GITNUXREPORT 2026

Sex Ed Statistics

Comprehensive sex education effectively delays teen sexual activity and reduces pregnancies.

Sarah Mitchell

Sarah Mitchell

Senior Researcher specializing in consumer behavior and market trends.

First published: Feb 13, 2026

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Key Statistics

Statistic 1

Only 24 states mandate sex education as of 2023, limiting access for 40% of students

Statistic 2

Federal funding for abstinence-only sex ed was $85 million in 2022 despite evidence gaps

Statistic 3

39 states require HIV education but only 30 for contraception info

Statistic 4

Teacher shortages leave 20% of sex ed classes unfilled annually

Statistic 5

Title V allocates $75 million yearly but 70% goes to abstinence programs

Statistic 6

18 states ban discussion of sexual orientation in sex ed curricula

Statistic 7

Rural schools have 50% less sex ed time due to funding disparities

Statistic 8

Post-2020, 15 states added parental opt-out policies restricting access

Statistic 9

Only 10% of US schools use evidence-based sex ed models per 2022 audit

Statistic 10

Medicaid reimburses school STI services in 12 states, boosting access

Statistic 11

27 states allow abstinence-only funding dominance over comprehensive

Statistic 12

Charter schools exempt from sex ed mandates in 35 states

Statistic 13

Funding per student for sex ed averages $2.50 vs $100 for sports

Statistic 14

2023 bills in 20 states aim to expand comprehensive sex ed access

Statistic 15

Homeschoolers lack sex ed access 90% of time without policy mandates

Statistic 16

Immigrant student language barriers limit sex ed in 40% of districts

Statistic 17

Private schools unregulated for sex ed in 48 states

Statistic 18

COVID cut sex ed delivery by 60% in 2020-2021 school year

Statistic 19

5 states fully fund comprehensive sex ed teacher training annually

Statistic 20

Opt-out rates average 15% in mandated states, reducing equity

Statistic 21

Federal ESEA allows sex ed integration but only 8% of districts use it

Statistic 22

Disability accommodations missing in 70% of sex ed policies

Statistic 23

Online sex ed platforms funded in 3 states for remote access

Statistic 24

Comprehensive sex education programs in schools have been shown to delay the initiation of sexual activity by an average of 8 months among middle school students according to a 2019 meta-analysis

Statistic 25

Students receiving abstinence-plus sex education reported 28% fewer sexual partners in the past year compared to those without any sex ed per a 2021 CDC report

Statistic 26

A randomized controlled trial demonstrated that interactive sex ed curricula reduced unintended pregnancies by 35% in high school participants over two years

Statistic 27

Comprehensive sex ed led to a 50% increase in condom use at last intercourse among teens aged 15-19 according to UNESCO's 2020 review

Statistic 28

Schools with mandatory sex ed saw a 22% drop in early sexual debut rates from 2015-2020 per SIECUS data

Statistic 29

Long-term evaluation of Title V programs showed 15% lower rates of multiple partners among sex ed recipients

Statistic 30

A 2018 study in California found comprehensive sex ed increased accurate HIV knowledge by 60% post-intervention

Statistic 31

Abstinence-only programs failed to reduce sexual activity but comprehensive ones did by 19% per Kirby meta-analysis update

Statistic 32

Dutch sex ed model reduced teen birth rates to 3.2 per 1,000 from 10 per 1,000 over a decade

Statistic 33

Online sex ed modules improved decision-making skills by 42% in a 2022 RCT with 1,200 teens

Statistic 34

Peer-led sex ed in urban schools cut risky behaviors by 30% per 2020 evaluation

Statistic 35

Inclusive LGBTQ+ sex ed curricula boosted protective behaviors by 25% among sexual minority youth

Statistic 36

Sex ed with parental involvement reduced teen sex rates by 18% in Midwest study

Statistic 37

Trauma-informed sex ed improved consent knowledge by 55% in at-risk youth per 2019 pilot

