Two years ago, Texas students received updated health curriculum, including instruction on human sexuality, across all grade levels. It was the first time since the 1990s the Texas State Board of Education updated the learning goals for school districts.
But the new curriculum did not include information on consent, gender or sexuality. Lawmakers also made the instruction opt-in, meaning parents and caregivers have to sign a permission slip so students can receive this information.
According to the U.S. Centers for Disease Control and Prevention (CDC), Texas ranked in the with high rates of chlamydia and gonorrhea in 2022. Texas is also in the , and had the in the country in 2021
Advocates say one way to improve these outcomes would be prevention efforts, like sex education. But despite the update, they say things are worse than they were two years ago, and they鈥檙e concerned kids are missing crucial information.
鈥淚f we are able to provide this information in a preventative measure, we鈥檙e going to see better outcomes for all people,鈥 said Alison Macklin, for national policy organization

Sex education in Texas
Health education in Texas is required in elementary school and middle school, but sex education is not required in high school.
According to , elementary school students learn skills around five topic areas: physical health, mental health, and injury and violence prevention. Middle school and high school students learn about reproductive and sexual health, drug prevention and interpersonal violence.
The new curriculum standards implemented in 2022, called the Texas Essential Knowledge and Skills (TEKS) for Health Education, included information on puberty, contraceptives, sexually transmitted infections (STIs), and boundaries. These standards start in middle school and continue into high school.
Sex education in Texas is abstinence-first and does not have to be comprehensive or medically accurate. According to SEICUS, Texas 鈥渞eceives the highest amount of abstinence-only funding in the country鈥 from federal programs through the .
鈥淚t鈥檚 very much about risk and risk avoidance,鈥 said Sherri Cook, founder of , a Dallas-based organization providing whole-health sex education instruction. 鈥淚t鈥檚 all about pushing away other people and not trusting. There鈥檚 very little in there about learning how to be a healthy person in relationship with other people.鈥

show abstinence-only and abstinence-first programs have often have 鈥渕edical inaccuracies鈥 and participate in the
Texas is also one of five states that has an opt-in policy for sex education, and the only state with an opt-in policy for abuse prevention education, which includes child abuse, dating violence and sex trafficking. The state previously had an opt-out policy, which allowed for parents and guardians to exempt their students from sex education.
But now, parents and guardians must sign a permission slip to allow students to participate, which advocates flagged as a barrier to access for vulnerable kids.
"The big concern with the opt-in policy is that some kids will just slip through the cracks,鈥 . "Maybe they're not living with a parent or guardian, or maybe they don't have a parent or guardian who's closely engaged. Those might be the kids that need this information the most."

Sex education as a health prevention tool
According to the American Academy of Pediatrics (AAP), comprehensive sex education helps
Comprehensive sex education, said the AAP, includes evidence-based, medically accurate curriculum that provides information on human development, relationships, sexual behavior, sexual health and society and culture.
Raul Rojas, the director of community health education for , said when sex education is taught in Texas, it鈥檚 鈥渁rchaic.鈥
鈥淚t鈥檚 taught from a very heteronormative perspective of boys and girls engaging in risky behaviors, and not wanting the result of those behaviors to be a pregnancy,鈥 he said. 鈥淚t鈥檚 missing the piece that talks to you as an individual.鈥
That includes spaces for self-reflection, said Rojas, about people鈥檚 values, identities, and self-esteem.
鈥淪ex education should be taught so you can be healthier, happier, and a better person to those around you,鈥 he said, 鈥渘ot only your community, but your colleagues and your friends as you鈥檙e growing.鈥

