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The purpose of this study is to describe how school-based sexuality education (SBSE) in the context of health education frames and teaches sexuality, sexual orientation, and gender identity. Understanding how schools address sexuality and gender provides insight into how school systems might ostracize sexual and gender diverse (SGD) youth. This study used content analysis to survey 13 health education textbooks in the United States. The content of textbooks provides a sampling of cultural, economic, and political activities and the ways they may be portrayed in the school setting. All textbooks had to be (1) health education textbooks, (2) intended for middle and high school, (3) published in the last 15 years, and (4) required or recommended by a state or local Department of Education, or produced by a publisher recommended by a department of education. Results of this study indicate that 11 of the 13 reviewed textbooks had abstinence based or abstinence only until marriage sexuality education that presented narrow, binary definitions of gender and sexual orientation, and that ignored or provided misinformation about gender identity and sexual orientation. Results of this study suggest that school personnel should consider alternatives to widely available health textbooks to teach more inclusive, affirming, and effective sexuality education.

One uniquely marginalizing school environment for sexual and gender diverse (SGD) youth is school based sex education (SBSE). While research has documented the negative sexual and mental health impacts these marginalizing environments can have for SGD youth, we know less about the developmental competencies that this population of youth exercises to survive in and cope with these environments. In this paper, we aim to answer the following question: What are the developmental competencies that SGD youth exercise in sex education spaces? We conducted focus groups with SGD youth (n = 17) in a Midwestern metropolitan region. Our study documents youth exercising six adaptive competencies to persevere through oppressive SBSE. Our data holds several scholarly and practical implications. In our discussion section, we present recommendations for creating inclusive and affirming school environments and nurturing these competencies in youth.

Decision-making has been identified as one of the most important skillsets in sexual health. This exploratory qualitative study explored how US middle and high school textbooks integrate the recommended sexual health decision-making skills recommended by Future of Sex Education (FOSE), a collaboration of organisations in the USA supporting comprehensive sex education. Using content analysis, we assessed 13 U.S. middle and high school health education textbooks recommended by school districts, state boards of education, and publishers. While textbooks touched on the knowledge and content areas for each skill set, skills were not taught to the extent that the skill was achieved or using a scaffolded approach that showed significant growth from middle to high school textbooks. As a result, young people receive inadequate content to competently perform the skills recommended by current National Standards. Changing state and district level health and sex education policies and aligning the curriculum with these standards, can better promote youth sexual decision-making.

The purpose of this study is to describe the experiences of lesbian, gay, bisexual, transgender, questioning, intersex, two spirit, and queer (LGBTQ+) youth with school-based sexuality education (SBSE), as well as to document strategies LGBTQ+ youth are using to address their evolving and specific sexual health needs outside of SBSE. Researchers conducted focus groups with 17 adolescents (ages 14-18) from urban and suburban Midwestern cities. Results of this study indicate LGBTQ+ youth find SBSE to be heteronormative, cisgender focused, and primarily focused on pregnancy and disease prevention, which contributes to LGBTQ+ youth experiences of exclusion. In response to SBSE that did not meet student needs, participants reported seeking sexual health information outside of SBSE. Other sources included family and other trusted adults, the Internet, and community resource centers. Students reported variable rates of use and trustworthiness across these resources. Results of this study suggest that school personnel should consider alternatives to traditional SBSE models to meet the needs of LGBTQ+ youth, and that an important part of SBSE should include guidelines for Internet safety.

In Hawaiʻi, native macroalgae or "limu" are of ecological, cultural, and economic value. Invasive algae threaten native macroalgae and coral, which serve a key role in the reef ecosystem. Spectroscopy can be a valuable tool for species discrimination, while simultaneously providing insight into chemical processes occurring within photosynthetic organisms. The spectral identity and separability of Hawaiian macroalgal taxonomic groups and invasive and native macroalgae are poorly known and thus were the focus of this study. A macroalgal spectroscopic library of 30 species and species complexes found in Hawaiʻi was created. Spectral reflectance signatures were aligned with known absorption bands of taxonomic division-specific photosynthetic pigments. Quadratic discriminant analysis was used to explore if taxonomic groups of algae and native versus invasive algae could be classified spectrally. Algae were correctly classified based on taxonomic divisions 96.5% of the time and by species 83.2% of the time. Invasive versus native algae were correctly classified at a rate of 93% and higher, although the number of invasive algal species tested was limited. Analyses suggest that there is promise for the spectral separability of algae investigated in this study by algal taxonomic divisions and native-invasive status. This study created a spectral library that lays the groundwork for testing the spectral mapping of algae using current airborne and forthcoming spaceborne imaging spectroscopy, which could have significant implications for coastal management. [ABSTRACT FROM AUTHOR]

