Associations between State-Level High School HIV Education Policies and Adolescent HIV Risk Behaviors

Autor/inn/en	Chan, Carrie T.; Olivieri-Mui, Brianne L.; Mayer, Kenneth H.
Titel	Associations between State-Level High School HIV Education Policies and Adolescent HIV Risk Behaviors
Quelle	In: Journal of School Health, 92 (2022) 3, S.316-324 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Chan, Carrie T.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.13130
Schlagwörter	High School Students; Health Education; Educational Policy; Health Behavior; Acquired Immunodeficiency Syndrome (AIDS); National Surveys; Risk; Sexuality; Disease Control; Sexual Orientation; Contraception; Youth Risk Behavior Survey + Suchen Sie Ihr Suchwort? High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Politics of education; Bildungspolitik; Health behaviour; Gesundheitsverhalten; Risiko; Sexualität; Sexuelle Orientierung; Empfängnisverhütung
Abstract	Background: School-based human immunodeficiency virus (HIV) education can reach most adolescents, but inconsistencies exist in state-level content policies. The purpose of this study was to evaluate the associations between state-level high school HIV education policies and adolescent HIV risk behaviors. Methods: This was a cross-sectional analysis of the 2019 Youth Risk Behavior Survey linked to the Guttmacher Institute Sex and HIV Education report. Logistic regression models examined the associations of state-level HIV education mandates and content policies with 3 HIV risk behaviors: (1) 4 or more lifetime sexual partners; (2) substance use before last sex; (3) condomless last sex. Results: Across 33 states, 128,986 high school students were included. Multivariable adjusted models demonstrated no associations between mandated HIV education and risk behaviors. Covering abstinence along with other safe sex options was associated with lower odds, whereas stressing abstinence was associated with higher odds of at least 4 lifetime sexual partners and condomless last sex. Discriminatory sexual orientation content was associated with increased condomless last sex; associations for all HIV risk behaviors were stronger among sexual minority youth. Conclusions: Increased HIV risk behaviors associated with state policies stressing abstinence or requiring discriminatory sexual orientation content support the need for comprehensive and inclusive HIV education. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2022/4/11