{"id":416,"date":"2023-01-30T10:31:26","date_gmt":"2023-01-30T10:31:26","guid":{"rendered":"https:\/\/www.privategirlsinadelaide.com.au\/blog\/for-deep-east-texas-teens-accessing-sex-education-and-contraception-is-next-to-impossible\/"},"modified":"2023-01-30T10:31:26","modified_gmt":"2023-01-30T10:31:26","slug":"for-deep-east-texas-teens-accessing-sex-education-and-contraception-is-next-to-impossible","status":"publish","type":"post","link":"https:\/\/www.privategirlsinadelaide.com.au\/blog\/for-deep-east-texas-teens-accessing-sex-education-and-contraception-is-next-to-impossible\/","title":{"rendered":"For Deep East Texas teens, accessing sex education and contraception is next to impossible"},"content":{"rendered":"<p> [ad_1]<br \/>\n<\/p>\n<div>\n<p class=\"t-copy t-links-underlined t-align-left\"><em>This reporting was supported by the International Women\u2019s Media Foundation\u2019s Reproductive Rights Reporting Fund.<\/em><\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">SABINE COUNTY \u2014 When condoms were distributed at a career fair five years ago, West Sabine High School\u2019s seventh and eighth graders took handfuls and tucked them inside their jackets and pants pockets. It set field trip chaperone Carnelius Gilder into a panic.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Gilder had driven the students to a church in the area to attend the career fair. Students had attended it in previous years with no problems; Gilder was taken aback to see a vendor giving away contraception for the first time.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cNo, no, no, no, no, no, no, no, no, no, no. We cannot bring these home,\u201d Gilder, now West Sabine school district\u2019s superintendent, recalled thinking. \u201cThese are junior high kids. And we\u2019re in a church.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">In rural Sabine County, a part of Deep East Texas near Louisiana\u2019s western border, Gilder knew many parents who would light up his phone if students came home with condoms from a school-sanctioned field trip. So before the students got back on the bus, Gilder told all of them to empty their pockets.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">West Sabine High School students haven\u2019t been back to the career fair since. The school district now organizes its own health fair, which parents attend, and school officials can decide whether contraception will be offered to the students.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cEast Texans believe in and have a great deal of morality,\u201d said Gilder, who graduated from West Sabine High School in 2002. \u201cAnd, well, you have to include the parents.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">In Sabine County, pine trees outnumber the people. To commute between Pineland and Hemphill, the two towns that anchor the county, residents drive down a road that winds through a national forest. The towns are dotted with churches that loom large in daily community life. Bible scriptures are printed on plaques in local stores and even in Gilder\u2019s office.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\"><a href=\"https:\/\/www.advocatesforyouth.org\/wp-content\/uploads\/storage\/\/advfy\/documents\/sciencesuccess.pdf\">Research<\/a> has shown access to contraception and comprehensive sex education prevents unplanned pregnancies. But for sexually active teens trying not to get pregnant in Sabine County, it\u2019s hard to access either.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Sex education in Texas is taught amid tight parameters and bureaucratic strings. Texas schools have to offer health class at the middle school level, but parents must opt their children in to any lessons about sexual health. And when teachers do touch on sex education, state law requires them to stress abstinence as the preferred choice before marriage.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Even if teens in this region want contraception, it\u2019s nearly impossible to get without parental consent. In small towns like Hemphill and Pineland, parents have eyes and ears everywhere, making teens reluctant to go to the local Brookshire Brothers or dollar store to purchase condoms. They could go to a family planning clinic, which provides contraception at little to no cost, but only clinics <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31974014\/\">funded through the federal Title X<\/a> program do not require parental permission \u2014 and a federal judge in Texas <a href=\"https:\/\/www.texastribune.org\/2022\/12\/21\/texas-title-x-teens-birth-control\/\">ruled last month<\/a> that the program violates parents\u2019 rights and state and federal law.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">As <a href=\"https:\/\/www.everybodytexas.org\/\">Every Body Texas<\/a>, the nonprofit group that is the state\u2019s Title X administrator, awaits guidance from the U.S. Department of Health and Human Services on how to proceed, it informed Texas providers this week to require parental consent out of precaution.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/dX7DKuGYpGbo0Tjdc8jDU-yhvvQ=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg\" alt=\"West Sabine ISD superintendent Carnelius Gilder in Pineland, TX, on Monday, Dec. 19, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/KJGPb9g-fcGPXGoU622ZkN5cA0M=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 3000w, 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1000w, https:\/\/thumbnails.texastribune.org\/A_Dmnkj7gV1ya3ArS0Cz6QlVlsg=\/850x570\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 850w, https:\/\/thumbnails.texastribune.org\/1mbuPkQOyPkdTgz5zFoOL_RdiPE=\/640x429\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 640w, https:\/\/thumbnails.texastribune.org\/qXSJsWZY4OXQXA7XA33unoUGuy4=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/gaFn0M0kfiyEsUinNQK8B6jTi4k=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 3000w, https:\/\/thumbnails.texastribune.org\/2Uag49uo7edIszDV1v2bYjfJ9VE=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 2500w, https:\/\/thumbnails.texastribune.org\/ur645ovZjSsNHPkilCdfysHju0w=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 1550w, https:\/\/thumbnails.texastribune.org\/GZHr97sAfbhjouj2G6Ig8PNX7yc=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 1200w, https:\/\/thumbnails.texastribune.org\/7kCwl6tZPBYE7xxRK7hD9USjktI=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 1000w, https:\/\/thumbnails.texastribune.org\/H5zlP2qt1xYW6kWFUNKIivYDt-4=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 850w, https:\/\/thumbnails.texastribune.org\/d_yMqHurPwEoS0ix6fcGDO6s6JY=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 640w, https:\/\/thumbnails.texastribune.org\/u9QQIDBpYVv8_vDZN6MMATv4RX0=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/dX7DKuGYpGbo0Tjdc8jDU-yhvvQ=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/09c077c4c74a00a1433c5081d9590134\/1219%20Carnelius%20Gilder%20AM%2003.jpg\" alt=\"West Sabine ISD superintendent Carnelius Gilder in Pineland, TX, on Monday, Dec. 19, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          West Sabine ISD superintendent Carnelius Gilder in his office in Pineland on Dec. 19, 2022. \u201cThese people have a high value system and they need to know that their values do stitch into the quilt of education,\u201d Gilder said of involving parents in conversations about sex education.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">Today, family planning programs are few and far between, thanks to funding cuts by the Texas Legislature in 2011. No family planning clinic exists in Sabine County. To get to the nearest one, teens in the region must travel to an adjacent county.