Invited Commentary: Broadening the Evidence for Adolescent Sexual and Reproductive Health and Education in the United States

Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies—particularly sexuality health education policies and programs—have not benefit...

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Published inJournal of youth and adolescence Vol. 43; no. 10; pp. 1595 - 1610
Main Authors Schalet, Amy T., Santelli, John S., Russell, Stephen T., Halpern, Carolyn T., Miller, Sarah A., Pickering, Sarah S., Goldberg, Shoshana K., Hoenig, Jennifer M.
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.10.2014
Springer Nature B.V
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Abstract Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies—particularly sexuality health education policies and programs—have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. Since 2010, the largest source of federal funding for sexual health education has been the “tier 1” funding of the Office of Adolescent Health’s Teen Pregnancy Prevention Initiative. To be eligible for such funds, public and private entities must choose from a list of 35 programs that have been designated as “evidence-based” interventions (EBIs), determined based on their effectiveness at preventing teen pregnancies, reducing sexually transmitted infections, or reducing rates of sexual risk behaviors (i.e., sexual activity, contraceptive use, or number of partners). Although the transition from primarily AOUM to EBI is important progress, this definition of evidence is narrow and ignores factors known to play key roles in adolescent sexual and reproductive health. Important bodies of evidence are not treated as part of the essential evidence base, including research on lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth; gender; and economic inequalities and health. These bodies of evidence underscore the need for sexual health education to approach adolescent sexuality holistically, to be inclusive of all youth, and to address and mitigate the impact of structural inequities. We provide recommendations to improve US sexual health education and to strengthen the translation of science into programs and policy.
AbstractList Issue Title: Special Issue: Marginalization, Diversity, and Wellbeing Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies--particularly sexuality health education policies and programs--have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. Since 2010, the largest source of federal funding for sexual health education has been the "tier 1" funding of the Office of Adolescent Health's Teen Pregnancy Prevention Initiative. To be eligible for such funds, public and private entities must choose from a list of 35 programs that have been designated as "evidence-based" interventions (EBIs), determined based on their effectiveness at preventing teen pregnancies, reducing sexually transmitted infections, or reducing rates of sexual risk behaviors (i.e., sexual activity, contraceptive use, or number of partners). Although the transition from primarily AOUM to EBI is important progress, this definition of evidence is narrow and ignores factors known to play key roles in adolescent sexual and reproductive health. Important bodies of evidence are not treated as part of the essential evidence base, including research on lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth; gender; and economic inequalities and health. These bodies of evidence underscore the need for sexual health education to approach adolescent sexuality holistically, to be inclusive of all youth, and to address and mitigate the impact of structural inequities. We provide recommendations to improve US sexual health education and to strengthen the translation of science into programs and policy.[PUBLICATION ABSTRACT]
Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies—particularly sexuality health education policies and programs—have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. Since 2010, the largest source of federal funding for sexual health education has been the “tier 1” funding of the Office of Adolescent Health’s Teen Pregnancy Prevention Initiative. To be eligible for such funds, public and private entities must choose from a list of 35 programs that have been designated as “evidence-based” interventions (EBIs), determined based on their effectiveness at preventing teen pregnancies, reducing sexually transmitted infections, or reducing rates of sexual risk behaviors (i.e., sexual activity, contraceptive use, or number of partners). Although the transition from primarily AOUM to EBI is important progress, this definition of evidence is narrow and ignores factors known to play key roles in adolescent sexual and reproductive health. Important bodies of evidence are not treated as part of the essential evidence base, including research on lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth; gender; and economic inequalities and health. These bodies of evidence underscore the need for sexual health education to approach adolescent sexuality holistically, to be inclusive of all youth, and to address and mitigate the impact of structural inequities. We provide recommendations to improve US sexual health education and to strengthen the translation of science into programs and policy.
Author Miller, Sarah A.
Russell, Stephen T.
Schalet, Amy T.
Halpern, Carolyn T.
Pickering, Sarah S.
Hoenig, Jennifer M.
Santelli, John S.
Goldberg, Shoshana K.
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  organization: Norton School of Family and Consumer Sciences, University of Arizona
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25200033$$D View this record in MEDLINE/PubMed
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OpenAccessLink https://proxy.k.utb.cz/login?url=http://link.springer.com/10.1007/s10964-014-0178-8
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PublicationSubtitle A Multidisciplinary Research Publication
PublicationTitle Journal of youth and adolescence
PublicationTitleAbbrev J Youth Adolescence
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PublicationYear 2014
Publisher Springer US
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Snippet Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it....
Issue Title: Special Issue: Marginalization, Diversity, and Wellbeing Scientific research has made major contributions to adolescent health by providing...
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StartPage 1595
SubjectTerms Abstinence
Adolescent
Adolescent Health Services - economics
Adolescent sexuality
Adolescents
Behavior
Behavioral Science and Psychology
Body image
Child and School Psychology
Child development
Child Health
Children & youth
Clinical Psychology
Disease prevention
Editorial
Education policy
Evidence-Based Practice
Federal funding
Federal Government
Female
Financing, Government
Gender
Health education
Health Policy
Health Promotion - economics
Health Promotion - methods
Health Psychology
History of Psychology
Humans
Law and Psychology
LGBTQ people
Male
Marriage
Maternal & child health
Pregnancy
Pregnancy in Adolescence - prevention & control
Psychology
Public health
Reproductive health
Reproductive Health - education
Science
Self image
Sex education
Sex Education - economics
Sex Education - methods
Sex Factors
Sexual behavior
Sexual health
Sexual orientation
Sexuality
Sexually transmitted diseases
Sexually Transmitted Diseases - prevention & control
Socioeconomic Factors
STD
Teenage pregnancy
Transgender persons
United States
Unsafe Sex - prevention & control
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Title Invited Commentary: Broadening the Evidence for Adolescent Sexual and Reproductive Health and Education in the United States
URI https://link.springer.com/article/10.1007/s10964-014-0178-8
https://www.ncbi.nlm.nih.gov/pubmed/25200033
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Volume 43
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