reflection
National Sexuality Education Standards Core Content and Skills, K–12
Special thanks to the following organizations for their partnership in developing and disseminating the National Sexuality Education Standards: Content and Skills, K–12:
The American Association of Health Education (www. aahperd.org/aahe) serves educators and other professionals who promote the health of all people through education and health promotion strategies.
The American School Health Association (www.ashaweb. org) works to build the capacity of its members to plan, develop, coordinate, implement, evaluate and advocate for effective school health strategies that contribute to optimal health and academic outcomes for all children and youth.
The National Education Association – Health Information Network (www.neahin.org) works to improve the health and safety of the school community through disseminating information that empowers school professionals and positively impacts the lives of their students.
The Society of State Leaders of Health and Physical Education (www.thesociety.org) utilizes advocacy, partnerships, professional development and resources to build the capacity of school health leaders to implement effective health education and physical education policies and practices that support success in school, work and life.
The Future of Sex Education (FoSE) Initiative is a partnership between Advocates for Youth, Answer and the Sexuality Information and Education Council of the U.S. (SIECUS) that seeks to create a national dialogue about the future of sex education and to promote the institutionalization of comprehensive sexuality education in public schools. To learn more, please visit www.futureofsexed.org.
This publication was generously supported by a grant from an anonymous source and The George Gund Foundation.
The partners wish to thank Danene Sorace, consultant to the FoSE Initiative for her hard work and dedication.
©2011 the Future of Sex Education Initiative
Table of Contents National Sexuality Education Standards: 4 Core Content and Skills, K–12 Advisory Committee
Additional Reviewers 5
Introduction and Background 6
Rationale for Sexuality Education in Public Schools 7
The National Sexuality Education Standards 8
Role of Education Standards 8
Goal of the National Sexuality Education Standards 9
Guiding Values and Principles 9
Theoretical Framework 9
Topics and Key to Indicators 10
Standards by Grade Level 12
Standards by Topic Area 24
National Resources 37
For Teachers 36
For School Administrators 38
For Parents 38
For Middle and High School Students 38
Glossary 39
References 41
4
National Sexuality Education Standards
Laurie Bechhofer, MPH HIV/STD Education Consultant Michigan Department of Education
Nora Gelperin, MEd Director of Training Answer
Eva Goldfarb, PhD, LHD (hon) Professor Montclair State University
Mal Goldsmith, PhD, MCHES, FASHA, FAAHE Professor Emeritus Southern Illinois University
Debra Hauser, MPH Executive Vice President Advocates for Youth
Nora L. Howley, MA Manager of Programs National Education Association–Health Information Network
Barbara Huberman, RN, BSN, MEd Director of Education and Outreach Advocates for Youth
Leslie M. Kantor, MPH Director of National Education Initiatives Planned Parenthood Federation of America
Kyle Lafferty, MPH, MST, CHES HIV Program Director The Society of State Leaders of Health and Physical Education
National Sexuality Education Standards: Core Content and Skills, K–12 Advisory Committee
Robert McGarry, EdD Director of Training and Curriculum Development Gay, Lesbian and Straight Education Network (GLSEN)
Linda Moore Acting Executive Director American Association for Health Education
Linda Morse, RN, NJ-CSN, MA, CHES President Elect American School Health Association
Buzz Pruitt, EdD Professor Texas A&M University
Monica Rodriguez, MS President & CEO Sexuality Information and Education Council of the United States (SIECUS)
Deborah Roffman, MS, CSE Sexuality Educator and Consultant The Park School of Baltimore
Elizabeth Schroeder, EdD, MSW Executive Director Answer
Jennifer Heitel Yakush Director of Public Policy Sexuality Information and Education Council of the United States (SIECUS)
Danene Sorace, MPP Consultant, Future of Sex Education Initiative
5
Additional Reviewers
Drafts of the sexuality education core content and skills document were reviewed by a diverse group of profes- sionals with expertise in sexuality, public education, public health, child and adolescent medicine, and psychology. We wish to thank these individuals for their work: JeNeen Anderson, MPH, National Association of State Boards of Education
Elissa M. Barr, PhD, University of North Florida Heather Boonstra, Guttmacher Institute Diane Brown, EdD, Widener University Kim Robert Clark, DrPH, San Bernardino County Superintendent of Schools, CA
Stephen Conley, PhD, American School Health Association Sam Dercon, Sex, Etc. Teen Editorial Staff Barb Flis, Parent Action for Healthy Kids, MI Veronica Bayetti Flores, National Latina Institute for Reproductive Health
Elizabeth Gallun, MA, Prince George’s County Public Schools, MD
Melissa Grigal, East Brunswick School District, NJ The Rev. Debra W. Haffner, MPH, M.Div., Religious Institute Bonni C. Hodges, PhD, State University of New York College at Cortland
Heather Holaday, District of Columbia Public Schools Mark Huffman, MTS, Independent Trainer and Consultant Pete Hunt, MPH, MEd, Centers for Disease Control and Prevention (CDC),Division of Adolescent and School Health
Nancy Hudson, RN, MS, CHES, Council of Chief State School Officers
Additional Reviewers Linda Juszczak, National Assembly on School-Based Health Care
Maureen Kelly, Planned Parenthood of the Southern Finger Lakes
Emily Kitchen, Indiana University Student Douglas Kirby, PhD, ETR Associates Cynthia Lam, Sex, Etc. Teen Editorial Staff Jessica Lawrence, MS, Bogli Consulting, Inc. Konstance McCaffree, PhD, CFLE, CSE, Widener University Ronna Popkin, MS, Columbia University Valerie Rochester, Black Women’s Health Imperative John Santelli, MD, MPH, Columbia University Debra Shapiro, Society for Public Health Education Samantha Shinberg, Advocates for Youth Intern Susan Telljohann, HSD, CHES, University of Toledo Melanie Tom, Asian Communities for Reproductive Justice Al Vernacchio, MSEd, Friends’ Central School, PA Jenna Weiss, University Middle School, NJ David Wiley, PhD, Texas State University Kelly Wilson, PhD, CHES, Texas State University Pam Wilson, MSW, Sexuality Educator and Trainer Susan N. Wilson, MSEd, Sexuality Education Consultant Michael Young, PhD, FAAHB, New Mexico State University
The reviewers above provided many valuable comments to the draft documents. Organizational affiliations are included for identification purposes only.
6
National Sexuality Education Standards
Introduction and Background The goal of the National Sexuality Education Standards: Core Content and Skills, K–12 is to provide clear, consistent and straightforward guidance on the essential minimum, core content for sexuality education that is developmen- tally and age-appropriate for students in grades K–12.The development of these standards is a result of an ongoing initiative, the Future of Sex Education (FoSE). Forty individ- uals from the fields of health education, sexuality educa- tion, public health, public policy, philanthropy and advo- cacy convened for a two-day meeting in December 2008 to create a strategic plan for sexuality education policy and implementation. A key strategic priority that emerged from this work was the creation of national sexuality education standards to advance the implementation of sexuality education in US public schools.
Specifically, the National Sexuality Education Standards were developed to address the inconsistent implementa- tion of sexuality education nationwide and the limited time allocated to teaching the topic. Health education, which typically covers a broad range of topics including sexuality education, is given very little time in the school curricu- lum. According to the School Health Policies and Practices Study, a national survey conducted by the Centers for Disease Control and Prevention’s Division of Adolescent School Health to assess school health policies and practic- es, a median total of 17.2 hours is devoted to instruction in HIV, pregnancy and STD prevention: 3.1 hours in elemen- tary, 6 hours in middle and 8.1 hours in high school.1
Given these realities, the National Sexuality Education Standards were designed to:
Outline what, based on research and extensive profes-• sional expertise, are the minimum, essential content and skills for sexuality education K–12 given student needs, limited teacher preparation and typically avail- able time and resources. Assist schools in designing and delivering sexuality ed-• ucation K–12 that is planned, sequential and part of a comprehensive school health education approach.
Provide a clear rationale for teaching sexuality educa-• tion content and skills at different grade levels that is evidence-informed, age-appropriate and theory- driven. Support schools in • improving academic performance by addressing a content area that is both highly rel- evant to students and directly related to high school graduation rates. Present sexual development as a • normal, natural, healthy part of human development that should be a part of every health education curriculum. Offer clear, concise • recommendations for school per- sonnel on what is age-appropriate to teach students at different grade levels. Translate an emerging body of • research related to school-based sexuality education so that it can be put into practice in the classroom.
The National Health Education Standards2 (NHES) heav- ily influenced the development of the National Sexuality Education Standards. First created in 1995 and updated in 2007, the NHES were developed by the Joint Committee on National Health Education Standards of the American Can- cer Society and widely adopted by states and local school districts. The NHES focus on a student’s ability to under- stand key concepts and learn particular skills for using that content. These standards were developed to serve as the underpinning for health education knowledge and skills students should attain by grades 2, 5, 8 and 12. The NHES do not address any specific health content areas, includ- ing content for sexuality education.
The National Sexuality Education Standards were further informed by the work of the CDC’s Health Education Curric- ulum Analysis Tool (HECAT)3; existing state and internation- al education standards that include sexual health content; the Guidelines for Comprehensive Sexuality Education: Kindergarten – 12th Grade4; and the Common Core State Standards for English Language Arts and Mathematics5, recently adopted by most states.
7
Rationale for Sexuality Education in Public Schools
Rationale for Sexuality Education in Public Schools
Evaluations of comprehensive sexuality education pro- grams show that many of these programs can help youth delay the onset of sexual activity, reduce the frequency of sexual activity, reduce the number of sexual partners, and increase condom and contraceptive use.16 17 Researchers recently examined the National Survey of Family Growth to determine the impact of sexuality education on sexual risk- taking for young people ages 15-19, and found that teens who received comprehensive sexuality education were 50 percent less likely to report a pregnancy than those who received abstinence-only education.18
The CDC has also repeatedly found that student health behaviors and good grades are related, stating: “…students who do not engage in health-risk behaviors receive higher grades than their classmates who do engage in health-risk behaviors.”19
Further, studies show that physical and emotional health- related problems may inhibit young people from learning by reducing their motivation to learn; diminishing their feelings of connectedness to school; and contributing to absenteeism and drop out.13 20
An example related to sexuality education is teen pregnancy. Teen pregnancy often takes a particular toll on school con- nectedness for both partners, representing a major disrup- tion in many teens’ lives and making it difficult to remain in and/or engaged in school. Many pregnant and parenting teens experience lower grades and higher dropout rates than their non-parenting peers. In fact, research shows that only 51 percent of pregnant and parenting teens graduate from high school as compared to 89 percent of their non-pregnant and parenting peers.21
Given the evidence that connects lower risk behaviors to academic success, schools clearly have as vested an interest in keeping students healthy as do parents and other community members. In providing comprehensive sexuality education programs, schools support student health and as such further foster young people’s academic achievement.
Parents overwhelmingly favor comprehensive sexual- ity education in public school at the national and state
For years, research has highlighted the need to provide effective, comprehensive sexuality education to young people. The US has one of the highest teen pregnancy rates in the industrialized world.6 Each year in the US, more than 750,000 women ages 15–19 become pregnant,7 with more than 80 percent of these pregnancies unin- tended.8 Furthermore, while young people in the US ages 15–25 make up only one-quarter of the sexually active population, they contract about half of the 19 million sexu- ally transmitted diseases (STDs) annually. This equates to one in four sexually active teenagers contracting a sexually transmitted disease each year.9 And young people ages 13–29 account for about one-third of the estimated 50,000 new HIV infections each year, the largest share of any age group.10
There is also a pressing need to address harassment, bul- lying and relationship violence in our schools, which have a significant impact on a student’s emotional and physical well-being as well as on academic success. According to the 2009 National School Climate Survey, nearly 9 out of 10 lesbian, gay, bisexual or transgender (LGBT) students reported being harassed in the previous year. Two-thirds of LGBT students reported feeling unsafe and nearly one-third skipped at least one day of school because of concerns about their personal safety. LGBT students who reported frequent harassment also suffered from lower grade point averages.11
Similarly, teen relationship violence continues to be a pressing problem. Although frequently under-reported, ten percent of teens are physically harmed by their boyfriend or girlfriend in a given year.12
Studies have repeatedly found that health programs in school can help young people succeed academically. The most effective strategy is a strategic and coordinated approach to health that includes family and community involvement, school health services, a healthy school environment and health education, which includes sexual- ity education.13 14 15 In fact, an extensive review of school health initiatives found that programs that included health education had a positive effect on overall academic out- comes, including reading and math scores.15
8
National Sexuality Education Standards
levels.22 23 24 25 In 2004, National Public Radio (NPR), the Kaiser Family Foundation and the Kennedy School of Gov- ernment released a poll that indicated:
Ninety-three percent of parents of junior high school • students and 91 percent of parents of high school stu- dents believe it is very or somewhat important to have sexuality education as part of the school curriculum. Ninety-five percent of parents of junior high school • students and 93 percent of parents of high school students believe that birth control and other methods of preventing pregnancy are appropriate topics for sexuality education programs in schools. Approximately 75 percent of parents believed that • the topic of sexual orientation should be included in sexuality education programs and “discussed in a way that provides a fair and balanced presentation of the facts and different views in society.” Eighty-eight percent of parents of junior high school • students and 85 percent of parents of high school stu- dents believe information on how to use and where to get contraceptives is an appropriate topic for sexuality education programs in schools.26
The National Sexuality Education Standards set forth mini- mum, essential sexuality education core content and skills responsive to the needs of students and in service to their overall academic achievement and sexual health. They
fulfill a key recommendation of the White House Office of National AIDS Policy’s National HIV and AIDS Strategy for the United States, which calls for educating all Americans about the threat of HIV and how to prevent it. This recom- mendation includes the goal of educating young people about HIV and emphasizes the important role schools can play in providing access to current and accurate informa- tion. The strategy notes that it is important to provide access to a baseline of information that is grounded in the benefits of abstinence and delaying or limiting sexual activ- ity, while ensuring that youth who make the decision to be sexually active have the information they need to take steps to protect themselves.27
In addition, the National Sexuality Education Standards sat- isfy a key recommendation of the Office of the Surgeon General’s National Prevention and Health Promotion Strategy, which calls for the provision of effective sexual health education, especially for adolescents. This strategy notes that medically accurate, developmentally appropri- ate, and evidence-based sexual health education provides students with the skills and resources that help them make informed and responsible decisions.28
The Role of Education Standards Educational standards are commonplace in public educa- tion and are a key component in developing a rich learning experience for students. The purpose of standards in gen- eral is to provide clear expectations about what students should know and be able to do by the conclusion of certain grade levels. Other equally important components of the student learning experience include pre-service teacher training, professional development and ongoing support and mentoring for teachers, clear school policies that sup- port sexuality education implementation and the teachers who deliver sexuality education, a sequential, age-appro- priate curriculum that allows students to practice key skills and assessment tools for all of these elements.