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Meanwhile, Texas has one of the <a href=\"https:\/\/www.cdc.gov\/nchs\/pressroom\/sosmap\/teen-births\/teenbirths.htm\">highest teen birth rates<\/a> in the country. And in 2020, Sabine County\u2019s teen birth rate was <a href=\"https:\/\/txcampaign.org\/research-data\/data-map\/\">three times<\/a> the statewide average. Nearly 7% of Sabine County teenage girls between the ages of 15 and 19 gave birth that year, compared with about 2% statewide.<\/p>\n<h3 id=\"7541cac9-437c-4519-b62e-35df8404ac56\" class=\"t-copy t-copy--level-3 t-align-left\">Evolving health education standards\u00a0<\/h3>\n<p class=\"t-copy t-links-underlined t-align-left\">In Texas, abstinence became the cornerstone of sex education in the mid-1990s when conservatives <a href=\"https:\/\/tfn.org\/sex-ed\/Factsheet_TroubledHistory_LH_2019.pdf\">demanded sweeping changes to health textbooks<\/a>, insisting sex education was an inappropriate topic for teens. Then-Gov. George W. Bush signed a <a href=\"https:\/\/sph.uth.edu\/research\/centers\/chppr\/ichampss\/tools\/adoption\/assess\/facts-tips\/ASSESS-FT-Understanding-Texas-Laws-FINAL.pdf\">law<\/a> forcing school districts that offer sexual education to emphasize abstinence until marriage. The law allowed health educators to discuss contraception with students only if they spent more time emphasizing abstinence.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">In 2009, the state removed health class as a high school graduation requirement, further minimizing the importance of health education. As a result, less than a third of Texas high school students took a health class between 2016 and 2020, according to an analysis of state course enrollment data by Healthy Futures of Texas, a nonprofit that works to reduce teen pregnancies.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">In 2021, state lawmakers made it even harder for students to learn about safe sex. Now, parents must give written permission before their children can learn about \u201chuman sexuality,\u201d <a href=\"https:\/\/www.texastribune.org\/2021\/12\/15\/child-abuse-dating-violence-education-texas\/\">family violence<\/a>, child abuse or sex trafficking. Texas is one of only <a href=\"https:\/\/siecus.org\/wp-content\/uploads\/2018\/09\/Policy-Brief-Opt-in-v.-Opt-out-Redesign-Draft-09.2018.pdf\">five states<\/a> in the nation, along with Nevada, Utah, Mississippi and North Carolina, to have such a requirement for sex education and the only state requiring parental permission to teach about child abuse.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Students whose parents allow them to attend sex education classes are still taught that abstinence is the \u201cpreferred choice of behavior.\u201d But, for the first time in more than 20 years, the Texas State Board of Education in November 2020 voted to overhaul the middle school health curriculum standards. These students should now learn about contraception and sexually transmitted diseases, conversations previously reserved for high school health classes.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\"><a href=\"https:\/\/www.texastribune.org\/directory\/keven-ellis\/\">Keven Ellis<\/a>, the Lufkin-based chair of the State Board of Education, called the new requirements a \u201cgood middle ground\u201d between comprehensive sex education \u2014 which prioritizes accurate and exhaustive information about contraception, sexual health and sexually transmitted infections \u2014 and an abstinence-only class.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Schools were scheduled to adopt these new standards by August of this year. But in Sabine County, as well as many others in East Texas, schools are sticking with an abstinence-based curriculum for middle school students.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/aHw9wYN4Q6Vcz3WphOJ3L-TV0JU=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg\" alt=\"Students fill in the blanks of their \u201cChoosing the Best Life\u201d packets as an Excellent TEEN Choice instructor reads out information pertaining to STDs at Tenaha High School in Tenaha, TX on November 11, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/u3l0eUeuqbWkB8SzymXtWwI2Bi8=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 3000w, https:\/\/thumbnails.texastribune.org\/zIgVeINCQ1o_IAIXzfIuOGD7Tlw=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 2500w, https:\/\/thumbnails.texastribune.org\/8pCcupvs_rTc1WArWuHkadrWAj4=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 1550w, https:\/\/thumbnails.texastribune.org\/nNhtUyDhPabg4ZMBJnuNd95ljLk=\/1200x804\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 1200w, https:\/\/thumbnails.texastribune.org\/yjmpLBc7CAsqaK8kM3gI0P7qgbM=\/1000x670\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 1000w, https:\/\/thumbnails.texastribune.org\/BjcyT06TO1cS3fgNjRRUfExAt9w=\/850x570\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 850w, https:\/\/thumbnails.texastribune.org\/_pbsg2CRAPN9UVyaoK2yByPko4E=\/640x429\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 640w, https:\/\/thumbnails.texastribune.org\/XhOGXZZGvklbsMwCW7BsXb4zdLQ=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/Ud90VPI5HgvmPSsy52W1CX_cldk=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 3000w, https:\/\/thumbnails.texastribune.org\/iS7HDUWXdbxkRgcuLq-C0InzKSw=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 2500w, https:\/\/thumbnails.texastribune.org\/WiMD2GHQjMIS27azSjrbjYGIW8E=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 1550w, https:\/\/thumbnails.texastribune.org\/FcmuTCYPIUqLDKRVoXZnSFvW5p0=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 1200w, https:\/\/thumbnails.texastribune.org\/Vu23dyZDWvT0G6azuTSpeb1yr_s=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 1000w, https:\/\/thumbnails.texastribune.org\/jQhYYT1xVHHZCr9r-clubzPlfBE=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 850w, https:\/\/thumbnails.texastribune.org\/lw1ttqu-IA7m46H6s713ZoKbseU=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 640w, https:\/\/thumbnails.texastribune.org\/xbRMua9FKLcj8FAQtfh_7xoDrYs=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/aHw9wYN4Q6Vcz3WphOJ3L-TV0JU=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/e4ca1205a181c3a5e4c5fb71162c81b5\/1111%20Tenaha%20Sex%20Ed%20ST%2012.jpg\" alt=\"Students fill in the blanks of their \u201cChoosing the Best Life\u201d packets as an Excellent TEEN Choice instructor reads out information pertaining to STDs at Tenaha High School in Tenaha, TX on November 11, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Tenaha High School students fill in the blanks of their \u201cChoosing the Best Life\u201d workbooks on Nov. 11, 2022, as an instructor from a nonprofit that provides abstinence-based sex education reads out information on STDs. Tenaha ISD is in Shelby County in Deep East Texas.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Shelby Tauber for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">Every few years, the Texas State Board of Education sets standards about what is to be included in teachers\u2019 lesson plans, whether it\u2019s social studies, math or health. These standards are known as the Texas Essential Knowledge and Skills, or TEKS. But no state agency tracks whether districts employ these standards. Students eventually take annual standardized tests on core subjects like math and science, but there is no such test for health.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cThere\u2019s no guarantee that every single TEK is taught to every single student,\u201d Ellis said. \u201cIn the state of Texas, I\u2019m sure some TEKS get skipped over, hopefully inadvertently, but probably in this case a little less inadvertently.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">When new health requirements for schools come from the state capital, districts turn to their <a href=\"https:\/\/www.dshs.texas.gov\/texas-school-health\/texas-school-health-advisory-committee-tshac\/school-health-advisory-councils\">school health advisory councils<\/a> to advise their local school boards about how to implement them. The councils, made up of parents and administrators appointed by the local school boards, are there to ensure that \u201clocal community values are reflected\u201d in their school districts\u2019 health education instruction. School boards tend to listen to their suggestions.