Analysis of State Health Education Laws
North Carolina Summary Report
Overview
State laws and regulations in health education serve as a foundation to drive school-based programs and instruction. Well-designed and well-implemented sexual health education programs have been shown to reduce student risky sexual behaviors and improve health-related behaviors and outcomes. The following report provides a snapshot of North Carolina laws and regulations and school health policies and practices related to sexual health education, HIV prevention education, STD prevention education, and sexual health risk behaviors among high school students North Carolina. 

North Carolina health education laws and regulations were analyzed across three topics of instruction (sexual health education, HIV Prevention, and STD Prevention) and a variety of characteristics related to curriculum and instruction. These characteristics were identified by researchers as potential facilitators for successful programs. The law and regulation data presented only indicate the presence or absence of a particular component related to health education and may not accurately reflect practice within the state.

North Carolina Law Facts
* The State Education Agency has the authority to choose or approve curriculum for sexual health education, HIV Prevention, and STD Prevention instruction.
* Parents/Guardians may be provided the opportunity to Opt-in or Opt-out students from sexual health education, HIV Prevention, and STD Prevention instruction. 
* Instruction regarding contraception is required for sexual health education and HIV Prevention and optional for STD Prevention.
* Abstinence is a required topic of instruction for sexual health education, HIV Prevention, and STD Prevention.
Core Topics Addressed in North Carolina Law
Topic of Instruction (Level of Requirement)
* Sexual Health Education (Required)
* HIV Prevention (Required)
* STD Prevention (Required)
Presence of Evidence Based Components
Common Attributes of Effective School-Based Sexual Health Education
* Curriculum is delivered by trained instructors (Required) Sexual Health Education, HIV Prevention, and STD Prevention
* Parental/Stakeholder Involvement. Parents and/or other key stakeholders are involved in the review, development, and/or approval of curriculum (Required) Sexual Health Education, HIV Prevention, and STD Prevention
* Curriculum Follows Federal or National Standards, Guidelines, and/or Recommendations (Not included in laws)
* Curriculum is appropriate for age or developmental stage (Required) Sexual Health Education, HIV Prevention, and STD Prevention
* Curriculum is medically accurate (Required) Sexual Health Education, HIV Prevention, and STD Prevention
* Instruction is sequential across grade levels (Required) Sexual Health Education, HIV Prevention, and STD Prevention
* Curriculum includes instruction on strategies or skills (Not included in laws)


School Health Policies and Practices in North Carolina
90% of secondary schools provided those who teach sexual health education with strategies that are age-appropriate, relevant, and actively engage students in learning
93% of secondary schools taught how HIV and other STDs are transmitted in a required course during grades 9, 10, 11, or 12

Percent of secondary schools in North Carolina in which teachers tried to increase student knowledge on...
78% Human Sexuality 
91% HIV Prevention
90% STD Prevention 
Source: School Health Profiles (Profiles), 2016. Profiles is a national survey of middle and high school principals and lead health education teachers assessing school health policies and practices in states, large urban school districts, and territories.

Risk Behaviors Among North Carolina High School Students
12% Have had sexual intercourse with 4 or more partners
17% Drank alcohol or used drugs before last sexual intercourse*
60% Used a condom during last sexual intercourse*

In a classroom of 30 high school students in North Carolina,
10 are currently sexually active,
3 ever had sex, but are not currently sexually active,
17 never had sex.
*Among the students in North Carolina who were currently sexually active (had sexual intercourse during the 3 months before the survey).
Source: National Youth Risk Behavior Survey, 2015.
Know Your State Laws and Policies
For more information on: State laws and practices; Attributes of an effective sexual health education program; and State specific health data, visit www.cdc.gov/healthyyouth/about/policy.htm