Abstract
Teens in Hawaii have higher than the national average rates of pregnancy and sexually transmitted infections while also having the lowest rates of condom use in the nation. School-based sex education (sex ed) has been recognized as a key tool in improving these indicators. Since June 2015, Hawaii’s Department of Education has required public middle and high schools to provide opt-out instead of opt-in sexual health education. Currently there is no statewide assessment of sex ed curriculum quality in Hawaii. We aimed to describe the perspectives of college students regarding the content and quality of the sex ed they received in middle and high school in Hawaii to better understand deficiencies and areas for improvement.
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