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This article examines the relationship between exposure to violence, fear of exposure to violence, and sexual risk among a sample of urban middle school youth. The sample included 911 seventh-grade students who completed self-report surveys. Approximately 20% of the sample reported at least one direct threat or injury with a weapon in the past 3 months, and 52% reported ever seeing someone seriously injured or killed. Experiencing a direct threat was significantly associated with greater intentions to engage in vaginal intercourse and sexual touching behaviors; witnessing violence was significantly associated with sexual touching. Fearing exposure to violence was not associated with increased sexual risk. Most associations did not differ by gender. These data highlight the potential influence of exposure to violence on sexual risk among early adolescents, and underscore the potential of addressing exposure to violence in sexuality education programs and sexual health services for enhanced impact.

Using the randomly selected subsample of 1,000 youth (472 boys, M age = 12.2 years, SD = 1.5; 528 girls, M age = 12.1 years, SD = 1.4) drawn by Dowling, Getsdottir, Anderson, von Eye, and Lerner (in press) from a Search Institute (1984) archival data set, Young Adolescents and Their Parents (YAP), this research employed structural equation modeling procedures to appraise the structural relations among second-order factors of religiosity, spirituality, and thriving. Three hierarchically related models were tested: The first model was a complete mediation model that involved a direct effect of spirituality on thriving and an indirect effect of spirituality on thriving, mediated by religiosity, the second model only consisted of the mediated effect, and the third model only consisted of the direct effects of spirituality on thriving and religiosity on thriving. Consistent with expectations, the complete mediation model provided reasonably good fit to the data and was significantly better than either of the alternative models. The importance of the findings reported here for the future study of youth thriving using either the YAP data set or new, longitudinal studies is discussed. (Contains 3 tables and 3 figures.)

Positive individual and social behaviors were assessed among male gang members and males involved in community-based organizations aimed at promoting positive youth development. Correlations of attribute scores were more often significant for the gang than for the nongang youth. Approximately one-quarter of the gang youth had total positive attribute scores that were above the average total positive attribute score for the nongang youth. (Author/SD)

BackgroundBlended learning is a combination of online learning and face-to-face instruction, and is increasingly being used in K-12 settings. A meta-analysis conducted for the Department of Education suggests blended learning is more effective than either group-based or online learning alone, particularly in K-12 settings.MethodsThis paper provides a narrative review of the literature from 2000 to 2017 on blended learning as it applies to sexual health education programs, and discusses outcomes, best practices and potential challenges of blended learning that may be important for practitioners and researchers considering this approach.ResultsBlended learning approaches are being used successfully in sexual health education programs, including school-based programs, and have yielded positive behavioral and psychosocial changes. Similar to traditional group-based programs, not all outcomes tested in these programs showed positive impact. Designing blended learning programs can be challenging, but there is a large best-practice literature that can inform practitioners interested in using it.ConclusionsBlended learning approaches are viable for sexual health education and offer numerous advantages to group-based only programs, such as confidential personalization and an instructional approach that is familiar and engaging for participants.

To examine the impact of About Us , an innovative healthy relationships intervention that promotes positive adolescent romantic relationships and the use of effective contraceptives, on improving behavior, attitudes, and intentions related to sexual intercourse, relationship communication, and conflict resolution at 3- and 9-month follow-up, compared to services as usual. This was a multi-site, two-group, parallel, randomized-controlled trial with an intervention/comparison allocation ratio of 3:2 conducted at seven high schools in California between February 2018 and May 2021. Overall, our study did not find statistically significant evidence of improved behavior, attitudes, and intentions related to sexual intercourse, relationship communication, and conflict resolution among participants (14–18 years old) randomized to the intervention group (n = 316) compared to services as usual (n = 217) during follow-up (group x time; p >.05). Exploratory within group analyses showed that, compared to baseline, at the 3-month follow-up, the prevalence of reporting having had sex increased in the control group relative to intervention group (+19% vs. +9%, p <.01). Our sub-group analyses showed that changes in condom use intentions scores differed across school sites (group x time x school; p <.01); mixed (positive and negative) trends were observed for intervention effect, and schools with positive intervention effect trends tended to have greater program participation. About Us did not show statistically significant positive impacts on primary or secondary outcomes as anticipated. Our exploratory findings show evidence of some promising trends of intervention effects at the school-level, suggesting a need for better tailored intervention components and/or delivery to address the unique environmental contexts of participants. Overall, the context of study implementation was negatively affected by the COVID-19 pandemic and challenges related to using a non-classroom delivery intervention approach. Combined, these factors may have contributed to the study null findings. Moreover, it is difficult to know (or determine) the intervention's impact under more ideal conditions (i.e., no COVID pandemic). [ABSTRACT FROM AUTHOR]

This paper explores the use of withdrawal as a harm reduction approach to adolescent pregnancy prevention and its association with condom use. Data come from a baseline survey of a randomised controlled trial to test the effectiveness of FLASH, a sexual health education curriculum. Study participants completed electronic self-report surveys in health classes in their first or second year of high school (age range 14.1–17.9, mean 15.3 years). One-hundred and ninety-one students (12% of full sample) reported engaging in vaginal intercourse in the 3 months prior to the survey; of these, 66.0% reported using withdrawal as a birth control method, without significant differences by race, gender, region or birth control beliefs. Withdrawal was often used in combination with condoms (55.5%), periodic abstinence (40.0%) and birth control pills (13.4%). The effectiveness of withdrawal and its prevalence suggest an opportunity to reflect on how withdrawal is taught – moving from avoiding its use to a harm reduction approach to help sexually active youth avoid risk, reduce risk and reduce potential harm associated with sexual behaviours. Rather than focusing on withdrawal as risky, youth-serving professionals should acknowledge young people's efforts to prevent pregnancy and recognise the social and relational contexts of contraceptive choices. [ABSTRACT FROM AUTHOR]