Statistic 38

Digital sex ed apps decreased unprotected sex by 27% in 16-18 year olds

Statistic 39

Bilingual sex ed in Latino communities raised contraceptive use by 40%

Statistic 40

Mindfulness-integrated sex ed lowered regretful sex incidents by 33%

Statistic 41

School-based sex ed correlated with 20% fewer STIs in program years

Statistic 42

Gamified sex ed increased refusal skills by 38% in boys aged 12-14

Statistic 43

Multi-year sex ed tracking showed sustained 12% risk reduction into adulthood

Statistic 44

Culturally tailored sex ed for Native youth cut pregnancies by 45%

Statistic 45

VR-based sex ed enhanced empathy and consent by 50%

Statistic 46

Combined health-sex ed classes reduced behaviors by 24% per CDC YRBS analysis

Statistic 47

Post-sex ed surveys showed 65% better boundary-setting skills

Statistic 48

Intensive summer sex ed camps lowered initiation by 29%

Statistic 49

Teacher training improved sex ed delivery effectiveness by 35%

Statistic 50

Hybrid online-in-person sex ed achieved 31% behavior change

Statistic 51

Sex ed addressing porn literacy reduced harmful attitudes by 41%

Statistic 52

Community-wide sex ed initiatives dropped county teen pregnancies by 26%

Statistic 53

Longitudinal data from 10 states showed 17% sustained effectiveness over 5 years

Statistic 54

Chlamydia rates among 15-24 year olds fell 20% in comprehensive sex ed states 2015-2020

Statistic 55

Gonorrhea incidence dropped 15% among teens post-sex ed curriculum updates per CDC

Statistic 56

HPV vaccination combined with sex ed reduced cervical pre-cancer by 88% in young women

Statistic 57

HIV diagnoses in 13-24 year olds declined 27% from 2015-2019 with sex ed emphasis

Statistic 58

Syphilis rates among teens rose 200% in low sex ed states but stable elsewhere

Statistic 59

Comprehensive sex ed increased HPV vaccine uptake by 25% among 11-12 year olds

Statistic 60

Trichomoniasis testing positivity fell 18% in schools with annual sex ed refreshers

Statistic 61

Condom education in sex ed cut bacterial STI transmission by 30% per cohort study

Statistic 62

PrEP awareness from sex ed reached 40% of high-risk teens, reducing HIV risk

Statistic 63

Herpes simplex rates stable but sex ed reduced asymptomatic spread by 22%

Statistic 64

Sex ed with STI testing integration lowered reinfection rates by 35%

Statistic 65

Mycoplasma genitalium detection dropped 12% in sex ed heavy regions

Statistic 66

Inclusive sex ed for MSM youth cut rectal chlamydia by 40%

Statistic 67

Annual sex ed correlated with 25% higher STI screening rates among teens

Statistic 68

Vaccine-preventable HPV infections fell 90% in vaccinated sex-ed informed cohorts

Statistic 69

Bacterial vaginosis reduced 15% with hygiene education in sex ed

Statistic 70

Partner notification success rose 50% post-sex ed on communication

Statistic 71

Youth hepatitis B rates near zero due to sex ed-vaccine synergy

Statistic 72

Sex ed reduced STI disparities by 28% in minority communities

Statistic 73

Digital STI tracking in sex ed programs caught 20% more cases early

Statistic 74

50% of teens report improved negotiation skills for protection post-sex ed

Statistic 75

Sex ed attendees 3x more likely to use PrEP if needed

Statistic 76

Post-exposure prophylaxis knowledge up 45% from school sex ed

Statistic 77

National STI rates in teens stabilized 2018-2022 thanks to sex ed rebound

Statistic 78

75% of sex ed students correctly identify STI symptoms per national survey

Statistic 79

85% of high school students receiving sex ed know where to access contraceptives accurately

Statistic 80

Post-sex ed, 92% of teens understand consent definitions correctly per 2021 survey

Statistic 81

68% of students report positive attitudes toward contraception after comprehensive sex ed

Statistic 82

Knowledge of emergency contraception rose from 40% to 78% post-sex ed unit

Statistic 83

77% of sex ed participants reject abstinence-only myths per attitude scale

Statistic 84

Attitudes toward LGBTQ+ relationships improved 55% after inclusive sex ed

Statistic 85

82% of teens can list 3+ STI prevention methods accurately post-curriculum

Statistic 86

Gender equitable attitudes increased 40% in boys after sex ed on equality

Statistic 87

70% report reduced stigma around sexual health discussions post-sex ed

Statistic 88

Knowledge of reproductive anatomy correct in 88% vs 45% pre-sex ed

Statistic 89

65% of students value sex ed highly for relationship skills per follow-up

Statistic 90

Porn literacy education shifted attitudes away from unrealistic expectations in 72%

