The Human Papillomavirus (HPV) vaccine can prevent 90% of cancers caused by HPV. Health care provider recommendations affect vaccine uptake, yet there are a lack of studies examining the impact of the school nurse (SN) in vaccine recommendations. The purpose of this study was to evaluate the impact of adding a SN HPV recommendation to the standard…

The Off to a Good Start: Physical, Emotional, and Sexual Development of Youth Grades 5-8 (OTAGS) curriculum provides students with a foundation for future sex education. The curriculum consists of three modules covering puberty, healthful relationships, and HIV and sexually transmitted infections. University of Illinois Extension educators taught…

Adolescents' attitudes predict sexual behavior; therefore, attitudes are targeted in sexually transmitted infection (STI) and pregnancy prevention programs. However, attitudes and behaviors do not always align. Young adolescents who have had penile vaginal intercourse (PVI) and have attitudes supportive of PVI have two risk factors for future…

This paper reports on findings from the first Western Australian Survey of Educators of Sexuality Education, which aimed to assess the state of relationships and sexuality education (RSE) in the state of Western Australia. Key findings show that secondary school teachers provided more hours of RSE instruction than the national average. However,…

Although early sexual initiation has been linked to negative outcomes, it is unknown whether these effects are causal. In this study, we use propensity score methods to estimate the causal effect of early sexual initiation on young adult sexual risk behaviors and health outcomes using data from the National Longitudinal Study of Adolescent to…

Background: There has been little evaluation of school-located vaccination programs that offer human papillomavirus (HPV) vaccine in US schools without health centers (ie, extramural programs). This article summarizes lessons learned from such programs. Methods: In July to August 2010, 5 programs were identi?ed. Semistructured, in-depth telephone…

Background: Although males are often the initiators of teen sexual activity, pregnancy prevention programs generally target females. To address this deficiency, the Wise Guys Male Responsibility Curriculum was developed to be delivered to adolescent males in weekly classroom sessions. Methods: Seventh grade participants (n = 124) in the Wise Guys…

Background: To assess the need for cultural tailoring of an effective sexual health middle school curriculum, "It's Your Game: Keep It Real" (IYG), prior to implementation in Puerto Rican (PR) middle schools. Methods: Seventy-three seventh-grade bilingual students participated in IYG curriculum activities (both group-based and…

Background: Hispanic youths have high rates of sexually transmitted infections and pregnancies, yet little research has targeted multiple protective/risk factors for early sexual initiation in this group. This study examined two main factors--parenting practices and acculturation--on early sexual initiation among Hispanic middle school students in…

The effects of a prevention program designed to teach 7th grade students about the different risk behaviors associated with human immunodeficiency virus (HIV), chlamydia, and gonorrhea transmission were examined. Over 3 days, the students were taught how to reason about self-protective behaviors using information about the biological causal…

Mediation analysis is a statistical technique that can be used to identify mechanisms by which intervention programs achieve their effects. This paper presents the results of a mediation analysis of Ngao, an acquired immunodeficiency syndrome (AIDS) education program that was implemented with school children in Grades 6 and 7 in Tanzania in the…