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. Author manuscript; available in PMC: 2024 Mar 13.
Published in final edited form as: Health Educ J. 2024 Jan 9;83(1):52–64. doi: 10.1177/00178969231221000

Trends in diversity-related learning among secondary schools in 35 US states, 2014–2018

Emily Young a,b, Zewditu Demissie b,c, Leigh E Szucs b, Nancy D Brener b, Fareeha Waheed d,e, Salimah Jasani f
PMCID: PMC10936395  NIHMSID: NIHMS1961213  PMID: 38481968

Abstract

Objective:

School Health Profiles (Profiles) is a national surveillance system operated by the US Centers for Disease Control and Prevention. A school-based system of surveys, Profiles monitors school health policies and practices in US states and other jurisdictions through questionnaires completed by school principals and lead health education teachers. This study used the Profiles principal survey to identify trends in US schools’ implementation of diversity-related learning opportunities (i.e., opportunities to learn about people who are different from them) in secondary classroom and extracurricular settings.

Methods:

Logistic regression models using data from three cycles of School Health Profiles from 35 US states examined trends in the percentages of secondary schools offering students diversity-related learning opportunities in the following settings, each measured by using dichotomous yes/no response options: a) clubs; b) lessons in class; and c) special events (e.g., multicultural week, family night) sponsored by the school or community organisations.

Results:

During 2014–2018, no states experienced decreases in opportunities for students to learn about people who are different from them; most states demonstrated no significant change.

Conclusion:

Findings suggest efforts are needed to strengthen capacity for and prioritisation of policies, programmes, and practices promoting diversity and culturally relevant education in schools, and in turn, promote positive health and educational outcomes for youth.

Keywords: diversity related learning, health education, multicultural education, adolescents, school connectedness


In alignment with trends for the overall US population, the US public school system is growing increasingly diverse (US Department of Education [ED], 2019, 2021; Hussar & Bailey, 2018). Data from the National Center for Education Statistics show that between 2009 and 2018, the percentage of public school students identifying as a racial or ethnic minority increased from 46% to 53%, representing a new majority of the overall student population (ED, 2021). As of 2018, 31% of all public school students attended schools where racial or ethnic minority students comprised at least 75% of the student population – a 27% increase from 2009 (ED, 2021). Beyond racial and ethnic diversity, US public schools show consistent increases in the percentage of enrolled students from low-income backgrounds, students with disabilities, and students who are English language learners (ED, 2019). Furthermore, an increased percentage of students at middle and high school levels identify as lesbian, gay, bisexual, or non-heterosexual identity (LGB+) (Centers for Disease Control and Prevention [CDC], 2023).

As student diversity steadily increases, so too do calls for school environments and learning opportunities that reflect demographic changes and are culturally relevant to students’ lives (Hoover & de Bettencourt, 2018; Muniz, 2019; National PTA, 2020). It is well-supported that when students feel a sense of belonging, engagement, and connection to school, they are less likely to engage in substance use, sexual risk behaviours, and violent behaviours, or experience emotional distress or suicidal thoughts or attempts (Steiner et al., 2019; Wilkins et al., 2023). Connected students are also more likely to succeed academically, including improved school attendance, test scores, and graduation rates (Niehaus et al., 2012; National Research Council and Institute of Medicine, 2004; Schapps, 2003).

Unfortunately, growing evidence suggests that current US educational programmes and practices are insufficient in creating safe and supportive environments for a large portion of school-aged youth, with implications for school connectedness and related education and health outcomes (Johns et al., 2019; Kosciw et al., 2013; Office for Civil Rights [OCR], 2014, 2016, 2021; Schafer, 2022). For example, a 2021 online survey of US high school students found that approximately one-third reported perceived racism in school (i.e., being treated badly or unfairly because of their race) (Mpofu et al., 2022). Compared with their peers, these students were less likely to feel close to persons at school and experienced higher prevalence of poor mental health (Mpofu et al., 2022). Research demonstrates similar findings among students with disabilities and those with LGBT identities, where perceived identity-related discrimination or victimisation in school is associated with reduced connectedness and poorer mental health and academic outcomes (Day et al., 2018; Diaz et al., 2010; Forber et al., 2021; Krause et al., 2022). With as many as 15% to 40% of US students reporting chronic disengagement or disconnection from school by the time they reach high school (Klem & Connell, 2004; Lewis, 2021), schools face both challenges and opportunities in creating relevant learning opportunities and environments which engage and connect students of all backgrounds, and students who have been historically excluded or marginalised (e.g., Black and Indigenous People of Color, English language learners, sexual and gender minority youth, students with disabilities) in particular (Lewis, 2021).

