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But the broader goal of comprehensive sex education is to support young people’s development into sexually healthy adults. public and private high schools taught pregnancy prevention as part of required instruction; 76% taught that abstinence is the most effective method to avoid pregnancy, HIV and STDs; 61% taught about contraceptive efficacy; and 35% taught students how to correctly use a condom.• According to the Centers for Disease Control and Prevention (CDC), instruction on sexual health topics (including human sexuality and prevention of STDs and pregnancy) is more commonly required in high school than in middle or elementary school. • At the middle-school level, 38% of schools taught pregnancy prevention as part of required instruction; 50% taught that abstinence is the most effective method to avoid pregnancy, HIV and STDs; 26% taught about contraceptive efficacy; and 10% taught students how to correctly use a condom.• Between 2006–20–2013, there were significant declines in adolescent females’ reports of having received formal instruction about birth control, STDs, HIV and AIDs, and saying no to sex.There was also a significant decline in adolescent males’ reports of having received formal instruction about birth control.• Concerns about confidentiality limit access to sexual and reproductive health care, especially when young people rely on their parents’ health insurance.In 2013–2015, 18% of all adolescents aged 15–17 and 12% of young adults aged 18–19 covered by their parents’ insurance reported that they would not seek sexual or reproductive health care because of concerns that their parents might find out.• Among females aged 15–17 who had ever had sex, those who reported concerns about confidentiality were one-third as likely to have received a contraceptive service in the previous year than those who did not have these concerns.

• Proponents of “sexual risk avoidance” programs have appropriated the terms “medically accurate” and “evidence-based,” though experts in the field agree that such programs are neither complete in their medical accuracy nor based on the widely accepted body of scientific evidence.Among adolescents aged 15–19 who had ever had sex and who did not get birth control instruction from either formal sources or a parent, only 7% of females and 13% of males talked with a health care provider about birth control in 2006–2010.• Access to the Internet is nearly universal among adolescents in the United States.• Within each state, relatively few high schools offered instruction on HIV, STDs or pregnancy prevention specifically relevant to lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ) youth in 2014; the proportion ranged from 11% in South Dakota to 56% in Vermont.Adolescents may receive information about sexual health topics from a range of sources beyond formal instruction.

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