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Here we consider the role of parents, health care providers and digital media as potential sources of sexual health information for adolescents.
• In 2011–2013, 70% of males and 78% of females aged 15–19 reported having talked with a parent about at least one of six sex education topics: how to say no to sex, methods of birth control, STDs, where to get birth control, how to prevent HIV infection and how to use a condom.
• Abstinence-only-until-marriage programs threaten fundamental human rights by withholding information about human sexuality and potentially providing medically inaccurate and stigmatizing information.
• Most evaluations of sexual health programs focus on reducing levels of adolescent pregnancy, STIs and the behaviors that lead to them.
• “Formal” sexual health education is instruction that generally takes place in a structured setting, such as a school, youth center, church or other community-based location.
This type of instruction is a central source of information for adolescents.
Among adolescents aged 15–19 who had ever had sex and who did not get birth control instruction from either formal sources or a parent, only 7% of females and 13% of males talked with a health care provider about birth control in 2006–2010.
• Access to the Internet is nearly universal among adolescents in the United States.
• The share of adolescents aged 15–19 who had received formal instruction about how to say no to sex but had received no instruction about birth control methods increased between 2006–20–2013, from 22% to 26% among females and from 29% to 35% among males.
• Declines in formal sex education were concentrated among young people residing in rural areas.
• In 2011–2013, more than 80% of adolescents aged 15–19 had received formal instruction about STDs, HIV and AIDS or how to say no to sex.
In contrast, only 55% of young men and 60% of young women had received formal instruction about methods of birth control.