Gender-Based Violence and the Politics of Sex Education in the United States: Expanding Medically Accurate and Comprehensive Policy and Programming

Comprehensive sex education (CSE) is recognized globally as a key strategy for promoting adolescent well-being and preventing gender-based violence (GBV). Yet, in the United States, the absence of a federal mandate and deep political division results in inconsistent and often inadequate CSE within and across the 50 states. Our review critically examined U.S. sex education policy and programming research literature in relation to GBV prevention. We also conducted a 50-state policy content analysis of sex education requirements, alongside related political trends and overlapping conservative policies. Discussed as, the “politics of sex education,” our findings reveal that states lacking medically accurate CSE also are more likely to support abstinence-only education, restrict discussions of race and gender in secondary educational settings, and adopt laws limiting reproductive and LGBTQ+ rights. We also found that CSE, when culturally responsive, trauma-informed, and medically accurate, can reduce GBV and equip youth with essential skills necessary to understand consent in intimate relationships. Overall, our literature review and policy clustering underscores how educational content is shaped by broader ideological agendas. Findings point to a dearth of research, particularly concerning educational practice in more conservative political contexts. We conclude with recommendations around the need for coordinated policy reform, educator training, and community collaboration to address GBV through evidenced-based CSE.