In sub-Saharan Africa, over 12 million girls are at risk of never receiving an education. Another is that only a limited amount of time is devoted to these interventions in the school environment. Ideally, these programs would start in kindergarten and continue through the 12th grade, provide age-appropriate content, and be taught by teachers who have received proper training. Even more alarming, certain countries such as Afghanistan or Somalia make no effort to reduce the gap between girls and boys with regard to education. However, a large body of research links sexual and reproductive health outcomes to academic achievement, and pregnancy is a leading cause of school dropout among teenage girls. The effectiveness of group-based comprehensive risk-reduction and abstinence education interventions to prevent or reduce the risk of adolescent pregnancy, human immunodeficiency virus, and sexually transmitted infections: For women, the second highest age-specific rates of reported chlamydia in were among to year-olds 3,
San Francisco Unified School District. Reviews of the evidence from evaluations of these programs show that their overall results are inconclusive or that abstinence-only programs lack efficacy. There were also differences in birth rates with rates of The majority of policies associated with teenage pregnancy and STI infection are determined at the state and local levels. In , an estimated 12, young people 13—24 years of age were newly infected with HIV representing Centers for Disease Control and Prevention; Another is that only a limited amount of time is devoted to these interventions in the school environment. Indeed, one study showed that a theory-based abstinence-only intervention implemented among year-olds significantly reduced sexual initiation among program participants at the month follow-up point. J Pediatr Adolesc Gynecol. Comprehensive sexual health education case study: Some of these factors are largely individual or personal, such as knowledge, skills, and intent. Connecting race and place: Others, including class, race, and access to services, are related to social context. Eliminating such health disparities is a priority for APHA. Reframing school dropout as a public health issue. Similarly, the gonorrhea rate among young Black men 15—19 years old 1, Of particular importance, given the evidence base described below, only 18 states require that information on contraception be included in sexuality education, as compared with 25 states that require instructors to stress abstinence and 19 that limit discussions of sexual activity to the context of marriage. As a result, the drop-out rate and education failure remain high. US Government Accountability Office; Centers for Disease Control and Prevention. Sex education in New York City schools. Additional resources should be devoted to the implementation and evaluation of promising approaches that address current challenges facing young people. California School Health Centers. International Handbook of Adolescent Pregnancy. Abstinence-only programs—that is, programs that conform to the criteria listed in Section b of Title V of the Social Security Act—focus exclusively on promoting abstinence until marriage.
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