Tags

Type your tag names separated by a space and hit enter

Associations between sexuality education in schools and adolescent birthrates: a state-level longitudinal model.
Arch Pediatr Adolesc Med. 2012 Feb; 166(2):134-40.AP

Abstract

OBJECTIVE

To examine the impact of sexuality education practices on adolescent birthrates while controlling for demographic characteristics and religious/political factors at a state level.

DESIGN

Prospective cohort study.

SETTING

Twenty-four states, from 1997 through 2005.

PARTICIPANTS

Girls aged 15 to 17 years.

MAIN EXPOSURE

The state sexuality education practices (ie, sexually transmitted disease prevention, pregnancy prevention, condom efficacy) for 1996 through 2004 from the Centers for Disease Control and Prevention School Health Profiles Survey.

MAIN OUTCOME MEASURES

State birthrates for girls aged 15 to 17 years for 1997 through 2005 from the Centers for Disease Control and Prevention.

RESULTS

In a longitudinal, unadjusted model, our findings provide evidence that increased sexuality education within school curricula is associated with lower adolescent birthrates (average sexuality education topics β = -0.61; P = .001). However, the effect of sexuality education disappeared when taking into consideration the demographic characteristics, religiosity, and abortion policies of the state (average sexuality education topics β = -0.12; P = .26). States with higher religiosity rankings and greater political conservatism had higher adolescent birthrates.

CONCLUSIONS

The effects of sexuality education were constrained by state characteristics and do not independently explain the considerable variations in adolescent birthrates found across states. Our findings underscore the strong influence of state characteristics on adolescent birthrates above and beyond sexuality education, which must be considered when evaluating the efficacy of sexuality education programs.

Authors+Show Affiliations

Department of Psychiatry, Washington University, St Louis, MO 63110, USA. rehgp@psychiatry.wustl.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22312172

Citation

Cavazos-Rehg, Patricia A., et al. "Associations Between Sexuality Education in Schools and Adolescent Birthrates: a State-level Longitudinal Model." Archives of Pediatrics & Adolescent Medicine, vol. 166, no. 2, 2012, pp. 134-40.
Cavazos-Rehg PA, Krauss MJ, Spitznagel EL, et al. Associations between sexuality education in schools and adolescent birthrates: a state-level longitudinal model. Arch Pediatr Adolesc Med. 2012;166(2):134-40.
Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Iguchi, M., Schootman, M., Cottler, L., Grucza, R. A., & Bierut, L. J. (2012). Associations between sexuality education in schools and adolescent birthrates: a state-level longitudinal model. Archives of Pediatrics & Adolescent Medicine, 166(2), 134-40. https://doi.org/10.1001/archpediatrics.2011.657
Cavazos-Rehg PA, et al. Associations Between Sexuality Education in Schools and Adolescent Birthrates: a State-level Longitudinal Model. Arch Pediatr Adolesc Med. 2012;166(2):134-40. PubMed PMID: 22312172.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations between sexuality education in schools and adolescent birthrates: a state-level longitudinal model. AU - Cavazos-Rehg,Patricia A, AU - Krauss,Melissa J, AU - Spitznagel,Edward L, AU - Iguchi,Martin, AU - Schootman,Mario, AU - Cottler,Linda, AU - Grucza,Richard A, AU - Bierut,Laura Jean, PY - 2012/2/8/entrez PY - 2012/2/9/pubmed PY - 2012/4/5/medline SP - 134 EP - 40 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 166 IS - 2 N2 - OBJECTIVE: To examine the impact of sexuality education practices on adolescent birthrates while controlling for demographic characteristics and religious/political factors at a state level. DESIGN: Prospective cohort study. SETTING: Twenty-four states, from 1997 through 2005. PARTICIPANTS: Girls aged 15 to 17 years. MAIN EXPOSURE: The state sexuality education practices (ie, sexually transmitted disease prevention, pregnancy prevention, condom efficacy) for 1996 through 2004 from the Centers for Disease Control and Prevention School Health Profiles Survey. MAIN OUTCOME MEASURES: State birthrates for girls aged 15 to 17 years for 1997 through 2005 from the Centers for Disease Control and Prevention. RESULTS: In a longitudinal, unadjusted model, our findings provide evidence that increased sexuality education within school curricula is associated with lower adolescent birthrates (average sexuality education topics β = -0.61; P = .001). However, the effect of sexuality education disappeared when taking into consideration the demographic characteristics, religiosity, and abortion policies of the state (average sexuality education topics β = -0.12; P = .26). States with higher religiosity rankings and greater political conservatism had higher adolescent birthrates. CONCLUSIONS: The effects of sexuality education were constrained by state characteristics and do not independently explain the considerable variations in adolescent birthrates found across states. Our findings underscore the strong influence of state characteristics on adolescent birthrates above and beyond sexuality education, which must be considered when evaluating the efficacy of sexuality education programs. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/22312172/Associations_between_sexuality_education_in_schools_and_adolescent_birthrates:_a_state_level_longitudinal_model_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpediatrics.2011.657 DB - PRIME DP - Unbound Medicine ER -