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• The share of adolescents aged 15–19 who had received formal instruction about how to say no to sex but had received no instruction about birth control methods increased between 2006–20–2013, from 22% to 26% among females and from 29% to 35% among males.• Declines in formal sex education were concentrated among young people residing in rural areas.• Abstinence-only-until-marriage programs threaten fundamental human rights by withholding information about human sexuality and potentially providing medically inaccurate and stigmatizing information.

The first dedicated federal funding stream for evaluation of adolescent sexual health programs was established in 2010 and has contributed to improvement in the quality and quantity of evaluation research.Among adolescents aged 15–19 who had ever had sex and who did not get birth control instruction from either formal sources or a parent, only 7% of females and 13% of males talked with a health care provider about birth control in 2006–2010.• Access to the Internet is nearly universal among adolescents in the United States.• Between 2006–20–2013, there were significant declines in adolescent females’ reports of having received formal instruction about birth control, STDs, HIV and AIDs, and saying no to sex.There was also a significant decline in adolescent males’ reports of having received formal instruction about birth control.For example, the share of rural adolescents who had received instruction about birth control declined from 71% to 48% among females, and from 59% to 45% among males.• Only about half of adolescents (57% of females and 43% of males) received formal instruction about contraception before they first had sex; about four in ten (46% of females and 31% of males) received instruction about where to get birth control.• In 2011–2013, more than 80% of adolescents aged 15–19 had received formal instruction about STDs, HIV and AIDS or how to say no to sex.In contrast, only 55% of young men and 60% of young women had received formal instruction about methods of birth control.• “Abstinence education” programs that promote abstinence-only-until-marriage—now termed “sexual risk avoidance” by proponents—have been described as “scientifically and ethically problematic.” They systematically ignore or stigmatize many young people and do not meet their health needs.• Proponents of “sexual risk avoidance” programs have appropriated the terms “medically accurate” and “evidence-based,” though experts in the field agree that such programs are neither complete in their medical accuracy nor based on the widely accepted body of scientific evidence.

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