Ohio State Profile Fiscal Year 2009
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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
Ohio does not require schools to teach sexuality education. However, the board of education of each school district must establish a health curriculum for “all schools under their control.” The health education curriculum must include “[v]enereal disease education,” which must emphasize that, “abstinence from sexual activity is the only protection that is one hundred per cent [sic] effective against unwanted pregnancy, sexually transmitted disease, and the sexual transmission of a virus that causes acquired immunodeficiency syndrome.”[1] Additionally, it must:
teach that conceiving children out of wedlock is likely to have harmful consequences for the child, the child’s parents, and society;
These points closely mirror the federal definition of “abstinence education.” Upon written request of a parent or guardian, a student may be excused from taking any or all of this instruction. This is referred to as an “opt-out” policy.
See Ohio Revised Code Sections 3313.60 and 3313.6011. SIECUS is not aware of any recent legislation regarding sexuality education in Ohio.
Ohio’s Youth: Statistical Information of Note[3]
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 Ohio public schools that provide a more comprehensive approach to sex education for young people.[19]
Comprehensive Sex Education Programs in Public Schools
Cleveland Metropolitan School District, Responsible Sexual Behavior Education Initiative
In October 2002, the Cleveland Metropolitan School (CMSD) District adopted a district-wide Comprehensive Health Plan, which outlines critical objectives for improving “the health and well-being of the District’s students, families, and staff.”[20] Based on the Comprehensive School Health Program developed by the Centers for Disease Control and Prevention and the Surgeon General’s Healthy People 2010 report, the Comprehensive Health Plan includes a total of 117 objectives for improving health outcomes related to access to health care, immunization, tobacco use, substance abuse, responsible sexual behavior, environmental quality, mental health, injury and violence prevention, overweight and obesity, and physical activity. In regards to responsible sexual behavior, the plan includes four overarching goals:
1. Prevent school-age parenthood among male and female students.
2. Support pregnant and parenting, school-age, male and female students.
3. Prevent the transmission of STDs, including HIV/AIDS, to male and female students.
4. Support male and female students living with STDs, including HIV/AIDS.[21]
In accordance with these goals, CMSD developed the Responsible Sexual Behavior Initiative for grades K–12 that was first implemented in schools during the 2006–2007 school year. Through the initiative students receive comprehensive sexuality education in each grade. The program uses modified versions of four evidence-based curricula and promising models, including All About Life (used in grades K–3), FLASH (Family Life and Sexual Health) (used in grades 4–6), Making Proud Choices (used in grades 7–8), and Safer Choices (used in high school).
FLASH is a comprehensive sexuality education curriculum developed by the Seattle & King County public health department. The curriculum is designed for students in grades five through 12 and “rests on a foundation of positive and healthy sexuality across the lifespan.” Furthermore, it “focuses on the needs of public schools and diverse communities” and includes a “strong family involvement component.”[22] FLASH addresses such issues as physical development, sexual health, disease prevention, affection, interpersonal relationships, body image, and gender roles among other topics. The instruction focuses on abstinence while also providing information on the prevention of sexually transmitted diseases (STDs), including HIV, and pregnancy. An examination of the most recent version of the curriculum showed that it closely mirrored “the characteristics of sex education programs that have been rigorously evaluated and found to be effective.”[23]
Making Proud Choices! is an evidenced-based STD, HIV, and pregnancy prevention curriculum for young adolescents ages 11–13 and is appropriate for use with African-American, Latino, and white populations. The curriculum consists of activities that assist young adolescents in understanding poor reasoning and decision making related to taking risks that can lead to STD/HIV infection and/or unintended pregnancy. Such activities are designed to “increase comfort with practicing condom use, address concerns about negative effects of practicing safer sex, and build skills in condom use and negotiation.”[24] Findings from the program evaluation show that participants reported more consistent condom use and less unprotected sex as well as a higher frequency of condom use.[25]
Safer Choices is an evidence-based, HIV-, STD-, and pregnancy-prevention curriculum designed for use with diverse populations of ninth and tenth grade students, including Latino youth. Safer Choices has many program components, including experiential activities for building communication skills, a “school health protection council,” and a peer team or club responsible for hosting school-wide activities. An evaluation of Safer Choices found that the curriculum was effective in delaying the initiation of sexual intercourse among Latino youth. The evaluation also showed increased use of contraception, increased condom use, reduced incidence of unprotected sex, and reduced number of sexual partners with whom condoms weren’t used among program participants.[26]
During its first year of implementation, the Responsible Sexual Behavior Initiative was administered by health services liaisons employed by CMSD and educators from six local community-based organizations. The program model incorporates teacher training into the design so that by its third year it could be administered by district staff. During the second year of the initiative, an evaluation of the program was conducted which measured changes in knowledge, attitudes, skills, and behavioral intent among elementary, middle, and high school students who received instruction. Findings from the evaluation showed that there was significant increase in knowledge among students in grades four–12 after receiving comprehensive sex education.[27]
Among high school students in particular, the evaluation found significant changes in knowledge, attitude, and behavioral intent. Specifically, high school students showed a significant shift in attitudes toward condom use, pregnancy prevention, and remaining abstinent as well as increased skills in condom negotiation. [28]
Findings from the evaluation also showed strong parental support for the program; 97 percent of parents with children in grades seven–12 agreed that it was important or somewhat important for schools to offer sex education and 75 percent of parents with children in grades K–6 backed the program. The program is currently in its third year of implementation.