Standards are an important part of the educational pro- cess, but they do not provide specific guidance on how a topic area should be taught. They also generally do not address special needs students, students for whom English is their second language, or students with any of the other unique attributes of a given classroom or school setting.
In addition, although recommendations made here are based on grade level, children of the same age often
National Sexuality Education Standards
develop at different rates and some content may need to be adapted based on the needs of the students.
Sexuality education standards specifically should accom- plish the following:
Provide a framework for curriculum development, • instruction and student assessment. Reflect the research-based characteristics of effective • sexuality education. Be informed by relevant health behavior theories and • models. Focus on health within the context of the world in • which students live. Focus on the emotional, intellectual, physical and • social dimensions of sexual health. Teach functional knowledge and essential personal • and social skills that contribute directly to healthy sexuality. Focus on health promotion, including both abstinence • from and risk reduction pertaining to unsafe sexual behaviors. Consider the developmental appropriateness of mate-• rial for students in specific grade spans. Include a progression from more concrete to higher-• order thinking skills.
9
National Sexuality Education Standards
CHARACTERISTICS OF EFFECTIVE SEXUALITY EDUCATION Focuses on specific behavioral outcomes. Addresses individual values and group norms that support health-enhancing behaviors. Focuses on increasing personal perceptions of risk and harmfulness of engaging in specific health risk behaviors, as well as reinforcing protective factors. Addresses social pressures and influences. Builds personal and social competence. Provides functional knowledge that is basic, accurate and directly contributes to health- promoting decisions and behaviors. Uses strategies designed to personalize information and engage students. Provides age-and developmentally- appropriate information, learning strategies, teaching methods and materials. Incorporates learning strategies, teaching methods and materials that are culturally inclusive. Provides adequate time for instruction and learning. Provides opportunities to reinforce skills and positive health behaviors. Provides opportunities to make connections with other influential persons. Includes teacher information and plan for professional development and training to enhance effectiveness of instruction and student learning.2
Guiding Values and Principles The National Sexuality Education Standards are informed by the following guiding values and principles based on current theory, research in the field and the National Health Education Standards Review and Revision Panel:
Academic achievement and the health status of stu-1. dents are interrelated, and should be recognized as such.
All students, regardless of physical or intellectual 2. ability, deserve the opportunity to achieve personal health and wellness, including sexual health.
Instruction by qualified sexuality education teachers is 3. essential for student achievement.
Sexuality education should teach both information and 4. essential skills that are necessary to adopt, practice, and maintain healthy relationships and behaviors.
Students need opportunities to engage in cooperative 5. and active learning strategies, and sufficient time must be allocated for students to practice skills relating to sexuality education.
Sexuality education should encourage the use of tech-6. nology to access multiple valid sources of information, recognizing the significant role that technology plays in young people’s lives.
Local curriculum planners should implement existing 7. or develop new curricula based on local health needs.
Students need multiple opportunities and a variety of 8. assessment strategies to determine their achievement of the sexuality education standards and performance indicators.
Improvements in public health, including sexual health, 9. can contribute to a reduction in health care costs.
Effective health education can contribute to the estab-10. lishment of a healthy and productive citizenry.2
Theoretical Framework The National Sexuality Education Standards seek to ad- dress both the functional knowledge related to sexuality and the specific skills necessary to adopt healthy behaviors and reflect the tenets of social learning theory, social cog- nitive theory and the social ecological model of preven- tion. From social learning theory, which recognizes that
“learning occurs not merely within the learner but also in a particular social context,”29 there are several key concepts addressed within the National Sexuality Education Stan- dards, including:
Personalization. The ability of students to perceive the core content and skills as relevant to their lives increases the likelihood that they will both learn and retain them. Ensuring that students see themselves represented in the materials and learning activities used can assist in furthering personalization.
Goal of the National Sexuality Education Standards The goal of the National Sexuality Education Standards: Core Content and Skills, K–12 is:
To provide clear, consistent and straightforward guidance on the essential minimum, core content for sexuality edu- cation that is age-appropriate for students in grades K–12.
Allow for the integration of more general health con-• tent as appropriate.2
10
National Sexuality Education Standards
Susceptibility. It is widely understood that many young people do not perceive that they are suscep- tible to the risks of certain behaviors, including sexual activity. Learning activities should encourage students to assess the relative risks of various behaviors, with- out exaggeration, to highlight their susceptibility to the potential negative outcomes of those behaviors.
Self-Efficacy. Even if students believe they are suscep- tible, they may not believe they can do anything to reduce their level of risk. Helping students overcome misinformation and develop confidence by practicing skills necessary to manage risk are key to a successful sexuality education curriculum.
Social Norms. Given that middle and high school students are highly influenced by their peers, the per- ception of what other students are, or are not, doing influences their behavior. Debunking perceptions and highlighting positive behaviors among teens (i.e., the majority of teens are abstinent in middle school and early high school and when they first engage in sexual intercourse many use condoms) can further the adop- tion of health-positive behaviors.
Skills. Mastery of functional knowledge is necessary but not sufficient to influence behaviors. Skill devel- opment is critical to a student’s ability to apply core content to their lives.29
In addition to social learning theory, social cognitive theory (SCT) is reflected throughout the National Sexuality Educa- tion Standards. Like social learning theory, SCT emphasizes self-efficacy, but adds in the motivation of the learners and an emphasis on the affective or emotional learning do- main, an invaluable component of learning about human sexuality.30
Finally, the social ecological model of prevention also informed the development of these standards. This model focuses on individual, interpersonal, community and soci- ety influences and the role of these influences on people over time. Developmentally, the core content and skills for kindergarten and early elementary focus on the individual student and their immediate surroundings (e.g., their family). At the middle and high school levels, core content and skills focus on the expanding world of students that includes their friends and other peers, the media, society and cultural influences.31
Topics and Key Indicators There are seven topics chosen as the minimum, essential content and skills for K–12 sexuality education:
Anatomy and Physiology (AP) provides a foundation for understanding basic human functioning. Puberty and Adolescent Development (PD) addresses a pivotal milestone for every person that has an impact on physical, social and emotional development. Identity (ID) addresses several fundamental aspects of people’s understanding of who they are. Pregnancy and Reproduction (PR) addresses information about how pregnancy hap- pens and decision-making to avoid a pregnancy. Sexually Transmitted Diseases and HIV (SH) provides both content and skills for understanding and avoiding STDs and HIV, including how they are transmitted, their signs and symptoms and testing and treatment. Healthy Relationships (HR) offers guidance to students on how to successfully navi- gate changing relationships among family, peers and partners. Special emphasis is given in the National Sexuality Education Standards to the increasing use and impact of technology within relationships. Personal Safety (PS) emphasizes the need for a growing awareness, creation and maintenance of safe school environments for all students.
These seven topics are organized following the eight National Health Education Standards.
11
Topics and Key Indicators
Topics and Key Indicators
AP.2.CC.2
Item NumberNHES Standard AbbreviationGrade Level
(i.e., by end of grade 2, 5, 8, 12)
Topic Abbreviation
The National Sexuality Education Standards present per- formance indicators – what students should know and be able to do by the end of grades 2, 5, 8, and 12 – based on the eight National Health Education Standards listed in the following table. In addition, the standards are divided into seven specific sexuality education topics. The key to read- ing the indicators appears to the right. The tables on the following pages present the standards and performance indicators first by grade level and then by topic areas.
Key To Indicators
NATIONAL HEALTH EDUCATION STANDARDS Core Concepts C C
Standard 1 Students will comprehend concepts related to health promotion and disease prevention to enhance health.
Analyzing Influences I N F
Standard 2 Students will analyze the influence of family, peers, culture, media, technology and other factors on health behaviors.
Accessing Information A I
Standard 3 Students will demonstrate the ability to access valid information and products and services to enhance health.
Interpersonal Communication I C
Standard 4 Students will demonstrate the ability to use interpersonal communication skills to enhance health and avoid or reduce health risks.
Decision-Making D M
Standard 5 Students will demonstrate the ability to use decision-making skills to enhance health.
Goal–Setting G S
Standard 6 Students will demonstrate the ability to use goal-setting skills to enhance health.
Self Management S M
Standard 7 Students will demonstrate the ability to practice health-enhancing behaviors and avoid or reduce health risks.
Advocacy A DV
Standard 8 Students will demonstrate the ability to advocate for personal, family and community health.
12
National Sexuality Education Standards
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ak es
th em
fe el
un
co m
fo rt
ab le
P
S. 2.
SM .1
Ex pl
ai n
w ha
t bu
lly in
g an
d te
as in
g ar
e P
S. 2.
C C
.2
Ex pl
ai n
w hy
bu
lly in
g an
d te
as in
g ar
e w
ro ng
P
S. 2.
C C
.3
Id en
tif y
pa re
nt s
an d
ot he
r tr
us te
d ad
ul ts
th ey
c an
te ll
if th
ey a
re b
ei ng
bu
lli ed
o r
te as
ed
P S.
2. A
I. 2
D em
on st
ra te
h ow
to
re sp
on d
if so
m eo
ne
is b
ul ly
in g
or te
as in
g th
em
P S.
2. IC
.2
14
National Sexuality Education Standards
G R
A D
E 3-
5 Cor e
Co nc
ep ts
C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
A N
AT O
M Y
& P
H YS
IO LO
G Y
By th
e en
d of
th
e 5t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e m
al e
an d
fe m
al e
re pr
od uc
tiv e
sy st
em s
in cl
ud in
g bo
dy p
ar ts
a nd
th
ei r
fu nc
tio ns
A
P. 5.
C C
.1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
fe m
al e
an d
m al
e re
pr od
uc tiv
e an
at om
y
A P.
5. A
I. 1
P U
B ER
TY A
N D
A D
O LE
SC EN
T D
EV EL
O P
M EN
T
By th
e en
d of
th
e 5t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
Ex pl
ai n
th e
ph ys
ic al
, s oc
ia l
an d
em oti
on al
ch
an ge
s th
at
oc cu
r du
ri ng
pu
be rt
y an
d ad
ol es
ce nc
e P
D .5
.C C
.1
D es
cr ib
e ho
w
fr ie
nd s,
fa m
ily ,
m ed
ia , s
oc ie
ty
an d
cu ltu
re c
an
in flu
en ce
id ea
s ab
ou t b
od y
im ag
e P
D .5
.I N
F. 1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a nd
re
so ur
ce s
ab ou
t pu
be rt
y an
d pe
rs on
al h
yg ie
ne
P D
.5 .A
I. 1
Ex pl
ai n
w ay
s to
m
an ag
e th
e ph
ys ic
al
an d
em oti
on al
ch
an ge
s as
so ci
at ed
w
ith p
ub er
ty
P D
.5 .S
M .1
Ex pl
ai n
ho w
th e
tim in
g of
p ub
er ty
an
d ad
ol es
ce nt
de
ve lo
pm en
t va
ri es
co
ns id
er ab
ly
an d
ca n
sti ll
be h
ea lth
y P
D .5
.C C
.2
Id en
tif y
pa re
nt s
or o
th er
tr us
te d
ad ul
ts o
f w ho
m
st ud
en ts
c an
a sk
qu
es tio
ns a
bo ut
pu
be rt
y an
d ad
ol es
ce nt
h ea
lth
is su
es
P D
.5 .A
I. 2
D es
cr ib
e ho
w
pu be
rt y
pr ep
ar es
hu
m an
b od
ie s
fo r
th e
po te
nti al
to
re pr
od uc
e PA
D .5
.C C
.3
ID EN
TI TY
By th
e en
d of
th
e 5t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D efi
ne s
ex ua
l or
ie nt
ati on
a s
th e
ro m
an tic
att
ra cti
on o
f a n
in di
vi du
al to
so
m eo
ne o
f t he
sa
m e
ge nd
er o
r a
di ffe
re nt
g en
de r
ID
.5 .C
C .1
Id en
tif y
pa re
nt s
or o
th er
tr us
te d
ad ul
ts o
f w ho
m
st ud
en ts
c an
a sk
qu
es tio
ns a
bo ut
se
xu al
o ri
en ta
tio n
ID .5
.A I.
