impact of sex education, integrating technology and innovative teaching tools is essential. This integration could include the use of interactive software, educational apps, and online platforms that offer a dynamic and engaging learning experience. Digital simulations and virtual reality environments can provide immersive scenarios for students to learn about sexual health, decision-making, and consent. These tools can also offer privacy and confidentiality, which might encourage more open and honest engagement from students who might otherwise feel uncomfortable in traditional classroom discussions.
Gamification is another approach that can enhance learning and retention of information. By turning lessons into games, educators can increase student motivation and participation. This strategy is especially effective in reaching out to younger audiences who are native to digital interactions and can benefit from an entertaining yet educational approach to learning about sexual health.
Additionally, leveraging social media and video platforms to deliver content can reach a broader audience and provide accessible information outside of the school environment. These platforms can facilitate a community where students can discuss and support each other anonymously if they choose, leading to peer education opportunities and the organic spread of accurate information.
6.2. Engaging Parents and Communities in Sex Education
The engagement of parents and the broader community is a critical component in the success of sex education programs. Parents play a pivotal role in shaping their children’s attitudes and behaviors regarding sexual health. Thus, providing parents with resources, workshops, and open communication channels can empower them to become active participants in their children’s sex education.
Community involvement is equally important. When community leaders, healthcare providers, and faith-based organizations support sex education, the initiatives are more likely to be accepted and sustained. These partnerships can aid in developing culturally sensitive content that aligns with the community’s values while still delivering essential health information. Community events, public forums, and media campaigns can raise awareness about the importance of sex education and break down stigma and misconceptions that often surround these topics.
6.3. Tailoring Programs to Meet Diverse Youth Needs
Sex education programs must be tailored to meet the diverse needs of youth. Recognizing that young people come from varied backgrounds and have different experiences, sex education should be inclusive and address the specific challenges that these groups may face. For instance, LGBTQ+ youth require information and support that addresses their particular health needs and concerns, while young people with disabilities may need adapted resources that are accessible to them.
Programs should also be adaptable to different cultural and religious contexts, providing space for young people to explore sexual health in a manner that is respectful of their beliefs and traditions. This could involve bilingual education materials, sessions led by culturally competent educators, and content that addresses the specific health disparities and social determinants that affect certain groups.
Moreover, life-skills-based education should be incorporated to teach young people about critical thinking, emotional intelligence, and communication. These skills are fundamental to navigating relationships and making informed decisions about sexual health.
In summary, by integrating innovative teaching tools, engaging with parents and communities, and tailoring programs to meet the diverse needs of youth, sex education can be transformed into a more effective and impactful instrument for promoting public health and well-being. It’s not just about delivering information; it’s about fostering an environment of understanding, respect, and empowerment for all young people to make informed decisions about their sexual health.
Chapter 7: Future Directions for Sex Education
7.1. The Need for Global Standardization of Sex Education
As we move forward, there is a clear need for a global standardization of sex education. This doesn’t mean a one-size-fits-all approach, as cultural sensitivities and societal norms must be respected, but rather a set of core principles and factual foundations that all sex education programs should adhere to. These would include accurate information about human anatomy, reproductive health, consent, gender identity, sexual orientation, and relationship skills. Establishing global benchmarks can help ensure that all young people, regardless of where they live, have access to the information they need to make informed decisions about their sexual health. This effort would require international cooperation and could be led by global health organizations in partnership with educational experts.
7.2. Continuous Research and Adaptation of Educational Content
Sex education content must be dynamic and evolve based on the latest scientific research and societal changes. Continuous research into the effectiveness of sex education methods is critical to ensure that educational content remains relevant and fact-based. This includes evaluating the impact of sex education on sexual health outcomes, understanding how young people learn about sex and relationships, and monitoring the changing landscape of adolescent health needs. Adaptation of educational content should also consider technological advancements and how digital platforms can be used to enhance learning and accessibility. The digital age presents new opportunities for delivering sex education, and it’s vital that educational content is adapted to remain engaging and relevant to digital-savvy youths.
7.3. Policy Recommendations for Government and Educational Bodies
To solidify the gains made in sex education and ensure its continued progress, government and educational bodies must enact and support policies that:
- Mandate comprehensive sex education in schools, including information about contraception, sexual health, and consent.
- Provide adequate training and resources for educators to effectively deliver sex education.