Because of this, a number of educational approaches (e.g., multicultural education, culturally responsive pedagogy, trauma-informed approaches, inclusive teaching strategies) place an emphasis on creating learning opportunities that reflect the diverse cultures, identities, and lived experiences within classrooms and broader society (Banks, 2004; Bottiani et al., 2018; Ladson-Billings, 1995). These approaches are also reflected in standards, recommendations and guidance for school health education curricula and instructional competencies (CDC, 2019; CDC, 2021; Dixon et al., 2021; Szucs et al., 2021). For students who have been historically excluded or marginalised, increasing the range and diversity of materials that students are exposed to in school (i.e., content integration; Banks, 2004) has been shown to have positive influences on measures of school connectedness, identity development, and academic outcomes (e.g., test scores, educational aspirations, and academic self-confidence) (Altchul et al., 2006; Chayous et al., 2003; Ginwright, 2000; Tatum, 2004; Zirkel, 2004). There is also consistent evidence that diversity-related content (e.g., content that is representative of and responsive to multiple experiences and identities) improves the learning and engagement of all students and builds key skills (e.g., empathy, self-awareness) that help prepare young people for citizenship and employment in a diverse, pluralistic society (Aboud & Fenwick, 1999; Kugler, 2002; Parker, 2003).

Despite evidence pointing to both academic and psychosocial benefits for historically marginalised and whole student populations (Aboud & Fenwick, 1999; Byrd, 2016; Kaczkowski et al, 2022; Kugler, 2002; Larson et al., 2018; Parker, 2003; Piazza et al., 2015), persistent and emerging challenges create barriers for schools’ implementation of such learning opportunities in a variety of classroom and extracurricular settings, including health and sexual health education (Guttmacher, 2023). However, research to-date has yet to investigate schools’ implementation of diversity-related learning opportunities across the USA. Moreover, it is unclear how the implementation of such learning opportunities has changed over time. This study begins to address such gaps by investigating the implementation of diversity-related learning during 2014–2018, providing much needed context for future research that seeks to understand how emergent barriers and challenges may influence present and future implementation of such opportunities. As such, this study assessed trends from 2014–2018 to determine school-level implementation of opportunities for students to learn about people who are different from them in US secondary schools (grades 6–8 and 9–12).

Methods

We used data from three cycles (2014–2018) of the School Health Profiles (hereafter called Profiles), a national surveillance system operated by the US Centers for Disease Control and Prevention (CDC). Profiles has assessed school health policies and practices in US states, school districts, and territories since 1996. In each jurisdiction, CDC funds health or education agencies to conduct the surveys biennially by using standardised questionnaires, sampling methods, data collection procedures, and data analysis (CDC, 2022).

Profiles uses a repeated cross-sectional design, and each cycle’s sample is independent of previous samples. Most jurisdictions draw samples of schools from sampling frames that include all secondary public schools; however, some conduct a census by inviting all secondary schools in the jurisdiction to participate. Although Profiles collects data from representative samples of schools in states, school districts, territories, and tribes, this analysis is limited to state data. Data for each state is representative of secondary schools that enroll students in any of grades 6–12. Each state administers surveys using paper-and-pencil scannable booklets or web-based questionnaires. These questionnaires are completed by principals and lead health education teachers (e.g., school personnel designated as most knowledgeable about health education). In states conducting paper-and-pencil surveys, two self-administered questionnaires (principal and teacher) are mailed to each sampled school. In states conducting web-based surveys, a unique survey link is e-mailed directly to respondents. Participation is both confidential and voluntary. All questions of interest for this analysis were asked only of school principals. As such, this study includes data from the principals’ survey only.

Study Measures

The Profiles principals’ survey collects data regarding diversity-related learning opportunities within US secondary schools. For the purposes of this study, diversity-related learning is defined as a school providing students with opportunities to learn about people who are different from them (e.g., students with disabilities, homeless youth, or people from different cultures). Using dichotomous yes/no response options, diversity-related learning was measured in the following settings: a) clubs; b) lessons in class; and c) special events (e.g., multicultural week, family night) sponsored by the school or community organisations. The latter two questions referred to activities conducted during the previous year. The question on clubs asked about current presence of such clubs at time of survey administration (Figure 1). These items were assessed on the Profiles principal survey in 2014, 2016, and 2018.

Figure 1. Diversity-related learning opportunities*: Principal survey items, School Health Profiles, 2014–2018.

Figure 1.

*Defined as opportunities for students to learn about people who are different from them in school (e.g., students with disabilities, homeless youth, or people from different cultures)

Data Analysis

Following standard practice for Profiles (CDC, 2022), data from participating states with response rates of ≥ 70% for each survey year were weighted so as to be representative of that state. For states that utilised sampling, data were weighted to account for likelihood of school selection and nonresponse. For states that used a census, results were weighted to account for nonresponse. States needed all three years of weighted data to be included in the analysis so that linear trends could be calculated through unadjusted logistic regression modeling. Further, the state’s sampling methodology must have remained the same throughout the three cycles. Analysis included a total of 35 states; sample sizes and response rates for the principals’ survey varied across states and years (Table 1). For example, in 2018 the sample size ranged from 72 to 558 and response rates ranged from 71% to 90% for the principal questionnaire. For each state, the median percentage of schools with diversity-related learning opportunities was calculated for each cycle. Models were run separately for learning opportunities in each setting to examine linear trends in the percentage of secondary schools in each state that reported opportunities for students to learn about people different than them. Diversity-related learning opportunities served as the dependent variable, and a linear time component was the independent variable. Trends were considered statistically significant if the P value for β was <0.05.

