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1.
Globally, adolescents aged 12–15 years are making sexual and reproductive decisions of profound significance for their future, often based on misguided, inadequate or dangerously wrong information. Very few countries provide evidential and comprehensive education about puberty, sexuality, and reproductive health and safety to children and young adolescents at school, when it is most effective and beneficial. UNESCO has produced a culturally applicable framework for such education, with the primary aim of reducing sexual risk behaviour and sexually transmitted infections including HIV/AIDS. This study analyses the 2009 International Technical Guidance for its appropriateness, relevance and contemporaneity to this young teenage cohort, who are at most risk of the consequences of ignorance.  相似文献   

2.
Wenli Liu  Yufen Su 《Sex education》2014,14(5):568-581
In May 2007, Beijing Normal University launched a programme of school-based sexuality education for migrant children in Xingzhi Primary School in Beijing. Over the past seven years, the project team has developed a school-based sexuality education curriculum using the International Technical Guidance on Sexuality Education published by UNESCO. The team has developed 12 volumes of textbooks for grades 1–6; trained teachers to deliver sexuality education using participatory teaching methods; and involved parents in the sexuality education process. The first group of migrant students to receive the full 6 years of sexuality education graduated in June 2013. Sexuality education in schools is gaining increasing attention and help from many sectors of Chinese society.  相似文献   

3.
The disappearance of traditional sex education during rites of passage in African societies has left many youth uncertain of where to look for information. Against this backcloth, the objectives of this study were to identify knowledge gaps amongst adolescents in Kenya regarding sexuality, HIV/AIDS and reproductive health. A thematic analysis was conducted of questions posed by 735 school youth aged 12–18 years from Meru and Kajiado Districts. Results show that many questions showed curiosity and anxiousness. Knowledge appeared to be fragmented and sometimes revealed misconceptions, which may put youth at risk. The raised themes differed by gender and age. Questions on saying no to sex, sexual violence and female circumcision were a great concern for girls. Boys were more concerned with managing boy–girl relationships, preventing STI/HIV infection, and condoms. Concern about transition to adulthood, sexuality, STI and HIV/AIDS, myths and misconceptions, and intergenerational communication cut across both genders. Older teens were more concerned with questions on boy–girl relationships, norms and values regarding sexuality, and STI. Younger teens ( < 15 years) wanted to know about reproduction, saying no to sex, HIV/AIDS, condoms, sexual violence and female circumcision. Compounding these challenges was the lack of intergenerational communication. The study identified important knowledge and communication gaps in sexual and reproductive health among in-school adolescents in Kenya. There is a need for sex education interventions for different age groups and genders. These interventions should work with parents, teachers and health professionals.  相似文献   

4.
Abstract

Adolescents in sub-Saharan Africa encounter high risks associated with sexuality and reproduction, yet face numerous barriers in obtaining appropriate health services and information. Mobile phones provide a unique opportunity to provide youth with this critical sexual and reproductive health information need. Designed from the United Nations Comprehensive Sexuality Education framework, the mobile-optimized app TuneMe aims to provide adolescents living in eight sub-Saharan African countries—Zambia, Malawi, Zimbabwe, Swaziland, Lesotho, South Africa, Botswana, and Namibia—with sexual and reproductive health information, and to promote uptake and use of sexual and reproductive health services. To assess the scope and appropriateness of TuneMe’s sexuality education content, we conducted a directed content analysis of the 299 articles published on the Zambia-specific TuneMe site between October 2015 and June 2017. Results from this analysis indicate that the greatest information provided by TuneMe was on sexual and reproductive health and HIV, followed by relationships, sexual rights, and citizenship. There was substantially less information that focused specifically on matters of pleasure, violence, diversity, and gender. Content was situated within relatable and culturally-relevant contexts, but gave mixed, and often problematic, depictions of gender norms. This assessment is central to understanding current and future mobile-based sexuality education programming.  相似文献   

