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• In 2011–2013, more than 80% of adolescents aged 15–19 had received formal instruction about STDs, HIV and AIDS or how to say no to sex.In contrast, only 55% of young men and 60% of young women had received formal instruction about methods of birth control.• Concerns about confidentiality limit access to sexual and reproductive health care, especially when young people rely on their parents’ health insurance.In 2013–2015, 18% of all adolescents aged 15–17 and 12% of young adults aged 18–19 covered by their parents’ insurance reported that they would not seek sexual or reproductive health care because of concerns that their parents might find out.

Adolescents may receive information about sexual health topics from a range of sources beyond formal instruction.

• The share of adolescents aged 15–19 who had received formal instruction about how to say no to sex but had received no instruction about birth control methods increased between 2006–20–2013, from 22% to 28% among females and from 29% to 35% among males.

• Declines in formal sex education were concentrated among young people residing in rural areas.

• Between 2006–20–2013, there were significant declines in adolescent females’ reports of having received formal instruction about birth control, STDs, HIV and AIDs, and saying no to sex.

There was also a significant decline in adolescent males’ reports of having received formal instruction about birth control.

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