Background: Due to the lack of interventions on sexual and reproductive health for older teen males of color engagement with the target population is critical for intervention development. Be Legendary (BL) was developed using intervention mapping, design thinking strategies and participatory methods alongside African-American male high school…

Communities disproportionately affected from higher rates of unplanned teen births are in need of sustainable approaches to prevention strategies. One approach is to build the capacity of faith-based communities (FBCs) to address the sexual health needs of the surrounding community. However there is a need for comprehensive, user-friendly…

The authors present findings from formative research to assess the need and receptivity for a Web-based, integrated healthy sexual and dating relationships intervention among community college students in South Central Texas. Texas ranks third highest among U.S. states in its overall teen birth rate; 69% of those births are among females 18 to 19…

Digital strategies may help to overcome challenges in providing contraception education to overlooked and key sub-populations (older teens, ethnic minority youth, LGBTQ youth, high school dropouts and males). However, many current digital strategies are not culturally specific and often have limited information on the most effective contraceptive…

Background: Much of the research literature on sexual consent and sexual consent education has been focused on college students, providing a significant gap in our understanding of high school students, especially ethnic minority youth, who are at greatest risk for unwanted sexual contact and sexual activity. Furthermore, recent research suggests…

In the United States, adolescents 15 to 24 years of age account for nearly half of new cases of sexually transmitted infection (STI) each year, and female adolescents 15 to 19 years of age account for 24.2 of every 1000 births, 17% of which are repeat births. The provision of evidence-based sexual health curricula is indicated. To be effective,…

Background: Few HIV/STI and pregnancy prevention programs for youth in American Indian and Alaska Native (AI/AN) communities have been rigorously evaluated despite sexual health disparities in this population. This study reports the evaluation of a culturally adapted Internet-based HIV/STI and pregnancy prevention program for AI/AN youth, Native…

Background: Whereas dating violence among high school students has been linked with sexual risk-taking and substance use, this association has been understudied among early adolescents. We estimated the prevalence of physical and nonphysical dating violence in a sample of middle school students and examined associations between dating violence,…

Background: This study examines the prevalence of vaginal, oral, and anal intercourse among a population of urban, public middle school students, the characteristics of early sexual initiators, and the sequence of sexual initiation. Such data are limited for early adolescents. Methods: A total of 1279 seventh-grade students (57.3% female, 43.6%…

Texas is home to over one million Latino teens who are at risk for negative reproductive health outcomes, such as teen pregnancy and STIs. Teen pregnancy disproportionately impacts the health of Latino teens in Texas and places them at risk of continued high rates of poverty, school dropout, and unemployment unless Texas makes a concerted effort…

A school-based, cross-sectional survey was conducted among 927 Latino and African American students attending 10 alternative schools in Houston, Texas, to investigate mass media consumption and its influence on sexual risk-taking behavior. Among males, exposure to television increased their risk of engaging in early sexual intercourse. Females who…

Determined the prevalence of health-risk behaviors among Texas high school students attending dropout prevention/recovery alternative schools. Student surveys indicated that a substantial number participated in behaviors that placed them at acute or chronic health risk. There were differences in prevalence of risk behaviors by gender,…