But Rojas said without resources and support, young people are finding information from less credible sources, like friends, TV, and pornography. He said he and other sex education instructors spend a lot of time busting myths and correcting misinformation.
鈥淲henever we teach an anatomy and physiology portion, what鈥檚 really funny is a lot of folks will [say], 鈥極h, I didn鈥檛 know I had that body part,鈥 or 鈥業 didn鈥檛 know that about my body,鈥欌 said Rojas. 鈥淲e had one class with a bunch of grandmothers, and we had a question about menopause. We talked about perimenopause side effects. And a lot of women who were in their 60s and 70s were like, 鈥極h, I didn鈥檛 even know that.鈥欌
Texas lawmakers have also sought to limit kids鈥 access to information that could be considered or 鈥渟exually relevant,鈥 from book bans to schools from providing 鈥渋nstruction, guidance, activities or programming regarding sexual orientation or gender identity.鈥
While Rojas thinks 鈥渁ny sex education is better than no sex education,鈥 he said these limitations have 鈥渋ncreased a lot of people鈥檚 negative perceptions of what sex education is.鈥
鈥淚 think some of the loudest voices are also some of the most scared perspectives when it comes to sex education,鈥 Rojas said. 鈥淭hat鈥檚 not the reality of young people or the adults in Texas.鈥

Sex education outside of schools
Since sex education isn鈥檛 required in high school, and the state鈥檚 TEKS are limited in terms of instruction, some parents have looked for resources outside of school districts.
That鈥檚 what Sherri Cook did when she founded .
鈥淧eople love to point out the statistics in Texas, which many people are aware of: high teen pregnancy rates, repeat teen pregnancy rates, high rate of STI transmission, all those things,鈥 Cook said. 鈥淭hey rarely talk about positive sexual health because it seems like everyone just wants to strike fear into your heart about what could go wrong. And so, we thought this would be a very meaningful contribution to the health of the Dallas community.鈥
WISE uses the , said Cook, which is a secular curriculum that originated in the Unitarian Universalist Church.
Cook said it helps define sex education as 鈥渉ow we understand our bodies, and our relationships with ourselves and others.鈥 The curriculum helps students answer the question, 鈥淲hat does it mean to be a human being in a body, in relationship with other people with bodies?鈥
It includes information on gender, sexuality, and race, but also discusses media literacy, communication skills, and affirmative connection.
Cook understands the pressure and constraints teachers are under鈥攕he was a classroom educator for 13 years. She said it鈥檚 鈥渢oo heavy a lift for schools鈥 to provide sex education instruction on top of everything else.

鈥淲hat we need is more sex educators,鈥 Cook said. 鈥淏ut it is a difficult environment. People are not just jumping up into this space and saying, 鈥極h, I can't wait to teach sex ed in a state that doesn't want me to even be there.鈥 So that's hard.鈥
WISE has worked with community groups, summer programs and private schools to 鈥渕eet students where they are,鈥 but Cook said there鈥檚 been a 鈥渃limate of fear we didn鈥檛 have in 2020.鈥
鈥淎 small part of the population in our state has basically hijacked the narrative around what constitutes healthy sexuality,鈥 she said. 鈥淎nd in Texas, we're promoting ideology over health. And good sex ed is based in science and not politics.鈥
Inclusive, comprehensive instruction was important to Emily Cabral, who learned about WISE when her daughter Isabella was in middle school. Cabral was grateful there was a space that went more in-depth.
鈥淛ust teaching someone about condom use is not going to change hearts and minds,鈥 Cabral said. 鈥淚f you have an educational program that's focused on social skills, building self-awareness, building self-esteem鈥hat is much more likely to result in behavior changes than just facts alone.鈥

It鈥檚 helped her learn more about sex education topics, like gender identity, alongside her daughter.
鈥淚 didn't know as much about the vast array of different identities that we can inhabit,鈥 Cabral said. 鈥淚 just didn't even know all of the terminology that was available.鈥
Isabella, who鈥檚 now 14 and a freshman in high school, said most kids just want to know, 鈥淚s this OK? Is this normal? Is this healthy? Am I normal?鈥
She said she feels 鈥渕ore equipped to make smart choices鈥 with what she鈥檚 learned from WISE, along with what her parents have taught her. But she also just wants to be a teenager along with the rest of her friends.
鈥淲hat we talk about during lunch is our teachers that are irritating us, or the math homework that we didn鈥檛 do last night,鈥 Isabella said. 鈥淲e鈥檙e not talking about sex and pregnancy. We do think about those issues, but it鈥檚 not our main focus in life, unless it has to be.鈥