Decision-making has been identified as one of the most important skillsets in sexual health. This exploratory qualitative study explored how US middle and high school textbooks integrate the recommended sexual health decision-making skills recommended by Future of Sex Education (FOSE), a collaboration of organisations in the USA supporting comprehensive sex education. Using content analysis, we assessed 13 U.S. middle and high school health education textbooks recommended by school districts, state boards of education, and publishers. While textbooks touched on the knowledge and content areas for each skill set, skills were not taught to the extent that the skill was achieved or using a scaffolded approach that showed significant growth from middle to high school textbooks. As a result, young people receive inadequate content to competently perform the skills recommended by current National Standards. Changing state and district level health and sex education policies and aligning the curriculum with these standards, can better promote youth sexual decision-making. [ABSTRACT FROM AUTHOR]

Bisexual individuals often face binegativity in relationships with intimate partners and the health disparities associated with discrimination. The present study sought to explore the little known aspect of identity-based partner acceptance of bisexual individuals. Through the eyes of the bisexual person identified by a snow-ball sampling method of bisexual persons living in the United States, 197 participants completed an open-ended question on positive experiences with partners, with 96 of them emphasizing acceptance and understanding. Findings suggest there are multiple ways bisexual individuals encounter acceptance from their partner—some more neutral expressions and some more overt. Neutral messages were twice as likely to occur compared to overt forms of acceptance. Participants reported themes of: (1) didn't try to change me, (2) ambivalence, (3) proud/rooting, (4) asked me about my experiences, and (5) feeling loved. The paper concludes by discussing the implications for reducing stigma and increasing acceptance by partners. [ABSTRACT FROM AUTHOR]

The purpose of this study is to describe the experiences of lesbian, gay, bisexual, transgender, questioning, intersex, two spirit, and queer (LGBTQ+) youth with school‐based sexuality education (SBSE), as well as to document strategies LGBTQ+ youth are using to address their evolving and specific sexual health needs outside of SBSE. Researchers conducted focus groups with 17 adolescents (ages 14–18) from urban and suburban Midwestern cities. Results of this study indicate LGBTQ+ youth find SBSE to be heteronormative, cisgender focused, and primarily focused on pregnancy and disease prevention, which contributes to LGBTQ+ youth experiences of exclusion. In response to SBSE that did not meet student needs, participants reported seeking sexual health information outside of SBSE. Other sources included family and other trusted adults, the Internet, and community resource centers. Students reported variable rates of use and trustworthiness across these resources. Results of this study suggest that school personnel should consider alternatives to traditional SBSE models to meet the needs of LGBTQ+ youth, and that an important part of SBSE should include guidelines for Internet safety. [ABSTRACT FROM AUTHOR]

Many transgender people enjoy positive intimate relationships, however such relationships exist within a context of broader discrimination, specifically cisgenderism. The present study sought to investigate the relationships between demographic variables, significant other support, relationship satisfaction, resiliency, past relationship experiences and future relationship expectations, and gender-related discrimination amongst a convenience sample of transgender people living in the United States. 345 participants completed an online questionnaire designed by the authors assessing psychological distress, relationships with partners, and partner support. Findings suggest that participants had some difficulties in negotiating past relationships, though remained hopeful about future relationships. This was especially true for those who lived with animal companions and who reported higher levels of resiliency. Participants currently in relationships reported relatively high levels of significant other support (and this was especially true for participants in relationships with other transgender people), and such support was related to lower levels of psychological distress, though this was less true for older and/or agender participants. Participants were on average satisfied with their current relationships, though this was particularly true for participants with higher incomes. The paper concludes by discussing the implications of the findings for clinicians who work with transgender people and their partners. [ABSTRACT FROM AUTHOR]

Using the National Health Interview Survey 2015 data release, an analytic sample of 17,897 working U.S. adults in current paid employment were examined to determine if there was a relationship between not having paid sick leave and worry about finances. A series of nine indicators of financial worry were regressed on paid sick leave status with ten control variables. U.S. workers who lack paid sick leave are more likely to report worry about: medical bills from a potential future sickness or accident, retirement, current medical costs from an illness or accident, maintenance of standard of living, medical costs for normal health care, normal monthly bills, rent, mortgage, or other housing costs, and credit card payments. Based on this set of nine multinomial multivariable regressions equations, findings indicate a positive association between not having paid sick leave and reporting financial worry after controlling for gender, age, marital status, education level, race and ethnicity, personal health status, full time work status, insurance coverage, family size, and annual family income. Implications for policy, practice, and future research are set forth. [ABSTRACT FROM AUTHOR]

This study focused on the retrospective accounts of perceptions of parental acceptance/rejection regarding their LGB sexual identity, as well as present perceptions of satisfaction and acceptance in their adult intimate relationships. Participants (n = 147) reported perceiving parental responses to be very accepting towards their LGB sexual identity. They also rated their current adult relationships as ones in which they felt securely attached, accepted, and satisfied. Additionally, these LGB participants reported a notable relationship between their parents' high acceptance and current experience in adult romantic relationships. This study calls attention to the lifetime significance of accepting parents of LGB individuals' identities. Ways the current findings might enhance therapy with LGB families and parents of LGB children are offered at the conclusion of this article. [ABSTRACT FROM AUTHOR]