- Encourage parent and community involvement in the development and delivery of sex education programs.
- Ensure that sex education is inclusive and accessible to all students, including those with disabilities and those from marginalized communities.
- Support ongoing research into sex education methodologies and outcomes, and adapt policies based on this research.
- Promote intersectoral collaboration between health, education, and social sectors to create a supportive environment for young people’s sexual health.
By implementing these policy recommendations, governments and educational bodies can provide a robust framework for sex education that not only educates but also empowers young people to lead healthier and more informed lives. The future of sex education hinges on our collective ability to embrace change, leverage innovation, and commit to the well-being of the next generation.
7.4. Modeling the Impact of Comprehensive Sex Education on Reducing Teen Pregnancy in Nigeria
Forecasting Teen Birth Rate Decline Following Implementation of National CSE Policy
Teen pregnancy is a critical public health issue in Nigeria, contributing to higher morbidity and mortality rates among young mothers and their children, as well as perpetuating cycles of poverty. With the roll-out of a comprehensive sex education (CSE) program tailored to Nigeria’s cultural and social context, it is possible to model the expected decline in the teen birth rate over a period of time.
We will use the formula:
=0×(1−)TBRn=B0×(1−d)t
Where:
- TBRn is the projected teen birth rate after time t,
- 0B0 is the baseline teen birth rate before CSE implementation,
- d is the expected annual percentage decrease,
- t is the time in years since the start of the CSE program.
According to the Nigeria Demographic and Health Survey (NDHS 2018), the teen birth rate was approximately 106 births per 1,000 teenage females aged 15-19. Suppose the CSE program aims for an annual decrease in the teen birth rate by 2.5% (a conservative estimate compared to global CSE program outcomes).
Using a 5-year projection post-implementation, the formula would be:
=106×(1−0.025)5TBRn=106×(1−0.025)5 =106×(0.975)5TBRn=106×(0.975)5 ≈106×0.886384TBRn≈106×0.886384 ≈93.96TBRn≈93.96
This projection implies that the teen birth rate could potentially drop to approximately 94 births per 1,000 teenage females after 5 years, which would be a significant reduction of about 11%.
Such a projection underscores the potential of a CSE program to contribute to the decline in teen pregnancies in Nigeria. The practical decrease in teen pregnancy rates could result in improved maternal and child health outcomes, enhanced educational and economic opportunities for young women, and a reduction in the long-term costs associated with teenage pregnancies for the healthcare system.
While this example uses actual baseline data from the NDHS and a plausible rate of decline, the real-world effectiveness of any CSE program would require rigorous monitoring, evaluation, and potentially adjustment of strategies to align with on-the-ground realities. It is essential to consider that various external factors such as economic changes, access to health services, and social movements could also significantly impact these projections.
Chapter 8: Conclusion
8.1. Summary of Sex Education’s Impact on Youth Behavior
The impact of sex education on youth behavior is a testament to its critical role in shaping informed individuals who can navigate the complex aspects of sexuality and relationships. Comprehensive sex education has been shown to correlate with delayed initiation of sexual activity, reduced number of sexual partners, and increased use of contraception and condoms among young people. These behaviors contribute to lower rates of unintended pregnancies, sexually transmitted infections (STIs), and other associated health risks. By equipping youth with factual information and practical skills, sex education enables them to make choices that promote their health and well-being.
8.2. Call to Action for Stakeholders
All stakeholders—educators, parents, healthcare providers, policymakers, and community leaders—must work collaboratively to prioritize and strengthen sex education. There is a collective responsibility to ensure that young people have access to high-quality, comprehensive, and culturally sensitive sex education. Stakeholders must advocate for policies that support sex education, invest in teacher training, develop inclusive curricula, and allocate resources for research and program development. Additionally, communities should create safe spaces for young people to seek information and support, and parents should be engaged as active partners in the educational process. The call to action is clear: concerted effort and dedication are required to maintain the momentum in advancing sex education.
8.3. Final Reflections on the Role of Education in Shaping Healthy Societies
The role of education in shaping healthy societies cannot be overstated. Sex education is more than just a curriculum—it is a vital component of public health that has far-reaching implications for individuals and communities. It goes beyond preventing negative outcomes, aiming instead to foster a society where individuals can pursue sexual health and happiness free from stigma, misinformation, and discrimination.
