Implementing Comprehensive Sex and Sexuality Education in Kindergarten—Grade 12 Schools: Guiding Practices and Examples

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of School Health Pub Date : 2024-02-13 DOI:10.1111/josh.13431

Mikaela Moore MPH, Phoebe Balascio MS, Tausha Bonner-Johnson, José Garth, Britney Brinkman PhD, Ashley V. Hill DrPH, MPH

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Abstract

Background

Comprehensive sex and sexuality education (CSE) is an evidence-based intervention associated with improved sexual and reproductive health outcomes. Currently, there are no standardized requirements for sex and sexuality education in the United States, despite expert recommendations.

Contributions to Theory

In the United States, a Whole School, Whole Community, Whole Child theoretical model proposed by the Centers for Disease Control, and current examples of school sex education policy is used to make recommendations for the standardization of comprehensive sexual health education in K-12 schools. This article describes the necessary components to adopt CSE equitably, and provides an example of the process implemented to improve CSE in 1 school district in Pittsburgh, PA.

Implications for School Health Policy, Practice, and Equity

Understanding the key components of legislation that align with recommended standards, and the process of advocating for school policy change, allows local advocacy groups and education policymakers to create and pass feasible legislation that will ensure appropriate instruction. There is additional room for improvement in states and local districts that have current CSE legislation, to adopt approaches grounded in frameworks that critically evaluate social determinants of health and amend legislation to further improve health equity.

Conclusions

Several states and local districts have passed CSE regulations, and are implementing and evaluating their efficacy, providing support and examples for other regions interested in adopting similar policies and processes. Pittsburgh Public Schools can be used as an example adapting current legislation and adopting more comprehensive language.

查看原文本刊更多论文

在幼儿园至十二年级学校实施全面性教育和性教育：指导性做法和范例。

背景：全面的性教育和性知识教育（CSE）是一种基于证据的干预措施，可改善性健康和生殖健康结果。理论贡献：在美国，疾病控制中心提出的 "全学校、全社区、全儿童 "理论模型，以及当前学校性教育政策的实例，为 K-12 学校全面性健康教育的标准化提出了建议。本文介绍了公平采用 CSE 的必要组成部分，并举例说明了宾夕法尼亚州匹兹堡市一个学区为改善 CSE 而实施的过程：对学校卫生政策、实践和公平的启示：了解与推荐标准相一致的立法的关键要素，以及倡导学校政策变革的过程，可使地方宣传团体和教育政策制定者制定并通过可行的立法，以确保适当的教学。目前已有 CSE 立法的州和地方学区还有改进的余地，可以采用以批判性评估健康的社会决定因素的框架为基础的方法，并修订立法，以进一步提高健康公平性：一些州和地方学区已经通过了 CSE 法规，并正在实施和评估其效果，为其他有意采用类似政策和程序的地区提供了支持和范例。匹兹堡公立学校可作为一个范例，对现行法规进行调整，并采用更全面的措辞。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.