Holistic health education as part of career training
Comprehensive health education is also helpful for students thinking of going into health professions, like Amanda De Anda, 17, and Triniti Stone, 16. They are both in the community health worker program at . Their cohort coordinated a community health fair last semester for students and adults.
The health fair included mental health and sexual health resources, like STI and HIV testing, in addition to blood pressure screenings and vaccinations.
鈥淚 think it is very good to learn about these resources, and just learn how to deal with these situations,鈥 Stone said. 鈥淚 think it鈥檚 very good for kids, especially our age, to learn more about their body and the mental side, why you should or should not be doing this right now, and why you should protect yourself and others.鈥
De Anda said the health fair was 鈥渙nly the beginning鈥 of learning about how to connect people to support.
鈥淲hen it comes to sex education, you want to know what to do to be protected,鈥 she said.
Stone said learning more about health through the community health worker program has helped her 鈥済ain so much independence.鈥
鈥淵ou can go and help people with the resources you obtained in this class,鈥 Stone said. 鈥淎nd you can help the community. So, I think it definitely has given me just a lot more wisdom.鈥

Texas sex education policy recommendations
Alison Macklin, the director of policy and advocacy with SEICUS, said Texas is at a 鈥淒-鈥 in terms of sex education in comparison to other states, mostly due to the 鈥渦nnecessary barrier鈥 of the opt-in policy.
鈥淚 have kids,鈥 she said. 鈥淗alf the time, I don鈥檛 know what鈥檚 coming home, I don鈥檛 get the permission slips, I don鈥檛 always see what鈥檚 in their backpack. That鈥檚 a barrier, and so putting up barriers, all you鈥檙e doing is setting up a young person to be unsuccessful, and that鈥檚 not the goal of public education.鈥
Macklin also believes that school districts and teachers need more resources to implement sex education curriculum.
鈥淲e鈥檝e got to invest in preventative services,鈥 she said. 鈥淓ducation is a really 鈥榚asy鈥 preventative education. And the other piece of that is lawmakers have to fund public schools, not only when it comes to sex education, but across the board.鈥
WISE executive director Sherri Cook said she encourages parents to be the 鈥減rimary sexuality educators of their children.鈥
鈥淲e鈥檝e had parents who actually thought their kids would be afraid of what we were bringing,鈥 she said. 鈥淜ids are not afraid. What they are is curious, and they need to have answers to their questions, honestly and accurately given.鈥

After Emily Cabral鈥檚 daughter went through WISE鈥檚 program, Cabral joined the organization to take a more active role in their work.
鈥淎 lot of questions we get are, 鈥業 really want to talk to my mom or I really want to talk to my dad about this, and I don鈥檛 know how to start the conversation,鈥欌 Cabral said. 鈥淚 think parents are wanting that, too. But they鈥檙e not sure, they didn鈥檛 get sex ed when they were growing up. [It鈥檚 about] bridging that gap and helping people learn how to connect better in healthier ways.鈥
She hopes parents understand that sex education isn鈥檛 something that should be limited or dictated by people鈥檚 fears. Cabral said it鈥檚 ultimately about keeping kids safe now and as they grow up.
鈥淚 feel like the building鈥檚 on fire, and the firefighter is running to put out the flames鈥 Cabral said. 鈥淎nd people are debating about what hose we're using. And it's like, we need to get water on this fire. Education is not the thing to be scared of, it's the lack of education that I think is really putting people in danger.鈥
But, she said, until Texas lawmakers prioritize comprehensive sex education, it鈥檚 up to her, and parents like her, to find ways to fill in the gaps for their kids.
Got a tip? Email Elena Rivera at erivera@kera.org
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