1
D em
on st
ra te
w ay
s to
tr ea
t o th
er s
w ith
di
gn ity
a nd
re sp
ec t
ID .5
.S M
.1
D em
on st
ra te
w
ay s
st ud
en ts
c an
w
or k
to ge
th er
to
pr om
ot e
di gn
ity
an d
re sp
ec t f
or a
ll pe
op le
ID
.5 .A
D V.
1
15
Standards by Grade Level
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
P R
EG N
A N
CY A
N D
R EP
R O
D U
C TI
O N
By th
e en
d of
th
e 5t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e th
e pr
oc es
s of
h um
an
re pr
od uc
tio n
P R
.5 .C
C .1
SE X
U A
LL Y
TR A
N SM
IT TE
D D
IS EA
SE S
A N
D H
IV
By th
e en
d of
th
e 5t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D efi
ne H
IV a
nd
id en
tif y
so m
e ag
e ap
pr op
ri at
e m
et ho
ds o
f tr
an sm
is si
on ,
as w
el l a
s w
ay s
to p
re ve
nt
tr an
sm is
si on
SH
.5 .C
C .1
H EA
LT H
Y R
EL AT
IO N
SH IP
S
By th
e en
d of
th
e 5t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e th
e ch
ar ac
te ri
sti cs
of
h ea
lth y
re la
tio ns
hi ps
H
R .5
.C C
.1
Co m
pa re
p os
iti ve
an
d ne
ga tiv
e w
ay s
fr ie
nd s
an d
pe er
s ca
n in
flu en
ce
re la
tio ns
hi ps
H
R .5
.I N
F. 1
Id en
tif y
pa re
nt s
an d
ot he
r tr
us te
d ad
ul ts
th ey
c an
ta
lk to
a bo
ut
re la
tio ns
hi ps
H
R .5
.A I.
1
D em
on st
ra te
p os
iti ve
w
ay s
to c
om m
un ic
at e
di ffe
re nc
es o
f o pi
ni on
w
hi le
m ai
nt ai
ni ng
re
la tio
ns hi
ps
H R
.5 .I
C .1
D em
on st
ra te
w ay
s to
tr ea
t o th
er s
w ith
di
gn ity
a nd
re sp
ec t
H R
.5 .S
M .1
P ER
SO N
A L
SA FE
TY
By th
e en
d of
th
e 5t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D efi
ne te
as in
g,
ha ra
ss m
en t a
nd
bu lly
in g
an d
ex pl
ai n
w hy
th
ey a
re w
ro ng
P
S. 5.
C C
.1
Ex pl
ai n
w hy
pe
op le
te as
e,
ha ra
ss o
r bu
lly
ot he
rs
P S.
5. IN
F. 1
Id en
tif y
pa re
nt s
an d
ot he
r tr
us te
d ad
ul ts
th ey
c an
te ll
if th
ey a
re b
ei ng
te
as ed
, h ar
as se
d or
bu
lli ed
P S.
5. A
I. 1
D em
on st
ra te
w ay
s to
co
m m
un ic
at e
ab ou
t ho
w o
ne is
b ei
ng
tr ea
te d
P
S. 5.
IC .1
D is
cu ss
e ffe
cti ve
w
ay s
in w
hi ch
st
ud en
ts c
ou ld
re
sp on
d w
he n
th ey
ar
e or
s om
eo ne
el
se is
b ei
ng te
as ed
, ha
ra ss
ed o
r bu
lli ed
P
S. 5.
SM .1
Pe rs
ua de
o th
er s
to
ta ke
a cti
on w
he n
so m
eo ne
e ls
e is
b ei
ng te
as ed
, ha
ra ss
ed o
r bu
lli ed
P
S. 5.
A D
V. 1
D efi
ne s
ex ua
l ha
ra ss
m en
t a nd
se
xu al
a bu
se
P S.
5. C
C .2
Id en
tif y
pa re
nt s
or o
th er
tr us
te d
ad ul
ts th
ey c
an te
ll if
th ey
a re
b ei
ng
se xu
al ly
h ar
as se
d or
a bu
se d
P S.
5. A
I. 2
D em
on st
ra te
re fu
sa l
sk ill
s (e
.g . c
le ar
“ no
” st
at em
en t,
w al
k aw
ay , r
ep ea
t r ef
us al
) P
S. 5.
IC .2
16
National Sexuality Education Standards
G R
A D
ES 6
-8 Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
A N
AT O
M Y
A N
D P
H YS
IO LO
G Y
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e m
al e
an d
fe m
al e
se xu
al
an d
re pr
od uc
tiv e
sy st
em s i
nc lu
di ng
bo
dy p
ar ts
a nd
th
ei r f
un cti
on s
A P.
8. C
C .1
Id en
tif y
ac cu
ra te
an
d cr
ed ib
le
so ur
ce s
of
in fo
rm ati
on a
bo ut
se
xu al
h ea
lth
A P.
8. A
I. 1
P U
B ER
TY A
N D
A D
O LE
SC EN
T D
EV EL
O P
M EN
T
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e th
e ph
ys ic
al , s
oc ia
l, co
gn iti
ve a
nd
em oti
on al
ch
an ge
s of
ad
ol es
ce nc
e P
D .8
.C C
.1
A na
ly ze
h ow
fr
ie nd
s, fa
m ily
, m
ed ia
, s oc
ie ty
an
d cu
ltu re
c an
in
flu en
ce s
el f-
co nc
ep t a
nd b
od y
im ag
e
P D
.8 .I
N F.
1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
s ou
rc es
of
in fo
rm ati
on
ab ou
t p ub
er ty
, ad
ol es
ce nt
de
ve lo
pm en
t a nd
se
xu al
ity
P D
.8 .A
I. 1
D em
on st
ra te
th e
us e
of a
d ec
isi on
- m
ak in
g m
od el
an
d ev
al ua
te
po ss
ib le
o ut
co m
es
of d
ec isi
on s
ad ol
es ce
nt s m
ig ht
m
ak e
P D
.8 .D
M .1
ID EN
TI TY
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D iff
er en
tia te
be
tw ee
n ge
nd er
id
en tit
y, g
en de
r ex
pr es
si on
an
d se
xu al
or
ie nt
ati on
ID
.8 .C
C .1
An al
yz e
ex te
rn al
in
flu en
ce s t
ha t
ha ve
a n
im pa
ct
on o
ne ’s
atti tu
de s
ab ou
t g en
de r,
se xu
al
or ie
nt ati
on a
nd
ge nd
er id
en tit
y ID
.8 .I
N F.
1
A cc
es s
ac cu
ra te
in
fo rm
ati on
a bo
ut
ge nd
er id
en tit
y,
ge nd
er e
xp re
ss io
n an
d se
xu al
or
ie nt
ati on
ID
.8 .A
I. 1
Co m
m un
ic at
e re
sp ec
tf ul
ly w
ith
an d
ab ou
t p eo
pl e
of a
ll ge
nd er
id
en titi
es , g
en de
r ex
pr es
si on
s an
d se
xu al
or
ie nt
ati on
s ID
.8 .I
C .1
D ev
el op
a p
la n
to
pr om
ot e
di gn
ity
an d
re sp
ec t f
or
al l p
eo pl
e in
th e
sc ho
ol c
om m
un ity
ID
.8 .A
D V.
1
Ex pl
ai n
th e
ra ng
e of
g en
de r
ro le
s ID
.8 .C
C .2
P R
EG N
A N
CY A
N D
R EP
R O
D U
C TI
O N
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D efi
ne s
ex ua
l in
te rc
ou rs
e an
d its
re la
tio ns
hi p
to h
um an
re
pr od
uc tio
n P
R .8
.C C
.1
D efi
ne s
ex ua
l ab
sti ne
nc e
as it
re la
te s
to p
re gn
an cy
pr
ev en
tio n
P R
.8 .C
C .2
Ex am
in e
ho w
al
co ho
l a nd
o th
er
su bs
ta nc
es , f
rie nd
s,
fa m
ily , m
ed ia
, so
ci et
y an
d cu
ltu re
in
flu en
ce d
ec isi
on s
ab ou
t e ng
ag in
g in
se
xu al
b eh
av io
rs
P R
.8 .I
N F.
1
D em
on st
ra te
th e
us e
of e
ffe cti
ve
co m
m un
ic ati
on s
ki lls
to
s up
po rt
o ne
’s
de ci
si on
to a
bs ta
in
fr om
s ex
ua l b
eh av
io rs
P
R .8
.I C
.1
17
Standards by Grade Level
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
P R
EG N
A N
CY A
N D
R EP
R O
D U
C TI
O N
(C O
N TI
N U
ED )
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
Ex pl
ai n
th e
he al
th
be ne
fit s,
ris ks
a nd
eff
ec tiv
en es
s r at
es
of v
ar io
us m
et ho
ds
of co
nt ra
ce pti
on ,
in cl
ud in
g ab
sti ne
nc e
an d
co nd
om s
P R
.8 .C
C .3
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
re so
ur ce
s ab
ou t p
re gn
an cy
pr
ev en
tio n
an d
re pr
od uc
tiv e
he al
th c
ar e
P R
.8 .A
I. 1
D em
on st
ra te
th e
us e
of e
ffe cti
ve
co m
m un
ic ati
on
an d
ne go
tia tio
n sk
ill s
ab ou
t t he
u se
of
c on
tr ac
ep tio
n in
cl ud
in g
ab sti
ne nc
e an
d co
nd om
s P
R .8
.I C
.2
A pp
ly a
d ec
is io
n- m
ak in
g m
od el
to
v ar
io us
s ex
ua l
he al
th d
ec is
io ns
P
R .8
.D M
.1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
P
R .8
.S M
.1
D efi
ne
em er
ge nc
y co
nt ra
ce pti
on
an d
its u
se
P R
.8 .C
C .4
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
ab
ou t e
m er
ge nc
y co
nt ra
ce pti
on
P R
.8 .A
I. 2
D es
cr ib
e th
e si
gn s
an d
sy m
pt om
s of
a
pr eg
na nc
y P
R .8
.C C
.5
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
s ou
rc es
o f
pr eg
na nc
y- re
la te
d in
fo rm
ati on
a nd
su
pp or
t i nc
lu di
ng
pr eg
na nc
y op
tio ns
, sa
fe s
ur re
nd er
po
lic ie
s an
d pr
en at
al c
ar e
P R
.8 .A
I. 3
Id en
tif y
pr en
at al
pr
ac tic
es th
at c
an
co nt
rib ut
e to
a
he al
th y
pr eg
na nc
y P
R .8
.C C
.6
SE X
U A
LL Y
TR A
N SM
IT TE
D D
IS EA
SE S
A N
D H
IV
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D efi
ne S
TD s,
in
cl ud
in g
H IV
, an
d ho
w th
ey
ar e
an d
ar e
no t
tr an
sm itt
ed
SH .8
.C C
.1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
ST D
s, in
cl ud
in g
H IV
SH
.8 .A
I. 1
Co m
pa re
a nd
co
nt ra
st b
eh av
io rs
, in
cl ud
in g
ab sti
ne nc
e,
to d
et er
m in
e th
e po
te nti
al
ri sk
o f S
TD /H
IV
tr an
sm is
si on
fr
om e
ac h
SH .8
.C C
.2
A na
ly ze
th e
im pa
ct o
f a lc
oh ol
an
d ot
he r
dr ug
s on
s af
er
se xu
al d
ec is
io n-
m ak
in g
an d
se xu
al b
eh av
io rs
SH
.8 .I
N F.
1
D em
on st
ra te
th e
us e
of e
ffe cti
ve
co m
m un
ic ati
on s
ki lls
to
re du
ce o
r el
im in
at e
ri sk
fo r
ST D
s, in
cl ud
in g
H IV
SH
.8 .I
C .1
D ev
el op
a p
la n
to e
lim in
at e
or
re du
ce r
is k
fo r
ST D
s, in
cl ud
in g
H IV
SH
.8 .G
S. 1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
SH
.8 .S
M .1
18
National Sexuality Education Standards
G R
A D
ES 6
-8 (C
O N
TI N
U ED
) Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
SE X
U A
LL Y
TR A
N SM
IT TE
D D
IS EA
SE S
A N
D H
IV (C
O N
TI N
U ED
)
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e th
e si
gn s,
s ym
pt om
s an
d po
te nti
al
im pa
ct s
of S
TD s,
in
cl ud
in g
H IV
SH
.8 .C
C .3
Id en
tif y
lo ca
l S TD
an
d H
IV te
sti ng
an
d tr
ea tm
en t
re so
ur ce
s SH
.8 .A
I. 2
H EA
LT H
Y R
EL AT
IO N
SH IP
S
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
Co m
pa re
a nd
co
nt ra
st th
e ch
ar ac
te ri
sti cs
of
h ea
lth y
an d
un he
al th
y re
la tio
ns hi
ps
H R
.8 .C
C .1
A na
ly ze
th e
w ay
s in
w hi
ch fr
ie nd
s,
fa m
ily , m
ed ia
, so
ci et
y an
d cu
ltu re
ca
n in
flu en
ce
re la
tio ns
hi ps
H
R .8
.I N
F. 1
Ex pl
ai n
th e
cr ite
ri a
fo r
ev al
ua tin
g th
e he
al th
o f
a re
la tio
ns hi
p H
R .8
.S M
.1
D es
cr ib
e th
e po
te nti
al im
pa ct
s of
p ow
er
di ffe
re nc
es s
uc h
as a
ge , s
ta tu
s or
po
si tio
n w
ith in
re
la tio
ns hi
ps
H R
.8 .C
C .2
A na
ly ze
th e
si m
ila ri
tie s
an d
di ffe
re nc
es
be tw
ee n
fr ie
nd sh
ip s
an d
ro m
an tic
re
la tio
ns hi
ps
H R
.8 .C
C .3
D em
on st
ra te
co
m m
un ic
ati on
s ki
lls
th at
fo st
er h
ea lth
y re
la tio
ns hi
ps
H R
.8 .I
C .1
D es
cr ib
e a
ra ng
e of
w ay
s pe
op le
e xp
re ss
aff
ec tio
n w
ith in
va
ri ou
s ty
pe s
of re
la tio
ns hi
ps
H R
.8 .C
C .4
D em
on st
ra te
e ffe
cti ve
w
ay s
to c
om m
un ic
at e
pe rs
on al
b ou
nd ar
ie s
an d
sh ow
re sp
ec t f
or
th e
bo un
da ri
es o
f ot
he rs
H
R .8
.I C
.2
D es
cr ib
e th
e ad
va nt
ag es
a nd
di
sa dv
an ta
ge s
of
co m
m un
ic ati
ng
us in
g te
ch no
lo gy
an
d so
ci al
m ed
ia
H R
.8 .C
C .5
A na
ly ze
th e
im pa
ct
of te
ch no
lo gy
an
d so
ci al
m ed
ia
on fr
ie nd
sh ip
s an
d re
la tio
ns hi
ps
H R
.8 .I
N F.