Table 1:

Median and ranges of percentages of secondary schools that offered opportunities for students to learn about people different than them during the past year,* 35 states, School Health Profiles, 2014–2018.

Diversity-related Learning Opportunities 2014
Median % (Range)
2016
Median % (Range)
2018
Median % (Range)
 Clubs 57.1 (27.8–76.6) 58.4 (33.9–76.5) 63.1 (33.9–80.8)
 Lessons in class 86.2 (73.5–94.7) 85.0 (71.7–93.9) 88.5 (77.4–97.9)
 Special events 64.3 (38.5–87.7) 65.1 (49.4–87.2) 69.9 (53.2–87.3)
*

Such as students with disabilities, homeless youth, or people from different cultures

Results

Table 1 presents overall medians and ranges for the percentage of secondary schools across states that offered diversity-related learning opportunities for each year. Beginning in 2014, the opportunity offered in the highest median percentage of schools was lessons in class (85.0% to 88.5%), while clubs were the least offered learning opportunity (57.1% to 63.1%).

The summary of linear time effects in the percentage of schools that offered diversity-related learning opportunities is presented in Table 2. Overall, no states experienced statistically significant decreases in offering any of the three learning opportunities of interest; however, more than 60% of states showed no linear change. The learning opportunities with the greatest linear increases were clubs and special events, with more than 30% of states showing significant increases in these two offerings during 2014–2018. Only 20% of states experienced significant increases in offering lessons in class, but a higher median percentage of schools reported offering lessons in class compared with clubs or special events during this same period.

Table 2.

Summary of linear time effects in the percentage of secondary schools that offered opportunities for students to learn about people different from them during the past year,* 35 states, School Health Profiles, 2014–2018

Diversity-related Learning Opportunities States with Statistically Significant Linear Decreases, No. (%) States with Statistically Significant Linear Increases, No. (%) States with No Statistically Significant Linear Change, No. (%)
 Clubs 0 (0.0) 13 (40.0) 22 (62.8)
 Lessons in class 0 (0.0) 7 (20.0) 28 (80.0)
 Special events 0 (0.0) 12 (34.3) 23 (65.7)
Total 0 32 73
*

Such as students with disabilities, homeless youth, or people from different cultures

State-by-state comparisons in overall increases in offering each of the three diversity-related learning opportunities are presented in Figure 2. While no states experienced decreases in any of the three learning opportunities, increases did not consistently occur across states or by learning opportunity type. Among the states that showed any increase in diversity-related learning opportunities, nine (AL, FL, KS, MN, MS, OH, PA, RI) showed increases in one of the three offerings. Within this group, no states reported increases in lessons in class, only increases in offering clubs or special events. Among states showing increases for two of the three opportunities (CA, DE, NE, ND, OR, VT), increases were more evenly distributed across all three types of learning opportunities Only four states (MA, MT, NH, SD) showed increases across all three types of diversity-related learning opportunities.

Figure 2. State observed increases in opportunities for students to learn about people who are different from them* during the past year, School Health Profiles, 2014–2018.

Figure 2.

*Such as students with disabilities, homeless youth, or people from different cultures

†Denotes statistically significant increase in clubs

‡Denotes statistically significant increase in lessons in class

§Denotes statistically significant increase in special events

Discussion

We examined state-level trends in diversity-related learning opportunities (i.e., opportunities for students to learn about people who are different from them) offered to students in US secondary schools from 2014 to 2018. Across states, we observed no decreases in schoolwide offerings of diversity-related lessons in class, clubs, or special events. Most states showed no linear change in offering diversity-related learning opportunities, and significant increases did not consistently occur across states or opportunity type. Trends suggest that although student diversity increased between 2014–2018, most states maintained, rather than increased, opportunities for middle and high school students to learn about diversity and people who are different from them. Though limited to the 2014–2018 period, these findings may help contextualise future research investigating more recent barriers to the implementation of diversity related learning in schools that have emerged since 2018.

Although states reported fewer increases in lessons in class compared with clubs and special events, lessons in class had the highest median percentage (2018 median, 87.9%) of all learning opportunities examined. This indicates that schools largely provided classroom-based opportunities that integrate and illustrate content for students to learn about people who are different from them. It also highlights that the implementation of such opportunities was most reported during planned instructional time rather than during clubs or special events. Given that diverse and culturally relevant content is already integrated into core educational standards and curricula (e.g., social studies, geography, language arts) across many states (Muniz, 2019), these findings are not surprising, yet raise several implementation questions. For example, we do not know the extent or ‘dosage’ of diversity content integrated into instruction – were classroom-based opportunities to learn about others sequential, limited to one lesson or unit, or repeated throughout an entire school year? Was content added to an existing curriculum for a special event or occasion, or was the structure of the curriculum changed to integrate different concepts, issues, and themes from the perspectives of diverse groups? Whether content is simply added versus integrated into curricula may influence the degree to which students feel connected to their school and learning (Banks, 2005; CDC, 2021; CDC, 2023).

