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Replication of a Comprehensive Sexual Health Education Curriculum in Rural Latino Communities
Nancy F Berglas1, Abigail Gutmann-Gonzalez2, Kayla Wilson3
1Advancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, California, USA.
The Journal of School Health
|May 29, 2025
Summary
Comprehensive sexual health education programs can be successfully implemented in rural communities. This study shows high student attendance, satisfaction, and improved knowledge among Latino youth in California.
Area of Science:
- Public Health
- Adolescent Health
- Health Education
Background:
- School-based sexual health education is crucial for rural youth.
- Limited evidence-based programs exist specifically for rural populations, questioning their applicability and acceptability.
Purpose of the Study:
- To evaluate the implementation and effectiveness of the Positive Prevention PLUS curriculum.
- To assess program reach, short-term outcomes, and participant satisfaction among rural Latino youth.
Main Methods:
- Replication of the Positive Prevention PLUS curriculum with 1233 9th and 10th graders in two rural California communities.
- Implementation evaluation using daily attendance data and pre/post surveys.
- Assessment of program dosage, reach, knowledge, service awareness, and satisfaction.
Main Results:
- High student attendance (92% average) and positive participant feedback (94% found it interesting, 97% useful).
- Statistically significant improvements in sexual health knowledge.
- Increased awareness of local sexual health services and willingness to seek care.
Conclusions:
- Comprehensive sexual health education is feasible and effective in rural Latino communities.
- The Positive Prevention PLUS program demonstrated strong attendance, satisfaction, and positive short-term outcomes.
- Supports the successful implementation of evidence-based programs for underserved rural youth.
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