2
D em
on st
ra te
e ffe
cti ve
sk
ill s
to n
eg oti
at e
ag re
em en
ts a
bo ut
th e
us e
of te
ch no
lo gy
in
re la
tio ns
hi ps
H
R .8
.I C
.3
D ev
el op
a p
la n
to s
ta y
sa fe
w he
n us
in g
so ci
al
m ed
ia
H R
.8 .G
S. 1
D es
cr ib
e st
ra te
gi es
to
u se
s oc
ia l m
ed ia
sa
fe ly
, l eg
al ly
an
d re
sp ec
tf ul
ly
H R
.8 .S
M .2
19
Standards by Grade Level
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
P ER
SO N
A L
SA FE
TY
By th
e en
d of
th
e 8t
h gr
ad e,
st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e si
tu ati
on s
an d
be ha
vi or
s th
at
co ns
tit ut
e bu
lly in
g, s
ex ua
l ha
ra ss
m en
t,
se xu
al a
bu se
, se
xu al
a ss
au lt,
in
ce st
, r ap
e an
d da
tin g
vi ol
en ce
P
S. 8.
C C
.1
Id en
tif y
so ur
ce s
of s
up po
rt s
uc h
as p
ar en
ts o
r ot
he r
tr us
te d
ad ul
ts th
at th
ey
ca n
go to
if th
ey
ar e
or s
om eo
ne
th ey
k no
w is
be
in g
bu lli
ed ,
ha ra
ss ed
, a bu
se d
or a
ss au
lte d
P
S. 8.
A I.
1
D em
on st
ra te
w ay
s to
co
m m
un ic
at e
w ith
tr
us te
d ad
ul ts
a bo
ut
bu lly
in g,
h ar
as sm
en t,
ab
us e
or a
ss au
lt P
S. 8.
IC .1
D es
cr ib
e w
ay s
to
tr ea
t o th
er s
w ith
di
gn ity
a nd
re sp
ec t
P S.
8. SM
.1
A dv
oc at
e fo
r sa
fe
en vi
ro nm
en ts
th
at e
nc ou
ra ge
di
gn ifi
ed a
nd
re sp
ec tf
ul
tr ea
tm en
t of
e ve
ry on
e P
S. 8.
A D
V. 1
D is
cu ss
th e
im pa
ct s
of
bu lly
in g,
s ex
ua l
ha ra
ss m
en t,
se
xu al
a bu
se ,
se xu
al a
ss au
lt,
in ce
st , r
ap e
an d
da tin
g vi
ol en
ce
an d
w hy
th ey
a re
w
ro ng
P
S. 8.
C C
.2
D em
on st
ra te
w ay
s th
ey c
an re
sp on
d w
he n
so m
eo ne
is
be in
g bu
lli ed
o r
ha ra
ss ed
P
S. 8.
SM .2
Ex pl
ai n
th at
n o
on e
ha s
th e
ri gh
t to
to uc
h an
yo ne
el
se in
a s
ex ua
l m
an ne
r if
th ey
do
n ot
w an
t to
b e
to uc
he d
P S.
8. C
C .3
Ex pl
ai n
w hy
a
pe rs
on w
ho
ha s
be en
ra pe
d or
s ex
ua lly
as
sa ul
te d
is n
ot
at fa
ul t
P S.
8. C
C .4
20
National Sexuality Education Standards
G R
A D
ES 9
-1 2
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
A N
AT O
M Y
A N
D P
H YS
IO LO
G Y
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e th
e hu
m an
s ex
ua l
re sp
on se
c yc
le ,
in cl
ud in
g th
e ro
le
ho rm
on es
p la
y A
P. 12
.C C
.1
P U
B ER
TY A
N D
A D
O LE
SC EN
T D
EV EL
O P
M EN
T
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
A na
ly ze
ho
w b
ra in
de
ve lo
pm en
t ha
s an
im pa
ct o
n co
gn iti
ve , s
oc ia
l an
d em
oti on
al
ch an
ge s
of
ad ol
es ce
nc e
an d
ea rl
y ad
ul th
oo d
P D
.1 2.
C C
.1
A na
ly ze
h ow
fr
ie nd
s, fa
m ily
, m
ed ia
, s oc
ie ty
an
d cu
ltu re
c an
in
flu en
ce s
el f-
co nc
ep t a
nd b
od y
im ag
e P
D .1
2. IN
F. 1
A pp
ly a
d ec
is io
n- m
ak in
g m
od el
to
va ri
ou s
si tu
ati on
s re
la tin
g to
s ex
ua l
he al
th
P D
.1 2.
D M
.1
ID EN
TI TY
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
D iff
er en
tia te
be
tw ee
n bi
ol og
ic al
se
x, s
ex ua
l or
ie nt
ati on
, a nd
ge
nd er
id en
tit y
an d
ex pr
es si
on
ID .1
2. C
C .1
A na
ly ze
th e
in flu
en ce
o f
fr ie
nd s,
fa m
ily ,
m ed
ia , s
oc ie
ty
an d
cu ltu
re o
n th
e ex
pr es
si on
of
g en
de r,
se xu
al
or ie
nt ati
on a
nd
id en
tit y
ID .1
2. IN
F. 1
Ex pl
ai n
ho w
to
pr om
ot e
sa fe
ty ,
re sp
ec t,
a w
ar en
es s
an d
ac ce
pt an
ce
ID .1
2. SM
.1
A dv
oc at
e fo
r sc
ho ol
p ol
ic ie
s an
d pr
og ra
m s
th at
p ro
m ot
e di
gn ity
a nd
re
sp ec
t f or
a ll
ID
.1 2.
A D
V. 1
D is
tin gu
is h
be tw
ee n
se xu
al
or ie
nt ati
on ,
se xu
al b
eh av
io r
an d
se xu
al
id en
tit y
ID .1
2. C
C .2
P R
EG N
A N
CY A
N D
R EP
R O
D U
C TI
O N
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
Co m
pa re
a nd
co
nt ra
st th
e ad
va nt
ag es
a nd
di
sa dv
an ta
ge s
of a
bs tin
en ce
an
d ot
he r
co nt
ra ce
pti ve
m
et ho
ds ,
in cl
ud in
g co
nd om
s
P R
.1 2.
C C
.1
A na
ly ze
in
flu en
ce s
th at
m ay
h av
e an
im pa
ct o
n de
ci di
ng w
he th
er
or w
he n
to
en ga
ge in
s ex
ua l
be ha
vi or
s
P R
.1 2.
IN F.
1
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
co nt
ra ce
pti ve
m
et ho
ds ,
in cl
ud in
g ab
sti ne
nc e
an d
co nd
om s
P R
.1 2.
A I.
1
D em
on st
ra te
w ay
s to
co
m m
un ic
at e
de ci
si on
s ab
ou t w
he th
er o
r w
he n
to e
ng ag
e in
se
xu al
b eh
av io
rs
P R
.1 2.
IC .1
A pp
ly a
d ec
is io
n- m
ak in
g m
od el
to
c ho
ic es
a bo
ut
co nt
ra ce
pti on
, in
cl ud
in g
ab sti
ne nc
e an
d co
nd om
s P
R .1
2. D
M .1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
P
R .1
2. SM
.1
21
Standards by Grade Level
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
P R
EG N
A N
CY A
N D
R EP
R O
D U
C TI
O N
(C O
N TI
N U
ED )
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
D efi
ne
em er
ge nc
y co
nt ra
ce pti
on
an d
de sc
ri be
it s
m ec
ha ni
sm o
f ac
tio n
P
R .1
2. C
C .2
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
an
d re
so ur
ce s
ab ou
t e m
er ge
nc y
co nt
ra ce
pti on
P
R .1
2. A
I. 2
Id en
tif y
th e
la w
s re
la te
d to
re
pr od
uc tiv
e an
d se
xu al
he
al th
c ar
e se
rv ic
es (i
.e .,
co nt
ra ce
pti on
, pr
eg na
nc y
op tio
ns , s
af e
su rr
en de
r po
lic ie
s, p
re na
ta l
ca re
) P
R .1
2. C
C .3
D es
cr ib
e th
e si
gn s
of
pr eg
na nc
y
P R
.1 2.
C C
.4
A na
ly ze
in te
rn al
an
d ex
te rn
al
in flu
en ce
s on
de
ci si
on s
ab ou
t pr
eg na
nc y
op tio
ns
P R
.1 2.
IN F.
2
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
pr eg
na nc
y an
d pr
eg na
nc y
op tio
ns
P R
.1 2.
A I.
3
D es
cr ib
e pr
en at
al
pr ac
tic es
th at
ca
n co
nt ri
bu te
to
o r
th re
at en
a
he al
th y
pr eg
na nc
y
P R
.1 2.
C C
.5
A na
ly ze
fa ct
or s
th at
in flu
en ce
de
ci si
on s
ab ou
t w
he th
er a
nd
w he
n to
b ec
om e
a pa
re nt
P
R .1
2. IN
F. 3
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
pr en
at al
c ar
e se
rv ic
es
P R
.1 2.
A I.
4
A ss
es s
th e
sk ill
s an
d re
so ur
ce s
ne ed
ed to
b ec
om e
a pa
re nt
P
R .1
2. D
M .2
Co m
pa re
a nd
co
nt ra
st th
e la
w s
re la
tin g
to p
re gn
an cy
, ad
op tio
n,
ab or
tio n
an d
pa re
nti ng
P
R .1
2. C
C .6
22
National Sexuality Education Standards
G R
A D
ES 9
-1 2
(C O
N TI
N U
ED )
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
SE X
U A
LL Y
TR A
N SM
IT TE
D D
IS EA
SE S
A N
D H
IV
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e co
m m
on
sy m
pt om
s of
a nd
tr
ea tm
en ts
fo r
ST D
s, in
cl ud
in g
H IV
SH
.1 2.
C C
.1
Ex pl
ai n
ho w
to
ac ce
ss lo
ca l S
TD
an d
H IV
te sti
ng
an d
tr ea
tm en
t se
rv ic
es
SH .1
2. A
I. 1
D em
on st
ra te
s ki
lls to
co
m m
un ic
at e
w ith
a
pa rt
ne r
ab ou
t S TD
a nd
H
IV p
re ve
nti on
a nd
te
sti ng
SH
.1 2.
IC .1
A pp
ly a
d ec
is io
n-
m ak
in g
m od
el
to c
ho ic
es
ab ou
t s af
er s
ex
pr ac
tic es
, i nc
lu di
ng
ab sti
ne nc
e an
d co
nd om
s SH
.1 2.
D M
.1
A na
ly ze
in di
vi du
al
re sp
on si
bi lit
y ab
ou t
te sti
ng fo
r an
d in
fo rm
in g
pa rt
ne rs
ab
ou t S
TD s
an d
H IV
st
at us
SH
.1 2.
SM .1
Ev al
ua te
th e
eff ec
tiv en
es s
of a
bs tin
en ce
, co
nd om
s a nd
o th
er
sa fe
r s ex
m et
ho ds
in
p re
ve nti
ng th
e sp
re ad
o f S
TD s,
in
cl ud
in g
H IV
SH
.1 2.
C C
.2
A na
ly ze
fa ct
or s
th at
m ay
in flu
en ce
co
nd om
u se
a nd
ot
he r
sa fe
r se
x de
ci si
on s
SH
.1 2.
IN F.
1
A cc
es s
m ed
ic al
ly -
ac cu
ra te
pr
ev en
tio n
in fo
rm ati
on a
bo ut
ST
D s,
in cl
ud in
g H
IV
SH .1
2. A
I. 2
D ev
el op
a p
la n
to e
lim in
at e
or
re du
ce r
is k
fo r
ST D
s, in
cl ud
in g
H IV
SH
.1 2.
G S.
1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
SH
.1 2.
SM .2
A dv
oc at
e fo
r se
xu al
ly a
cti ve
yo
ut h
to g
et
ST D
/H IV
te sti
ng
an d
tr ea
tm en
t SH
.1 2.
A D
V. 1
D es
cr ib
e th
e la
w s r
el at
ed to
se
xu al
h ea
lth c
ar e
se rv
ic es
, i nc
lu di
ng
ST D
a nd
H IV
te sti
ng
an d
tr ea
tm en
t SH
.1 2.
C C
.3
H EA
LT H
Y R
EL AT
IO N
SH IP
S
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
D es
cr ib
e ch
ar ac
te ris
tic s
of h
ea lth
y an
d un
he al
th y
ro m
an tic
a nd
/o r
se xu
al re
la tio
ns hi
ps
H R
.1 2.
