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State sex education and health outcomes data

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September 20, 2022
Jacob Lund // Shutterstock

State sex education and health outcomes data

Stacker compiled data from SIECUS, the Guttmacher Institute, the U.S. Census Bureau, and the Centers for Disease Control and Prevention, to investigate how sex education is taught in every state and connected to different health outcomes and aspects of daily life.

State-level data used to analyze sex education
State Mandated sex and HIV/STI education Mandated HIV/STI Education Education must be medically accurate Education must be culturally appropriate and unbiased Education must cover abstinence Education must cover consent and healthy relationships Education attitude toward LGBTQ+ identities Education attitude toward abortion Parental notice required Parental consent required Opt-out allowed Schools must provide sex and HIV/STI education training for teachers Schools must require a certificate or expertise to teach Schools must require teachers to attend training Chlamydia Cases 2020 Chlamydia Rate per 100,000 2020 Gonorrhea Cases 2020 Gonorrhea Rate per 100,000 2020 Primary and Secondary Syphilis Cases 2020 Primary and Secondary Syphilis Rate per 100,000 2020 Birth rate per 1,000 females age 15-19 2020 Pre-Roe abortion ban Trigger abortion ban Six-week abortion ban Near-total abortion ban Eight-week abortion ban State constitution bars abortion protection Abortion ban likely No abortion ban State population
Alabama HIV/STI education only yes no no yes, education must stress abstinence no no mandate no mandate no no yes yes no no 27075 552.2 14426 294.2 529 10.8 24.8 yes no no yes no yes no no 5024279
Alaska no no no no no no no mandate no mandate yes no yes yes yes yes 5090 695.8 1982 270.9 176 24.1 17.7 no no no no no no no yes 733391
Arizona no no HIV/STI education only no yes, education must stress abstinence healthy relationships only inclusive no mandate yes sex education only HIV/STI education only no no no 37289 512.3 16342 224.5 1454 20.0 16.6 yes no no no no no no no 7151502
Arkansas HIV/STI education only yes no no yes, education must stress abstinence healthy relationships only no mandate prohibit no no no no no no 16053 531.9 7857 260.4 502 16.6 27.8 yes yes no yes no no no no 3011524
California yes yes yes yes yes yes inclusive no mandate yes no yes yes yes yes 178679 452.2 78444 198.5 7688 19.5 11.0 no no no no no no no yes 39538223
Colorado no no no yes yes, education must stress abstinence yes inclusive affirming yes no yes no no no 26137 453.9 9686 168.2 640 11.1 12.5 no no no no no no no yes 5773714
Connecticut HIV/STI education only yes no no yes healthy relationships only inclusive prohibit no no yes yes no no 12716 356.7 4604 129.1 280 7.9 7.6 no no no no no no no yes 3605944
Delaware yes yes no no yes, education must stress abstinence yes no mandate no mandate no no no no no yes 4855 498.6 1503 154.3 97 10.0 14.6 no no no no no no no yes 989948
Florida yes yes no no yes, education must stress abstinence healthy relationships only discriminatory no mandate no no yes no no no 100030 465.7 40788 189.9 3520 16.4 15.2 no no no no no no yes yes 21538187
Georgia yes yes no no yes, education must stress abstinence no no mandate no mandate yes no yes yes no no 62582 589.4 23463 221.0 1757 16.5 18.2 no no yes no no no no no 10711908
Hawaii yes yes yes no yes, education must stress abstinence healthy relationships only no mandate no mandate no no yes no no no 7005 494.7 1484 104.8 182 12.9 13.0 no no no no no no no yes 1455271
Idaho no no no no yes, education must stress abstinence healthy relationships only no mandate no mandate no no yes no no no 6273 351.0 1480 82.8 66 3.7 14.6 no yes yes no no no no no 1839106
Illinois HIV/STI education only yes yes no yes, education must stress abstinence yes inclusive negative no no yes yes no no 68716 542.3 31055 245.1 1467 11.6 13.6 no no no no no no no yes 12812508
Indiana HIV/STI education only yes no no yes, education must stress abstinence no no mandate no mandate yes no yes no no no 33372 495.7 14111 209.6 527 7.8 18.7 no no no no no no yes yes 6785528
Iowa yes yes yes yes no healthy relationships only neutral no mandate yes no yes yes no no 15097 478.5 6919 219.3 194 6.1 13.3 no no yes no no no no no 3190369
Kansas sex education only no no no no healthy relationships only no mandate no mandate no no no no no no 14620 501.8 5626 193.1 150 5.1 18.1 no no no no no no no yes 2937880
Kentucky yes yes no no yes, education must stress abstinence healthy relationships only no mandate no mandate no no no no no no 18750 419.7 8393 187.9 445 10.0 23.8 no yes yes no no no no no 4505836
Louisiana no no yes no yes, education must stress abstinence healthy relationships only discriminatory prohibit no no yes yes no no 32997 709.8 15483 333.1 704 15.1 25.7 no yes yes yes no yes no no 4657757
Maine yes yes yes no yes, education must stress abstinence yes no mandate no mandate no no yes no no no 3466 257.8 520 38.7 38 2.8 10.6 no no no no no no no yes 1362359
Maryland yes yes no no yes healthy relationships only inclusive no mandate yes no yes no no yes 32398 535.9 12052 199.3 873 14.4 13.1 no no no no no no no yes 6177224