Recent increases in both pre-service and in-service teacher training and professional development (PD) offerings related to diverse, culturally relevant teaching and curricula may also support the implementation of classroom-based opportunities for students to learn about people who are different from them (Bottiani et al., 2018; Brown et al., 2019; McKenney et al., 2017). When teachers receive PD related to teaching students from various cultural backgrounds and identities, not only does teacher-self efficacy related to meeting the needs of diverse students increase (Choi & Mao, 2021; Christ & Sharma, 2018; Jarpe-Ratner et al., 2022; Johnson, 2011; McAllister & Irvine, 2002; Payne & Smith, 2011), but students are more likely to perceive supportive instructional environments, student-centred practices, and experience confidence and comfort within the school community (Jarpe-Ratner et al., 2022; McAllister & Irvine, 2002; Payne & Smith, 2011).

For health and physical education teachers, specifically, training on trauma-sensitive practices, racial justice and equity, and cultural responsiveness are well-documented gaps noted by many (Ellerbrock et al., 2016; Wrench & Garrett, 2021; Dixon et al., 2021). Data from a nationally representative sample of school districts in 2016 (CDC, 2016) highlight that while a majority of school districts report provision or funding of health education teacher PD to improve knowledge and skills related to teaching students from various cultural backgrounds (62% of school districts), with limited English proficiency (62% of school districts), and who experience long-term physical, medical, or cognitive disabilities (66% of school districts), there is still room for improvement (CDC, 2016). Without good quality training and preparation, there is evidence that attempts to implement differentiated or culturally-relevant instruction may not reach full fidelity and may even prove harmful for students and the broader school community (Parkhouse et al., 2019; Pollock et al., 2010). At both teacher and administrator levels, lack of awareness about one’s own biases or failure to apply an intersectional lens to diversity-related learning opportunities may perpetuate oppression of students who have been historically excluded or marginalised, rather than facilitate connectedness (Blanchett, 2006; Carter et al., 2016; Tenenbaum & Ruck, 2007).

Research points to some of these unintended consequences, such as disproportionate isolation of English language learners and students with disabilities from general education settings to make learning opportunities more “accessible” to their individual learning needs (Ayescue, 2016). Similarly development of school or classroom policies intended to improve school climate or safety for all students (e.g., removal of students who violate classroom or school rules) may disproportionately exclude racial and ethnic minority students and families. (Ayscue, 2016). As US secondary schools integrate diversity-related content into curricula or facilitate conversations about identity and identity development in classrooms, it is critical that school administrators and teachers are adequately prepared to do so in a way that does not cause unintended trauma or harm.

Beyond classroom-based content integration of opportunities for students to learn about people who are different from them, education research and theory also recommends the implementation of complementary schoolwide practices to celebrate differences and facilitate connectedness for diverse groups of students (Banks, 2005; Brown-Jeffy & Cooper, 2011). Although not measured by Profiles, of equal or greater importance to content integration are approaches such as teacher-, administrator-, and student-led activities to reduce prejudice and stereotyping in the school, as well as school structures, policies, and processes that are empowering for all students (Banks, 1996, 2004, 2005). A promising finding from this study is that US states increasingly invested in opportunities outside of the classroom for students to learn about people who are different from them. However, the median percentage of states implementing diversity-related learning opportunities in clubs and during special events was notably lower than lessons in class, signaling that schools may still struggle to move beyond content integration to promote diverse learning experiences. Partnerships with community and health organisations may help schools develop or strengthen schoolwide approaches, as well as leverage factors and assets within a school population such as language and cultural backgrounds of students and families, or relevant cultural beliefs, norms, and practices. Given new challenges related to diversity-related learning in schools that have emerged in recent years, such partnerships may prove even more critical. Recommendations from the field emphasise that the more diverse a school’s population, the more factors should be considered in developing diverse and culturally relevant school programming (Lopez et al., 2017; Simpkins et al., 2017).

Comprehensive frameworks that integrate both classroom-based and schoolwide approaches to support diversity-related learning are another possible source of guidance and support for schools (Banks, 2004; Blitz & Lee, 2015; Brown-Jeffy & Cooper, 2011; Dryfoos, 2005; Ellerbrock et al., 2016). However, there is wide variation in definitions operationalising approaches to diversity related learning (e.g., culturally- related, relevant, and responsive pedagogy), and the complexity of student-, teacher-, and school-level measurement requires attention (Bottiani et al., 2018; Brown-Jeffy & Cooper, 2011). Further consensus is needed on measures that capture the complexity of both diversity-related classroom practices and broader schoolwide strategies. Work by Bottiani et al (2018) suggests clarity on a set of indicators, as well as using multi-informant forms of assessments for culturally responsive pedagogy, can help address work being undertaken by schools (Bottiani et al., 2018). One such approach may utilise teacher-level indicators to examine culturally responsive pedagogy and behaviours between educators and students (Debnam et al., 2015). Youth and family perspectives on appropriate indicators may also enhance measurement of student- and school-level outcomes associated with diversity-related policies and practices (Powell & High, 2007).