C C
.1
Ex pl
ai n
ho w
m ed
ia
ca n
in flu
en ce
on
e’ s
be lie
fs a
bo ut
w
ha t c
on sti
tu te
s a
he al
th y
se xu
al
re la
tio ns
hi p
H R
.1 2.
IN F.
1
D em
on st
ra te
ho
w to
a cc
es s
va lid
in fo
rm ati
on
an d
re so
ur ce
s to
he
lp d
ea l w
ith
re la
tio ns
hi ps
H
R .1
2. A
I. 1
D em
on st
ra te
e ffe
cti ve
st
ra te
gi es
to a
vo id
or
e nd
a n
un he
al th
y re
la tio
ns hi
p
H R
.1 2.
IC .1
D es
cr ib
e a
ra ng
e of
w ay
s t o
ex pr
es s a
ffe cti
on
w ith
in h
ea lth
y re
la tio
ns hi
ps
H R
.1 2.
C C
.2
D efi
ne s
ex ua
l co
ns en
t a nd
ex
pl ai
n its
im
pl ic
ati on
s fo
r se
xu al
d ec
is io
n-
m ak
in g
H
R .1
2. C
C .3
An al
yz e
fa ct
or s,
in
cl ud
in g
al co
ho l
an d
ot he
r su
bs ta
nc es
, t ha
t c an
aff
ec t t
he a
bi lit
y to
gi
ve o
r p er
ce iv
e th
e pr
ov isi
on o
f c on
se nt
to
se xu
al a
cti vi
ty
H R
.1 2.
IN F.
2
D em
on st
ra te
e ffe
cti ve
w
ay s
to c
om m
un ic
at e
pe rs
on al
b ou
nd ar
ie s
as
th ey
re la
te to
in tim
ac y
an d
se xu
al b
eh av
io r
H
R .1
2. IC
.2
D em
on st
ra te
re sp
ec t
fo r
th e
bo un
da ri
es
of o
th er
s as
th ey
re
la te
to in
tim ac
y an
d se
xu al
b eh
av io
r H
R .1
2. SM
.1
23
Standards by Grade Level
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
H EA
LT H
Y R
EL AT
IO N
SH IP
S
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
Ev al
ua te
th e
po te
nti al
ly
po si
tiv e
an d
ne ga
tiv e
ro le
s of
te ch
no lo
gy
an d
so ci
al m
ed ia
in
re la
tio ns
hi ps
H
R .1
2. C
C .4
D es
cr ib
e st
ra te
gi es
to
u se
s oc
ia l m
ed ia
sa
fe ly
, l eg
al ly
a nd
re
sp ec
tf ul
ly
H R
.1 2.
SM .2
P ER
SO N
A L
SA FE
TY
By th
e en
d of
th
e 12
th g
ra de
, st
ud en
ts s
ho ul
d be
a bl
e to
:
Co m
pa re
a nd
co
nt ra
st si
tu ati
on s
an d
be ha
vi or
s t ha
t m
ay c
on sti
tu te
bu
lly in
g, se
xu al
ha
ra ss
m en
t, se
xu al
a bu
se ,
se xu
al a
ss au
lt,
in ce
st , r
ap e
an d
da tin
g vi
ol en
ce
P S.
12 .C
C .1
A cc
es s
va lid
re
so ur
ce s
fo r
he lp
if th
ey
or s
om eo
ne
th ey
k no
w a
re
be in
g bu
lli ed
or
h ar
as se
d,
or h
av e
be en
se
xu al
ly a
bu se
d or
as
sa ul
te d
P
S. 12
.A I.
1
D em
on st
ra te
e ffe
cti ve
w
ay s
to c
om m
un ic
at e
w ith
tr us
te d
ad ul
ts
ab ou
t b ul
ly in
g,
ha ra
ss m
en t,
a bu
se o
r as
sa ul
t P
S. 12
.I C
.1
A dv
oc at
e fo
r sa
fe
en vi
ro nm
en ts
th
at e
nc ou
ra ge
di
gn ifi
ed a
nd
re sp
ec tf
ul
tr ea
tm en
t o f
ev er
yo ne
P
S. 12
.A D
V. 1
A na
ly ze
th e
la w
s re
la te
d to
bu
lly in
g, s
ex ua
l ha
ra ss
m en
t,
se xu
al a
bu se
, se
xu al
a ss
au lt,
in
ce st
, r ap
e an
d da
tin g
vi ol
en ce
P
S. 12
.C C
.2
D es
cr ib
e po
te nti
al
im pa
ct s
of p
ow er
di
ffe re
nc es
(e
.g .,
ag e,
s ta
tu s
or p
os iti
on )
w ith
in s
ex ua
l re
la tio
ns hi
ps
P S.
12 .I
N F.
1
D em
on st
ra te
w ay
s to
a cc
es s a
cc ur
at e
in fo
rm ati
on a
nd
re so
ur ce
s f or
su
rv iv
or s o
f s ex
ua l
ab us
e, in
ce st
, r ap
e,
se xu
al h
ar as
sm en
t, se
xu al
a ss
au lt
an d
da tin
g vi
ol en
ce
P S.
12 .A
I. 2
Id en
tif y
w ay
s in
w hi
ch
th ey
c ou
ld re
sp on
d w
he n
so m
eo ne
e ls
e is
b ei
ng b
ul lie
d or
ha
ra ss
ed
P S.
12 .I
C .2
Ex pl
ai n
w hy
us
in g
tr ic
ks ,
th re
at s
or
co er
ci on
in
re la
tio ns
hi ps
is
w ro
ng
P S.
12 .C
C .3
An al
yz e
th e
ex te
rn al
in flu
en ce
s an
d so
ci et
al
m es
sa ge
s t ha
t im
pa ct
a tti
tu de
s ab
ou t b
ul ly
in g,
se
xu al
h ar
as sm
en t,
se xu
al a
bu se
, s ex
ua l
as sa
ul t,
in ce
st , r
ap e
an d
da tin
g vi
ol en
ce
P S.
12 .I
N F.
2
Ex pl
ai n
w hy
a
pe rs
on w
ho
ha s
be en
ra pe
d or
s ex
ua lly
as
sa ul
te d
is n
ot
at fa
ul t
P S.
12 .C
C .4
24
National Sexuality Education Standards
St an
da rd
s b y
To pi
c A re
a A
N AT
O M
Y A
N D
P H
YS IO
LO G
Y Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
BY T
H E
EN D
O F
TH E
2n d
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: U
se p
ro pe
r na
m es
fo r
bo dy
pa
rt s,
in cl
ud in
g m
al e
an d
fe m
al e
an at
om y
A P.
2. C
C .1
BY T
H E
EN D
O F
TH E
5t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
m al
e an
d fe
m al
e re
pr od
uc tiv
e sy
st em
s in
cl ud
in g
bo dy
pa
rt s
an d
th ei
r fu
nc tio
ns
A P.
5. C
C .1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
fe m
al e
an d
m al
e re
pr od
uc tiv
e an
at om
y
A P.
5. A
I. 1
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
m al
e an
d fe
m al
e se
xu al
a nd
re
pr od
uc tiv
e sy
st em
s in
cl ud
in g
bo dy
pa
rt s
an d
th ei
r fu
nc tio
ns
A P.
8. C
C .1
Id en
tif y
ac cu
ra te
an
d cr
ed ib
le
so ur
ce s
ab ou
t se
xu al
h ea
lth
A P.
8. A
I. 1
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
th e
hu m
an s
ex ua
l re
sp on
se c
yc le
, in
cl ud
in g
th e
ro le
h or
m on
es
pl ay
A
P. 12
.C C
.1
25
Standards by Topic Area
PU B
ER TY
A N
D A
D O
LE SC
EN T
D EV
EL O
PM EN
T Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
BY T
H E
EN D
O F
TH E
2n d
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: N
o ite
m s
BY T
H E
EN D
O F
TH E
5t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
:
Ex pl
ai n
th e
ph ys
ic al
, s oc
ia l,
an d
em oti
on al
ch
an ge
s th
at
oc cu
r du
ri ng
pu
be rt
y an
d ad
ol es
ce nc
e P
D .5
.C C
.1
D es
cr ib
e ho
w
pe er
s, m
ed ia
, fa
m ily
, s oc
ie ty
a nd
cu
ltu re
in flu
en ce
id
ea s
ab ou
t b od
y im
ag e
P D
.5 .I
N F.
1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a nd
re
so ur
ce s
ab ou
t pu
be rt
y an
d pe
rs on
al h
yg ie
ne
P D
.5 .A
I. 1
Ex pl
ai n
w ay
s to
m
an ag
e th
e ph
ys ic
al
an d
em oti
on al
ch
an ge
s as
so ci
at ed
w
ith p
ub er
ty
P D
.5 .S
M .1
Ex pl
ai n
ho w
th e
tim in
g of
p ub
er ty
an
d ad
ol es
ce nt
de
ve lo
pm en
t va
rie s
co ns
id er
ab ly
an
d ca
n sti
ll be
he
al th
y P
D .5
.C C
.2
Id en
tif y
pa re
nt s
or o
th er
tr us
te d
ad ul
ts o
f w ho
m
th ey
c an
a sk
qu
es tio
ns a
bo ut
pu
be rt
y an
d ad
ol es
ce nt
h ea
lth
is su
es
P D
.5 .A
I. 2
D es
cr ib
e ho
w
pu be
rt y
pr ep
ar es
hu
m an
b od
ie s f
or
th e
po te
nti al
to
re pr
od uc
e P
D .5
.C C
.3
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
th e
ph ys
ic al
, s oc
ia l,
co gn
iti ve
a nd
em
oti on
al
ch an
ge s
of
ad ol
es ce
nc e
P D
.8 .C
C .1
A na
ly ze
h ow
pe
er s,
m ed
ia ,
fa m
ily , s
oc ie
ty a
nd
cu ltu
re in
flu en
ce
se lf-
co nc
ep t a
nd
bo dy
im ag
e P
D .8
.I N
F. 1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
s ou
rc es
of
in fo
rm ati
on
ab ou
t p ub
er ty
, ad
ol es
ce nt
de
ve lo
pm en
t a nd
se
xu al
ity
P D
.8 .A
I. 1
D em
on st
ra te
th
e us
e of
a
de ci
si on
- m ak
in g
m od
el to
e va
lu at
e po
ss ib
le o
ut co
m es
of
d ec
is io
ns
ad ol
es ce
nt s
m ig
ht
m ak
e P
D .8
.D M
.1
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: A
na ly
ze
ho w
b ra
in
de ve
lo pm
en t
ha s
an im
pa ct
o n
co gn
iti ve
, s oc
ia l
an d
em oti
on al
ch
an ge
s of
ad
ol es
ce nc
e an
d ea
rl y
ad ul
th oo
d P
D .1
2. C
C .1
A na
ly ze
h ow
pe
er s,
m ed
ia ,
fa m
ily , s
oc ie
ty ,
re lig
io n
an d
cu ltu
re in
flu en
ce
se lf-
co nc
ep t a
nd
bo dy
im ag
e P
D .1
2. IN
F. 1
A pp
ly a
d ec
is io
n- m
ak in
g m
od el
to
va ri
ou s
si tu
ati on
s re
la tin
g to
s ex
ua l
he al
th
P D
.1 2.
D M
.1
26
National Sexuality Education Standards
ID EN
TI TY
Cor e
Co nc
ep ts
C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
BY T
H E
EN D
O F
TH E
2n d
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
di ffe
re nc
es a
nd
si m
ila ri
tie s
in
ho w
b oy
s an
d gi
rl s
m ay
b e
ex pe
ct ed
to a
ct
ID .2
.C C
.1
Pr ov
id e
ex am
pl es
o f
ho w
fr ie
nd s,
fa m
ily ,
m ed
ia , s
oc ie
ty a
nd
cu ltu
re in
flu en
ce
w ay
s i n
w hi
ch b
oy s
an d
gi rls
th in
k th
ey
sh ou
ld a
ct
ID .2
.I N
F. 1
BY T
H E
EN D
O F
TH E
5t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
:
D efi
ne s
ex ua
l or
ie nt
ati on
as
ro m
an tic
att
ra cti
on to
a n
in di
vi du
al o
f t he
sa
m e
ge nd
er o
r of
a
di ffe
re nt
g en
de r
ID .5
.C C
.1
Id en
tif y
pa re
nt s
or o
th er
tr us
te d
ad ul
ts to
w ho
m
th ey
c an
a sk
qu
es tio
ns a
bo ut
se
xu al
o ri
en ta
tio n
ID .5
.A I.
1
D em
on st
ra te
w ay
s to
tr ea
t o th
er s
w ith
di
gn ity
a nd
re sp
ec t
ID .5
.S M
.1
D em
on st
ra te
w
ay s
st ud
en ts
c an
w
or k
to ge
th er
to
pr om
ot e
di gn
ity
an d
re sp
ec t f
or a
ll pe
op le
ID
.5 .A
D V.
