“…In contrast, research suggests that sex and relationship education with an emphasis on danger prevention affects adolescents in ways that could be counterproductive to encouraging disease and pregnancy prevention (Allen, 2007a). Programs focusing on negative consequences of sexual activity fail to meet students' needs for information about pleasure, desire, and the practice of sexual activity and do not afford young people the kind of agency necessary to make empowered decisions about their sexual health (Aggleton & Campbell, 2000;Allen, 2007a;Helmer, Senior, Davison, & Vodic, 2015;Hirst, 2013;Macintyre, Montero Vega, & Sagbakken, 2015). A systematic review of abstinence-plus programs in high-income countries (Underhill, Operario, & Montgomery, 2007) showed that students receiving comprehensive sex or HIV education had a lower risk of pregnancy and STIs than adolescents who received "abstinence-only" or no sex education in the United States and in other high-income countries (Underhill et al, 2007).…”