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Between 2006–20–2013, there were significant declines in adolescent females’ receipt of formal instruction about birth control (70% to 60%), saying no to sex (89% to 82%), sexually transmitted disease (94% to 90%), and HIV/AIDS (89% to 86%).There was a significant decline in males’ receipt of instruction about birth control (61% to 55%).We test for differential patterns of receipt of instruction by adolescents’ sociodemographic characteristics and place of residence.

These goals also establish objectives for reducing differentials in the receipt of sex education by gender, race/ethnicity, and other sociodemographic characteristics.

The surveys used a multistage, stratified clustered sampling frame to collect interviews continuously from June 2006 to December 2010 and from June 2011 to June 2013.

The National Center for Health Statistics Institutional Review Board approved data collection.

We limited the analyses to respondents aged 15–19 years at the time of the interview, resulting in samples of 2,284 and 1,037 females and 2,378 and 1,088 males in 2006–20–2013, respectively.

Formal instruction: in both surveys, respondents were asked “Before you were 18, did you ever have any formal instruction at school, church, a community center or some other place about” the following topics: “how to say no to sex,” “methods of birth control,” “sexually transmitted diseases,” and “how to prevent HIV/AIDS.” Additionally, in the 2011–2013 survey, respondents were also asked about formal instruction on “waiting until marriage to have sex,” “where to get birth control,” and “how to use a condom.” The survey added these latter topics to address concerns that the earlier survey’s measures did not provide adequate information about the specific instructional content.

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