1
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
iff er
en tia
te
be tw
ee n
ge nd
er
id en
tit y,
g en
de r
ex pr
es si
on
an d
se xu
al
or ie
nt ati
on
ID .8
.C C
.1
A na
ly ze
e xt
er na
l in
flu en
ce s
th at
ha
ve a
n im
pa ct
on
o ne
’s a
tti tu
de s
ab ou
t g en
de r,
se xu
al o
ri en
ta tio
n an
d ge
nd er
id en
tit y
ID .8
.I N
F. 1
A cc
es s
ac cu
ra te
in
fo rm
ati on
a bo
ut
ge nd
er id
en tit
y,
ge nd
er e
xp re
ss io
n an
d se
xu al
or
ie nt
ati on
ID
.8 .A
I. 1
Co m
m un
ic at
e re
sp ec
tf ul
ly w
ith a
nd
ab ou
t p eo
pl e
of a
ll ge
nd er
id en
titi es
, ge
nd er
e xp
re ss
io ns
a nd
se
xu al
o ri
en ta
tio ns
ID
.8 .I
C .1
D ev
el op
a p
la n
to
pr om
ot e
di gn
ity
an d
re sp
ec t f
or
al l p
eo pl
e in
th e
sc ho
ol c
om m
un ity
ID
.8 .A
D V.
1
Ex pl
ai n
th e
ra ng
e of
g en
de r r
ol es
ID
.8 .C
C .2
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
iff er
en tia
te
be tw
ee n
bi ol
og ic
al
se x,
s ex
ua l
or ie
nt ati
on , a
nd
ge nd
er id
en tit
y an
d ex
pr es
si on
ID
.1 2.
C C
.1
A na
ly ze
th e
in flu
en ce
o f p
ee rs
, m
ed ia
, f am
ily ,
so ci
et y,
re lig
io n
an d
cu ltu
re o
n th
e ex
pr es
si on
of
g en
de r,
se xu
al
or ie
nt ati
on a
nd
id en
tit y
ID .1
2. IN
F. 1
Ex pl
ai n
ho w
to
pr om
ot e
sa fe
ty ,
re sp
ec t,
a w
ar en
es s
an d
ac ce
pt an
ce
ID .1
2. SM
.1
A dv
oc at
e fo
r sc
ho ol
p ol
ic ie
s an
d pr
og ra
m s
th at
pr
om ot
e di
gn ity
an
d re
sp ec
t f or
a ll
ID .1
2. A
D V.
1
D is
tin gu
is h
be tw
ee n
se xu
al
or ie
nt ati
on ,
se xu
al b
eh av
io r
an d
se xu
al
id en
tit y
ID .1
2. C
C .2
27
Standards by Topic Area
PR EG
N A
N CY
A N
D R
EP RO
D U
CT IO
N Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
BY T
H E
EN D
O F
TH E
2n d
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: Ex
pl ai
n th
at a
ll liv
in g
th in
gs
re pr
od uc
e P
R .2
.C C
.1
BY T
H E
EN D
O F
TH E
5t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
:
D es
cr ib
e th
e pr
oc es
s of
h um
an
re pr
od uc
tio n
P
R .5
.C C
.1
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
efi ne
s ex
ua l
in te
rc ou
rs e
an d
its re
la tio
ns hi
p to
h um
an
re pr
od uc
tio n
P R
.8 .C
C .1
D efi
ne s
ex ua
l ab
sti ne
nc e
as it
re la
te s
to p
re gn
an cy
pr
ev en
tio n
P R
.8 .C
C .2
Ex am
in e
ho w
al
co ho
l a nd
o th
er
su bs
ta nc
es , p
ee rs
, m
ed ia
, f am
ily ,
so ci
et y
an d
cu ltu
re in
flu en
ce
de ci
si on
s ab
ou t
en ga
gi ng
in s
ex ua
l be
ha vi
or s
P R
.8 .I
N F.
1
D em
on st
ra te
th e
us e
of e
ffe cti
ve
co m
m un
ic ati
on s
ki lls
to
su pp
or t o
ne ’s
d ec
is io
n to
a bs
ta in
fr om
s ex
ua l
be ha
vi or
s P
R .8
.I C
.1
Ex pl
ai n
th e
he al
th b
en efi
ts ,
ri sk
s an
d eff
ec tiv
en es
s ra
te s
of v
ar io
us
m et
ho ds
o f
co nt
ra ce
pti on
, in
cl ud
in g
ab sti
ne nc
e an
d co
nd om
s P
R .8
.C C
.3
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
re so
ur ce
s ab
ou t p
re gn
an cy
pr
ev en
tio n
an d
re pr
od uc
tiv e
he al
th c
ar e
P R
.8 .A
I. 1
D em
on st
ra te
th e
us e
of e
ffe cti
ve
co m
m un
ic ati
on a
nd
ne go
tia tio
n sk
ill s
ab ou
t co
nt ra
ce pti
on
in cl
ud in
g ab
sti ne
nc e
an d
co nd
om s
P R
.8 .I
C .2
A pp
ly a
d ec
is io
n- m
ak in
g m
od el
to
v ar
io us
s ex
ua l
he al
th d
ec is
io ns
P
R .8
.D M
.1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
P
R .8
.S M
.1
D efi
ne
em er
ge nc
y co
nt ra
ce pti
on
an d
its u
se
P R
.8 .C
C .4
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
ab
ou t e
m er
ge nc
y co
nt ra
ce pti
on
P R
.8 .A
I. 2
28
National Sexuality Education Standards
PR EG
N A
N CY
A N
D R
EP RO
D U
CT IO
N (C
O N
TI N
U ED
) Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
th e
si gn
s an
d sy
m pt
om s
of a
pr
eg na
nc y
P R
.8 .C
C .5
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
so ur
ce s o
f pr
eg na
nc y-
re la
te d
in fo
rm ati
on a
nd
su pp
or t i
nc lu
di ng
pr
eg na
nc y
op tio
ns ,
sa fe
su rr
en de
r po
lic ie
s a nd
p re
na ta
l ca
re
P R
.8 .A
I. 3
Id en
tif y
pr en
at al
pr
ac tic
es th
at
ca n
co nt
ri bu
te
to a
h ea
lth y
pr eg
na nc
y P
R .8
.C C
.6
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: Co
m pa
re a
nd
co nt
ra st
th e
ad va
nt ag
es a
nd
di sa
dv an
ta ge
s of
a bs
tin en
ce
an d
ot he
r co
nt ra
ce pti
ve
m et
ho ds
, in
cl ud
in g,
c on
do m
s P
R .1
2. C
C .1
A na
ly ze
in flu
en ce
s th
at m
ay h
av e
an im
pa ct
o n
de ci
di ng
w he
th er
or
w he
n to
en
ga ge
in s
ex ua
l be
ha vi
or s
P
R .1
2. IN
F. 1
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
co nt
ra ce
pti ve
m
et ho
ds , i
nc lu
di ng
em
er ge
nc y
co nt
ra ce
pti on
a nd
co
nd om
s P
R .1
2. A
I. 1
D em
on st
ra te
w ay
s to
co
m m
un ic
at e
de ci
si on
s ab
ou t w
he th
er o
r w
he n
to e
ng ag
e in
se
xu al
b eh
av io
rs
P R
.1 2.
IC .1
A pp
ly a
d ec
is io
n-
m ak
in g
m od
el
to c
ho ic
es a
bo ut
co
nt ra
ce pti
on ,
in cl
ud in
g ab
sti ne
nc e
an d
co nd
om s
P R
.1 2.
D M
.1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
P
R .1
2. SM
.1
D efi
ne
em er
ge nc
y co
nt ra
ce pti
on
an d
de sc
ri be
it s
m ec
ha ni
sm o
f ac
tio n
P R
.1 2.
C C
.2
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
an
d re
so ur
ce s
ab ou
t e m
er ge
nc y
co nt
ra ce
pti on
P
R .1
2. A
I. 2
Id en
tif y
th e
la w
s r el
at ed
to
re pr
od uc
tiv e
an d
se xu
al h
ea lth
ca
re se
rv ic
es (i
.e .,
co nt
ra ce
pti on
, pr
eg na
nc y
op tio
ns ,
sa fe
su rr
en de
r po
lic ie
s, p
re na
ta l
ca re
) P
R .1
2. C
C .3
29
Standards by Topic Area
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
th e
si gn
s of
pr
eg na
nc y
P R
.1 2.
C C
.4
A na
ly ze
in te
rn al
an
d ex
te rn
al
in flu
en ce
s on
de
ci si
on s
ab ou
t pr
eg na
nc y
op tio
ns
P R
.1 2.
IN F.
2
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
pr eg
na nc
y op
tio ns
P
R .1
2. A
I. 3
D es
cr ib
e pr
en at
al
pr ac
tic es
th at
ca
n co
nt ri
bu te
to
o r
th re
at en
a
he al
th y
pr eg
na nc
y P
R .1
2. C
C .5
A na
ly ze
fa ct
or s
th at
in flu
en ce
de
ci si
on s
ab ou
t w
he th
er a
nd
w he
n to
b ec
om e
a pa
re nt
P
R .1
2. IN
F. 3
A cc
es s
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
pr en
at al
c ar
e se
rv ic
es
P R
.1 2.
A I.
4
A ss
es s
th e
sk ill
s an
d re
so ur
ce s
ne ed
ed to
be
co m
e a
pa re
nt
P R
.1 2.
D M
.2
Co m
pa re
a nd
co
nt ra
st th
e la
w s
re la
tin g
to p
re gn
an cy
, ad
op tio
n,
ab or
tio n
an d
pa re
nti ng
P
R .1
2. C
C .6
30
National Sexuality Education Standards
SE XU
A LL
Y TR
A N
SM IT
TE D
D IS
EA SE
S A
N D
H IV
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
BY T
H E
EN D
O F
TH E
2n d
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: N
o It
em s
BY T
H E
EN D
O F
TH E
5t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
:
D efi
ne H
IV a
nd
id en
tif y
so m
e ag
e- ap
pr op
ri at
e m
et ho
ds o
f tr
an sm
is si
on ,
as w
el l a
s w
ay s
to p
re ve
nt
tr an
sm is
si on
SH
.5 .C
C .1
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
efi ne
S TD
s,
in cl
ud in
g H
IV ,
an d
ho w
th ey
ar
e an
d ar
e no
t tr
an sm
itt ed
SH
.8 .C
C .1
Id en
tif y
m ed
ic al
ly -
ac cu
ra te
in
fo rm
ati on
a bo
ut
ST D
s, in
cl ud
in g
H IV
SH
.8 .A
I. 1
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: Co
m pa
re
an d
co nt
ra st
be
ha vi
or s,
in
cl ud
in g
ab sti
ne nc
e,
to d
et er
m in
e th
e po
te nti
al
ri sk
o f S
TD /H
IV
tr an
sm is
si on
fr
om e
ac h
SH .8
.C C
.2
A na
ly ze
th e
im pa
ct o
f a lc
oh ol
an
d ot
he r
dr ug
s on
s af
er
se xu
al d
ec is
io n-
m
ak in
g an
d se
xu al
b eh
av io
rs
SH .8
.I N
F. 1
D em
on st
ra te
th e
us e
of e
ffe cti
ve
co m
m un
ic ati
on s
ki lls
to
re du
ce o
r el
im in
at e
ri sk
fo r
ST D
s, in
cl ud
in g
H IV
SH
.8 .I
C .1
D ev
el op
a p
la n
to e
lim in
at e
or
re du
ce r
is k
fo r
ST D
s, in
cl ud
in g
H IV
SH
.8 .G
S. 1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
SH
.8 .S
M .1
D es
cr ib
e th
e si
gn s,
s ym
pt om
s an
d po
te nti
al
im pa
ct s
of S
TD s,
in
cl ud
in g
H IV
SH
.8 .C
C .3
Id en
tif y
lo ca
l S TD
an
d H
IV te
sti ng
an
d tr
ea tm
en t
re so
ur ce
s SH
.8 .A
I. 2
D es
cr ib
e co
m m
on
sy m
pt om
s of
an
d tr
ea tm
en ts
fo
r ST
D s,
in
cl ud
in g
H IV
SH
.1 2.
C C
.1
Ex pl
ai n
ho w
to
ac ce
ss lo
ca l S
TD
an d
H IV
te sti
ng a
nd
tr ea
tm en
t s er
vi ce
s SH
.1 2.
A I.
1
D em
on st
ra te
s ki
lls to
co
m m
un ic
at e
w ith
a
pa rt
ne r
ab ou
t S TD
a nd
H
IV p
re ve
nti on
a nd
te
sti ng
SH
.1 2.
IC .1
A pp
ly a
d ec
is io
n-
m ak
in g
m od
el
to c
ho ic
es
ab ou
t s af
er
se x
pr ac
tic es
, in
cl ud
in g
ab sti
ne nc
e an
d co
nd om
s SH
.1 2.
D M
.1
A na
ly ze
in di
vi du
al
re sp
on si
bi lit
y ab
ou t
te sti
ng fo
r an
d in
fo rm
in g
pa rt
ne rs
ab
ou t S
TD s
an d
H IV
st
at us
SH
.1 2.
SM .1
31
Standards by Topic Area
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: Ev
al ua
te th
e eff
ec tiv
en es
s of
a bs
tin en
ce ,
co nd
om s
an d
ot he
r sa
fe r
se x
m et
ho ds
in
pr ev
en tin
g th
e sp
re ad
o f S
TD s,
in
cl ud
in g
H IV
SH
.1 2.
C C
.2
A na
ly ze
fa ct
or s
th at
m ay
in flu
en ce
co
nd om
u se
a nd
ot
he r
sa fe
r se
x de
ci si
on s
SH .1
2. IN
F. 1
A cc
es s
m ed
ic al
ly -
ac cu
ra te
pr
ev en
tio n
in fo
rm ati
on a
bo ut
ST
D s,
in cl
ud in
g H
IV
SH .1
2. A
I. 2
D ev
el op
a p
la n
to e
lim in
at e
or
re du
ce r
is k
fo r
ST D
s, in
cl ud
in g
H IV
SH
.1 2.