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Inside a classroom at Hemphill High School this fall, members of the local advisory council struggled to navigate the new state requirements about sex education.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cHave we been able to decipher the bill yet?\u201d Cecily Bridges, a Hemphill school nurse and the council\u2019s chairperson, asked during the meeting. She turned to Stephen English, Hemphill Independent School District\u2019s superintendent, for an assist.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cNot really,\u201d English replied.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cIt\u2019s hard to interpret what we\u2019re required to do,\u201d Hemphill Middle School principal Jeremy McDaniel interjected.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">At the end of the meeting, Bridges instructed committee members to read through the new laws and the updated curriculum before the next meeting. And she said she\u2019d reach out to the district\u2019s education service center for guidance.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Across the rest of religious and conservative Deep East Texas, some districts are choosing not to offer sex education to middle school students.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/hcWOvRlG92mhSo_pYrbbUvX5CWE=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG\" alt=\"Students walk to class in between class periods at Tenaha High School in Tenaha, TX photographed on November 11, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/eAV8omHAA_0Is3tX_Ns0xMVHAcI=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 3000w, https:\/\/thumbnails.texastribune.org\/mwOGWI6H_ZDmW3No8ByXv_BVve8=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 2500w, https:\/\/thumbnails.texastribune.org\/QqvUw8cvpPBcwp8eJpj17M7l1Mk=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 1550w, 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https:\/\/thumbnails.texastribune.org\/atw_qYL7XRa3zD3g_2Ow8Vgdlcc=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/hDitWY8Fe7FEHAYZMxp1AbmX4pI=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 3000w, https:\/\/thumbnails.texastribune.org\/MJQlWOdCusOj2bXlUqIlcUyicyg=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 2500w, https:\/\/thumbnails.texastribune.org\/vE3FGRL8gKABMnypfnPhu64i4Bw=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 1550w, https:\/\/thumbnails.texastribune.org\/-RPPX9our52MGVGvmgUGVlnlCUE=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 1200w, https:\/\/thumbnails.texastribune.org\/tUtoFYLUiNBh-gmHJv1rNuJmVLs=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 1000w, https:\/\/thumbnails.texastribune.org\/xPJdvlrUVjBQLQQQApOpOB6_Y1Q=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 850w, https:\/\/thumbnails.texastribune.org\/6yTmJGO44ob1RahwgQaimci3UVo=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 640w, https:\/\/thumbnails.texastribune.org\/PZH1wdW4YqfFYjfm6aN-670n9Dk=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/hcWOvRlG92mhSo_pYrbbUvX5CWE=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/cb955569b01ba78b0956ba9d5542b2c1\/11%20Tenaha%20Sex%20Ed%20ST%2008.JPG\" alt=\"Students walk to class in between class periods at Tenaha High School in Tenaha, TX photographed on November 11, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Students walk to class in between class periods at Tenaha High School.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Shelby Tauber for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cI don\u2019t care for the school to be teaching the kid sex ed. That\u2019s my job,\u201d one parent said during the health advisory council meeting for Chester ISD in nearby Tyler County in April. \u201cI\u2019ll do that.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">If a district is not complying with state standards, the only recourse would be for a parent to file a complaint with the school board. But that puts the responsibility of tracking district curriculums on parents who, in Deep East Texas, would often prefer to avoid sex education altogether.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">In Hemphill, a town of less than 1,000 people, churches outnumber medical clinics. Wednesday night church services are part of the weekly rhythm. And religion has long been entangled in debates about sex education.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Some parents in this region clam up when the words \u201csex education\u201d come up, said health educator Ashley Cook. She\u2019s trying to get into the Hemphill schools to teach students about child abuse, teen dating violence and sex trafficking as part of her Lufkin-based nonprofit, Harold\u2019s House.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/oxZkUWHzfxhBdAQfewA76lxSupU=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg\" alt=\"A homemade billboard along Farm to Market Road 83 outside of Hemphill on Dec. 30, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/8HZ52R-Mucbq8QehUKkF4NWi_-w=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 3000w, https:\/\/thumbnails.texastribune.org\/3tosVqognjAhd0yMZVdcTL_HlYo=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 2500w, https:\/\/thumbnails.texastribune.org\/5c25qhbeNl94dMeXPl8zRRx5ujo=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 1550w, 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https:\/\/thumbnails.texastribune.org\/5wBhnp3ucOs5UX72-avv3sykgjs=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/B5kC8ibWxQ2pAf3603LHh4N_YFg=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 3000w, https:\/\/thumbnails.texastribune.org\/a0GvoCa3l8bdj0AlHwZEhRjoBKs=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 2500w, https:\/\/thumbnails.texastribune.org\/3dqHdZB5UFKVMnGgwTx-4zviotQ=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 1550w, https:\/\/thumbnails.texastribune.org\/Pkv8dKhlsGk8Psizci1L6xHw9dg=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 1200w, https:\/\/thumbnails.texastribune.org\/AvN_ax0Lk263uXGnujcce0b0fyk=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 1000w, https:\/\/thumbnails.texastribune.org\/MWYzMbcxwQJ1Fz_MBWw3KAfbr8w=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 850w, https:\/\/thumbnails.texastribune.org\/NjruC-c_-K4JjDr7mHKUQQ-EOBY=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 640w, https:\/\/thumbnails.texastribune.org\/HenUy_SPt7sJY-gY4zayvadamFU=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/oxZkUWHzfxhBdAQfewA76lxSupU=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/8e63ef4133afea8d21254834e1efcc47\/1230%20Ginger%20Kalafatis%20AM%2001.jpg\" alt=\"A homemade billboard along Farm to Market Road 83 outside of Hemphill on Dec. 30, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          A homemade billboard along Farm to Market Road 83 outside of Hemphill on Dec. 30, 2022. In this region of the state, religion is entangled in community life and conversations about sex education.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">But even Cook has to reassure school officials and parents that she will stick to euphemisms like \u201cprivate parts,\u201d even for middle and high school students.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cI don\u2019t say the biological terms,\u201d Cook said. \u201cThe schools are a little concerned about that, so I\u2019m careful about how I use my language.