5.
ABSTRACT

At-risk adolescents may experience Social Determinants of Health (SDoH) that lead to higher rates of risky sexual behavior, including increased risk of pregnancy and sexually transmitted infections. These SDoH may include components such as unstable family structures, incomplete education, and poverty. Targeting at-risk youth for sexuality education is one way to work toward decreasing sexual health disparities. However, preferences for sexuality education approaches may differ among at-risk youth by additional factors including sex and sexual orientation. The purpose of this study was to describe sexuality education preferences among at-risk youth and how sexuality education preferences differ based on sex and sexual orientation in an at-risk sample of high school-aged youth in Texas. Results indicate sexuality education preferences differ based on sex and sexual orientation when examined by sexual health topics and methods of delivery. Implications of this study indicate including at-risk youth in sexual health programs may be a way to target those at-risk of adverse SDoH, but these groups also have specific preferences for sexuality education.  相似文献   

6.
Comprehensive sexuality education which includes discussion about gender and power is increasingly seen as an effective way of promoting sexual and reproductive health and rights. Yet all too often the potential of good quality sexuality education is not realised. This study engages with young peoples’ evaluation of a sexuality education programme in Ethiopia. Using data from ethnographic field notes, focus group discussions and interviews with students, teachers and sexual and reproductive health workers in Oromia region, it reveals the existence of gendered practices in sexuality education. Three forms of exclusion were evident: first, exclusion through selection to participate in the programme; second, exclusion of the views of young people through gendered interpretations and practices; third, exclusion of the views of young people through the omission of discussion on topics that are relevant to them, such as love, relationships and sexual intercourse. As a result, the programme’s potential to contribute to questioning gender relations and improving the emotional and sexual health of young people is undermined. The programme reproduces a gender order in school and arguably broader society, which is a source of frustration and alienation for young people.  相似文献   

7.
This study set out to analyse the sexuality contents of the Caderneta de Saúde do Adolescente, an adolescent health handbook developed for use in Brazil. Using content analysis, the adequacy of the document was assessed using an approach informed by the International Planned Parenthood Federations comprehensive sexuality education theoretical framework. Findings suggest that six out of the seven categories present within this framework were partially covered, with the handbook providing information on the prevention of sexually transmitted diseases, pregnancy and contraception. Certain key concepts were, however, discussed differently in the male and female versions of the handbook, the handbook does not address gender issues, and has very limited coverage of sexual diversity. The adolescent health handbook was a tool created to help young Brazilians to better understand what it is like to be young person, explaining some of the physical and psychological changes that occurs at this time. However, with respect to sexuality, some changes are appropriate to increase the comprehensiveness of the sexuality education that the resource provides.  相似文献   

8.
There is growing recognition that children, adolescents, and adults who are mentally retarded are particularly vulnerable to sexual abuse and exploitation and are in need of intervention services. These people are especially vulnerable due to ther often life-long dependence on caregivers, relatively powerless position in society, emotional and social insecurities, and lack of education regarding sexuality and sexual abuse. In addition the mental health functioning and emotional development of individuals who are mentally retarded are not well understood, and many professionals remain uneducated about their mental health needs. To work effectively with this population, mental health professionals and educators must be alert to what is known about the sexual abuse and exploitation of persons with mental retardation. Furthermore, they need to become educated about the rights of these persons to special legal protection from abuse and neglect and to appropriate and effective mental health interventions. The challenge for mental health professionals and educators is to protect persons who are mentally retarded from sexual abuse and exploitation, to provide appropriate psychotherapeutic interventions when abuse occurs, to respect their right to developmentally appropriate knowledge about sexuality and sexual abuse, and to allow for the fulfillment of their sexuality.  相似文献   

9.

In 1997, two organizations, BRAC (Bangladesh Rural Advancement Committee) and ICDDR,B (International Center for Diarrheal Disease Research), as part of their collaborative research model, developed an HIV/AIDS prevention strategy for rural Bangladeshi youth. Currently, HIV/AIDS is not apparent in rural Bangladesh. Other sexual and reproductive health problems are more pressing. Moreover, there are few inor out-of-school sex education programs for adolescents in Bangladesh. Therefore, preliminary qualitative research was conducted to understand the broad parameters of sexual and reproductive health within the sociocultural context of young people's risks and vulnerabilities. Exploratory research revealed that youth were vulnerable to sexual diseases, late-term abortions, sexual violence, reproductive tract infections, and premarital pregnancies. Adolescents and adults thought that youth today need sex education. Adults said that youth should not be educated about condom use because this would conflict with a girl's prospects for an arranged marriage. Bangladeshi youth today are being exposed to experiences unfamiliar to their parents. Lacking appropriate knowledge, information and awareness about sexual and reproductive health unduly heightens young people's fears, and increases their social and sexual vulnerabilities.  相似文献   

