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Sexual health education teaches knowledge, attitudes, and skills for promoting sexual health, including reducing risk for sexually transmitted infection, HIV acquisition, and unintended pregnancy. Provision of sexual health education may be protective, but research remains scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a multi\u2010stage thematic analysis of 33 in\u2010depth interviews among transgender and gender diverse youth (ages 15\u201324) living in the southeastern United States on their sexual health education experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our study participants described school\u2010based sexual health education as unhelpful due to a lack of relevant information, inadequately prepared teachers, and a perceived negative tone toward sexuality. They reported relying on online sources of sexual health information, finding relevant content and community despite some limitations. Participants desired content and pedagogy that expands beyond binary and white\u2010centric presentations of sexuality and gender and sought resources that provide relevant, accurate, and judgment\u2010free information while holding positive framing around sexuality and gender.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is much work needed to improve the breadth, quality, and relevance of school\u2010based sexual health education. Sexual health education can improve by strengthening critical media literacy skills of youth; raising staff cultural competency on gender, race, and sexual identity through training and supports; using culturally relevant and inclusive curricula; and partnering with community\u2010based organizations. Transgender and gender diverse youth would benefit from sexual health education from multiple sources which is queer\u2010friendly, affirms their existence, and provides information on gender, race, and sexuality in positive and expansive ways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.12258","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T03:59:22Z","timestamp":1713239962000},"page":"158-170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["\u201cI wouldn't have felt so alone\u201d: The sexual health education experiences of transgender and gender diverse youth living in the southeastern\n                    <scp>United States<\/scp>"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2249-2179","authenticated-orcid":false,"given":"Paula E.","family":"Jayne","sequence":"first","affiliation":[{"name":"U.S. Centers for Disease Control and Prevention's Division of Adolescent and School Health  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2043-4052","authenticated-orcid":false,"given":"Leigh E.","family":"Szucs","sequence":"additional","affiliation":[{"name":"U.S. Centers for Disease Control and Prevention's Division of Adolescent and School Health  Chamblee Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2303-4700","authenticated-orcid":false,"given":"Catherine A.","family":"Lesesne","sequence":"additional","affiliation":[{"name":"Deloitte Consulting  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2243-6334","authenticated-orcid":false,"given":"Rose Grace","family":"Grose","sequence":"additional","affiliation":[{"name":"Colorado School of Public Health, Community Health Education University of Northern Colorado  Greeley Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9057-2752","authenticated-orcid":false,"given":"Michelle M.","family":"Johns","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010010\u20109773\u20101"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/qai.0000000000002009"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/15532739.2016.1216345"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH21103"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6803a3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.04.014"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.11.008"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2016.07.003"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002315"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304727"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011000019827210"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2019.0165"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.su7103a4"},{"key":"e_1_2_9_15_1","unstructured":"Bostock v. 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