Little is known about the outcomes of in-school comprehensive sexuality education (CSE) programmes two or more years after programme completion, particularly in low-income countries. "Projet Jeune Leader," a youth-founded Malagasy organisation, conducted a retrospective, qualitative evaluation of a CSE programme in Madagascar. The…

Respecting the Circle of Life (RCL) is a teen pregnancy prevention program that was evaluated for effectiveness on sexual health risk behaviors through a two-arm randomized control trial (RCT) with American Indian (AI) youth ages 11-19. The objective of this study is to investigate the effects of RCL compared to a control group on items of condom…

Objective: Determine the relationship characteristics, sexual health attitudes, and demographic factors associated with dual contraceptive use among college students. Participants: September-October 2018 via campus email, we recruited College of Public Health students attending a large, urban, public university (N= 424). Methods: Respondents…

Objective: Dual use of male condoms and female contraceptives is widely advocated for unplanned pregnancy prevention, yet college students often neglect condoms. This feasibility and acceptability study assessed the efficacy of a self-guided home-based condom-promotion intervention among college students in heterosexual relationships.…

This paper explores the use of withdrawal as a harm reduction approach to adolescent pregnancy prevention and its association with condom use. Data come from a baseline survey of a randomised controlled trial to test the effectiveness of FLASH, a sexual health education curriculum. Study participants completed electronic self-report surveys in…

"Kappan" editor Rafael Heller talks with the Guttmacher Institute's Laura Lindberg, one of the nation's leading researchers in the field of adolescent sexual and reproductive health, about recent data and trends related to teens' sexual behavior, contraceptive use, pregnancy rates, and more, including their experiences with school-based…

The purpose of this study was to investigate the association between unrealistic optimism (UO) and risky sexual behavior (RSB) and related consequences in a college student sample. Participants believed they had significantly lower "personal" risk of engagement in alcohol-related sexual activity, unintended pregnancy, and STIs than the…

This study sought to investigate the key factors that influence teenage reproductive and sexual behaviours and how these behaviours are likely to be influenced by parenting styles of primary caregivers of adolescents in Suhum, in Eastern Ghana. The study aimed to identify risky sexual and reproductive behaviours and their underlying factors among…

Introduction: In Onondaga County, New York, around half of all births to Black and Hispanic teenage girls are unintended. The Layla's Got You campaign consists of a chatbot and social media campaign designed to increase contraception knowledge among 16- to 25-year-old Black and Hispanic women in Onondaga County. Methods: The campaign was…

Background: Teen pregnancy continues to burden families, communities, and society. Programs continue to educate and impower youth and young adults to make positive behavioral decisions. Methods: We evaluated a program aimed at high-risk youth in after-school programs. The goal of the program was to instill a sense of community and empathy, as well…

Although Ghana's comprehensive sexuality education (CSE) program has been lauded, no study has examined its association with the sexual health outcomes of Ghanaian youth. Using data collected from 2,982 in-school youth (male = 1,820 and female = 1,162) aged 15 to 17 years in three administrative regions of the country, we applied discrete-time…

Objective: To identify preferences for and use of short-acting hormonal (e.g., oral contraceptives, injectable contraception) or long-acting reversible contraception (LARC) among community college students in Texas. Participants: Female community college students, ages 18 to 24, at risk of pregnancy, sampled in Fall 2014 or Spring 2015 (N = 966).…

School-based health clinics (SBHCs) offer convenient, free, and much-needed health services to adolescents who have been shown to lack access to preventative care and treatment. With high rates of risky sexual behavior and associated negative health outcomes, SBHCs are particularly effective in providing sexual health services. This article…

The purpose of this study was to examine the association between institution-delivered sex education given under real-world conditions and sexually transmitted infection (STI) rates, STI fatalism, and prior STI testing among African American men aged 15-24 who have sex with women. Participants were tested at community venues for Chlamydia and…

School nurses are often sources of health-care support for teens with sexually transmitted infections (STIs) and unintended pregnancies. However, providing prevention (e.g., condoms) and teaching technical skills (e.g., condom use) needed to reduce high-risk sexual behavior may require a change in perceptions and policies. This study used a…