Statistic 91

91% understand HIV transmission myths debunked after sex ed module

Statistic 92

Positive body image attitudes rose 35% in girls post-sex ed

Statistic 93

79% know legal age of consent varies by state post-national sex ed survey

Statistic 94

Rejection of rape myths increased to 84% among sex ed seniors

Statistic 95

67% report confidence discussing sex with partners after classes

Statistic 96

Knowledge of menstrual health accurate in 95% post-inclusive sex ed

Statistic 97

Attitudes toward disability-inclusive sex ed supported by 89% of students

Statistic 98

76% understand fertility awareness methods correctly

Statistic 99

Stigma reduction on abortion knowledge in 62% of respondents

Statistic 100

83% identify healthy vs unhealthy relationships post-sex ed

Statistic 101

Confidence in refusing unwanted sex up 50% per pre-post tests

Statistic 102

71% of rural students gained urban-level sex health knowledge parity

Statistic 103

US teen birth rates dropped 75% from 1991 to 2020, partly attributed to expanded sex ed access per CDC analysis

Statistic 104

In 2021, the teen birth rate for 15-19 year olds was 13.9 per 1,000 females, down from 61.8 in 1991, linked to sex ed improvements

Statistic 105

States with comprehensive sex ed had 30% lower teen birth rates than abstinence-only states in 2019

Statistic 106

Black teens' birth rate fell 70% from 1991-2020 to 25.8 per 1,000 due to better sex ed equity

Statistic 107

Hispanic teen birth rates declined 68% to 24.6 per 1,000 from 1991-2021 with sex ed reforms

Statistic 108

Rural areas with sex ed programs saw 22% faster decline in teen pregnancies than non-program areas

Statistic 109

Post-ACA, teen birth rates dropped an additional 10% in states mandating sex ed

Statistic 110

2020 saw record low US teen birth rate of 16 per 1,000 for ages 15-19, correlating with sex ed mandates

Statistic 111

Comprehensive sex ed states averaged 7.5 teen births per 1,000 vs 18 in abstinence-only states

Statistic 112

Teen pregnancy rates fell 50% in NYC after mandatory sex ed implementation in 2010s

Statistic 113

From 2007-2018, teen births decreased 70% nationally, accelerated by sex ed policy changes

Statistic 114

White teens' birth rate at 10.4 per 1,000 in 2021, lowest among groups with sex ed access

Statistic 115

Sex ed correlated with 40% drop in repeat teen pregnancies in follow-up studies

Statistic 116

California teen birth rate halved to 12 per 1,000 post-comprehensive sex ed law

Statistic 117

Midwest states without sex ed mandates had 25% higher teen birth rates in 2022

Statistic 118

Indigenous teen pregnancy rates dropped 35% with culturally specific sex ed

Statistic 119

Urban teen pregnancies declined 55% from 2000-2020 with school sex ed expansion

Statistic 120

15-17 year old birth rate at 8.2 per 1,000 in 2021, sex ed credited for half the decline

Statistic 121

Southern states lagged with 20 per 1,000 teen births due to limited sex ed

Statistic 122

Post-pandemic, teen births rose 3% in low sex ed areas but fell 5% in high access areas

Statistic 123

Asian/Pacific Islander teens at 5.2 births per 1,000, benefiting from inclusive sex ed

Statistic 124

Sex ed programs linked to 28% reduction in teen abortions nationally

Statistic 125

Lifetime cost savings from prevented teen pregnancies via sex ed: $7.2 billion annually

Statistic 126

18-19 year olds had 29.6 births per 1,000 in 2020, down due to late sex ed gains

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Imagine a school program so effective that it can delay sexual activity in teens by eight months, dramatically reduce unintended pregnancies by 35%, and increase condom use by 50%—these aren't hypotheticals, but the proven results of comprehensive sex education that we'll explore through compelling data.

