Rural sex education: assessment of programs and interagency collaboration

The purposes of this study were to assess the sex education programs offered in three rural Ohio counties, the agencies involved, and the extent to which agencies collaborated, and to compare interagency collaboration across counties. This cross-sectional study occurred in two phases. Using key-informant interviews (n = 85), Phase 1 identified current programs. Phase 2 assessed interagency collaboration via a mailed survey (n = 116). Results indicated that there were five to nine sex education programs per county, each involving five to eight agencies. Sex education was offered inside and outside of schools; programs were available to keep pregnant/parenting youth in school, enhance self-esteem, provide parenting education to teens, and advocate for abstinence. Sex education also occurred via a newsletter and an adolescent health conference, and in various clinics. Minimal collaboration was noted among agencies providing these programs. Public health nurses are ideally situated to identify current programs and agencies involved and form an interagency group to plan and implement comprehensive, collaborative sex education programs for youth. Further research is needed to longitudinally assess the impact of such program development on interagency collaboration, teen sexual activity, and pregnancy rates.