Analysis of State Health Education Laws
North Dakota 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 Dakota 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 Dakota. 

North Dakota 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 Dakota Law Facts
* The agency with authority to choose or approve curriculum for sexual health education instruction is not addressed.
* The option to either Opt-in or Opt-out of sexual health education instruction is not addressed. 
* Instruction regarding contraception is not addressed.
* Abstinence is a required topic of instruction for sexual health education.
Core Topics Addressed in North Dakota Law
Topic of Instruction (Level of Requirement)
* Sexual Health Education (Not Addressed)
* HIV Prevention (No Law or Regulation)
* STD Prevention (No Law or Regulation)
Presence of Evidence Based Components
Common Attributes of Effective School-Based Sexual Health Education
* Curriculum is delivered by trained instructors (Not included in laws)
* Parental/Stakeholder Involvement. Parents and/or other key stakeholders are involved in the review, development, and/or approval of curriculum (Not included in laws)
* Curriculum Follows Federal or National Standards, Guidelines, and/or Recommendations (Not included in laws)
* Curriculum is appropriate for age or developmental stage (Not included in laws)
* Curriculum is medically accurate (Not included in laws)
* Instruction is sequential across grade levels (Not included in laws)
* Curriculum includes instruction on strategies or skills (Not included in laws)


School Health Policies and Practices in North Dakota
72% of secondary schools provided those who teach sexual health education with strategies that are age-appropriate, relevant, and actively engage students in learning
79% 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 Dakota in which teachers tried to increase student knowledge on...
78% Human Sexuality 
90% HIV Prevention
92% 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 Dakota High School Students
3% Have had sexual intercourse for the first time before age 13 years
19% Drank alcohol or used drugs before last sexual intercourse*
61% Used a condom during last sexual intercourse*

In a classroom of 30 high school students in North Dakota,
9 are currently sexually active,
3 ever had sex, but are not currently sexually active,
18 never had sex.
*Among the students in North Dakota 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