Furthermore, given evidence of school connectedness and connections to adolescents’ learning and health (Steiner et al., 2019; Wilkins et al., 2023), future studies are needed to examine how diversity education and schoolwide strategies impact student health knowledge, skills, behaviours and experiences. Questions to consider include the following: do the positive benefits for student academics supported by diversity-related learning opportunities and practices in schools transfer to protective student health behaviours and experiences (Altchul et al., 2006; Chayous et al., 2003; Ginwright, 2000; Tatum, 2004; Zirkel, 2004)? Given that healthier students are better learners (Basch, 2011; Rasberry et al., 2017), how can schools use diversity-related practices to combat health disparities and harmful stereotypes, as well as facilitate protective health outcomes among students served?

Limitations

This study is not without its limitations. Profiles data represent public secondary schools from states included in the analysis (n=35). Because only three years of data were available at the time of analysis, only linear trends were able to be conducted. Additionally, Profiles discontinued this set of questions after 2018, so more recent data were not available to include in analysis. Potential bias is also a limitation of this study. Data are based on self-report by principals at the secondary school level; both over- and under-reporting is possible. More robust data that represent the perspectives of students, teachers, family members, and other school personnel are needed to improve reporting and understanding of diversity-related learning opportunities in schools. Relatedly, although Profiles data report the learning opportunities offered, they do not assess the extent or quality of implementation. We cannot determine how such activities were implemented, how often, and in what context. Furthermore, we did not consider whether teachers and other school staff received essential preparation and ongoing support to facilitate such learning opportunities, or whether these offerings were bolstered by broader schoolwide policies and practices to create an equitable and inclusive school environment for students with diverse identities, backgrounds, and experiences. Though we equated opportunities for students to learn about people who are different from them with diversity-related learning opportunities for the purposes of this study, there is likely wide variation in how opportunities were interpreted or implemented in practice. Lastly, there are many ways to operationalise and measure school connectedness concepts and practices (Hodges et al., 2018), with varying consensus among public health and education scholars, and most commonly related to student academic outcomes (Chung-Do et al., 2015). Profiles measurements include only a limited set of practices that advance diversity-related learning and further work to examine their relationships with school connectedness outcomes is needed.

Conclusion

Our findings improve understanding of state-level trends in the implementation of opportunities for students to learn about people who are different from themselves in US secondary schools. Given ongoing national dialogue regarding the appropriateness of diversity-related learning in US schools, analyses may help contextualise future trends and patterns in the implementation of such opportunities over time. Existing research shows that diversity-related learning opportunities have the potential to improve school performance and connectedness, particularly among students who have been historically excluded or marginalised (Aboud & Fenwick, 1999; Byrd, 2016; Kugler, 2002; Larson et al., 2018; Parker, 2003; Piazza et al., 2015). Furthermore, they prepare students to fully engage in a diverse, pluralistic US society. Paired with an increasingly diverse US student population, the limited improvements in diversity-related learning opportunities observed between 2014–2018 warrant additional consideration. Future research that establishes measures and indicators for diversity-related approaches and practices, as well their relationship to health and academic outcomes like school connectedness, may increase prioritisation of such practices in state and local policy. Further, studies that supplement principals’ reports with student, teacher, and/or family experiences of diversity-related learning are needed to reduce bias and over or under-reporting – a key limitation of the present study. At the school level, frameworks to support the integration of both classroom-based and schoolwide approaches to support diversity-related learning opportunities may further enhance understanding of how they are implemented, highlight barriers to implementation, and help guide teacher and school administrator training to ensure that such opportunities further connect, rather than exclude, students with their school communities.

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

Footnotes

Conflicting Interests

The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Disclaimer

The findings and conclusions in the manuscript are those of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention.