Massachusetts no no no yes no no no mandate no mandate yes no yes no no no 24901 361.3 7494 108.7 615 8.9 6.1 no no no no no no no yes 7029917
Michigan HIV/STI education only yes no no yes, education must stress abstinence no no mandate prohibit yes no yes yes yes no 44769 448.3 23412 234.4 787 7.9 13.5 yes no no no no no no no 10077331
Minnesota yes yes no no no no no mandate no mandate no no no no no no 22114 392.1 10320 183.0 417 7.4 9.1 no no no no no no no yes 5706494
Mississippi sex education only no no no yes, education must stress abstinence healthy relationships only discriminatory prohibit yes yes no no no no 23919 803.7 13773 462.8 741 24.9 27.9 yes yes yes no no no no no 2961279
Missouri HIV/STI education only yes yes no yes, education must stress abstinence no no mandate no mandate yes no yes no no yes 31815 518.4 16855 274.6 829 13.5 18.8 no yes no no yes no no no 6154913
Montana yes yes no no no no no mandate no mandate no no yes no no no 4133 386.7 1698 158.9 45 4.2 13.2 no no no no no no yes yes 1084225
Nebraska no no no no no yes no mandate no mandate no no no yes no no 8844 457.2 3434 177.5 104 5.4 15.1 no no no no no no yes yes 1961504
Nevada yes yes no no no healthy relationships only no mandate no mandate yes yes no no no no 14739 478.5 6364 206.6 767 24.9 16.8 no no no no no no no yes 3104614
New Hampshire yes yes no no yes healthy relationships only no mandate no mandate yes no yes no no no 2931 215.6 461 33.9 51 3.8 6.6 no no no no no no no yes 1377529
New Jersey yes yes yes yes yes, education must stress abstinence healthy relationships only inclusive no mandate yes no yes no no no 31649 356.3 10060 113.3 764 8.6 9.2 no no no no no no no yes 9288994
New Mexico yes yes no no yes no neutral no mandate no no yes no no no 12084 576.3 4608 219.8 467 22.3 21.9 no no no no no no no yes 2117522
New York HIV/STI education only yes no no no yes neutral no mandate no no HIV/STI education only no no yes 97722 502.3 42517 218.6 3022 15.5 10.0 no no no no no no no yes 20201249
North Carolina yes yes yes no yes, education must stress abstinence healthy relationships only discriminatory no mandate no no no yes no no 64640 616.3 28258 269.4 1322 12.6 17.3 no no no no no no no yes 10439388
North Dakota yes yes no no yes healthy relationships only no mandate no mandate no no no no no no 3562 467.4 1660 217.8 32 4.2 13.7 no yes yes no no no no no 779094
Ohio yes yes no no yes, education must stress abstinence yes no mandate no mandate no no yes no no yes 59520 509.2 30977 265.0 1084 9.3 17.6 no no yes no no no no no 11799448
Oklahoma HIV/STI education only yes HIV/STI education only no yes, education must stress abstinence healthy relationships only discriminatory no mandate yes no yes no no no 21208 536.0 11204 283.1 941 23.8 25.0 yes yes yes yes no no no no 3959353
Oregon yes yes yes yes yes, education must stress abstinence healthy relationships only inclusive no mandate yes no yes no no yes 15858 376.0 6412 152.0 628 14.9 10.1 no no no no no no no yes 4237256
Pennsylvania HIV/STI education only yes no no no no no mandate no mandate HIV/STI education only no HIV/STI education only no no no 52272 408.3 18280 142.8 1046 8.2 12.6 no no no no no no no yes 13002700
Rhode Island yes yes yes yes yes, education must stress abstinence healthy relationships only inclusive no mandate no no HIV/STI education only yes no no 4714 445.0 1399 132.1 89 8.4 9.4 no no no no no no no yes 1097379
South Carolina yes yes no no yes, education must stress abstinence healthy relationships only no mandate prohibit yes no yes no no no 34118 662.7 16705 324.4 652 12.7 19.3 no no yes no no no no no 5118425
South Dakota no no no no yes healthy relationships only no mandate no mandate no no no no no no 4044 457.1 2424 274.0 66 7.5 18.7 no yes no no no no no no 886667
Tennessee yes yes yes yes yes, education must stress abstinence healthy relationships only no mandate no mandate yes yes no no no no 37907 555.1 18458 270.3 767 11.2 23.3 no yes yes no no yes no no 6910840
Texas yes yes no no yes, education must stress abstinence no discriminatory no mandate yes no yes no no yes 135124 466.0 58246 200.9 2708 9.3 22.4 yes yes yes no no no no no 29145505
Utah yes yes yes no yes, education must stress abstinence no no mandate no mandate yes yes no yes no no 10466 326.5 3112 97.1 131 4.1 10.8 no yes no yes no no no no 3271616
Vermont yes yes no no yes no inclusive affirming no no HIV/STI education only no no no 1117 179.0 139 22.3 3 0.5 7.0 no no no no no no no yes 643077
Virginia no no yes no yes no no mandate no mandate yes no yes no no no 40965 479.9 15217 178.3 701 8.2 13.1 no no no no no no no yes 8631393
Washington yes yes yes yes yes, education must stress abstinence no inclusive no mandate yes no yes yes no no 31181 409.5 11667 153.2 836 11.0 11.3 no no no no no no no yes 7705281
West Virginia yes yes no no yes no no mandate no mandate no no yes no no no 5431 303.0 1780 99.3 127 7.1 22.5 yes no no no no yes no no 1793716
Wisconsin HIV/STI education only yes no no yes, education must stress abstinence no no mandate no mandate yes no yes no no no 26564 456.2 10346 177.7 366 6.3 11.5 yes no no no no no no no 5893718
Wyoming no no no no no no no mandate no mandate no no no no no no 1961 338.8 392 67.7 11 1.9 18.1 no yes no no no no no no 576851

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