North Carolina State Profile Fiscal Year 2009
Sexuality Education Law and Policy | Recent Legislation | Youth Statistical Information of Note | Sexual Health Statistics | Comprehensive Approaches to Sex Education| Federal Funding of Abstinence-Only-Until-Marriage Programs | Abstinence-Only-Until-Marriage Curricula Used by Grantees | Federal Funding for Abstinence-Only-Until-Marriage Programs in FY 09 | Adolescent Health Contact | Organizations that Support Comprehensive Sexuality Education | Organizations that Oppose Comprehensive Sexuality Education | Local Newspapers | Political Blogs | References
North Carolina schools are required to teach a comprehensive health education program, which includes instruction on the prevention of unintended pregnancy and sexually transmitted diseases (STDs), including HIV/AIDS. Schools must stress the importance of parental involvement and teach refusal skills and strategies to handle peer pressure. Curricula must teach “that abstinence from sexual activity is the only certain means of avoiding out-of-wedlock pregnancy, sexually transmitted diseases when transmitted through sexual contact, including HIV/AIDS,” and “that a mutually faithful monogamous heterosexual relationship in the context of marriage is the best lifelong means of avoiding sexually transmitted diseases, including HIV/AIDS.” With respect to contraception and family planning, the law states:
The North Carolina Department of Public Instruction provides several different resources for schools, including Components of a Strong School HIV Policy, Healthful Living: Standard Course of Study and Grade-Level Competencies (which currently is under revision), and Communicable Diseases—Students. These documents offer model policies and content outlines. However, school districts make the ultimate decision about classroom education. Each school district must also establish a school health advisory council.
According to North Carolina law, “[l]ocal boards of education shall adopt policies to provide opportunities either for parents and legal guardians to consent or for parents and legal guardians to withhold their consent to the students’ participation in any or all of these programs.” These are referred to as “opt-in” and “opt-out” policies, respectively.
See North Carolina General Statutes § 115C-81, Components of a Strong School HIV Policy, Healthful Living: Standard Course of Study and Grade-Level Competencies, and Communicable Diseases–Students,.
Bill Requires Schools to Offer More Comprehensive Approach to Sex Education
House Bill 88 and its companion, Senate Bill 221, also known as the Healthy Youth Act, requires all school systems to offer information to students in seventh, eighth, and ninth grade about the use of contraceptives for pregnancy and sexually transmitted diseases (STDs) prevention. The program, however, remains part of a larger reproductive health education curriculum and retains the abstinence-until-marriage focus that is currently offered in nearly all of North Carolina’s school. After it passed the Senate by a vote of 25–21 and the House 60–55, Governor Beverly Perdue signed the bill into law on June 29, 2009. The new law goes into effect for the 2010–2011 school year.
North Carolina’s Youth: Statistical Information of Note
Charlotte-Mecklenburg County, North Carolina
Teen Pregnancy, Birth, and Abortion
HIV and AIDS
Sexually Transmitted Diseases
SIECUS has identified some examples of model programs, policies, and best practices being implemented in North Carolina public schools that provide a more comprehensive approach to sex education for young people.
Revised State Sex Education Policy
North Carolina’s revised sex education law, which was signed by Governor Beverly Purdue in June 2009, expands the requirements for human sexuality instruction provided in public schools and amends the state’s former abstinence-only-until-marriage policy to provide young people with a more comprehensive approach to sex education. Previous law required schools to teach “abstinence until marriage education” as part of the comprehensive health education requirement for students in grades K–nine. Such instruction emphasized the risks of premarital sexual activity, including the “health and emotional problems” associated with engaging in sexual activity before marriage. Under previous law each local school board could choose to offer expanded instruction and provide a comprehensive sex education program only if all of the following requirements were met:
The new law requires all school districts to provide “a reproductive health and safety education program” that teaches about STDs as a required part of instruction beginning in the seventh grade Such instruction must address “how sexually transmitted diseases are and are not transmitted,” “the effectiveness and safety of all FDA-approved methods for reducing the risk of sexual disease transmission and FDA-approved contraceptive methods for preventing pregnancy,” “awareness of sexual assault, sexual abuse, and risk reduction,” and healthy relationships. The new law goes into effect for the 2010–2011 school year.