G S.
1
D es
cr ib
e th
e st
ep s
to u
si ng
a c
on do
m
co rr
ec tly
SH
.1 2.
SM .2
A dv
oc at
e fo
r se
xu al
ly a
cti ve
yo
ut h
to g
et S
TD /
H IV
te sti
ng a
nd
tr ea
tm en
t SH
.1 2.
A D
V. 1
D es
cr ib
e th
e la
w s
as th
ey
re la
te to
se
xu al
h ea
lth
ca re
s er
vi ce
s,
in cl
ud in
g ST
D
an d
H IV
te sti
ng
an d
tr ea
tm en
t SH
.1 2.
C C
.3
32
National Sexuality Education Standards
H EA
LT H
Y R
EL AT
IO N
SH IP
S Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
BY T
H E
EN D
O F
TH E
2n d
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
th e
ch ar
ac te
ri sti
cs o
f a
fr ie
nd
H R
.2 .
C C
.2
Id en
tif y
he al
th y
w ay
s fo
r fr
ie nd
s to
e xp
re ss
fe
el in
gs to
e ac
h ot
he r
H R
.2 .I
C .2
BY T
H E
EN D
O F
TH E
5t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
:
D es
cr ib
e th
e ch
ar ac
te ri
sti cs
of
h ea
lth y
re la
tio ns
hi ps
(e
.g .,
fa m
ily ,
fr ie
nd s,
p ee
rs )
H R
.5 .C
C .1
Co m
pa re
p os
iti ve
an
d ne
ga tiv
e w
ay s
fr ie
nd s
an d
pe er
s ca
n in
flu en
ce
re la
tio ns
hi ps
H
R .5
.I N
F. 1
Id en
tif y
pa re
nt s
an d
ot he
r tr
us te
d ad
ul ts
th ey
c an
ta
lk to
a bo
ut
re la
tio ns
hi ps
H
R .5
.A I.
1
D em
on st
ra te
p os
iti ve
w
ay s
to c
om m
un ic
at e
di ffe
re nc
es o
f o pi
ni on
w
hi le
m ai
nt ai
ni ng
re
la tio
ns hi
ps
H R
.5 .I
C .1
D em
on st
ra te
w ay
s to
tr ea
t o th
er s
w ith
di
gn ity
a nd
re sp
ec t
H R
.5 .S
M .1
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: Co
m pa
re a
nd
co nt
ra st
th e
ch ar
ac te
ri sti
cs
of h
ea lth
y an
d un
he al
th y
re la
tio ns
hi ps
H
R .8
.C C
.1
A na
ly ze
th e
w ay
s in
w hi
ch fa
m ily
, fr
ie nd
s, p
ee rs
, m
ed ia
, s oc
ie ty
an
d cu
ltu re
ca
n in
flu en
ce
re la
tio ns
hi ps
H
R .8
.I N
F. 1
Ex pl
ai n
th e
cr ite
ri a
fo r
ev al
ua tin
g th
e he
al th
o f a
re
la tio
ns hi
p H
R .8
.S M
.1
D es
cr ib
e th
e po
te nti
al
im pa
ct s
of p
ow er
di
ffe re
nc es
s uc
h as
a ge
, s ta
tu s
or
po si
tio n
w ith
in
re la
tio ns
hi ps
H
R .8
.C C
.2
A na
ly ze
th e
si m
ila ri
tie s
an d
di ffe
re nc
es
be tw
ee n
fr ie
nd sh
ip s
an d
ro m
an tic
re
la tio
ns hi
ps
H R
.8 .C
C .3
D em
on st
ra te
co
m m
un ic
ati on
s ki
lls
th at
fo st
er h
ea lth
y re
la tio
ns hi
ps
H R
.8 .I
C .1
D es
cr ib
e a
ra ng
e of
w ay
s pe
op le
e xp
re ss
aff
ec tio
n w
ith in
va
ri ou
s ty
pe s
of
re la
tio ns
hi ps
H
R .8
.C C
.4
D em
on st
ra te
e ffe
cti ve
w
ay s
to c
om m
un ic
at e
pe rs
on al
b ou
nd ar
ie s
an d
sh ow
re sp
ec t f
or
th e
bo un
da ri
es o
f ot
he rs
H
R .8
.I C
.2
33
Standards by Topic Area
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
th e
ad va
nt ag
es a
nd
di sa
dv an
ta ge
s of
co
m m
un ic
ati ng
us
in g
te ch
no lo
gy
an d
so ci
al m
ed ia
H
R .8
.C C
.5
A na
ly ze
th e
im pa
ct o
f te
ch no
lo gy
a nd
so
ci al
m ed
ia o
n fr
ie nd
sh ip
s an
d re
la tio
ns hi
ps
H R
.8 .I
N F.
2
D em
on st
ra te
e ffe
cti ve
sk
ill s
to n
eg oti
at e
ag re
em en
ts a
bo ut
th e
us e
of te
ch no
lo gy
in
re la
tio ns
hi ps
H
R .8
.I C
.3
D ev
el op
a p
la n
to s
ta y
sa fe
w he
n us
in g
so ci
al m
ed ia
H
R .8
.G S.
1
D es
cr ib
e st
ra te
gi es
to
u se
s oc
ia l m
ed ia
sa
fe ly
, l eg
al ly
a nd
re
sp ec
tf ul
ly
H R
.8 .S
M .2
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
ch ar
ac te
ri sti
cs
of h
ea lth
y an
d un
he al
th y
ro m
an tic
a nd
/ or
s ex
ua l
re la
tio ns
hi ps
H
R .1
2. C
C .1
Ex pl
ai n
ho w
m ed
ia
ca n
in flu
en ce
on
e’ s
be lie
fs a
bo ut
w
ha t c
on sti
tu te
s a
he al
th y
se xu
al
re la
tio ns
hi p
H
R .1
2. IN
F. 1
D em
on st
ra te
ho
w to
a cc
es s
va lid
in fo
rm ati
on
an d
re so
ur ce
s to
he
lp d
ea l w
ith
re la
tio ns
hi ps
H
R .1
2. A
I. 1
D em
on st
ra te
e ffe
cti ve
st
ra te
gi es
to a
vo id
or
e nd
a n
un he
al th
y re
la tio
ns hi
p
H R
.1 2.
IC .1
D es
cr ib
e a
ra ng
e of
w ay
s to
ex
pr es
s aff
ec tio
n w
ith in
h ea
lth y
re la
tio ns
hi ps
H
R .1
2. C
C .2
D efi
ne s
ex ua
l co
ns en
t a nd
ex
pl ai
n its
im
pl ic
ati on
s fo
r se
xu al
d ec
is io
n- m
ak in
g H
R .1
2. C
C .3
A na
ly ze
fa ct
or s,
in
cl ud
in g
al co
ho l
an d
ot he
r su
bs ta
nc es
, t ha
t ca
n aff
ec t t
he
ab ili
ty to
g iv
e or
p er
ce iv
e th
e pr
ov is
io n
of
co ns
en t t
o se
xu al
ac
tiv ity
H
R .1
2. IN
F. 2
D em
on st
ra te
e ffe
cti ve
w
ay s
to c
om m
un ic
at e
pe rs
on al
b ou
nd ar
ie s
as
th ey
re la
te to
in tim
ac y
an d
se xu
al b
eh av
io r
H R
.1 2.
IC .2
D em
on st
ra te
re sp
ec t
fo r
th e
bo un
da ri
es o
f ot
he rs
a s
th ey
re la
te
to in
tim ac
y an
d se
xu al
b eh
av io
r
H R
.1 2.
SM .1
Ev al
ua te
th e
po te
nti al
ly
po si
tiv e
an d
ne ga
tiv e
ro le
s of
te
ch no
lo gy
a nd
so
ci al
m ed
ia in
re
la tio
ns hi
ps
H R
.1 2.
C C
.4
D es
cr ib
e st
ra te
gi es
to
u se
s oc
ia l m
ed ia
sa
fe ly
, l eg
al ly
a nd
re
sp ec
tf ul
ly
H R
.1 2.
SM .2
34
National Sexuality Education Standards
PE RS
O N
A L
SA FE
TY Co
re C
on ce
pt s
C C
A na
ly zi
ng
In flu
en ce
s IN
F A
cc es
si ng
In
fo rm
ati on
A I
In te
rp er
so na
l Co
m m
un ic
ati on
IC D
ec is
io n-
M ak
in g
D M
G oa
l S etti
ng
G S
Se lf-
M an
ag em
en t
SM A
dv oc
ac y
A D
V
BY T
H E
EN D
O F
TH E
2n d
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: Ex
pl ai
n th
at
al l p
eo pl
e,
in cl
ud in
g ch
ild re
n, h
av e
th e
ri gh
t t o
te ll
ot he
rs n
ot to
to
uc h
th ei
r bo
dy
w he
n th
ey d
o no
t w an
t t o
be
to uc
he d
P S.
2. C
C .1
Id en
tif y
pa re
nt s
an d
ot he
r tr
us te
d ad
ul ts
th ey
c an
te ll
if th
ey a
re fe
el in
g un
co m
fo rt
ab le
ab
ou t b
ei ng
to
uc he
d P
S. 2.
A I.
1
D em
on st
ra te
h ow
to
re sp
on d
if so
m eo
ne is
to
uc hi
ng th
em in
a w
ay
th at
m ak
es th
em fe
el
un co
m fo
rt ab
le
P S.
2. IC
.1
D em
on st
ra te
h ow
to
c le
ar ly
s ay
n o,
ho
w to
le av
e an
un
co m
fo rt
ab le
si
tu ati
on , a
nd h
ow
to id
en tif
y an
d ta
lk
w ith
a tr
us te
d ad
ul t i
f so
m eo
ne is
to uc
hi ng
th
em in
a w
ay th
at
m ak
es th
em fe
el
un co
m fo
rt ab
le
P S.
2. SM
.1
Ex
pl ai
n w
ha t
bu lly
in g
an d
te as
in g
ar e
P S.
2. C
C .2
Ex pl
ai n
w hy
bu
lly in
g an
d te
as in
g ar
e w
ro ng
P
S. 2.
C C
.3
Id en
tif y
pa re
nt s
an d
ot he
r tr
us te
d ad
ul ts
th ey
c an
te ll
if th
ey a
re b
ei ng
bu
lli ed
o r
te as
ed
P S.
2. A
I. 2
D em
on st
ra te
h ow
to
re sp
on d
if so
m eo
ne
is b
ul ly
in g
or te
as in
g th
em
P S.
2. IC
.2
BY T
H E
EN D
O F
TH E
5t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
:
D efi
ne te
as in
g,
ha ra
ss m
en t a
nd
bu lly
in g
an d
ex pl
ai n
w hy
th ey
ar
e w
ro ng
P
S. 5.
C C
.1
Ex pl
ai n
w hy
pe
op le
te as
e,
ha ra
ss o
r bu
lly
ot he
rs
P S.
5. IN
F. 1
Id en
tif y
pa re
nt s
an d
ot he
r tr
us te
d ad
ul ts
s tu
de nt
s ca
n te
ll if
th ey
ar
e be
in g
te as
ed ,
ha ra
ss ed
o r
bu lli
ed
P S.
5. A
I. 1
D em
on st
ra te
w ay
s to
co
m m
un ic
at e
ab ou
t ho
w o
ne is
b ei
ng
tr ea
te d
P S.
5. IC
.1
D is
cu ss
e ffe
cti ve
w
ay s
in w
hi ch
st
ud en
ts c
ou ld
re
sp on
d w
he n
th ey
ar
e or
s om
eo ne
el
se is
b ei
ng te
as ed
, ha
ra ss
ed o
r bu
lli ed
P
S. 5.
SM .1
Pe rs
ua de
o th
er s
to ta
ke a
cti on
w
he n
so m
eo ne
el
se is
b ei
ng
te as
ed , h
ar as
se d
or b
ul lie
d P
S. 5.
A D
V. 1
D efi
ne s
ex ua
l ha
ra ss
m en
t a nd
se
xu al
a bu
se
P S.
5. C
C .2
Id en
tif y
pa re
nt s
or o
th er
tr us
te d
ad ul
ts th
ey c
an te
ll if
th ey
a re
b ei
ng
se xu
al ly
h ar
as se
d or
a bu
se d
P S.
5. A
I. 2
D em
on st
ra te
re fu
sa l
sk ill
s (c
le ar
“ no
” st
at em
en t,
w al
k aw
ay ,
re pe
at re
fu sa
l) P
S. 5.
IC .2
35
Standards by Topic Area
Co re
C on
ce pt
s C
C A
na ly
zi ng
In
flu en
ce s
IN F
A cc
es si
ng
In fo
rm ati
on A
I In
te rp
er so
na l
Co m
m un
ic ati
on IC
D ec
is io
n- M
ak in
g D
M G
oa l S
etti ng
G
S Se
lf- M
an ag
em en
t SM
A dv
oc ac
y A
D V
BY T
H E
EN D
O F
TH E
8t h
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: D
es cr
ib e
sit ua
tio ns
an
d be
ha vi
or s
th at
c on
sti tu
te
bu lly
in g,
se xu
al
ha ra
ss m
en t,
se xu
al a
bu se
, se
xu al
a ss
au lt,
in
ce st
, r ap
e an
d da
tin g
vi ol
en ce
P
S. 8.
C C
.1
Id en
tif y
so ur
ce s
of su
pp or
t s uc
h as
pa
re nt
s o r o
th er
tr
us te
d ad
ul ts
th at
th
ey c
an g
o to
if
th ey
a re
o r s
om eo
ne
th ey
k no
w is
b ei
ng
bu lli
ed , h
ar as
se d,
ab
us ed
o r a
ss au
lte d
P S.