References

  1. Aboud F and Fenwick V (1999) Exploring and evaluating school-based interventions to reduce prejudice. Journal of Social Issues 55: 767–786. [Google Scholar]
  2. Altchul I, Oysennan D and Bybee D (2006) Racial-ethnic identity in mid-adolescence: Content and change as predictors of academic achievement. Child Development 77: 155–169. [DOI] [PubMed] [Google Scholar]
  3. Ayscue JB (2016) Promising or Potentially Harmful? Suburban School Responses to Racial Change. Peabody Journal of Education 91(3): 326–347. [Google Scholar]
  4. Banks C (1996) Equity pedagogy: An essential component of multicultural education. Theory into Practic, 34: 152–158. [Google Scholar]
  5. Banks C (2004) Handbook of research on multicultural education (2nd ed). San Francisco: Jossey Bass. [Google Scholar]
  6. Banks C (2005) Improving multicultural education: Lessons from the intergroup education movement. New York: Teachers College Press. [Google Scholar]
  7. Basch CE (2011) Healthier students are better learners: A missing link in school reforms to close the achievement gap. Journal of School Health 81(10): 593–598. [DOI] [PubMed] [Google Scholar]
  8. Blanchett WJ (2006) Disproportionate representation of African American students in special education: Acknowledging the role of white privilege and racism. Educational Researcher 35(6): 24–28. [Google Scholar]
  9. Blitz L and Lee Y (2015) Trauma-informed methods to enhance school-based bullying prevention initiatives: An emerging model. Journal of Aggression, Maltreatment, and Trauma 24(1): 20–40. [Google Scholar]
  10. Bottiani J, Larson K, Debnam K, Bischoff C and Bradshaw C (2018) Promoting educators’ use of culturally responsive practices: A systematic review of inservice interventions. Journal of Teacher Education 69(4): 367–385. [Google Scholar]
  11. Brown-Jeffy S and Cooper J (2011) Toward a conceptual framework of culturally relevant pedagogy: An overview of the conceptual and theoretical literature. Teacher Education Quarterly 38(1): 65–84. [Google Scholar]
  12. Brown B, Boda P, Lemmi C and Monroe X (2019) Moving culturally relevant pedagogy from theory to practice: Exploring teachers’ application of culturally relevant education in science and mathematics. Urban Education 54(6): 775–803. [Google Scholar]
  13. Byrd C (2016) Does culturally relevant teaching work? An examination from student perspectives. SAGE Open 6(3): 1–10. [Google Scholar]
  14. Carter PL, Skiba R, Arredondo MI and Pollock M. (2016). You can’t fix what you don’t look at: Acknowledging race in addressing racial discipline disparities. Urban Education 52(2): 207–235. [Google Scholar]
  15. Centers for Disease Control and Prevention (2016) Results from the School Health Policies and Practices Study 2016. Atlanta, GA. [Google Scholar]
  16. Centers for Disease Control and Prevention (2019) Characteristics of an effective health education curriculum. Atlanta, GA. [Google Scholar]
  17. Centers for Disease Control and Prevention (2021) Health education curriculum analysis tool. Atlanta, GA. Available at: https://www.cdc.gov/healthyyouth/hecat/pdf/2021/full-hecat-2021.pdf (accessed 7 November 2023).
  18. Centers for Disease Control and Prevention (2022) School Health Profiles 2020: Characteristics of health programs among secondary schools. Atlanta, GA. Available at: https://www.cdc.gov/healthyyouth/data/profiles/pdf/2020/CDC-Profiles-2020.pdf (Accessed 7 November 2023).
  19. Centers for Disease Control and Prevention (2023) Youth Risk Behavior Survey data summary and trends report. Atlanta, GA. Available at: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBS_Data-Summary-Trends_Report2023_508.pdf (Accessed 7 November 2023).
  20. Chayous T, Bernat D, Schmeelk-Cone K, Caldwell C, Kohn-Wood L and Zimmerman M (2003) Racial identity and academic attainment among african american adolescents. Child Development 74: 1076–1090. [DOI] [PubMed] [Google Scholar]
  21. Choi S and Mao X (2021) Teacher autonomy or improving teacher self-efficacy in multicultural classrooms: A cross-national study of professional development in multicultural education. International Journal of Educational Research 105: 101711. [Google Scholar]
  22. Christ T and Sharma S (2018) Searching for mirrors: Preservice teachers’ journey toward more culturally relevant pedagogy. Reading Horizons: A Journal of Literacy and Language Arts 57(1): 5. [Google Scholar]
  23. Chung-Do JJ, Goebert DA, Chang JY and Hamagani F (2015) Developing a comprehensive school connectedness scale for program evaluation. Journal of School Health 85(3): 179–188. [DOI] [PubMed] [Google Scholar]
  24. Day JK, Perez-Brumer A and Russell ST (2018) Safe schools? Transgender youth’s school experiences and perceptions of school climate. Journal of Youth and Adolescence 47: 1731–1742. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Debnam K, Pas E, Bottani J, Cash A and Bradshaw C (2015) An examination of the association between observed and self-reported culturally proficient teaching practices. Psychology in the Schools 52(6): 533–548. [Google Scholar]
  26. Diaz EM, Kosciw JG and Greytak EA (2010) School connectedness for lesbian, gay, bisexual, and transgender youth: in-school victimization and institutional supports. The Prevention Researcher 17(3): 15+. [Google Scholar]
  27. Dixon R, Gilbert T, Soto M, Gathings J and DiPonio S (2021) Centering racial justice in sex education: Strategies for engaging professionals and young people. Sex Education Collaborative White Paper. Available at: sexeducationcollaborative.org (Accessed 7 November 2023). [Google Scholar]
