INTRODUCTION Sexual behavior is common during middle to late adolescence and is considered a part of normal development.1, 2 During early adolescence, however, sexual intercourse is less common, often coerced,3 and is associated with poor health outcomes.4 The 2021 Youth Risk Behavior Survey, a set of surveys sponsored by the Centers for Disease Control and Prevention for students in 9th-12th grades found that 3.2% of students nationally and 1.4% of students in Indiana had initiated sexual...