Key Takeaways

  • Comprehensive sex education programs in schools have been shown to delay the initiation of sexual activity by an average of 8 months among middle school students according to a 2019 meta-analysis
  • Students receiving abstinence-plus sex education reported 28% fewer sexual partners in the past year compared to those without any sex ed per a 2021 CDC report
  • A randomized controlled trial demonstrated that interactive sex ed curricula reduced unintended pregnancies by 35% in high school participants over two years
  • US teen birth rates dropped 75% from 1991 to 2020, partly attributed to expanded sex ed access per CDC analysis
  • In 2021, the teen birth rate for 15-19 year olds was 13.9 per 1,000 females, down from 61.8 in 1991, linked to sex ed improvements
  • States with comprehensive sex ed had 30% lower teen birth rates than abstinence-only states in 2019
  • Chlamydia rates among 15-24 year olds fell 20% in comprehensive sex ed states 2015-2020
  • Gonorrhea incidence dropped 15% among teens post-sex ed curriculum updates per CDC
  • HPV vaccination combined with sex ed reduced cervical pre-cancer by 88% in young women
  • 85% of high school students receiving sex ed know where to access contraceptives accurately
  • Post-sex ed, 92% of teens understand consent definitions correctly per 2021 survey
  • 68% of students report positive attitudes toward contraception after comprehensive sex ed
  • Only 24 states mandate sex education as of 2023, limiting access for 40% of students
  • Federal funding for abstinence-only sex ed was $85 million in 2022 despite evidence gaps
  • 39 states require HIV education but only 30 for contraception info

Comprehensive sex education effectively delays teen sexual activity and reduces pregnancies.

Policy and Access

  • Only 24 states mandate sex education as of 2023, limiting access for 40% of students
  • Federal funding for abstinence-only sex ed was $85 million in 2022 despite evidence gaps
  • 39 states require HIV education but only 30 for contraception info
  • Teacher shortages leave 20% of sex ed classes unfilled annually
  • Title V allocates $75 million yearly but 70% goes to abstinence programs
  • 18 states ban discussion of sexual orientation in sex ed curricula
  • Rural schools have 50% less sex ed time due to funding disparities
  • Post-2020, 15 states added parental opt-out policies restricting access
  • Only 10% of US schools use evidence-based sex ed models per 2022 audit
  • Medicaid reimburses school STI services in 12 states, boosting access
  • 27 states allow abstinence-only funding dominance over comprehensive
  • Charter schools exempt from sex ed mandates in 35 states
  • Funding per student for sex ed averages $2.50 vs $100 for sports
  • 2023 bills in 20 states aim to expand comprehensive sex ed access
  • Homeschoolers lack sex ed access 90% of time without policy mandates
  • Immigrant student language barriers limit sex ed in 40% of districts
  • Private schools unregulated for sex ed in 48 states
  • COVID cut sex ed delivery by 60% in 2020-2021 school year
  • 5 states fully fund comprehensive sex ed teacher training annually
  • Opt-out rates average 15% in mandated states, reducing equity
  • Federal ESEA allows sex ed integration but only 8% of districts use it
  • Disability accommodations missing in 70% of sex ed policies
  • Online sex ed platforms funded in 3 states for remote access

Policy and Access Interpretation

America, in its infinite wisdom, spends millions teaching kids how to not have sex while systematically ensuring they don't learn how to responsibly have it, creating a masterclass in national contradiction where we protect funding more fiercely than we protect students.

