title: Associations Between Sex Education and Contraceptive Use Among Heterosexually Active, Adolescent Males in the United States.
abstract: OBJECTIVE
  This study examined associations between reports of receiving education on topics commonly included in sex education (e.g., abstinence only, comprehensive) prior to age 18 years and contraceptive use at the last sex among heterosexually active, 15- to 20-year-old males in the United States.
  
  
  METHODS
  Cross-sectional data from 539 males participating in the 2011-2013 National Survey of Family Growth were analyzed. Bivariate and multinomial logistic regression analyses adjusting for confounding estimated associations between receipt of seven sex education topics (e.g., information on HIV/AIDS, how to say no to sex) and contraceptive use at the last sex (i.e., dual barrier and female-controlled effective methods, female-controlled effective method only, barrier method only, and no method).
  
  
  RESULTS
  Nearly, all participants (99%) reported receiving sex education on at least one topic. Education on sexually transmitted diseases (94.7%) and HIV/AIDS (92.0%) were the most commonly reported topics received; education on where to get birth control was the least common (41.6%). Instruction about birth control methods (adjusted odds ratio [AOR] = 3.01; 95% confidence interval [CI] = 1.32-6.87) and how to say no to sex (AOR = 3.39; CI = 1.33-8.64) were positively associated with dual contraception compared to no use. For each additional sex education topic respondents were exposed to, their odds of using dual methods compared to no method was 47% greater (AOR = 1.47; CI = 1.16-1.86).
  
  
  CONCLUSIONS
  Exposure to a larger number of sex education topics is associated with young men's report of dual contraception use at the last sex. Comprehensive sex education, focusing on a range of topics, may be most effective at promoting safer sex among adolescent males.
authors.affiliation: Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, California. Electronic address: njarami3@gmail.com.
authors.forename: Nicole
authors.initials: N
authors.lastname: Jaramillo
authors.affiliation: Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, California.
authors.forename: Eric R
authors.initials: ER
authors.lastname: Buhi
authors.affiliation: Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, California.
authors.forename: John P
authors.initials: JP
authors.lastname: Elder
authors.affiliation: Division of Health Promotion and Behavioral Science, Graduate School of Public Health, San Diego State University, San Diego, California.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Corliss
mesh_terms: D000293:Adolescent; D017280:Condoms / Q000706:statistics & numerical data; D003267:Contraception / Q000379:methods; D003268:Contraception Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D003270:Contraceptive Agents / Q000600:supply & distribution; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D020010:Heterosexuality / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D012044:Regression Analysis; D057566:Self Report; D012736:Sex Education / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control / Q000523:psychology; D014481:United States; D055815:Young Adult
chemical_list: D003270:Contraceptive Agents
keywords: Adolescents; Contraception; Males; Men; Sex education; Youth