Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.

<h4>Introduction</h4>In Texas, the adolescent birth rate is higher than the national average and STIs have steadily increased over the last decade. Sex education is not mandated in Texas and the majority of public schools provide an abstinence-based sex education. Comprehensive sexuality...

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Main Authors: Lauren Holt, Sarah Janek, Gavin Yamey
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0316329
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author Lauren Holt
Sarah Janek
Gavin Yamey
author_facet Lauren Holt
Sarah Janek
Gavin Yamey
author_sort Lauren Holt
collection DOAJ
description <h4>Introduction</h4>In Texas, the adolescent birth rate is higher than the national average and STIs have steadily increased over the last decade. Sex education is not mandated in Texas and the majority of public schools provide an abstinence-based sex education. Comprehensive sexuality education (CSE) programs are widely endorsed by national and global health organizations and research has shown that they are more effective in reducing poor sexual health outcomes than abstinence-based programs. The purpose of this study is to identify barriers and facilitators to implementing CSE at local and state levels in Texas.<h4>Methods</h4>Qualitative study design consisting of ten semi-structured interviews with eleven key informants (n = 11) conducted in 2021.<h4>Results</h4>Three barriers- ideological opposition to CSE, discrimination against LGBTQ+ people, myths and misconceptions about CSE- and two facilitators- champions, collaboration with community stakeholders- to implementing CSE policy were identified.<h4>Conclusion</h4>Study findings provide insight into the opposition faced by sex education advocates, which often stems from myths and misperceptions of CSE content and the stigmatization of sexual and gender minoritized groups. Parents, youth, medical professionals, and academic researchers are instrumental in dispelling sex education myths and misperceptions and engaging with community stakeholders.
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spelling doaj-art-7b0fde317e0d427c84436847b73d1ee92025-01-08T05:31:54ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031632910.1371/journal.pone.0316329Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.Lauren HoltSarah JanekGavin Yamey<h4>Introduction</h4>In Texas, the adolescent birth rate is higher than the national average and STIs have steadily increased over the last decade. Sex education is not mandated in Texas and the majority of public schools provide an abstinence-based sex education. Comprehensive sexuality education (CSE) programs are widely endorsed by national and global health organizations and research has shown that they are more effective in reducing poor sexual health outcomes than abstinence-based programs. The purpose of this study is to identify barriers and facilitators to implementing CSE at local and state levels in Texas.<h4>Methods</h4>Qualitative study design consisting of ten semi-structured interviews with eleven key informants (n = 11) conducted in 2021.<h4>Results</h4>Three barriers- ideological opposition to CSE, discrimination against LGBTQ+ people, myths and misconceptions about CSE- and two facilitators- champions, collaboration with community stakeholders- to implementing CSE policy were identified.<h4>Conclusion</h4>Study findings provide insight into the opposition faced by sex education advocates, which often stems from myths and misperceptions of CSE content and the stigmatization of sexual and gender minoritized groups. Parents, youth, medical professionals, and academic researchers are instrumental in dispelling sex education myths and misperceptions and engaging with community stakeholders.https://doi.org/10.1371/journal.pone.0316329
spellingShingle Lauren Holt
Sarah Janek
Gavin Yamey
Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.
PLoS ONE
title Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.
title_full Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.
title_fullStr Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.
title_full_unstemmed Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.
title_short Barriers and facilitators to implementing comprehensive sex education in Texas public schools: A qualitative study.
title_sort barriers and facilitators to implementing comprehensive sex education in texas public schools a qualitative study
url https://doi.org/10.1371/journal.pone.0316329
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