\u201d<\/p>\n<h3 id=\"f255213e-bd73-4707-9658-14af0bdc06e2\" class=\"t-copy t-copy--level-3 t-align-left\">Inconsistent sex education\u00a0<\/h3>\n<p class=\"t-copy t-links-underlined t-align-left\">Because sex education is voluntary, it\u2019s not clear what Texas students know about sex and contraception. According to a <a href=\"https:\/\/tfn.org\/sex-ed\/conspiracy_of_silence.pdf\">2016 survey<\/a>, 58% of Texas school districts teach abstinence-only sex education while 17% teach an abstinence-plus curriculum that includes information about contraception. The remaining 25% teach no sex education at all.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Tenaha ISD in Shelby County \u2014 about 50 miles north of Hemphill \u2014 invited nonprofit Excellent Teen Choice to deliver abstinence-based lessons to students.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">On a Friday morning in November, Excellent Teen Choice educator Eric Love, 47, launched into a class about sexually transmitted diseases as he stood before 10th graders at Tenaha High School.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cDid anybody know you could have sex and catch a disease? Isn\u2019t that cool?\u201d Love said sarcastically, his eyes wide and hands gesticulating wildly.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">For 45 minutes, the high-energy instructor enthusiastically told students about the signs and symptoms of infections like gonorrhea, HPV and chlamydia. Students followed along in workbooks.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">To demonstrate how widely the diseases can spread, students ran around the room collecting as many signatures as they could on index cards. Love then explained that each signature represented someone they had sex with.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/MPyaVeskHG1Jj_SQg_5WK4ObjcI=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg\" alt=\"Lead Facilitator of Excellent TEEN Choice, Eric Love, teaches a program about STDs to students at Tenaha High School in Tenaha, TX on November 11, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/RAjsUKq55ZOMAk6T7ilb8_AbSBs=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 3000w, https:\/\/thumbnails.texastribune.org\/EXxv2-FZ1b-Ri2vtPrukIK472p8=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 2500w, https:\/\/thumbnails.texastribune.org\/OMXh8rtQkcY2zYulRpaAZxoLh_A=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 1550w, 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1550w, https:\/\/thumbnails.texastribune.org\/dzK9e0RSqPxXfmSG5vIiJSgk-Lg=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 1200w, https:\/\/thumbnails.texastribune.org\/bBB_3LKoCTYWHm71SJdMIdmZC9w=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 1000w, https:\/\/thumbnails.texastribune.org\/tmz9xNVXRR66Wn8rxgq6HZuu78U=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 850w, https:\/\/thumbnails.texastribune.org\/xlQhgbnFyMfxoivz1S3o2ufQS5M=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 640w, https:\/\/thumbnails.texastribune.org\/zItWWih0U1szz45dWVTIq-Y6pTE=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/MPyaVeskHG1Jj_SQg_5WK4ObjcI=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/9135402063e465cd474fb6d93d6c3705\/1111%20Tenaha%20Sex%20Ed%20ST%2017.jpg\" alt=\"Lead Facilitator of Excellent TEEN Choice, Eric Love, teaches a program about STDs to students at Tenaha High School in Tenaha, TX on November 11, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Eric Love, who provides abstinence-based sex education through the nonprofit Excellent TEEN Choice, speaks about STDs to students at Tenaha High School on Nov. 11, 2022. The nonprofit is funded by the state\u2019s Abstinence Education Program.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Shelby Tauber for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">Two students, unbeknownst to them, had tiny X\u2019s printed on the corners of their notecards. That X, Love said, meant the student had a sexually transmitted disease.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cIt\u2019s living in their body and they\u2019ve been transmitting the STD to other people, and they just don\u2019t know it,\u201d Love said.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">He then had the two \u201cinfected\u201d students stand at the front of the room and read the names on their cards. Now those students were infected, too, Love explained.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cI need you guys to understand the way this happened,\u201d Love said. \u201cAlthough this is a game, it\u2019s not a game in real life.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Love understood this personally. His half-sister became pregnant when she was in high school, an experience that inspired Love to educate young people about the consequences of premarital sex.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">As students returned to their desks, Love flashed images on a screen at the front of the room. One showed pus-filled bumps on a male penis that made some students\u2019 jaws drop. Another pictured an infected cervix, the narrow passageway between a woman\u2019s vagina and her uterus. A student cocked his head and remarked that the fallopian tubes resembled frozen Tyson chicken wings.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/UOesL2dh9Vyu5u7AGCIk1UGn1ao=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg\" alt=\"9th grade student Karina Corpus reacts to examination photos of people infected with STDs like gonorrhea, chlamydia, HPV and HIV during a program run by Excellent TEEN Choice at Tenaha High School in Tenaha, TX on November 11, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/OloHiU4PDOj0O6SRwfDYteS_Cjg=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 3000w, https:\/\/thumbnails.texastribune.org\/t19QJQaIMcWo4DaOAklK2Ij8f9c=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 2500w, https:\/\/thumbnails.texastribune.org\/HFwpzBfwMDuT0y7qxJF4Qvzqyeo=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 1550w, 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https:\/\/thumbnails.texastribune.org\/GUQki4i2ZvOe6u5yeXBRroJA2i0=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/wY2Jw1syj1MZjtUSkchD-QH81ew=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 3000w, https:\/\/thumbnails.texastribune.org\/2Cbqb-Kr0e9C3-phopQdo9nK5ik=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 2500w, https:\/\/thumbnails.texastribune.org\/zr1IlMqzr9QpSAorhkTuR53f68g=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 1550w, https:\/\/thumbnails.texastribune.org\/c4pZzgoOjtMqsWroPzw9hORp6t4=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 1200w, https:\/\/thumbnails.texastribune.org\/HHhaU9MrRhiO03-yRplaMVNMdMs=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 1000w, https:\/\/thumbnails.texastribune.org\/ksJnz82krM8yIimoMpNErVUxWeY=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 850w, https:\/\/thumbnails.texastribune.org\/0041XGCFPpE_GPuGlEZjSthbEIA=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 640w, https:\/\/thumbnails.texastribune.org\/ScLUfF5AtH77OyxRu1f8dBI8kFU=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/UOesL2dh9Vyu5u7AGCIk1UGn1ao=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/d828979c30c90fc6519b754a7943eb16\/1111%20Tenaha%20Sex%20Ed%20ST%2038.jpg\" alt=\"9th grade student Karina Corpus reacts to examination photos of people infected with STDs like gonorrhea, chlamydia, HPV and HIV during a program run by Excellent TEEN Choice at Tenaha High School in Tenaha, TX on November 11, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Tenaha High School ninth-grader Karina Corpus reacts to examination photos of people infected with STDs like gonorrhea, chlamydia, HPV and HIV during a program run by Excellent TEEN Choice.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Shelby Tauber for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">Before students went on to their next classes, Love returned to his main point: abstinence. \u201cIt is our hope, our aim that you all will listen to this message: The best decision for your health, for your life, for your children\u2019s lives is to save sex until marriage.