{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:53:42Z","timestamp":1791978822025,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2024,4]]},"abstract":"ABSTRACT<\/jats:title>Background<\/jats:title>Comprehensive sex and sexuality education (CSE) is an evidence\u2010based intervention associated with improved sexual and reproductive health outcomes. Currently, there are no standardized requirements for sex and sexuality education in the United States, despite expert recommendations.<\/jats:p><\/jats:sec>Contributions to Theory<\/jats:title>In the United States, a Whole School, Whole Community, Whole Child theoretical model proposed by the Centers for Disease Control, and current examples of school sex education policy is used to make recommendations for the standardization of comprehensive sexual health education in K\u201012 schools. This article describes the necessary components to adopt CSE equitably, and provides an example of the process implemented to improve CSE in 1 school district in Pittsburgh, PA.<\/jats:p><\/jats:sec>Implications for School Health Policy, Practice, and Equity<\/jats:title>Understanding the key components of legislation that align with recommended standards, and the process of advocating for school policy change, allows local advocacy groups and education policymakers to create and pass feasible legislation that will ensure appropriate instruction. There is additional room for improvement in states and local districts that have current CSE legislation, to adopt approaches grounded in frameworks that critically evaluate social determinants of health and amend legislation to further improve health equity.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Several states and local districts have passed CSE regulations, and are implementing and evaluating their efficacy, providing support and examples for other regions interested in adopting similar policies and processes. Pittsburgh Public Schools can be used as an example adapting current legislation and adopting more comprehensive language.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13431","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T05:54:11Z","timestamp":1707890051000},"page":"374-379","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Implementing Comprehensive Sex and Sexuality Education in Kindergarten\u2014Grade 12 Schools: Guiding Practices and Examples"],"prefix":"10.1111","volume":"94","author":[{"given":"Mikaela","family":"Moore","sequence":"first","affiliation":[{"name":"Department of Epidemiology School of Public Health, University of Pittsburgh Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8341-9119","authenticated-orcid":false,"given":"Phoebe","family":"Balascio","sequence":"additional","affiliation":[{"name":"Department of Epidemiology School of Public Health, University of Pittsburgh Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tausha","family":"Bonner\u2010Johnson","sequence":"additional","affiliation":[{"name":"Health & Wellness Workgroup Black Girls Equity Alliance, New Voices for Reproductive Heath Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Garth","sequence":"additional","affiliation":[{"name":"Health & Wellness Workgroup Black Girls Equity Alliance, Gwen's Girls Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britney","family":"Brinkman","sequence":"additional","affiliation":[{"name":"Black Girls Equity Alliance, Gwen's Girls, Pittsburgh, Pennsylvania; Department of Psychology Point Park University Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3535-1404","authenticated-orcid":false,"given":"Ashley V.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"A Definition of Comprehensive Sexuality Education. 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