  28. Dryfoos J (2005) Full-service community schools: A strategy—not a program. New Directions for Youth Development 107: 7–14. [PubMed] [Google Scholar]
  29. Ellerbrock CR, Cruz BC, Vásquez A and Howes EV (2016) Preparing culturally responsive teachers: Effective practices in teacher education. Action in Teacher Education 38(3): 226–239. [Google Scholar]
  30. Forber-Pratt AJ, Merrin GJ and Espelage DL (2021) Exploring the intersections of disability, race, and gender on student outcomes in high school. Remedial and Special Education 42(5): 290–303. [Google Scholar]
  31. Ginwright S (2000) Identity for sale: The limits of racial reform in urban schools. The Urban Review 32: 87–104. [Google Scholar]
  32. Institute Guttmacher (2023) Sex and HIV education. Available at: https://www.guttmacher.org/state-policy/explore/sex-and-hiv-education (Accessed 7 November 2023).
  33. Hodges A, Cordier R, Joosten A, Bourke-Taylor H and Speyer R (2018) Evaluating the psychometric quality of school connectedness measures: A systematic review. PloS one 13(9): e0203373. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Hoover JJ and de Bettencourt LU (2018) Educating culturally and linguistically diverse exceptional learners: The need for continued advocacy. Exceptionality 26(3): 176–189. [Google Scholar]
  35. Hussar WJ and Bailey TM (2018) Projections of Education Statistics to 2026. Washington, DC: National Center for Education Statistics. [Google Scholar]
  36. Jarpe-Ratner E, Marshall B, Choudry M, Wishart M, Reid B, Perez E and Fagen M (2022) Strategies to support LGBTQ+ students in high schools: What did we learn in Chicago Public Schools? Health Promotion Practice 23(4): 686–698. [DOI] [PubMed] [Google Scholar]
  37. Johns MM, Poteat VP, Horn SS and Kosciw J (2019) Strengthening our schools to promote resilience and health among LGBTQ youth: Emerging evidence and research priorities from the State of LGBTQ Youth Health and Wellbeing Symposium. LGBT Health 6(4): 146–155. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Johnson C (2011) The road to culturally relevant science: Exploring how teachers navigate change in pedagogy. Journal of Research in Science Teaching 48: 170–198. [Google Scholar]
  39. Kaczkowski W, Li J, Cooper AC and Robin L (2022) Examining the relationship between LGBTQ-supportive school health policies and practices and psychosocial health outcomes of lesbian, gay, bisexual, and heterosexual students. LGBT health 9(1):43–53. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. Klem A and Connell J (2004) Relationships matter: Linking teacher support to student engagement and achievement. Journal of School Health 74(7): 262–273. [DOI] [PubMed] [Google Scholar]
  41. Kosciw JG, Palmer NA, Kull RM and Greytak EA (2013) The effect of negative school climate on academic outcomes for LGBT youth and the role of in-school supports. Journal of School Violence 12(1): 45–63. [Google Scholar]
  42. Krause KH, Mpofu JJ, Underwood JM and Ethier KA (2022) The CDC’s Adolescent Behaviors and Experiences Survey - Using intersectionality and school connectedness to understand health disparities during the COVID-19 pandemic. Journal of Adolescent Health 70(5): 703–705. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Kugler E (2002) Debunking the middle-class myth: Racially diverse schools are good for all kids. Lanham: Scarecrow Press. [Google Scholar]
  44. Ladson-Billings G (1995) But that’s just good teaching! The case for culturally relevant pedagogy. Theory into Practice 34(3): 159–165. [Google Scholar]
  45. Larson K, Pas E, Bradshaw C, Rosenberg M and Day-Vines N (2018) Examining how proactive management and culturally responsive teaching relate to student behavior: Implications for measurement and practice. School Psychology Review 47(2): 153–166. [Google Scholar]
  46. Lewis K (2021) A decade undone: 2021 update. New York: Measure of America, Social Science Research Council. [Google Scholar]
  47. Lopez M, Hofer K, Bumgarner E and Taylor D (2017) Developing culturally responsive approaches to serving diverse populations: A resource guide for community-based organizations. Washington, DC: Administration for Children & Families. [Google Scholar]
  48. McAllister G and Irvine J (2002) The role of empathy in teaching culturally diverse students: A qualitative study of teachers’ beliefs. Journal of Teacher Education 53(5): 433–443. [Google Scholar]
  49. McKenney E, Mann K, Brown D and Jewell J (2017) Addressing cultural responsiveness in consultation: An empirical demonstration. Journal of Educational and Psychological Consultation 27(3): 289–316. [Google Scholar]
  50. Mpofu JJ, Cooper AC, Ashley C, Geda S, Lee Harding R, Johns MM, Spinks-Franklin A, Njai R, Moyse D and Underwood JM (2022) Perceived racism and demographic, mental health, and behavioral characteristics among high school Students during the COVID-19 pandemic — Adolescent behaviors and experiences survey, United States, January–June 2021. MMWR Suppl 71(Suppl-3): 22–27. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Muniz J (2019) Culturally responsive teaching: A 50-state survey of teaching standards. Available at: https://files.eric.ed.gov/fulltext/ED594599.pdf (Accessed 7 November 2023). [Google Scholar]
  52. National PTA (2020) Position statement on inclusive curricula in K-12 education [Press release]. National PTA. https://www.pta.org/docs/default-source/files/advocacy/position-statements/inclusive-curriculum-in-k-12-schools-ps.pdf (Accessed 7 November 2023).