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Ninth grader Jasmine Santos said she was ignorant about STDs before the lesson.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cNow that I understand what can happen, I\u2019ll probably say no [to sex] until marriage,\u201d she said.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3194801\/\">Studies show<\/a> abstinence-only sex education or no sex education at all correlates with high teen birth rates. Medical experts, meanwhile, have championed comprehensive sex education.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">When Brittany Henson, 33, attended Hemphill High School, she and her mother never talked about safe sex. The school district wasn\u2019t teaching sex education, either. The gaps in her sex education were a byproduct of how little the town and the community had discussed the subject, Henson said.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cThat is the culture of Hemphill. It is \u2018Let\u2019s not talk about it. It\u2019s not a problem,\u2019\u201d said Henson, whose family has lived and worked in this town for generations. \u201cPeople feel like it\u2019s so wrong to talk about it. And like if you talk about it, \u2018Oh, let me grab my shirt and button it all the way up to my neck because you shouldn\u2019t be talking about these things.\u2019\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Without formal sex education, Henson turned to other students. Their information was often incorrect.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cSo, result? Hey, you got a baby,\u201d she said.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Henson was in her junior year of high school when she got pregnant. She was on birth control but wasn\u2019t taking her pills consistently and didn\u2019t know that would raise her risk of pregnancy. She was, by no means, an anomaly. Five other girls in her high school class also got pregnant before graduation, she said.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/eRE4letdoZWgmqMsAib9ZM0iKOc=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/362e938944451b900e171b44f3567629\/1219%20Valerie%20Polk%20AM%2007.jpg\" alt=\"Valerie Polk stands in front of a cabinet containing several types of contraception at the clinic for Jasper-Newton County Health District in Jasper, TX, on Monday, Dec. 19, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/Buz3GDR9KYEzNXUkuX273PbPOZg=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/362e938944451b900e171b44f3567629\/1219%20Valerie%20Polk%20AM%2007.jpg 3000w, https:\/\/thumbnails.texastribune.org\/WkvQQkMFjJUMrnPDi87i-I1GTjc=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/362e938944451b900e171b44f3567629\/1219%20Valerie%20Polk%20AM%2007.jpg 2500w, https:\/\/thumbnails.texastribune.org\/bkJRS-wG3Bez63QAx7hP3mGNWmE=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/362e938944451b900e171b44f3567629\/1219%20Valerie%20Polk%20AM%2007.jpg 1550w, 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https:\/\/thumbnails.texastribune.org\/Rj4B0GABY7MnfBc3k8OuFOzntg0=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/362e938944451b900e171b44f3567629\/1219%20Valerie%20Polk%20AM%2007.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/eRE4letdoZWgmqMsAib9ZM0iKOc=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/362e938944451b900e171b44f3567629\/1219%20Valerie%20Polk%20AM%2007.jpg\" alt=\"Valerie Polk stands in front of a cabinet containing several types of contraception at the clinic for Jasper-Newton County Health District in Jasper, TX, on Monday, Dec. 19, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Valerie Polk stands in front of a cabinet containing several types of contraception at the clinic for the Jasper Newton County Public Health District. It\u2019s the only clinic in the region that has historically been able to prescribe birth control to minors without obtaining parental consent.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<h3 id=\"344d6993-7f1c-4e79-a726-06e90c6e21c2\" class=\"t-copy t-copy--level-3 t-align-left\">Contraception access<\/h3>\n<p class=\"t-copy t-links-underlined t-align-left\">Over the years, Valerie Polk has gotten very comfortable with subterfuge. Polk works at the only clinic in the region that has historically been able to prescribe birth control without parental consent, and she\u2019s had to find creative ways to help young people protect themselves.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">She\u2019s met students off the highway, at the post office, on the bleachers during a high school football game and in the checkout line at the local Brookshire Brothers.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Once, in 2017, Polk wrapped contraceptive pills inside a Walmart bag and slipped the bag to a teen cashier at the local grocery store. The cashier laughed at Polk\u2019s stagecraft before accepting the bag and putting it out of sight.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Valerie Polk, a public health worker at the Jasper Newton County Public Health District, describes the challenges of getting contraception to patients in a rural area.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cWe do what we have to do to get our patients taken care of,\u201d Polk said.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Polk has worked at the Jasper Newton County Public Health District for more than 25 years, providing health services to residents in Jasper and Newton counties as well as other nearby areas, including Sabine County.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">The Jasper Newton County Public Health District is a federal Title X health care provider, one of 156 such clinics in the state. That has allowed Polk to give anyone birth control, free of charge. The Title X program has been one of the only ways minors in Texas can access birth control without parental consent. But last month, a Trump-appointed federal judge in Texas <a href=\"https:\/\/www.vox.com\/policy-and-politics\/2022\/12\/13\/23505459\/supreme-court-birth-control-contraception-constitution-matthew-kacsmaryk-deanda-becerra\">ruled<\/a> that Title X violates parents\u2019 rights and state and federal law.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Legal proceedings are ongoing, but the state&#8217;s Title X administrator has instructed Title X clinics to stop giving out birth control to minor patients without proof of consent for now. The ruling has left Polk and her team in a bind. Starting this week, they now began requiring parental consent.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">&#8220;This isn&#8217;t somewhere we&#8217;ve been before \u2014 where we really can&#8217;t help someone,&#8221; Polk said. &#8220;This is a new era for us. I just hope the ruling is overturned sooner rather than later.&#8221;<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Already, over the past decade, the number of Title X clinics in the region has fallen, further impeding sexually active teenagers who want to avoid becoming pregnant. In 2011, there were four federally funded clinics in Deep East Texas. That number has been sliced in half, with just two clinics within a 100-mile radius of Sabine County. The Jasper Newton County Public Health District runs both those clinics \u2014 with one in Jasper and the other in Newton.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">In Lufkin, a health care hub about 50 miles away from Sabine County, the Angelina County and Cities Health District suspended its contract with Title X in 2021, citing onerous requirements and paperwork. While the health district still provides contraception, teens must be 15 or older and have parental consent to receive it.