{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T04:00:07Z","timestamp":1771473607039,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006307","name":"Administration for Community Living","doi-asserted-by":"publisher","award":["90DDUC0039"],"award-info":[{"award-number":["90DDUC0039"]}],"id":[{"id":"10.13039\/100006307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["NU27DD000014"],"award-info":[{"award-number":["NU27DD000014"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Education about healthy and respectful relationships (HRR) is a key component of comprehensive sexual health curricula and is supposed to be universally provided in Oregon. This study: (1) assesses the extent to which high school students with disabilities received HRR education, and (2) examines associations between HRR education and experiences of sexual abuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Using data from the 2019 Oregon Healthy Teens survey, we conducted multivariable Poisson regression to compare 11th grade students with and without disabilities on self\u2010reported receipt of school based HRR instruction (N\u00a0=\u00a010,992), and to measure associations between HRR education and sexual abuse experiences among teens with (N\u00a0=\u00a03736) and without (N\u00a0=\u00a07256) disabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Students with disabilities were 41% more likely than students without disabilities to say they had never been taught in school about HRR (adjusted prevalence ratio 1.41, 95% confidence interval: 1.25\u2010156). Experiences of sexual abuse victimization were more common for all students who did not receive HRR education (34.1% vs 21.6% among students with disabilities; 16.2% vs 7.5% among students without disabilities).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Students with disabilities are less likely to have received school\u2010based HRR education than their peers without disabilities. Providing inclusive HRR education may help reduce risk of sexual abuse and is essential for addressing health disparities affecting youth with disabilities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13317","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T09:44:52Z","timestamp":1677145492000},"page":"565-572","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Healthy and Respectful Relationship Education: Differences by Disability Status and Associations With Sexual Abuse"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0720-6506","authenticated-orcid":false,"given":"Abigail","family":"Newby\u2010Kew","sequence":"first","affiliation":[{"name":"Oregon Health Science University and Portland State University School of Public Health  Portland OR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willi","family":"Horner\u2010Johnson","sequence":"additional","affiliation":[{"name":"Oregon Health Science University and Portland State University School of Public Health; Institute on Development and Disability School of Medicine, OHSU  Portland OR"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746\u20101561.2010.00514.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.03.001"},{"key":"e_1_2_6_4_1","volume-title":"Violence against Disabled Children: UN Secretary Generals Report on Violence against Children Thematic Group on Violence against Disabled Children: Findings and Recommendations","author":"Groce NE","year":"2005"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1054\u2010139x(01)00400\u20101"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)60692\u20108"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010012\u20101091\u2010y"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20108749.2005.tb01220.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029\u20106465(02)00056\u20107"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2016.11.011"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000635"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.12.007"},{"key":"e_1_2_6_13_1","first-page":"39","volume-title":"Comprehensive Sex Education for Youth with Disabilities: A Call to Action","author":"Holmes LG","year":"2021"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934\u20109556\u201052.2.85"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001769"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/15546128.2017.1399492"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2020.1787519"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/14681811.2020.1851181"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291704001941"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13178\u2010021\u201000549\u2010y"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11195\u2010016\u20109464\u20106"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1088357618800040"},{"key":"e_1_2_6_23_1","volume-title":"Condition of Education","author":"National Center for Education Statistics"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934\u20109556\u201050.2.140"},{"key":"e_1_2_6_25_1","unstructured":"Oregon Comprehensive Sexuality Education: Relationships.Oregon Attorney General's Sexual Assault Task Force; 2019. Available at:https:\/\/oregonsatf.org\/wp\u2010content\/uploads\/2017\/11\/OR\u2010Standards\u2010Infographs.zip. Accessed November 18 2022"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/01494929.2012.714722"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.07.036"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.1.45"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2009.69"},{"key":"e_1_2_6_30_1","unstructured":"ShapiroS BrownC.Sex education standards across the states. Center for American Progress. Available at:https:\/\/www.americanprogress.org\/issues\/education\u2010k\u201012\/reports\/2018\/05\/09\/450158\/sex\u2010education\u2010standards\u2010across\u2010states\/. Accessed July 19 2021"},{"key":"e_1_2_6_31_1","volume-title":"2019 Oregon Healthy Teens Survey","year":"2020"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1789"},{"key":"e_1_2_6_33_1","volume-title":"Race, Ethnicity, Language, & Disability (REALD) Implementation Guide","author":"McGee MG","year":"2020"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121\u2010020\u201001153\u2010z"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2007.08.026"},{"key":"e_1_2_6_36_1","unstructured":"RandM HarrellE.Crime Against People with Disabilities 2008; 2010. Available at:https:\/\/ncvc.dspacedirect.org\/handle\/20.500.11990\/17. Accessed August 24 2021"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000030"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2014.919373"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/07435584211028225"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/0145\u20102134(89)90016\u20101"},{"issue":"5","key":"e_1_2_6_41_1","first-page":"459","article-title":"Sexual abuse prevention for persons with mental retardation","volume":"101","author":"Lumley VA","year":"1997","journal-title":"Am J Ment Retard"}],"container-title":["Journal of School Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/josh.13317","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/josh.13317","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/josh.13317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T01:11:34Z","timestamp":1700010694000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/josh.13317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,23]]},"references-count":40,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/josh.13317"],"URL":"https:\/\/doi.org\/10.1111\/josh.13317","archive":["Portico"],"relation":{},"ISSN":["0022-4391","1746-1561"],"issn-type":[{"value":"0022-4391","type":"print"},{"value":"1746-1561","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,23]]},"assertion":[{"value":"2022-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}