Generational Differences in Sexual Health Education Experiences Among LGBTQ+ Adolescents and Adults: Findings from a U.S. National Probability Sample.

Few U.S. states require school-based sex education to be representative or inclusive of LGBTQ+ people. Data suggests that adolescents' receipt of necessary topics in sex education has declined in the past 25 years, yet the literature on LGBTQ+ people's sex education experiences in the United States is largely limited to non-probability samples. Data were from a national probability sample of adolescents and adults in the United States. Individuals identifying as LGBTQ+ (N = 818) were asked an open-ended item about the type of sex education they would have liked to have received. Participants were classified into four generational cohorts: Boomer+, Generation X, Millennials, and Generation Z. Inductive content analyses and chi-square tests of independence were used. Having sex education that normalized LGBTQ+ identities was the most reported topic, with Boomer+ being more likely to report this and Generation X being least likely. About one-quarter of respondents indicated they would have liked any type of sex education. Millennials were more likely to report wanting more information on sexual orientation and gender identity and safe sexual practices compared to other cohorts. Nearly one-fourth of respondents indicated their sex education did not need improvement/was unnecessary. Older generations wished their sex education normalized their identities, while Generation Z and Millennials reported wanting more information on safe sex and/or sexual violence prevention. Findings from this study can inform the development of tailored sexual health education programs for LGBTQ+ individuals, particularly considering that current programming may not be different compared to the sex education received by earlier generations.