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/Xe3pnwOhe6yKZRCBjXJOI_8gzG0=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg\" alt=\"Valerie Polk shows a nondescript package containing 12 free condoms available for anyone at the clinic for Jasper-Newton County Health District in Jasper, TX, on Monday, Dec. 19, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/6df28vSNeWskfQAZHCvbPoqcHaE=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 3000w, https:\/\/thumbnails.texastribune.org\/rSJIk7sNuI2jiY2lORUpFXfKPQc=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 2500w, https:\/\/thumbnails.texastribune.org\/dgLtjLjEzowZfABCwFV56iHrXWs=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 1550w, 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https:\/\/thumbnails.texastribune.org\/YZoIU9DyTuaOjDqzdh_BEQv1x00=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/AzzYgMlvPf4QuUzhvjvhIVgsEBQ=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 3000w, https:\/\/thumbnails.texastribune.org\/daARgOTTwAjhVT-wVi-ug5OHgxQ=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 2500w, https:\/\/thumbnails.texastribune.org\/YnMstfKTAucFCljHilCiKwQQ2lo=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 1550w, https:\/\/thumbnails.texastribune.org\/Bz4XZ5WS1vrjPRvBlMaO9IgZ4tg=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 1200w, https:\/\/thumbnails.texastribune.org\/lI1bzUZvvhDgnyy15OEELQKKdvY=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 1000w, https:\/\/thumbnails.texastribune.org\/znrYfraegws1iwD9GhpnrKaQv7w=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 850w, https:\/\/thumbnails.texastribune.org\/sFCwVSOM10hwrlnzfsotQTvNj80=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 640w, https:\/\/thumbnails.texastribune.org\/__V6I9RqymOYoVRylDE1mMJdpVI=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/Xe3pnwOhe6yKZRCBjXJOI_8gzG0=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/803ed1c633e63a7c3c883a71a8c83d1c\/1219%20Valerie%20Polk%20AM%2004.jpg\" alt=\"Valerie Polk shows a nondescript package containing 12 free condoms available for anyone at the clinic for Jasper-Newton County Health District in Jasper, TX, on Monday, Dec. 19, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Polk shows a nondescript package containing 12 free condoms available for anyone at the Jasper Newton County Public Health District clinic.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">In 2011, in an effort to stop state dollars from flowing to Planned Parenthood\u2019s health care clinics, Texas legislators <a href=\"https:\/\/www.texastribune.org\/2012\/09\/26\/report-family-planning-cuts-caused-50-clinics-clos\/\">cut funding for family planning services by two-thirds<\/a> \u2014 from $111 million to $37.9 million for the 2012-13 budget. Within three years, <a href=\"https:\/\/www.npr.org\/2016\/01\/28\/464728393\/texas-tries-to-repair-damage-wrought-upon-family-planning-clinics\">more than 80 clinics <\/a>across the state shuttered, including those that were never affiliated with Planned Parenthood.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Some of the clinics that closed were also Title X providers. <a href=\"https:\/\/www.everybodytexas.org\/\">Every Body Texas<\/a>, which has administered the state\u2019s Title X funds since 2013, has tried to rebuild the network of family planning services. But restarting services brings up a host of challenges.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cIt\u2019s a lot easier to close. It\u2019s a lot harder to reopen a clinic,\u201d said Stephanie LeBleu, the group\u2019s acting deputy Title X project director. \u201cWe still see the legacy of that choice to cut family planning funding throughout the state.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">The Title X program has faced its own politically motivated attacks in recent years. Under the Trump administration, clinics that provided abortions or made abortion referrals were disqualified from the program.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Adding to the barriers to contraception access, the teens Polk wants to serve don\u2019t even seem to know that Title X exists. Some teens who want birth control don\u2019t know where to go for it. Few have formally been taught about sex. Those who have were instructed to abstain.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cThe Bible Belt says, \u2018No, we\u2019re not going to talk to our kids about birth control,\u2019\u201d Polk said. \u201c\u2018We\u2019re not going to talk about premarital sex.\u2019\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">English, the Hemphill school superintendent, said contraception was not covered in the district\u2019s sex education curriculum and he doubted students could access it if they wanted to.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Polk and her team have tried to get into the public schools to educate students about their options for contraception. But that\u2019s been nearly impossible, she said.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cIt may not be the superintendent, it could be the school board. It could be some parents that are going, \u2018Oh, no, you&#8217;re going to tell my child about sex,\u2019\u201d Polk said.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">What students do learn, Polk said, is often inaccurate information that comes from social media platforms like Snapchat or TikTok.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/BC2ogZsmwoEs0VMnoXo7sF6JIXE=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg\" alt=\"Brochures at the clinic for Jasper-Newton County Health District in Jasper, TX, on Monday, Dec. 19, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/GlFjyYrlF8o9CcYaI4-ibd3npyY=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 3000w, https:\/\/thumbnails.texastribune.org\/r7Ev1CVmtJb5BgZ8Tr9AVxhUJDA=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 2500w, https:\/\/thumbnails.texastribune.org\/u6-rMIzHODiiLOusAGCoBgq_mMU=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 1550w, 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https:\/\/thumbnails.texastribune.org\/M69EoROB4-zVLT_36vpx0yNBqDw=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/sFeHhOS20Z9OrAy4vpH1hDYX4lk=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 3000w, https:\/\/thumbnails.texastribune.org\/FOeizBL5S27fSSPF0PG-t_sEmQ4=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 2500w, https:\/\/thumbnails.texastribune.org\/BdIXm03bzmTkktKb6yv7nx0jQ2E=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 1550w, https:\/\/thumbnails.texastribune.org\/46OfkXihOvTgOMp7eIyQ4cGPnkY=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 1200w, https:\/\/thumbnails.texastribune.org\/uso5P3Vtax_5nd7jkdks84EhMfQ=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 1000w, https:\/\/thumbnails.texastribune.org\/X49HAMJ3g5pR0r5E4gotH1LAxa8=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 850w, https:\/\/thumbnails.texastribune.org\/sq14KySMOmPQxNPoDh6HMsXsYR0=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 640w, https:\/\/thumbnails.texastribune.org\/WpttfA9cKqHlvGcu1_DxrjlhghY=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/BC2ogZsmwoEs0VMnoXo7sF6JIXE=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/34653da94b2dd2b97ec2787d1fb2c7ad\/1219%20Valerie%20Polk%20AM%2008.jpg\" alt=\"Brochures at the clinic for Jasper-Newton County Health District in Jasper, TX, on Monday, Dec. 19, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Brochures sit on a shelf at the clinic for Jasper-Newton County Health District in Jasper on Dec. 19, 2022.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">So Polk and her team do what they can to make themselves known in their community to address the misinformation. Outside of work, they wear health district T-shirts to raise its visibility. And when teenagers come in for appointments, Polk asks them to tell all their friends about their services.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Some doctors are also filling the gap left in education and access. George Fidone, a Lufkin pediatrician, said he speaks openly about sex with his adolescent patients and prescribes contraception on a weekly basis \u2014 but only with parental permission.