  53. National Research Council and Institute of Medicine (2004) Engaging schools: Fostering high school students’ motivation to learn. Washington, DC: The National Academies Press. [Google Scholar]
  54. Niehaus K, Rudasill KM and Rakes CR (2012) A longitudinal study of school connectedness and academic outcomes across sixth grade. Journal of School Psychology 50(4): 443–460. [DOI] [PubMed] [Google Scholar]
  55. Office of Civil Rights (2014) Civil rights data collection data snapshot: College and career readiness. Available at: https://files.eric.ed.gov/fulltext/ED577784.pdf (Accessed 7 November 2023). [Google Scholar]
  56. Office of Civil Rights (2016) Key data highlights on equity and opportunity gaps in our nation’s public schools. Available at: https://files.eric.ed.gov/fulltext/ED577234.pdf (Accessed 7 November 2023). [Google Scholar]
  57. Office of Civil Rights (2021) An overview of exclusionary discipline practices in public schools for the 2017–2018 school year. Available at: https://www2.ed.gov/about/offices/list/ocr/docs/crdc-exclusionary-school-discipline.pdf (Accessed 7 November 2023).
  58. Parker W (2003) Teaching democracy: Unity and diversity in public life. New York: Teachers College Press. [Google Scholar]
  59. Parkhouse H, Lu C and Massaro V (2019) Multicultural education professional development: A review of the literature. Review of Educational Research 89(3): 416–458. [Google Scholar]
  60. Payne E and Smith M (2011) The reduction of stigma in schools: A new professional development model for empowering educators to support LGBTQ students. Journal of LGBT Youth 8(2): 174–200. [Google Scholar]
  61. Piazza S, Rao S and Protacio M (2015) Converging recommendations for culturally responsive literacy practices: Students with learning disabilities, English language learners, and socioculturally diverse learners. International Journal of Multicultural Education 17(3): 1–20. [Google Scholar]
  62. Pollock M, Deckman S, Mira M and Shalaby C (2010) “But what can I do?”: Three necessary tensions in teaching teachers about race. Journal of Teacher Education 61(3): 211–224. [Google Scholar]
  63. Powell JA and High R (2007) The common schools democracy requires: Expanding membership through inclusive education. In Frankenberg E & Orfield G (Eds), Lessons in integration: Realizing the promise of racial diversity in American schools (pp. 265–289). Charlottesville, VA: University of Virginia Press. [Google Scholar]
  64. Rasberry CN, Tiu GF, Kann L, McManus T, Michael SL, Merlo CL, Lee SM, Bohm MK, Annor F and Ethier KA (2017) Health-related behaviors and academic achievement among high school students—United States, 2015. Morbidity and Mortality Weekly Report 66(35): 921. [DOI] [PMC free article] [PubMed] [Google Scholar]
  65. Schafer ES (2022) Perceived discrimination in school: a longitudinal look at the impact on expectations and health. Journal of Racial and Ethnic Health Disparities 10: 743–750. [DOI] [PubMed] [Google Scholar]
  66. Schapps E (2003) The role of supportive school environments in promoting academic success. California: Department of Education Press. [Google Scholar]
  67. Szucs LE, Andrzejewski JD, Robin L, Telljohann S, Pitt Barnes S and Hunt P (2021) The health education teacher instructional competency framework: A conceptual guide for quality instruction in school health. Journal of School Health 91(10): 774–787. [DOI] [PMC free article] [PubMed] [Google Scholar]
  68. Simpkins SD, Riggs NR, Ngo B, Ettekal AV and Okamoto D (2017) Designing culturally responsive organized after-school activities. Journal of Adolescent Research 32(1): 11–36. [Google Scholar]
  69. Steiner RJ, Sheremenko G, Lesesne C, Dittus PJ, Sieving RE and Ethier KA (2019) Adolescent connectedness and adult health outcomes. Pediatrics 144(1): e20183766. [DOI] [PMC free article] [PubMed] [Google Scholar]
  70. Tatum B (2004) Family life and school experience: Factors in the racial identity development of Black youth in White communities. Journal of Social Issues 60: 117–136. [Google Scholar]
  71. Tenenbaum HR and Ruck MD (2007) Are teachers’ expectations different for racial minority than for European American students? A meta-analysis. Journal of Educational Psychology 99(2): 253–273. [Google Scholar]
  72. US Department of Education (2019) Digest of education statistics: 2019. Washington, DC: National Center for Education Statistics [Google Scholar]
  73. US Department of Education (2021) Racial/ethnic enrollment in public schools. Washington, DC: National Center for Education Statistics [Google Scholar]
  74. Wilkins NJ, Krause KH, Verlenden JV, Szucs LE, Ussery E, Allen CT, Stinson J, Michael SL and Ethier KA (2023) School connectedness and risk behaviors and experiences among high school students — Youth Risk Behavior Survey, United States, 2021. MMWR Suppl 72(Suppl-1): 13–21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  75. Wrench A and Garrett R (2021) Culturally responsive pedagogy in health and physical education. In Critical Pedagogies in Physical Education, Physical Activity and Health (pp. 196–209). London: Routledge. [Google Scholar]
  76. Zirkel S (2004) What will you think of me? Social integration and educational achievement among white students and students of color in elementary and junior high school. Journal of Social Issues 60: 57–74. [Google Scholar]

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