Comprehensive Sex Education Programs in Public Schools
Even before the passage of the Healthy Youth Act , high schools in Chapel Hill-Carrboro City provided comprehensive sexuality education to high school students using Reducing the Risk: Building Skills to Prevent Pregnancy, STD and HIV,a comprehensive sexuality education curriculum designed for high school students in the ninth and tenth grade that is appropriate for use with multi-ethnic populations. The curriculum includes experiential activities that teach students to develop refusal, negotiation, and communication skills. An evaluation of the program found that it increased parent-child communication, especially among Latino youth, delayed the initiation of sexual intercourse, and reduced incidence of unprotected sex among lower-risk youth.
We encourage you to submit any updated or additional information on comprehensive approaches to sex education being implemented in North Carolina public schools for inclusion in future publications of the SIECUS State Profiles. Please visit SIECUS’ “Contact Us” webpage at www.siecus.org to share information. Select “state policy” as the subject heading.
The Department of Public Instruction and community-based organizations in North Carolina received $2,361,463 in federal funds for abstinence-only-until-marriage programs in Fiscal Year 2009.
Title V Abstinence-Only-Until Marriage Funding
Community-Based Abstinence Education (CBAE) Funding
Adolescent Family Life Act (AFLA) Funding
Some abstinence-only-until-marriage grantees in North Carolina use commercially available curricula. These include, but are not limited to:
To read reviews of abstinence-only-until-marriage curricula commonly used by federal grantees please visit the “Curricula and Speaker Reviews” webpage of SIECUS’ Community Action Kit at www.communityactionkit.org.
Federal Funding for Abstinence-Only-Until-Marriage Programs in FY 2009
Adolescent Health Contact
Department of Public Instruction
301 North Wilmington Street
Raleigh, NC 27601
Phone: (919) 807-3860
Newspapers in North Carolina
 N.C. Gen. Stat. § 115C-81(e1)(4).
 N.C. Gen. Stat. § 115C-81(e1)(4)(d); N.C. Gen. Stat. § 115C-81(e1)(4)(e).
 N.C. Gen. Stat. § 115C-81(e1)(4a)(a).
 N.C. Gen. Stat. § 115C-81(e1)(4a)(b).
 N.C. Gen. Stat. § 115C-81(e1)(8).
 N.C. Gen. Stat. § 115C-81(e1)(9).
 Healthful Living: Standard Course of Study and Grade-Level Competencies (Raleigh, NC: North Carolina Department of Public Instruction, 2006), accessed 14 April 2010, <http://www.ncpublicschools.org/docs/curriculum/healthfulliving/scos/2006healthfullivingscos.pdf>, 81.
 N.C. Gen. Stat. § 115C-81(e1)(7).
 Danice K. Eaton, et. al., “Youth Risk Behavior Surveillance—United States, 2009,” Surveillance Summaries, Morbidity and Mortality Weekly Report, vol. 59, no. SS-5 (4 June 2010): 98–109, accessed 4 June 2010, <http://www.cdc.gov/mmwr/pdf/ss/ss5905.pdf>. Note: North Carolina did not participate in the full 2009 YRBS. One county in North Carolina also participated in the survey, however , it also did not participate in the full 2009 YRBS.
 Ibid., Table 3.2.
 Joyce A. Martin, et. al, “Births: Final Data for 2006,” National Vital Statistics Reports, vol. 57, number 7 (Hyattsville, MD: Centers for Disease Control and Prevention, 7 January 2009), accessed 5 March 2010, <http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_07.pdf>, Table B.
 U.S. Teenage Pregnancies, Births, and Abortions: National and State Trends and Trends by Race and Ethnicity , Table 3.2.
 Martin, et. al, “Births: Final Data for 2006,”4.
 Ibid., Table B.