8. A
I. 1
D em
on st
ra te
w ay
s to
co
m m
un ic
at e
w ith
tr
us te
d ad
ul ts
a bo
ut
bu lly
in g,
h ar
as sm
en t,
ab
us e
or a
ss au
lt P
S. 8.
IC .1
D es
cr ib
e w
ay s
to
tr ea
t o th
er s
w ith
di
gn ity
a nd
re sp
ec t
P S.
8. SM
.1
A dv
oc at
e fo
r sa
fe
en vi
ro nm
en ts
th
at e
nc ou
ra ge
di
gn ifi
ed a
nd
re sp
ec tf
ul
tr ea
tm en
t o f
ev er
yo ne
P
S. 8.
A D
V. 1
D isc
us s t
he
im pa
ct s o
f b ul
ly in
g,
se xu
al h
ar as
sm en
t, se
xu al
a bu
se ,
se xu
al a
ss au
lt,
in ce
st , r
ap e
an d
da tin
g vi
ol en
ce
an d
w hy
th ey
a re
w
ro ng
P
S. 8.
C C
.2
D em
on st
ra te
w ay
s th
ey c
an re
sp on
d w
he n
so m
eo ne
is
be in
g bu
lli ed
o r
ha ra
ss ed
P
S. 8.
SM .2
Ex pl
ai n
th at
n o
on e
ha s t
he ri
gh t t
o to
uc h
an yo
ne e
lse
in a
se xu
al m
an ne
r if
th ey
d o
no t w
an t
to b
e to
uc he
d
P S.
8. C
C .3
Ex pl
ai n
w hy
a
pe rs
on w
ho h
as
be en
ra pe
d or
se
xu al
ly a
ss au
lte d
is n
ot a
t f au
lt
P S.
8. C
C .4
BY T
H E
EN D
O F
TH E
12 th
G R
A D
E, S
TU D
EN TS
S H
O U
LD B
E A
B LE
T O
: Co
m pa
re
an d
co nt
ra st
si
tu ati
on s
an d
be ha
vi or
s th
at
m ay
c on
sti tu
te
bu lly
in g,
s ex
ua l
ha ra
ss m
en t,
se
xu al
a bu
se ,
se xu
al a
ss au
lt,
in ce
st , r
ap e
an d
da tin
g vi
ol en
ce
P S.
12 .C
C .1
A cc
es s
va lid
re
so ur
ce s
fo r
he lp
if
th ey
o r
so m
eo ne
th
ey k
no w
a re
be
in g
bu lli
ed
or h
ar as
se d,
or
h av
e be
en
se xu
al ly
a bu
se d
or
as sa
ul te
d P
S. 12
.A I.
1
D em
on st
ra te
e ffe
cti ve
w
ay s
to c
om m
un ic
at e
w ith
tr us
te d
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36
National Sexuality Education Standards
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37
National Resources
National Resources For Teachers Teachers can find print resources, learn about professional development opportunities and obtain technical assistance through the following national organizations: Advocates for Youth 2000 M Street NW, Suite 750 Washington, D.C. 20036 (202) 419-3420 www.advocatesforyouth.org
American Association for Health Education 1900 Association Drive Reston, VA 20191 (800) 213-7191 www.aahperd.org/aahe
American School Health Association 4340 East West Highway Suite 403 Bethesda, MD 20814 (800) 455-2742 www.ashaweb.org
American Social Health Association P.O. Box 13827 Research Triangle Park, NC 27709 (919) 361-8400 www.iwannaknow.org
Answer 41 Gordon Road, Suite C Piscataway, NJ 08854 (732) 445-7929 http://answer.rutgers.edu
Association for Middle Level Education (formerly National Middle School Association) 4151 Executive Parkway, Suite 300 Westerville, OH 43081 (614) 895-4730 www.amle.org
Gay, Lesbian & Straight Education Network 90 Broad Street, 2nd Floor New York, NY 10004 (212) 727-0135 www.glsen.org
Guttmacher Institute 125 Maiden Lane, 7th Floor New York, NY 10038 (212) 248-1111 www.guttmacher.org
Healthy Teen Network 1501 Saint Paul Street, Suite 124 Baltimore, MD 21202 (410) 685-0419 www.healthyteennetwork.org
National Association of School Nurses 8484 Georgia Avenue, #420 Silver Spring, MD 20910 (240) 821-1130 www.nasn.org
NEA Health Information Network 1201 16th Street, NW #216 Washington, DC 20036 (202) 822.7570 www.neahin.org
Henry J. Kaiser Family Foundation 2400 Sand Hill Road Menlo Park, CA 94025 (650) 854-9400 www.kff.org
Rape, Abuse & Incest National Network (RAINN) 2000 L Street NW, Suite 406 Washington, DC 20036 (202) 544-1034 www.rainn.org
Resource Center for Adolescent Pregnancy Prevention (ReCAPP) ETR Associates P.O. Box 1830 Santa Cruz, CA 95061 (800) 321-4407 www.etr.org/recapp
Sexuality Information and Education Council of the United States (SIECUS) 90 John Street, Suite 402 New York, NY 10038 (212) 819-9770 www.siecus.org www.sexedlibrary.org
The National Campaign to Prevent Teen and Unplanned Pregnancy 1776 Massachusetts Avenue NW, Suite 200 Washington, D.C. 20036 (202) 478-8500 www.teenpregnancy.org
38
National Sexuality Education Standards
Planned Parenthood Federation of America 434 West 33rd Street New York, NY 10001 (212) 541-7800 www.plannedparenthood.org
The Society of State Leaders in Health and Physical Education PO Box 40186 Arlington, VA 22204 (202) 286-9138 www.thesociety.org
For School Administrators There is a great deal of support available for school admin- istrators in supporting the implementation of comprehen- sive sexuality education in public schools. These organiza- tions can help: American School Health Association 4340 East West Highway, Suite 403 Bethesda, MD 20814 (800) 455-2742 www.ashaweb.org
American Association for Health Education 1900 Association Drive Reston, VA 20191 (800) 213-7191 www.aahperd.org/aahe
Association for Middle Level Education (formerly National Middle School Association) 4151 Executive Parkway, Suite 300 Westerville, OH 43081 (614) 895-4730 www.amle.org
National Association of School Nurses 8484 Georgia Avenue, #420 Silver Spring, MD 20910 (240) 821-1130 www.nasn.org
National School Boards Association 1680 Duke Street Alexandria, VA 22314 (703) 838-6722 www.nsba.org
National Association of State Boards of Education 2121 Crystal Drive Suite #350 Arlington, VA 22202 (703) 684-4000
The Society of State Leaders in Health and Physical Education PO Box 40186 Arlington, VA 22204 (202) 286-9138 www.thesociety.org
For Parents Parents and other adult caregivers play invaluable roles in educating their children about sexuality and relationships. Each organization maintains resources that can support parents in providing accurate information to their children comfortably and within the context of their values. Advocates for Youth 2000 M Street NW, Suite 750 Washington, DC 20036 (202) 419-3420 www.advocatesforyouth.org/parents-sex-ed-center-home
Answer 41 Gordon Road, Suite C Piscataway, NJ 08854 (732) 445-7929 http://answer.rutgers.edu/page/parentresources
Sexuality Information and Education Council of the United States (SIECUS) 90 John Street, Suite 402 New York, NY 10038 (212) 819-9770 www.siecus.org/index.cfm?fuseaction=page. viewPage&pageID=632&nodeID=1
For Middle and High School Students Schools provide an important venue through which to teach young people about sexuality, but young people often have additional questions that they may not feel comfortable directing to their teachers. These organiza- tions all have resources for teens that are age-appropriate and medically accurate: Advocates for Youth 2000 M Street NW, Suite 750 Washington, D.C. 20036 (202) 419-3420 www.advocatesforyouth.org www.amplifyyourvoice.org/youthresource
American Social Health Association PO Box 13827 Research Triangle, NC 27709 (919) 361-8400 www.iwannaknow.org
Answer’s Teen-to-Teen Sexuality Education Initiative, Sex, Etc. 41 Gordon Road, Suite C Piscataway, NJ 08854 (732) 445-7929 www.sexetc.org
Rape, Abuse & Incest National Network (RAINN) 2000 L Street NW, Suite 406 Washington, DC 20036 (800) 656-HOPE (24 hour telephone hotline) www.rainn.org
39
Glossary
Glossary Bisexual A term used to describe a person whose attraction to other people is not necessarily determined by gender. This is dif- ferent from being attracted to all men or all women.
Body Image How people feel about their body. This may or may not match a person’s actual appearance.
Bullying Physically, mentally, and/or emotionally intimidating and/ or harming an individual or members of a group.
Comprehensive Sexuality Education Sexuality education programs that build a foundation of knowledge and skills relating to human development, rela- tionships, decision-making, abstinence, contraception, and disease prevention. Ideally, comprehensive sexuality edu- cation should start in kindergarten and continue through 12th grade. At each developmental stage, these programs teach age-appropriate, medically accurate information that builds on the knowledge and skills that were taught in the previous stage.
Consensual When a person agrees to engage in sexual behaviors with another person. “Consensual sex” means that no one was forced or manipulated in any way to participate in a sexual behavior.
Contraception Any means to prevent pregnancy, including abstinence, barrier methods such as condoms and hormonal methods such as the pill, patch, injection and others.
Dating Violence Controlling, abusive and/or aggressive behavior within the context of a romantic relationship. It can include verbal, emotional, physical and/or sexual abuse, be perpetrated against someone of any gender and happen in any rela- tionship regardless of sexual orientation.
Abortion A medical intervention that ends a pregnancy.
Abstinence Choosing to refrain from certain sexual behaviors for a pe- riod of time. Some people define abstinence as not having vaginal intercourse, while others define it as not engaging in any sexual activity.
Age of Consent The age a person is legally able to consent to sexual activ- ity. It varies from state to state, but ranges from 14 to 18 years of age in the United States.
Abstinence-Only Programs Programs exclusively focused on refraining from all sexual behaviors. They do not necessarily put a condition on when a person might choose to no longer be abstinent.
Abstinence-Only-Until-Marriage Programs Programs focused exclusively on refraining from all sexual behaviors outside of the context of a heterosexual mar- riage.
Age-Appropriate Designed to teach concepts, information, and skills based on the social, cognitive, emotional, and experience level of most students at a particular age level.
AIDS Acquired Immune Deficiency Syndrome. AIDS is caused by the Human Immunodeficiency Virus (HIV). People do not die from AIDS, they die from one of the infections their body acquires as a result of their weakened immune system. (also see HIV).
Biological Sex Our sex as determined by our chro mosomes (such as XX or XY), our hormones and our internal and external anatomy. Typically, we are assigned the sex of male or female at birth. Those whose chromosomes are different from XX or XY at birth are referred to as “intersex.”
40
National Sexuality Education Standards
Gay A term used to describe people who are romantically and sexually attracted to people of their same gender. Gay women will often use the word “lesbian.”
Gender The emotional, behavioral and cultural characteris tics at- tached to a person’s assigned biological sex. Gender can be understood to have several components, including gender identity, gender expression and gender role (see below).
Gender Expression The manner in which people outwardly expresses their gender.
Gender Identity People’s inner sense of their gender. Most people develop a gender identity that corresponds to their biological sex, but some do not.
Gender Roles The social expectations of how people should act, think and/or feel based on their assigned biological sex.
Harassment Unwelcome or offensive behavior by one person to an- other. Examples are making unwanted sexual comments to another person, sending unwanted sexual texts, bullying or intimidation.
Heterosexual A term used to describe people who are romantically and sexually attracted to people of a different gender from their own.
HIV The Human Immunodeficiency Virus (HIV), which causes AIDS (Acquired Immune Deficiency Syndrome). The virus weakens a person’s immune system so that the person cannot fight off many everyday infections. HIV is trans- mitted through exposure to an infected person’s blood, semen, vaginal fluids or breast milk.
Homosexual A term used to describe people who are romantically and sexually attracted to people of their own gender. Most often referred to as “gay” or “lesbian.”
Incest Sexual contact between persons who are so closely related that marriage between those two people would be con- sidered illegal (e.g., a parent or step parent and a child, siblings, etc.).
Lesbian A term used to describe women who are romantically and sexually attracted to other women.
Medically-Accurate Grounded in evidence-based, peer-reviewed science and research.
Puberty A time when the pituitary gland triggers production of tes- tosterone in boys and estrogen and progesterone in girls. Puberty typically begins between ages 9 and 12 for girls, and between the ages of 11 and 14 for boys, and includes such body changes as hair growth around the genitals, menstruation in girls, sperm production in boys, and much more.
Rape A type of sexual assault that involves forced vaginal, anal, or oral sex using a body part or object.
Sexual Abuse Sexual abuse is any sort of unwanted sexual contact often over a period of time. A single act of sexual abuse is usually referred to as a “sexual assault” (see below).
Sexual Assault Any unwanted sex act committed by a person or people against another person.
Sexual Harassment Unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature.
Sexual Intercourse When a penis is inserted into a vagina, mouth or anus.
Sexual Orientation Romantic and sexual attraction to people of one’s same and/or other genders. Current terms for sexual orientation include gay, lesbian, bisexual, heterosexual and others.
Sexually Transmitted Diseases (STDs) Diseases caused by bacteria, viruses or parasites that are transmitted from one person to another during sexual con- tact. Also called sexually transmitted infections or STIs.
Transgender A gender identity in which a person’s inner sense of their gender does not correspond to their assigned biological sex.
41
References
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