{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:01:36Z","timestamp":1790359296119,"version":"4.1.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["TP1AH000219"],"award-info":[{"award-number":["TP1AH000219"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NCI","award":["U54 CA221704(5)"],"award-info":[{"award-number":["U54 CA221704(5)"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Community Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Approximately 25% of sexually transmitted infections (STIs) in Philadelphia involve teens and birth rates among underserved youth is more than double the national average. Proud Teens of Philly (PTOP), a community-based youth-oriented sexual-health education program, aims to mitigate disparities among underserved youth, including Latino\/Hispanic and Black youth. This study assessed the impact of PTOP on sexual-health education and behaviors among Philadelphia youth. Participants were recruited from schools, churches, and community-based organizations, to attend eight one-hour-long virtual synchronous sessions. Evidence-based sexual-health curricula, Positive Potential and Making Proud Choices, were administered to 650 Philadelphia students aged 12\u201318 during the 2021\u20132022 academic year. Pre- and post-surveys were administered electronically to collect data on demographics, sexual attitudes, HIV\/STI knowledge, contraception knowledge and access, confidence in consent and condom use, and life skills. Paired t-tests comparing pre- and post-survey responses were conducted. Participants demonstrated significant improvement in knowledge (t\u2009=\u200910.48,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.0001) regarding STI transmission, HIV pre-exposure prophylaxis, and birth control. They felt more prepared to reject unprotected sex (t\u2009=\u20094.81,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.0001) and better understood the efficacy of condoms. PTOP curricula increased exposure to alternative forms of contraception. In addition, students gained valuable skills in communication, goal setting, and emotion management. Engagement in a comprehensive sexual-health education program can significantly improve STI knowledge, sexual attitudes, and consent among underserved youth populations. Increased knowledge and emotion management empower teens to make safer choices, potentially limiting engagement in and adverse outcomes of risky sexual behaviors. Future studies should explore longitudinal impacts of youth-oriented sexual-health educational programs.\n                  <\/jats:p>","DOI":"10.1007\/s10900-026-01591-w","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T17:04:01Z","timestamp":1781802241000},"page":"795-804","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of a Comprehensive Sexual Health Education Program on STI Knowledge and Attitudes among Philadelphia\u2019s Proud Teens"],"prefix":"10.1007","volume":"51","author":[{"given":"Priya","family":"Nigam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jade","family":"Truehart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Qi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisha","family":"Bhimla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia N.","family":"Trout","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thoin","family":"Begum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliza","family":"Davison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3619-0550","authenticated-orcid":false,"given":"Grace X.","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"1591_CR1","unstructured":"HIV In Philadelphia [Internet]. 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Socioeconomic Disparities in Sexually Transmitted Infections Among Young Adults in the United States: Examining the Interaction Between Income and Race\/Ethnicity. Sexually Transmitted Diseases, 40, 575\u2013581. https:\/\/doi.org\/10.1097\/OLQ.0b013e31829529cf","journal-title":"Sexually Transmitted Diseases"},{"key":"1591_CR5","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1016\/j.jadohealth.2014.05.005","volume":"55","author":"JM Sales","year":"2014","unstructured":"Sales, J. M., Smearman, E. L., Swartzendruber, A., Brown, J. L., Brody, G., & DiClemente, R. J. (2014). Socioeconomic-Related Risk and Sexually Transmitted Infection Among African-American Adolescent Females. 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