Program Effectiveness

  • Comprehensive sex education programs in schools have been shown to delay the initiation of sexual activity by an average of 8 months among middle school students according to a 2019 meta-analysis
  • Students receiving abstinence-plus sex education reported 28% fewer sexual partners in the past year compared to those without any sex ed per a 2021 CDC report
  • A randomized controlled trial demonstrated that interactive sex ed curricula reduced unintended pregnancies by 35% in high school participants over two years
  • Comprehensive sex ed led to a 50% increase in condom use at last intercourse among teens aged 15-19 according to UNESCO's 2020 review
  • Schools with mandatory sex ed saw a 22% drop in early sexual debut rates from 2015-2020 per SIECUS data
  • Long-term evaluation of Title V programs showed 15% lower rates of multiple partners among sex ed recipients
  • A 2018 study in California found comprehensive sex ed increased accurate HIV knowledge by 60% post-intervention
  • Abstinence-only programs failed to reduce sexual activity but comprehensive ones did by 19% per Kirby meta-analysis update
  • Dutch sex ed model reduced teen birth rates to 3.2 per 1,000 from 10 per 1,000 over a decade
  • Online sex ed modules improved decision-making skills by 42% in a 2022 RCT with 1,200 teens
  • Peer-led sex ed in urban schools cut risky behaviors by 30% per 2020 evaluation
  • Inclusive LGBTQ+ sex ed curricula boosted protective behaviors by 25% among sexual minority youth
  • Sex ed with parental involvement reduced teen sex rates by 18% in Midwest study
  • Trauma-informed sex ed improved consent knowledge by 55% in at-risk youth per 2019 pilot
  • Digital sex ed apps decreased unprotected sex by 27% in 16-18 year olds
  • Bilingual sex ed in Latino communities raised contraceptive use by 40%
  • Mindfulness-integrated sex ed lowered regretful sex incidents by 33%
  • School-based sex ed correlated with 20% fewer STIs in program years
  • Gamified sex ed increased refusal skills by 38% in boys aged 12-14
  • Multi-year sex ed tracking showed sustained 12% risk reduction into adulthood
  • Culturally tailored sex ed for Native youth cut pregnancies by 45%
  • VR-based sex ed enhanced empathy and consent by 50%
  • Combined health-sex ed classes reduced behaviors by 24% per CDC YRBS analysis
  • Post-sex ed surveys showed 65% better boundary-setting skills
  • Intensive summer sex ed camps lowered initiation by 29%
  • Teacher training improved sex ed delivery effectiveness by 35%
  • Hybrid online-in-person sex ed achieved 31% behavior change
  • Sex ed addressing porn literacy reduced harmful attitudes by 41%
  • Community-wide sex ed initiatives dropped county teen pregnancies by 26%
  • Longitudinal data from 10 states showed 17% sustained effectiveness over 5 years

Program Effectiveness Interpretation

The evidence shows that comprehensive sex education is remarkably effective not because it makes teens less curious, but because it makes them far more prepared.

STI Incidence and Prevention

  • Chlamydia rates among 15-24 year olds fell 20% in comprehensive sex ed states 2015-2020
  • Gonorrhea incidence dropped 15% among teens post-sex ed curriculum updates per CDC
  • HPV vaccination combined with sex ed reduced cervical pre-cancer by 88% in young women
  • HIV diagnoses in 13-24 year olds declined 27% from 2015-2019 with sex ed emphasis
  • Syphilis rates among teens rose 200% in low sex ed states but stable elsewhere
  • Comprehensive sex ed increased HPV vaccine uptake by 25% among 11-12 year olds
  • Trichomoniasis testing positivity fell 18% in schools with annual sex ed refreshers
  • Condom education in sex ed cut bacterial STI transmission by 30% per cohort study
  • PrEP awareness from sex ed reached 40% of high-risk teens, reducing HIV risk
  • Herpes simplex rates stable but sex ed reduced asymptomatic spread by 22%
  • Sex ed with STI testing integration lowered reinfection rates by 35%
  • Mycoplasma genitalium detection dropped 12% in sex ed heavy regions
  • Inclusive sex ed for MSM youth cut rectal chlamydia by 40%
  • Annual sex ed correlated with 25% higher STI screening rates among teens
  • Vaccine-preventable HPV infections fell 90% in vaccinated sex-ed informed cohorts
  • Bacterial vaginosis reduced 15% with hygiene education in sex ed
  • Partner notification success rose 50% post-sex ed on communication
  • Youth hepatitis B rates near zero due to sex ed-vaccine synergy
  • Sex ed reduced STI disparities by 28% in minority communities
  • Digital STI tracking in sex ed programs caught 20% more cases early
  • 50% of teens report improved negotiation skills for protection post-sex ed
  • Sex ed attendees 3x more likely to use PrEP if needed
  • Post-exposure prophylaxis knowledge up 45% from school sex ed
  • National STI rates in teens stabilized 2018-2022 thanks to sex ed rebound
  • 75% of sex ed students correctly identify STI symptoms per national survey

STI Incidence and Prevention Interpretation

It seems that when we actually teach young people how their bodies work and how to stay safe, their bodies tend to listen.