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cI\u2019ve had too many kids come in with their parents, and the parents think they\u2019re coming in for a sore throat,\u201d Fidone said. \u201cAnd the kid will give me a look. And I\u2019ll know that look is \u2018I\u2019m pregnant, and I need help with this.\u2019\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Another thing that keeps teens from accessing birth control is that Texas is one of just two states that do not cover contraception through the Children\u2019s Health Insurance Program, the insurance plan for low-income families. Also, state-funded family planning clinics require parental consent before minors can get contraception. Even a teenager who has had a baby cannot obtain birth control without parental consent.<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/CBwjz95chBIX-C6j034PdKmmKDk=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg\" alt=\"Brittany Henson snuggles her three-year-old son Leo in her home in Hemphill, TX, on Dec. 30, 2022.                                                                                                                                                                                         \" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/fWuGDdN3VSI3B1cGX4OBbLxvJuk=\/3000x2010\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 3000w, https:\/\/thumbnails.texastribune.org\/IiJ2KdMDdKwt0oJgUzfOC5YXJuM=\/2500x1675\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 2500w, https:\/\/thumbnails.texastribune.org\/Po9PgTMhgbFlUEJFcv2BRxW9Cc4=\/1550x1038\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 1550w, https:\/\/thumbnails.texastribune.org\/EXX6yQP5ABhn3QA28Z5MGFphALY=\/1200x804\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 1200w, https:\/\/thumbnails.texastribune.org\/HjtINkVzeQ7TcSu-JhQl9pSHCU8=\/1000x670\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 1000w, https:\/\/thumbnails.texastribune.org\/8z99WGdbyKoRNY6olh8_px-Gdzc=\/850x570\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 850w, https:\/\/thumbnails.texastribune.org\/CIhi-2HWiImJg4rWWhQB8RBLcyg=\/640x429\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 640w, https:\/\/thumbnails.texastribune.org\/VOSg_lrQlb20U2W4UFxyCyIA4GU=\/375x251\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/9VIWTQ3tFce8L2__ZHT0jfvQ57Q=\/3000x2010\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 3000w, https:\/\/thumbnails.texastribune.org\/_FHNBnLMfCiSNVyrhqxDSjl36lw=\/2500x1675\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 2500w, https:\/\/thumbnails.texastribune.org\/wYfbtXUhumUeGTJn9WH3Z7dd5xM=\/1550x1038\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 1550w, https:\/\/thumbnails.texastribune.org\/lb9_ISXkxuyfO5HRMwtxPMhPx_M=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 1200w, https:\/\/thumbnails.texastribune.org\/qPzDz5oTey3jCKdbNhamnAo_lFo=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 1000w, https:\/\/thumbnails.texastribune.org\/u_keOJiEvx3mPLHQ4Hypran1c1E=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 850w, https:\/\/thumbnails.texastribune.org\/dCTd9vJsQpN7QHfIF320fkpyZys=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 640w, https:\/\/thumbnails.texastribune.org\/odojR4mWQhOwoFnM9ahFA4JL2JY=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/CBwjz95chBIX-C6j034PdKmmKDk=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/bcddd9d0bfd313cbd5401453cebb7ac1\/1230%20Brittany%20Henson%20AM01.jpg\" alt=\"Brittany Henson snuggles her three-year-old son Leo in her home in Hemphill, TX, on Dec. 30, 2022.                                                                                                                                                                                         \" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Brittany Henson spends time with her son Leo and daughter Bremyiah at their home in Hemphill on Dec. 30, 2022. She\u2019s raising her children in the town where generations of her family have lived and worked.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<h3 id=\"133ee967-e067-42db-9308-a41716d2ef9f\" class=\"t-copy t-copy--level-3 t-align-left\">Teen pregnancy<\/h3>\n<p class=\"t-copy t-links-underlined t-align-left\">When Henson was a junior in high school, she bought an at-home pregnancy test from the local dollar store and took the test in her parents\u2019 bathroom.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">But after the two pink faint lines emerged, signaling she was pregnant, she didn\u2019t call her mother. She didn\u2019t call her older siblings who had already left home.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Instead, she initially kept quiet about her pregnancy. She took herself to and from doctors\u2019 appointments. She continued to make straight A\u2019s and work her job as a cashier at Brookshire Brothers. She said she even competed in the state track meet while five months pregnant.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cI just didn\u2019t want to deal with the disappointment. &#8230; I wasn\u2019t ready for that,\u201d said Henson, who was an all-star athlete and a straight-A student. \u201cI felt like I had the weight of not only my family, but the weight of my community.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Hemphill and West Sabine school districts work with pregnant students to provide accommodations to get them to graduation, including homebound services late in the pregnancy. But teen moms are less likely to finish high school. Just over half of 20- to 29-year-old women who were teen moms have high school diplomas, according to a 2018 report from <a href=\"https:\/\/www.childtrends.org\/half-20-29-year-old-women-gave-birth-teens-high-school-diploma\">Child Trends<\/a>.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">But after Henson gave birth to her daughter, she kept a firm grip on her dreams. She drove straight from the Jasper Memorial Hospital delivery room to the school athletics office to rejoin the school basketball team. She would go on to graduate high school on time and attend Sam Houston State University on a track scholarship.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Henson now lives in Hemphill. She\u2019s worked as a nurse at the Sabine County Hospital. Her daughter, Bremyiah, now 16, attends the same high school she did.<\/p>\n<div class=\"c-plugin c-plugin--narrow c-plugin--default c-plugin--flush c-plugin--o-portrait\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\" style=\"padding-top:150%\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/tn-oIAZUE6Fzi5YnOrLJZ9aHWW0=\/850x1275\/smart\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg\" alt=\"Bremyiah, 16, and her mother, Brittany Henson, in their home in Hemphill, TX, on Dec. 30, 2022.