Context: While policymakers, educators and parents recognize the need for f
amily life and sexuality education during children's formative years and be
fore adolescence, there is little nationally representative information on
the timing and content of such instruction in elementary schools.
Methods: In 1999, data were gathered from 1,789 fifth- and sixth-grade teac
hers as part of a nationally representative survey of 5,543 public school t
eachers in grades 5-12. Based on the responses of 617 fifth- and sixth-grad
e teachers who said they teach sexuality education, analyses were carried o
ut on the topics and skills sexuality education teachers taught, the grades
in which they taught them, their teaching approaches, the pressures they e
xperienced, whether they received support from parents, the community and s
chool administrators, and their needs.
Results: Seventy-two percent of fifth- and sixth-grade teachers report that
sexuality education is taught in their schools at one or both grades. Fift
y-six percent of teachers say that the subject is taught in grade five and
64% in grade six. More than 75% of teachers who teach sexuality education i
n these grades cover puberty, HIV and AIDS transmission and issues such as
how alcohol and drugs affect behavior and how to stick with a decision. How
ever, when schools that do not provide sexuality education are taken into a
ccount, even most of these topics are taught in only a little more than hal
f of fifth- and sixth-grade classrooms. AN other topics are much less likel
y to be covered. Teaching of ail topics is less prevalent at these grades t
han teachers think it should be. Gaps between what teachers say they are te
aching and teachers' recommendations for what should be taught and by what
grade are especially large for such topics as sexual abuse, sexual orientat
ion, abortion, birth control and condom use for STD prevention. A substanti
al proportion of teachers recommend that these topics be taught at grade si
x or earlier. More than half (57%) of fifth- and sixth-grade sexuality educ
ation teachers cover the topic of abstinence from intercourse-17% as the on
ly option for protection against pregnancy and STDs and 40% as the best alt
ernative or one option for such protection. Forty-six percent of teachers r
eport that one of their top three problems in teaching sexuality education
is pressure, whether from the community, parents or school administrators.
More than 40% of teachers report a need for some type of assistance with ma
terials, factual information or teaching strategies.
Conclusions: A large proportion of schools are doing little to prepare stud
ents in grades five and six for puberty, much less for dealing with pressur
es and decisions regarding sexual activity. Sexuality education teachers of
ten feel unsupported by the community, parents or school administrators.