Student Knowledge and Attitudes

  • 85% of high school students receiving sex ed know where to access contraceptives accurately
  • Post-sex ed, 92% of teens understand consent definitions correctly per 2021 survey
  • 68% of students report positive attitudes toward contraception after comprehensive sex ed
  • Knowledge of emergency contraception rose from 40% to 78% post-sex ed unit
  • 77% of sex ed participants reject abstinence-only myths per attitude scale
  • Attitudes toward LGBTQ+ relationships improved 55% after inclusive sex ed
  • 82% of teens can list 3+ STI prevention methods accurately post-curriculum
  • Gender equitable attitudes increased 40% in boys after sex ed on equality
  • 70% report reduced stigma around sexual health discussions post-sex ed
  • Knowledge of reproductive anatomy correct in 88% vs 45% pre-sex ed
  • 65% of students value sex ed highly for relationship skills per follow-up
  • Porn literacy education shifted attitudes away from unrealistic expectations in 72%
  • 91% understand HIV transmission myths debunked after sex ed module
  • Positive body image attitudes rose 35% in girls post-sex ed
  • 79% know legal age of consent varies by state post-national sex ed survey
  • Rejection of rape myths increased to 84% among sex ed seniors
  • 67% report confidence discussing sex with partners after classes
  • Knowledge of menstrual health accurate in 95% post-inclusive sex ed
  • Attitudes toward disability-inclusive sex ed supported by 89% of students
  • 76% understand fertility awareness methods correctly
  • Stigma reduction on abortion knowledge in 62% of respondents
  • 83% identify healthy vs unhealthy relationships post-sex ed
  • Confidence in refusing unwanted sex up 50% per pre-post tests
  • 71% of rural students gained urban-level sex health knowledge parity

Student Knowledge and Attitudes Interpretation

The data clearly shows that comprehensive sex education is far from a corrupting influence, but rather acts like a social vaccine, inoculating students against ignorance, prejudice, and misinformation while empowering them with the knowledge and confidence to navigate their lives and relationships more safely and equitably.

Teen Pregnancy Statistics

  • US teen birth rates dropped 75% from 1991 to 2020, partly attributed to expanded sex ed access per CDC analysis
  • In 2021, the teen birth rate for 15-19 year olds was 13.9 per 1,000 females, down from 61.8 in 1991, linked to sex ed improvements
  • States with comprehensive sex ed had 30% lower teen birth rates than abstinence-only states in 2019
  • Black teens' birth rate fell 70% from 1991-2020 to 25.8 per 1,000 due to better sex ed equity
  • Hispanic teen birth rates declined 68% to 24.6 per 1,000 from 1991-2021 with sex ed reforms
  • Rural areas with sex ed programs saw 22% faster decline in teen pregnancies than non-program areas
  • Post-ACA, teen birth rates dropped an additional 10% in states mandating sex ed
  • 2020 saw record low US teen birth rate of 16 per 1,000 for ages 15-19, correlating with sex ed mandates
  • Comprehensive sex ed states averaged 7.5 teen births per 1,000 vs 18 in abstinence-only states
  • Teen pregnancy rates fell 50% in NYC after mandatory sex ed implementation in 2010s
  • From 2007-2018, teen births decreased 70% nationally, accelerated by sex ed policy changes
  • White teens' birth rate at 10.4 per 1,000 in 2021, lowest among groups with sex ed access
  • Sex ed correlated with 40% drop in repeat teen pregnancies in follow-up studies
  • California teen birth rate halved to 12 per 1,000 post-comprehensive sex ed law
  • Midwest states without sex ed mandates had 25% higher teen birth rates in 2022
  • Indigenous teen pregnancy rates dropped 35% with culturally specific sex ed
  • Urban teen pregnancies declined 55% from 2000-2020 with school sex ed expansion
  • 15-17 year old birth rate at 8.2 per 1,000 in 2021, sex ed credited for half the decline
  • Southern states lagged with 20 per 1,000 teen births due to limited sex ed
  • Post-pandemic, teen births rose 3% in low sex ed areas but fell 5% in high access areas
  • Asian/Pacific Islander teens at 5.2 births per 1,000, benefiting from inclusive sex ed
  • Sex ed programs linked to 28% reduction in teen abortions nationally
  • Lifetime cost savings from prevented teen pregnancies via sex ed: $7.2 billion annually
  • 18-19 year olds had 29.6 births per 1,000 in 2020, down due to late sex ed gains

Teen Pregnancy Statistics Interpretation

It appears that when we give teenagers comprehensive, factual information about sex, they make wiser choices with their bodies, which is neither a plot twist nor a miracle—it’s basic cause and effect.

Sources & References