We encourage you to submit any updated or additional information on comprehensive approaches to sex education being implemented in Ohio 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.
Community-based organizations in Ohio received $4,948,806 in federal funds for abstinence-only-until-marriage programs in Fiscal Year 2009.[29]
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 Ohio 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[30]
Adolescent Health Contact[31]
Sandra Hood
Ohio Department of Health
Office of Abstinence Education 246 North High Street, 7th Floor P.O. Box 118 Columbus, OH 43216 Phone: (614) 728-4761
Newspapers in Ohio[32]
[1] Ohio Rev. Code § 3313.6011(B).
[2] Ohio Rev. Code §§ 3313.6011(C)(1)-(7).
[3] Danice K. Eaton, et. al., “Youth Risk Behavior Surveillance—United States, 2007,” Surveillance Summaries, Morbidity and Mortality Weekly Report 57.SS-4 (6 June 2008), accessed 4 June 2008, <http://www.cdc.gov/HealthyYouth/yrbs/index.htm>. Note: Ohio did not participate in the 2009 YRBS.
[4] U.S. Teenage Pregnancies, Births, and Abortions: National and State Trends and Trends by Race and Ethnicity, (Washington, DC: Guttmacher Institute, January 2010), accessed 5 March 2010, <http://www.guttmacher.org/pubs/USTPtrends.pdf>, Table 3.1.
[5] Ibid., Table 3.2.
[6] 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.
[7] U.S. Teenage Pregnancies, Births, and Abortions: National and State Trends and Trends by Race and Ethnicity , Table 3.2.
[8] Martin, et. al, “Births: Final Data for 2006,” 4.Table 3.5 y Race and Ethnicity
[9] Ibid., Table B.
[10] U.S. Teenage Pregnancies, Births, and Abortions: National and State Trends and Trends by Race and Ethnicity, Table 3.5
[11] “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.
[12] 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>.
[13] Ibid.; “AIDS Case Rate per 100,000 Population, All Ages, 2007,” (Menlo Park, CA: 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>.
[14] Ibid., Table 16.
[15] 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>.
[16] “Wonder Database: Selected STDs by Age, Race/Ethnicity, and Gender, 1996-2008 Results,” (Atlanta, GA: 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.
[17] 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.
[18] 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.
[19] 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.
[20] Status of Implementation of the Comprehensive Health Plan: A Report Card, (Cleveland, Ohio: Cleveland Municipal School District, 2006), accessed 3 May 2010, <http://www.communitysolutions.com/images/upload/resources/CompHealthReportCard06.pdf>, 2.
[21] Ibid.
[22] “Questions About the Family Life and Sexual Health (F.L.A.S.H.) Curriculum,” Public Health – Seattle and King County, accessed 3 May 2010, <http://www.kingcounty.gov/healthservices/health/personal/famplan/educators/FLASH/questions.aspx>.
[23] Ibid.
[24] “Making Proud Choices!” Evidence Based Programs, Resource Center for Adolescent Pregnancy Prevention (ReCAPP), ETR Associates, accessed 15 April 2010, <http://www.etr.org/recapp/index.cfm?fuseaction=pages.ebpDetail&PageID=128>.
[25] Ibid.
[26] Science and Success: Sex Education and Other Programs That Work to Prevent Teen Pregnancy, HIV & Sexually Transmitted Infections (Washington, DC: Advocates for Youth, 2008), accessed 30 March 2010, <http://www.advocatesforyouth.org/storage/advfy/documents/sciencesuccess.pdf>, 26–28.
[27] Evaluation of Responsible Sexual Behavior Education in the Cleveland Metropolitan School District, (Accord: New York, Philliber Research Associates, December 2008), accessed 3 May 2010, <http://www.communitysolutions.com/images/upload/resources/CMSD-K_12-Eval-2007_2008-final-report.pdf>, 5.
[28] Ibid.
[29] 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.
[30] 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.
[31] SIECUS has identified this person as a state-based contact for information on adolescent health and if applicable, abstinence-only-until-marriage programs.
[32] 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.
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