10.
Editorial     
Young adolescents in communities with high rates of early sexual initiation are at risk of multiple negative health outcomes. Although sex education programs for this age group are often controversial, surveys document that many mothers and fathers would appreciate guidance about how to discuss sexuality with their children. This paper presents an innovative strategy for reaching inner‐city parents and helping them communicate effectively with their preteen sons and daughters about the importance of delaying sexual initiation. Input from 38 focus groups with 109 youths and 64 parents was used to inform the development of an intervention, called Saving Sex for Later. This theoretically grounded intervention is designed for communities where adolescents are at high risk of initiating sex prior to or early in high school. It consists of three audio‐CDs that contain dramatic role‐model stories to help parents identify ‘teachable moments’ to talk with their sons and daughters about their values and expectations, set household rules and respond appropriately to both positive changes in their adolescents' development and warning signs of trouble. In addition to describing how community input informed the stories, a random sample of 133 parents from one school community was mailed the audio‐CDs. Feedback includes examples of how parents applied messages to talk with their children about changing bodies, changing relationships and reasons for delaying sexual initiation. The next steps include evaluating whether the intervention is effective in helping parents convey sexual abstinence messages and in supporting the delayed sexual initiation of their young adolescent children.  相似文献   

11.
婴幼儿性发展在其全面发展中占有十分重要的地位.了解婴幼儿性发展的特点有助于幼儿园教师在教育实践中开辟性健康教育的有效途径.本文从生理发展、认知发展、社会性发展和情感发展四个方面介绍婴幼儿性发展的特点,并提出对婴幼儿进行性健康教育的多种方法.  相似文献   

12.
This study aimed to develop and establish the efficacy of a life skills-based sexuality education programme for junior high school students that focused on prevention. A non-equivalent control-group pretest-posttest design was employed with 105 students in the first-year of junior high school participating. The experimental group received 10 sessions of a life skills-based sexuality education programme, and the control group received 10 sessions of the standard sexuality education, both provided during a home economics class. A comparison of the two groups’ post-test scores showed that the experimental group scored significantly higher than the control group on sexual and reproductive health related knowledge (F = 58.50, p < .001) and life-skills (F = 11.52, p = .007). In addition, the experimental group showed a larger improvement in self-management skills for sexual health than did the control group (F = 9.32, p = .003). A life skills-based sexuality education programme increased life skills levels, knowledge about sexuality and sexual and reproductive health, and helped participants identify appropriate behaviours when facing a sexually risky situation. Results highlight the value of including an evidence-based and practice-oriented life skills-based sexuality education programme in the formal curriculum of junior high schools in Korea.  相似文献   

13.
Quality school-based sexuality education is important for all children and adolescents. The global trend towards students’ earlier, longer, and technologically connected pubertal experience makes the timely provision of such education particularly significant. Quality international sexuality education documents are available for teachers developing curriculum-based frameworks and pastoral care programmes, and these variously include policy and structural guidance, equity standards, comprehensive content and pedagogical strategies. This paper aims to compare three such documents for their relevance in meeting the educational needs of students, and their usefulness for teachers and educators. The results show that these three documents, produced by global organisations for multi-national application, provide highly professional and sustainable responses to the dire need for improved sexuality education for all children and adolescents, in formats accessible to any curriculum planner or teacher. Inclusive and timely provision of any of these document frameworks would help enhance sexuality teaching and learning in contemporary primary and secondary schools, and they are highly recommended for use by teachers around the world.  相似文献   

14.
15.
Although comprehensive sexuality education programmes have the potential to improve the sexual health and well-being of young people, many socially conservative rural states in the USA have laws and policies restricting school-based comprehensive sexuality education and supporting abstinence-only education. This paper describes the process of building a community-university partnership to implement a community-based comprehensive sexuality education peer education programme for high-risk young people and presents preliminary findings from a longitudinal evaluation. Through purposive recruitment, the sample included 386 young people (mean age) who were more diverse than the local community. Important university-community partnership components included (1) establishing local connections and legitimacy, (2) adapting and tailoring programmes to meet community context, (3) sustainability planning, and (4) flexibility, persistence, and patience. Building community trust and capitalising on the mutual benefits of community-university partnerships are effective methods of building community sexuality education programming in a conservative environment. Tailoring evidence-based approaches to comprehensive sexuality education in a politically restrictive environment shows promise in improving the sexual and reproductive health of young people.  相似文献   

