| Table 4. Percentage of sexuality education teachers who taught specific skills and concepts, by year and approach to teaching abstinence |
| Skills and concepts |
Year |
Approach to teaching abstinence |
| 1988 |
1999 |
Only option |
Best/one option |
| STD/HIV facts and prevention |
u |
89.5 |
90.1 |
92.9 |
| There are many types of STDs |
u |
94.7 |
96.6 |
96.9 |
| Sexual abstinence as a form of prevention |
91.2 |
94.6*** |
98.7 |
98.1 |
| Symptoms of STDs/HIV are sometimes hidden,absent or unnoticed |
u |
93.6 |
95.9 |
95.5 |
| Only some STDs are curable |
u |
91.7 |
93.1 |
94.7 |
| Signs and symptoms of STDs/HIV |
92.4 |
91.7 |
93.7 |
94.2 |
| STDs/HIV can be contracted during oral or anal intercourse |
u |
80.4 |
76.5 |
85.2*** |
| Sexual monogamy as a form of prevention |
81.2 |
80.1 |
76.3 |
85.4*** |
| Sexual behavior and abstinence |
u |
75.4 |
78.5 |
78.5 |
| How alcohol and drugs affect behavior |
u |
91.2 |
93.0 |
93.4 |
| Negative consequences of sexual intercourse for teenagers |
86.1 |
91.1*** |
94.2 |
94.3 |
| How to resist peer pressure to have sexual intercourse |
79.3 |
85.7*** |
93.0 |
89.7* |
| Sexuality is a natural and healthy part of life |
u |
83.1 |
82.6 |
86.6 |
| How to stick with a decision, even under pressure |
u |
80.4 |
86.3 |
81.5* |
How to say no to a boyfriend/girlfriend who wants to have sexual intercourse |
78.4 |
77.0 |
85.5 |
79.2** |
| Specific ways to avoid sex |
u |
70.0 |
76.9 |
72.2 |
| Difference between consensual and forced sexual contact |
u |
68.7 |
70.5 |
72.4 |
| The importance of both partners agreeing to any sexual behavior |
u |
68.2 |
65.5 |
73.4** |
| How to recognize and resist media pressure regarding sexual behavior |
u |
67.4 |
70.3 |
70.5 |
| How to negotiate sexual limits |
u |
47.1 |
45.9 |
50.5 |
| STD/HIV services |
u |
66.5 |
63.2 |
71.2** |
| Importance of notifying all sexual partners if infected |
86.4 |
78.1*** |
76.7 |
82.1* |
| Confidential testing and treatment is availablefor teenagers without parental consent |
u |
62.7 |
55.3 |
68.6*** |
| Names of clinics or other specific sources students can go to for help |
64.8 |
58.7*** |
57.6 |
63.0 |
| Methods for pregnancy and infection prevention |
u |
52.0 |
38.7 |
59.4*** |
| Use of condoms as a form of STD/HIV prevention |
88.9 |
78.0*** |
59.9 |
87.8*** |
| Pregnancies should be planned |
u |
62.6 |
56.9 |
68.5*** |
| The importance of using a method correctly and consistently |
u |
61.8 |
47.0 |
70.5*** |
| How individual birth control methods work |
70.5 |
60.3*** |
45.9 |
68.2*** |
| The importance of using both a condom and a more effective birth control method to avoid both pregnancy and STDs/HIV |
u |
60.2 |
45.6 |
68.6*** |
| Which methods can be purchased at a drug, grocery or convenience store and which methods require a doctor or clinic visit |
u |
50.3 |
34.4 |
58.5*** |
| How to communicate with a sexual partner about birth control |
46.4 |
47.0 |
37.5 |
53.2*** |
| Information about specific clinics or doctors students can go to for birth control |
48.5 |
35.3*** |
24.7 |
41.4*** |
| The proper way to use a condom (using printed material, film or demonstration) |
36.8 |
33.4 |
17.8 |
40.4*** |
| Showing of actual birth control devices |
33.8 |
30.8 |
17.4 |
36.8*** |
| *p<.05. **p<.01. ***p<.001. Percentages are averages of all items in this group. Averages for 1988 are not calculated because data are not available for many items. Note: u=unavailable; question not asked. |