Lubbock has some of the highest teen pregnancy and STD rates in the nation, the "solution" to which is a strict abstinence-only sex education curriculum in the public schools and a conservative preacher who urges kids to pledge abstinence until marriage.

When the teens confront Lubbock's sexual health crisis and campaign for comprehensive sex education, Knox throws herself into the battle with missionary fervor, struggling to reconcile her newfound political beliefs with her conservative religious views.

When the campaign broadens to include a fight for a gay-straight alliance, Knox must confront her family and pastor in this coming-of-age story.

Lead singer Natalie Maines, who is from Lubbock, subsequently spoke (during a 2006 episode of VH1 Storytellers) about watching the film and drawing from her own experiences of living there to write the song.

[2] As of June 2011, Shelby Knox is living in New York City and serving as the Director of Organizing, Women's Rights for Change.org.