Background: School-based, comprehensive sexual health education is an important strategy for addressing the needs of youth in rural communities. However, few evidence-based programs have been developed specifically for or with rural youth, thus raising questions of their applicability and acceptability. Methods: From September 2021 to January…

A quasi-experimental study with ninth graders evaluated a 1.5-hour hate speech teaching unit in an intervention vs. control group (N = 82) before (T1) and after the intervention (T2). Participants reported frequency of witnessing hate speech (T1), hate speech norm and self-efficacy countering hate speech (T1 and T2), and knowledge concerning hate…

The consequences of adolescent drug and alcohol use may be serious and far-reaching, forecasting problematic use or addictive behaviors into adulthood. School counselors are particularly well suited to understand the needs of the school community and to seamlessly deliver sustainable substance use prevention. This pilot study with 46 ninth-grade…

Unhealthy relationships have a devastating impact on adolescents' academic performance, including poor attendance, difficulty concentrating, and feeling unsafe at school. Schools provide an ideal setting to positively influence adolescents' attitudes, knowledge, and relationship skills by integrating healthy relationship lessons into sexuality…

Purpose: Despite evidence that adolescents become addicted to nicotine even after limited use, adolescents believe they can experiment with or smoke cigarettes for a few years and easily quit. The goal of this study was to examine adolescents' understanding of the definition and process of nicotine addiction using a mixed-methods approach. Method:…

Integrating social and emotional learning (SEL) programming throughout curricula to support the development of healthy behaviors and prevent violence is critical for a comprehensive approach to school health. This study used a post-test comparison design to evaluate a healthy relationships program for eighth grade students that applies a SEL…

This article presents the results of a mediation analysis of Project MYTRI (Mobilizing Youth for Tobacco Related Initiatives in India), a randomized, controlled trial of a multiple-component, school-based tobacco prevention program for sixth- to ninth-graders (n = 14,085) in Delhi and Chennai, India. A mediation analysis identifies "how"…

Adolescents are at increased risk of HIV and sexually transmitted infections (STIs) in the Southern states of the USA, where rates among youth are higher than in the rest of the nation. This paper reports on findings from a pilot study of an HIV prevention intervention that uses interactive theatre to educate young people about sexual health. The…

This longitudinal study investigated the importance of parental monitoring to the deterrence of adolescent problem behavior by examining bidirectional associations among perceived parental monitoring, adolescent disclosure and problem behaviors across the high school years. Adolescents (N = 2,941; 50.3% female) were surveyed each year from grades…

Youth suicide is a serious public health issue in the United States. It is currently the third leading cause of death for youth aged 10 to 19. School-based prevention programs may be an effective method of educating youth and enhancing their help-seeking. Most school-based suicide prevention programs have not been rigorously evaluated for their…

Background: We examined the differential impact of a well-established human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) curriculum, Be Proud! Be Responsible!, when taught by school nurses and health education classroom teachers within a high school curricula. Methods: Group-randomized intervention study of 1357 ninth and…

Objective: To consider the short- and medium-term impact of a school-based exhibition of prevention materials designed by adolescents in human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) knowledge and attitudes and in the school's involvement in health education. Design: Mixed-methodology that combines quantitative and…

This study explored adolescent girls' experiences of, and responses to, seven domains of partner behavior that are considered to be early warning signs of relationship abuse. Girls (N = 146) aged 14 to 18 years, attending schools in a semirural area, completed a purpose-built questionnaire, providing measures of self-reported exposure, perceived…

In this study, a nonprofit community mental health clinic developed a socioecological model of sexual abuse prevention that was implemented in a public school. The goal of the program was to promote and create community change within individuals and the school community by reducing tolerance of sexual violence and sexual harassment. Participants…

A long-term public health goal in the United States involves convincing adolescents to postpone sexual activity or promote responsible sexual activity. This study investigated the effect of using infant simulators on sexuality, child care attitudes and knowledge with a sample of 309 high school students from seven different states. The treatment…