{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:58:07Z","timestamp":1787803087884,"version":"build-2784847793"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Information about state and local education policies regarding sexually transmitted infections, including human immunodeficiency virus, and unintended pregnancy prevention is available, yet less is known about school-level implementation of such policies. We examine trends in the percentage of US secondary schools teaching sexual and reproductive health (SRH) topics in a required course in Grades 6\u20138 and 9\u201312, including healthy relationships, sexual abstinence, condoms and condoms with other contraceptive methods. We analyze representative data from 38 states across six cycles of School Health Profiles (2008\u201318) assessed through self-administered questionnaires completed by lead health teachers. Logistic regression models examined linear trends in the percentages of schools teaching topics for Grades 6\u20138 and 9\u201312, separately. Trends were calculated for states having representative data for at least three cycles, including 2018. During 2008\u201318, it was more common to have increases in teaching how to obtain condoms, correct condom use and use condoms with other contraceptive methods in Grades 6\u201312 than decreases. More states showed decreases in teaching abstinence in Grades 6\u201312 than increases. Most states had no change in teaching SRH topics across grades. Findings suggest some improvement in school-based SRH education, yet efforts are needed to improve comprehensive, developmentally appropriate content.<\/jats:p>","DOI":"10.1093\/her\/cyac032","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T17:23:57Z","timestamp":1667237037000},"page":"84-94","source":"Crossref","is-referenced-by-count":10,"title":["Trends in the teaching of sexual and reproductive health topics and skills in required courses in secondary schools, in 38 US states between 2008 and 2018"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2043-4052","authenticated-orcid":false,"given":"Leigh E","family":"Szucs","sequence":"first","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention , 1600 Clifton Road NE, MS US8-1, Atlanta, GA 30329-4027, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zewditu","family":"Demissie","sequence":"additional","affiliation":[{"name":"Division of Violence Prevention, Centers for Disease Control and Prevention , 1600 Clifton Road NE, MS S106-10, Atlanta, GA 30333, USA"},{"name":"U.S. Public Health Service Commissioned Corps , 1101 Wootton Pkwy, Rockville, MD 20852, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley J","family":"Steiner","sequence":"additional","affiliation":[{"name":"Division of Reproductive Health, Centers for Disease Control and Prevention , 1600 Clifton Road NE, MS S107-2, Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy D","family":"Brener","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention , 1600 Clifton Road NE, MS US8-1, Atlanta, GA 30329-4027, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Lindberg","sequence":"additional","affiliation":[{"name":"The Guttmacher Institute , 125 Maiden Lane, New York, NY 10038, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Young","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention , 1600 Clifton Road NE, MS US8-1, Atlanta, GA 30329-4027, USA"},{"name":"Oak Ridge Institute for Science and Education , 1299 Bethel Valley Rd, Oak Ridge, TN 37830, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine N","family":"Rasberry","sequence":"additional","affiliation":[{"name":"Division of Adolescent and School Health, Centers for Disease Control and Prevention , 1600 Clifton Road NE, MS US8-1, Atlanta, GA 30329-4027, 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