Relationship Between Sex Education in High School and Current Sexual Behaviors Among Rural Young Adults

Young adults in the United States experience a disproportionately high burden of sexually transmitted diseases and geographic location may further contribute to disparities in sexual health outcomes. This study identified associations between adolescent sexual health education and sexual behaviors in young adulthood among individuals living in the rural South using a cross-sectional survey panel. Three sexual health outcomes were measured: contraception use, barrier use, and HPV vaccination. Most sexual health education topics were significantly associated with contraceptive use at last intercourse. Overall, the results underscore the importance of continued investment in comprehensive sexual education in rural settings.

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Publication Details

Journal
American Journal of Sexuality Education
Published
2026-11-10
DOI
https://doi.org/10.1080/15546128.2026.2757531
Primary Topic
Adolescent Sexual and Reproductive Health
Type
article
Field-Weighted Citation Impact
0.00
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article

Relationship Between Sex Education in High School and Current Sexual Behaviors Among Rural Young Adults

Lei Xu, Morgan Maner, Sarah B. Maness
American Journal of Sexuality Education
Adolescent Sexual and Reproductive Health
article

Relationship Between Sex Education in High School and Current Sexual Behaviors Among Rural Young Adults

Lei Xu, Morgan Maner, Sarah B. Maness
article en

Abstract

Young adults in the United States experience a disproportionately high burden of sexually transmitted diseases and geographic location may further contribute to disparities in sexual health outcomes. This study identified associations between adolescent sexual health education and sexual behaviors in young adulthood among individuals living in the rural South using a cross-sectional survey panel. Three sexual health outcomes were measured: contraception use, barrier use, and HPV vaccination. Most sexual health education topics were significantly associated with contraceptive use at last intercourse. Overall, the results underscore the importance of continued investment in comprehensive sexual education in rural settings.

American Journal of Sexuality Education
East Carolina University (US)
Adolescent Sexual and Reproductive Health
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Relationship Between Sex Education in High School and Current Sexual Behaviors Among Rural Young Adults — Lei Xu, Morgan Maner, et al. · American Journal of Sexuality Education (2026) | TGRS Research Map | TGRS