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Schools and sex education: does it work?

J W Stout1, F P Rivara

  • 1Department of Pediatrics, Harborview Medical Center, Seattle, WA 98104.

Pediatrics
|March 1, 1989
PubMed
Summary

School-based sex education shows little to no impact on adolescent sexual activity, contraception use, or pregnancy rates. Evidence suggests current programs are ineffective in altering these key public health outcomes.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Sexuality Education

Background:

  • Adolescent pregnancy and sexual activity remain significant public health concerns.
  • Comprehensive sex education in schools is widely implemented but its effectiveness is debated.

Purpose of the Study:

  • To critically review existing literature on the effectiveness of school-based sex education.
  • To determine if sex education influences sexual behavior, contraception, and adolescent pregnancy.

Main Methods:

  • Systematic literature review of studies evaluating school-based sex education.
  • Analysis of five identified studies assessing impacts on sexual outcomes.

Main Results:

  • Limited evidence supports sex education's effect on sexual activity.
  • School-based programs showed minimal impact on contraception use.
  • No significant effect observed on adolescent pregnancy rates.

Conclusions:

  • Current evidence suggests school-based sex education has little to no effect on adolescent sexual behavior, contraception, or pregnancy.
  • Further research may be needed to identify effective interventions for adolescent sexual health.

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