 U.S. Teenage Pregnancies, Births, and Abortions: National and State Trends and Trends by Race and Ethnicity, Table 3.5.
 “Cases of HIV Infection and AIDS in the United States and Dependent Areas, 2007,” HIV/AIDS Surveillance Report, vol. 19, (Atlanta, GA:Centers for Disease Control and Prevention, February 2009), accessed 5 March 2010, <http://www.cdc.gov/hiv/topics/surveillance/resources/reports/2007report/pdf/2007SurveillanceReport.pdf>, Table 18.
 Slide 6: “Estimated Numbers of HIV/AIDS Cases among Adolescents 13 to 19 Years of Age, 2007—34 States,” HIV/AIDS Surveillance in Adolescents and Young Adults (through 2007), (Atlanta, GA: Centers for Disease Control and Prevention, May 2009), accessed 25 March 2010, <http://www.cdc.gov/hiv/topics/surveillance/resources/slides/adolescents/index.htm>.
 Ibid.; “AIDS Case Rate per 100,000 Population, All Ages, 2007,” Kaiser Family Foundation, accessed 5 March 2010, <http://www.statehealthfacts.org/comparetable.jsp?ind=513&cat=11&sub=120&yr=62&typ=1&sort=a>.
 Ibid., Table 16.
 Slide 15: “Reported AIDS Cases among Adolescents 13 to 19 Years of Age, 2007—United States and Dependent Areas,” HIV/AIDS Surveillance in Adolescents and Young Adults (through 2007), (Atlanta, GA: Centers for Disease Control and Prevention, May 2009), accessed 25 March 2010, <http://www.cdc.gov/hiv/topics/surveillance/resources/slides/adolescents/index.htm>.
 “Wonder Database: Selected STDs by Age, Race/Ethnicity, and Gender, 1996-2008 Results,” Centers for Disease Control and Prevention, 30 June 2009, accessed 5 March 2010, <http://wonder.cdc.gov/>; see also Table 10: “Chlamydia: Reported Cases and Rates Per 100,000 Population by Age Group and Sex: United States, 2004–2008,” Sexually Transmitted Disease Surveillance 2008, (Atlanta, GA: Centers for Disease Control and Prevention, Division of STD Prevention, November 2009), accessed 5 March 2010, <http://www.cdc.gov/std/stats08/surv2008-Complete.pdf>, 95.
 Ibid; see also Table 20: “Gonorrhea—Reported Cases and Rates per 100,000 Population by Age Group and Sex: United States, 2004–2008,” Sexually Transmitted Disease Surveillance 2008,106.
 Ibid; see also Table 33: “Primary and Secondary Syphilis—Reported Cases and Rates per 100,000 Population by Age Group and Sex: United States, 2004–2008,” Sexually Transmitted Disease Surveillance 2008, 121.
 This is by no means a complete list of all comprehensive programming and policies related to sexuality education, but rather some examples of best practices and model programs that SIECUS identified.
 This refers to the federal government’s fiscal year, which begins on October 1st and ends on September 30th. The fiscal year is designated by the calendar year in which it ends; for example, Fiscal Year 2009 began on October 1, 2008 and ended on September 30, 2009.
 Through the Fiscal Year 2010 appropriations process, Congress eliminated all discretionary funding for abstinence-only-until-marriage programs, including the entire CBAE program and the abstinence-only-until-marriage portion of AFLA. The grant years listed in the chart reflect the years for which funding was originally approved; however, the grants effectively ended in Fiscal Year 2009.
 SIECUS has identified this person as a state-based contact for information on adolescent health and if applicable, abstinence-only-until-marriage programs.
 This section is a list of major newspapers in your state with contact information for their newsrooms. This list is by no means exhaustive and does not contain the local level newspapers which are integral to getting your message out to your community. SIECUS strongly urges you to follow stories about the issues that concern you on the national, state, and local level by using an internet news alert service such as Google alerts, becoming an avid reader of your local papers, and establishing relationships with reporters who cover your issues. For more information on how to achieve your media goals visit the SIECUS Community Action Kit.