16.
Jude Mukoro 《Sex education》2017,17(5):498-511
A substantial number of studies have been conducted on sexuality education in Nigeria. These provide evidence of the positive impact of sexuality education on the psychosocial well-being of children and youth and the value of sexuality education for the sexual health of young people. Yet another research has investigated the views of parents on the school-based sexuality education of children and the different models and approaches employed. All of these studies implicitly reflect an issue that has not yet been sufficiently discussed. Nigeria is a uniquely pluralised country, with a multitude of cultures and sexual cultures. The implications of this diversity for policy and practice in sexuality education and for how sexuality education has (or has not) responded to this heterogeneity are rarely considered. This article addresses this gap by seeking to conceptualise how sexuality education might proactively address the cultural diversity of Nigeria. It begins by sketching out key features of this diversity in Nigeria and highlights the need for a culturally sensitive approach. Thereafter, there is a critical engagement with three possible approaches that sexuality education might take. Highlighting the weaknesses of monocultural, multicultural and transcultural approaches, this article argues for an open-cultural stance as the best means of fostering culturally sensitive sexuality education.  相似文献   

17.
This paper reports on qualitative research with Australian parents concerning their attitudes to sexuality and relationships education, both at home and in school. A wide range of values and attitudes were represented among parents in this study. Regardless of the varying approaches parents used, all participants expressed a desire for their children to be well informed about sex, sexual health and relationships, yet many felt inadequate to the task of providing high-quality sex education to their children. Some participants blamed this lack of confidence on their own limited education about sexuality. Their main concern was to ensure that their children are safe and that when they do become sexually active their experiences of sex are positive. Most participants saw sex education as primarily their responsibility, with school sex education as an important adjunct. They wanted to be well informed about the timing and content of school programmes for their children, and to be assured that those educators who will be teaching their children about sexual health have the skills and qualifications to do their job well, while remaining sensitive to the diversity of values among students and their families. While most parents who participated in the research supported sexuality education in schools, they did so with reservations. In particular, they wanted schools to take an active role in communicating with them about the content of sexuality education programmes and be open to meeting with those parents who expressed concerns.  相似文献   

18.
Sexual health topics are not well-covered in US medical schools. Research has not typically asked medical students what sexual health topics they would like addressed and their preferred methods of sexual health education. This study attempted to address this deficit via an online survey of medical students at an institution where little sexual health education is offered. Participants reported receiving the most education in endocrinology and sexually transmitted infections, but they also saw the following topics as important: sexual development, child sexual abuse, healthy sexuality, male sexual dysfunction and female dysfunction. Participants were more confident in talking to adults about sexual health matters than children, and more uncomfortable talking to opposite sex patients. Perceived barriers to sexual health education in medical school included a busy curriculum, other topics being seen as more important, religious influences, discomfort with sexuality and unqualified teaching faculty. Participants favoured training strategies that included panels of experts, panels of patients and role-plays conducted by seasoned professionals in sexual health. To reduce the barriers to sexual health education in US medical schools, educators need to highlight the relevance and importance of sexual health topics to the future work of physicians.  相似文献   

19.
青春期儿童的性教育是家庭性教育中的重要组成部分.青春期是儿童身体快速成熟的时期,生理和心理上发生的新变化会在生活和学习等方面给儿童带来一定的挑战.家庭性教育对于帮助他们顺利度过青春期,获得身心全面健康发展具有积极的促进作用.本文通过对处于青春期的儿童的父母进行性教育知识、性教育态度及家庭性教育开展状况调查,发现受访父母...  相似文献   

20.
The purpose of this study was to evaluate the effect of a special sex education program in sexual health on Iranian newly‐wed couples. A sample of 64 couples referred to three health centers of Tehran Medicine University, a few months prior to their marriage, were divided into case and control groups. The case group received three lecture sessions given by the researcher. These lectures consisted of different aspects of sexuality such as reproductive and sexual health, the sexuality response cycle and sexual communication. The control group received only the lectures that are presented normally in the marriage preparation program, based on family planning and personal health. Six months after the program, we assessed the sexual satisfaction, healthy behaviors and sexual health of the two groups. The results indicate that the sexual health in the case group is significantly improved compared with the control group.  相似文献   

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