Adolescents' Receipt of Sex Education in a Nationally Representative Sample, 2011-2019
Adolescents' Receipt of Sex Education in a Nationally Representative Sample, 2011-2019
复制标题
DOI：
10.1016/j.jadohealth.2021.08.027
复制
发表时间：
2022-01-18
影响因子：
7.6
通讯作者：
Kantor, Leslie M.
中科院分区：
文献类型：
--
作者：
Lindberg, Laura D.;Kantor, Leslie M.
目的：需要对青少年接受性教育的情况进行最新估计，以监测趋势和潜在的不公平现象。研究方法：使用2011-2015年和2015-2019年全国家庭成长调查的全国代表性数据，我们使用逻辑回归来检查按性别接受正规性教育的变化。对于2015-2019年，我们按性别和种族/民族估计教学内容，时间和地点的模式。结果：在2011-2015年和2015-2019年之间，青少年接受正规性教育的情况几乎没有显著变化。在这两个时期之间，关于等到结婚才发生性行为的教育有所下降（73%-67%的女性[F.]，p = 0.005; 70%-58%男性[M.]，p <0.001）。在这两个时期，约有一半的青少年接受了符合国家目标所述最低标准的性教育。在2015-2019年，关于等到结婚才发生性行为的指导存在显著的性别差异（67%的女性，58%男性，p <0.001）和避孕套技能（55%女性，60%男性，p = .003）。与非西班牙裔白色男性相比，非西班牙裔黑人和西班牙裔男性在第一次性行为前接受有关性传播感染/艾滋病毒、节育或在哪里获得节育措施的正式指导的可能性较小。许多青少年报告说，宗教环境是关于等到结婚才发生性行为的指导来源（56%的F。和49% M.），但几乎没有人从这些机构得到关于节育的指导。结论：在接受性教育方面，由于性别、种族/族裔和教育地点的不同，许多青少年得不到重要的信息。在实现国家目标方面的差距表明，需要扩大性教育的提供。(c)2021年青少年健康和医学协会。爱思唯尔公司出版这是一个在CC BY-NC-ND许可证下的开放获取文章（http：//creativecommons.org/licenses/by-nc-nd/4.0/）。
Purpose: Updated estimates of adolescents' receipt of sex education are needed to monitor trends and potential inequities. Methods: Using nationally representative data from the 2011-2015 and 2015-2019 National Survey of Family Growth, we use logistic regression to examine changes in the receipt of formal sex education by gender. For 2015-2019, we estimate patterns by gender and race/ethnicity for content, timing, and location of instruction. Results: Between 2011-2015 and 2015-2019, there were few significant changes in adolescents' receipt of formal sex education. Between these periods, instruction on waiting until marriage to have sex declined (73%-67% female [F.], p = .005; 70%-58% males [M.], p < .001). In both the periods, about half of the adolescents received sex education that meets the minimum standard articulated in national goals. In 2015-2019, there were significant gender differences in the instruction about waiting until marriage to have sex (67% F., 58% M., p < 001) and condom skills (55% F., 60% M., p = .003). Non-Hispanic Black and Hispanic males were less likely than non Hispanic White males to receive formal instruction before the first sex on sexually transmitted infection/HIV, birth control, or where to get birth control. Many adolescents reported religious settings as the sources of instruction about waiting until marriage to have sex (56% F. and 49% M.), but almost none received instruction about birth control from those settings. Conclusions: Differences in the receipt of sex education, by gender, race/ethnicity, and the location of instruction, leave many adolescents without critical information. Gaps in meeting national objectives indicate the need to expand the provision of sex education. (c) 2021 Society for Adolescent Health and Medicine. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).