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This study examined the opinions and attitudes of Ontario parents regarding school-based sexual health education (SHE). Results are based on surveys from 1002 parents with children attending publically funded elementary or secondary schools in Ontario, Canada. A large majority (87%) of parents strongly agreed or agreed that SHE should be provided in school and 84% believed that SHE should start by middle school. All 13 sexual health topics posed to parents were rated as important or very important to teach. These topics included puberty, abstinence, methods of contraception, sexually transmitted infections, skills for healthy relationships, communication skills, sexual orientation, and media literacy. Parents rated themselves, doctors and nurses, and the school system as the most competent sources of SHE. Parents also indicated that it is important for their children to learn from an up-to-date SHE curriculum. There were some small differences in the attitudes of mothers and fathers; however, parents with children in public and separate Catholic schools did not significantly differ in their support for SHE in the schools. This study confirms past research from across Canada indicating that there is strong and sustained parental support for broadly-based SHE in the schools. [ABSTRACT FROM AUTHOR]