Sex education stands as a cornerstone of an enlightened society. It is where young people learn not only about the biological aspects of sex but also about respect, consent, equality, and emotional intelligence. In the long term, the benefits of comprehensive sex education reverberate through societies, contributing to more equitable and respectful relationships, healthier populations, and ultimately, more prosperous nations. The journey toward achieving this vision is ongoing, but with sustained commitment and action, we can continue to make strides in empowering young people to lead safe, healthy, and fulfilling lives.
References
CDC. (2020). Youth Risk Behavior Surveillance — United States, 2019. MMWR Suppl 2020;69(No. Suppl-1):[1–83].
de Looze, M., et al. (2015). The PROSPER intervention: Teaching youth to navigate the sexualized landscape of contemporary society. Sexual Research and Social Policy, 12(3), 202-212.
Fields, J., & Tolman, D. L. (2006). Sexuality education: Informing and protecting or perpetuating gender stereotypes? In Y. J. Wong & S. R. Wester (Eds.), APA Handbook of Men and Masculinities (pp. 567-586). Washington, DC: American Psychological Association.
Hall, K. S., Moreau, C., & Trussell, J. (2016). Associations between sexual and reproductive health communication and health service use among U.S. adolescent women. Perspectives on Sexual and Reproductive Health, 48(1), 19-26.
Kaiser Family Foundation. (2006). Sex Education in America: A View from Inside the Nation’s Classrooms. Menlo Park, CA: Henry J. Kaiser Family Foundation.
Kirby, D. (2002). The impact of schools and school programs upon adolescent sexual behavior. Journal of Sex Research, 39(1), 27-33.
Kirby, D. (2007). Emerging Answers 2007: Research Findings on Programs to Reduce Teen Pregnancy and Sexually Transmitted Diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy.
Kirby, D. (2008). The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sexuality Research and Social Policy, 5(3), 18.
Kirby, D. B., Laris, B. A., & Rolleri, L. A. (2007). Sex and HIV Education Programs: Their Impact on Sexual Behaviors of Young People Throughout the World. Journal of Adolescent Health, 40(3), 206-217.
Lindberg, L., Santelli, J., & Desai, S. (2018). Understanding the Decline in Adolescent Fertility in the United States, 2007-2012. Journal of Adolescent Health, 59(5), 577-583.
Ricketts, S., Klingler, G., & Schwalberg, R. (2014). Game Change in Colorado: Widespread Use of Long-Acting Reversible Contraceptives and Rapid Decline in Births Among Young, Low-Income Women. Perspectives on Sexual and Reproductive Health, 46(3), 125-132.
Santelli, J., Ott, M. A., Lyon, M., Rogers, J., Summers, D., & Schleifer, R. (2003). Abstinence and abstinence-only education: A review of U.S. policies and programs. Journal of Adolescent Health, 38(1), 72-81.
Santelli, J. S., et al. (2017). Abstinence-Only-Until-Marriage: An Updated Review of U.S. Policies and Programs and Their Impact. Journal of Adolescent Health, 61(3), 273-280.
Santor, D. A., Messervey, D., & Kusumakar, V. (2000). Measuring peer pressure, popularity, and conformity in adolescent boys and girls: Predicting school performance, sexual attitudes, and substance abuse. Journal of Youth and Adolescence, 29(2), 163-182.
Satterwhite, C. L., Torrone, E., Meites, E., Dunne, E. F., Mahajan, R., Ocfemia, M. C., … & Weinstock, H. (2013). Sexually transmitted infections among US women and men: prevalence and incidence estimates, 2008. Sexually Transmitted Diseases, 40(3), 187-193.
Steinberg, L. (2008). A social neuroscience perspective on adolescent risk-taking. Developmental Review, 28(1), 78-106.
Stanger-Hall, K. F., & Hall, D. W. (2011). Abstinence-Only Education and Teen Pregnancy Rates: Why We Need Comprehensive Sex Education in the U.S. PLoS ONE, 6(10), e24658.
UNESCO. (2018). International technical guidance on sexuality education: An evidence-informed approach. Paris: United Nations Educational, Scientific and Cultural Organization.
Wright, P. J. (2011). Mass media effects on youth sexual behavior. In R. K. L’Engle (Ed.), Media and Sexualization: State of Empirical Research, 1995-2015 (pp. 75-97). New York, NY: Oxford University Press.