\" class=\"c-image__img l-width-full l-display-block did-load\"\/><br \/>\n        <\/noscript>\n        <picture><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/ExMStk3-mQu8dC-O4FMmUvtU0f8=\/3000x4500\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 3000w, https:\/\/thumbnails.texastribune.org\/8e1k6Js1PPYEA29hR7YL5PI_hjA=\/2500x3750\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 2500w, https:\/\/thumbnails.texastribune.org\/p0ZRk87B05Ld7k88cWSNymyR5Gk=\/1550x2325\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 1550w, https:\/\/thumbnails.texastribune.org\/bZf3UzxmKI5D0d2ed22ayUHJq-Y=\/1200x1800\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 1200w, https:\/\/thumbnails.texastribune.org\/KlJEV1cJY61W97sKTXGPsoGY81E=\/1000x1500\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 1000w, https:\/\/thumbnails.texastribune.org\/269W7ELOoaWGSnStq4OzohiDXfM=\/850x1275\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 850w, https:\/\/thumbnails.texastribune.org\/sxigEUqyUxCBFB4wB5Z5-jyCt7Y=\/640x960\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 640w, https:\/\/thumbnails.texastribune.org\/_IgECQX7HVIzUUn18fy4-NVW16A=\/375x563\/smart\/filters:format(webp):quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 375w\" type=\"image\/webp\"><source data-srcset=\"https:\/\/thumbnails.texastribune.org\/H-ika4z_kXcNAVFcSOGmgTJAP5w=\/3000x4500\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 3000w, https:\/\/thumbnails.texastribune.org\/ag7uDUzZiikc-7nuTnhdZBApycA=\/2500x3750\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 2500w, https:\/\/thumbnails.texastribune.org\/GayoLOMGQZzv_W_ReR_1bKMA1Ms=\/1550x2325\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 1550w, https:\/\/thumbnails.texastribune.org\/TFi3cbHp6uynTJYadvMrFXO-sxA=\/1200x1800\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 1200w, https:\/\/thumbnails.texastribune.org\/CpQ_QdVip84fVwmkXIf533f0XPw=\/1000x1500\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 1000w, https:\/\/thumbnails.texastribune.org\/3GEpRKN3X60Lonu5ztPQD22u2h4=\/850x1275\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 850w, https:\/\/thumbnails.texastribune.org\/rxhgfugZ8pUDyLLtjSZI7qiTnak=\/640x960\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 640w, https:\/\/thumbnails.texastribune.org\/w4e75MVYJp-YYesMwLYp5eGb7Z8=\/375x563\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/tn-oIAZUE6Fzi5YnOrLJZ9aHWW0=\/850x1275\/smart\/https:\/\/static.texastribune.org\/media\/files\/936aaee5ac54b2388a6416b62cc60d8e\/1230%20Brittany%20Henson%20AM05.jpg\" alt=\"Bremyiah, 16, and her mother, Brittany Henson, in their home in Hemphill, TX, on Dec. 30, 2022.\" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Bremyiah, 16, and her mother, Brittany Henson, in their home in Hemphill on Dec. 30, 2022. Brittany and Bremyiah speak openly about safe sex \u2014 conversations Brittany wishes she had when she was her daughter\u2019s age.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\">Bremyiah is dating now, but Henson says she feels OK about it. She fiddles with a silver ring on her finger, emblazoned with the word \u201cMom\u201d in cursive. She hopes she\u2019s given her daughter the information to make the right decisions.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">The mother and daughter talk about safe sex and contraception. Bremyiah doesn\u2019t want to get on birth control, but Henson hopes her daughter can come to her if she changes her mind.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">Last year, Henson drove Bremyiah to the gynecologist for the first time, an appointment where her daughter could get basic reproductive information from a doctor.<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cWhat am I going here for?\u201d Bremyiah asked as they were getting ready. \u201cI\u2019m not having a baby.\u201d<\/p>\n<p class=\"t-copy t-links-underlined t-align-left\">\u201cThat\u2019s the point. It\u2019s to keep you from having a baby,\u201d Henson said. \u201cWe gotta learn, we gotta learn.\u201d<\/p>\n<div class=\"c-plugin c-plugin--giant c-plugin--default c-plugin--flush c-plugin--o-landscape\">\n<div class=\"c-plugin__inner c-plugin__inner--centered\">\n<figure class=\"l-pos-rel\">\n<div class=\"c-image\">\n<div class=\"c-image__placeholder has-bg-white-off\">\n<p>        <noscript><br \/>\n          <img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/gPi9MLk3ZRskft8q3zMAC7fljYM=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/73f92759719c0df7ca25e5d5692f3f7a\/1230%20Brittany%20Henson%20AM03.jpg\" alt=\"Fifteen-year-old Bremyah holds a ring she bought and gave her mother in their home in Hemphill, TX, on Dec. 30, 2022.                                                                                                                                                                      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https:\/\/thumbnails.texastribune.org\/B_05g-_62_XmMEHzg-aRcLsffnQ=\/1200x804\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/73f92759719c0df7ca25e5d5692f3f7a\/1230%20Brittany%20Henson%20AM03.jpg 1200w, https:\/\/thumbnails.texastribune.org\/3rIFh3H1c-ySC0G5UMk43UqxrXI=\/1000x670\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/73f92759719c0df7ca25e5d5692f3f7a\/1230%20Brittany%20Henson%20AM03.jpg 1000w, https:\/\/thumbnails.texastribune.org\/R2XGTTgXqZNhaCVXj2mcOa2-fZM=\/850x570\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/73f92759719c0df7ca25e5d5692f3f7a\/1230%20Brittany%20Henson%20AM03.jpg 850w, https:\/\/thumbnails.texastribune.org\/wzCLatnAMvcghHjCS9cye8ynHks=\/640x429\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/73f92759719c0df7ca25e5d5692f3f7a\/1230%20Brittany%20Henson%20AM03.jpg 640w, https:\/\/thumbnails.texastribune.org\/04jhAy-FazREm6r0OJ0tkk0BO-w=\/375x251\/smart\/filters:quality(70)\/https:\/\/static.texastribune.org\/media\/files\/73f92759719c0df7ca25e5d5692f3f7a\/1230%20Brittany%20Henson%20AM03.jpg 375w\"><img loading=\"lazy\" decoding=\"async\" decoding=\"async\" src=\"https:\/\/thumbnails.texastribune.org\/gPi9MLk3ZRskft8q3zMAC7fljYM=\/850x570\/smart\/filters:quality(75)\/https:\/\/static.texastribune.org\/media\/files\/73f92759719c0df7ca25e5d5692f3f7a\/1230%20Brittany%20Henson%20AM03.jpg\" alt=\"Fifteen-year-old Bremyah holds a ring she bought and gave her mother in their home in Hemphill, TX, on Dec. 30, 2022.                                                                                                                                                                      \" class=\"js-lazy-image js-lazy-image--target c-image__img\" data-sizes=\"auto\"\/><br \/>\n        <\/source><\/source><\/picture>\n<\/p><\/div>\n<\/div><figcaption class=\"c-caption t-links-underlined l-display-block t-size-xs\">\n<p>        <span><br \/>\n          Sixteen-year-old Bremyiah holds a ring she bought for her mother.<br \/>\n        <\/span><\/p>\n<p>        <cite><br \/>\n          <span class=\"is-sr-only\">Credit:<\/span><span class=\"c-icon c-icon--baseline\"><svg aria-hidden=\"true\"><use xlink:href=\"#camera\"\/><\/svg><\/span><br \/>\n Annie Mulligan for The Texas Tribune<br \/>\n        <\/cite><\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"t-copy t-links-underlined t-align-left\"><em>Reporter Eleanor Klibanoff, video journalist Jinitzail Hern\u00e1ndez and data visualization fellow<\/em><em> Caroline Covington contributed to this story. <\/em><\/p>\n<p class=\"t-copy t-links-underlined t-align-left\"><em>Disclosure: Planned Parenthood, Sam Houston State University and Walmart Stores Inc. have been financial supporters of The Texas Tribune, a nonprofit, nonpartisan news organization that is funded in part by donations from members, foundations and corporate sponsors. Financial supporters play no role in the Tribune\u2019s journalism. Find a complete <a href=\"https:\/\/www.texastribune.org\/support-us\/corporate-sponsors\/\">list of them here<\/a>.<\/em><\/p>\n<\/div>\n<p>[ad_2]<br \/>\n<br \/><a href=\"https:\/\/news.google.com\/__i\/rss\/rd\/articles\/CBMiUGh0dHBzOi8vd3d3LnRleGFzdHJpYnVuZS5vcmcvMjAyMy8wMS8wNC9lYXN0LXRleGFzLXRlZW4tcHJlZ25hbmN5LXNleC1lZHVjYXRpb24v0gEA?oc=5\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>[ad_1] This reporting was supported by the International Women\u2019s Media Foundation\u2019s Reproductive Rights Reporting Fund.&hellip;<\/p>\n","protected":false},"author":3,"featured_media":417,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[93],"tags":[143,148,149,150,144,145,151,146,147,142,139,141,140],"class_list":["post-416","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-relationship","tag-health-care","tag-hemphill","tag-jasper-county","tag-newton-county","tag-politics","tag-public-education","tag-sabine-county","tag-sex-education","tag-teen-pregnancy","tag-texas-government","tag-texas-news","tag-texas-policy","tag-texas-politics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - 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