scholarly journals Delaying sexual onset: outcome of a comprehensive sexuality education initiative for adolescents in public schools

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dolores Ramírez-Villalobos ◽  
Eric Alejandro Monterubio-Flores ◽  
Tonatiuh Tomás Gonzalez-Vazquez ◽  
Juan Francisco Molina-Rodríguez ◽  
Ma. Guadalupe Ruelas-González ◽  
...  

Abstract Background A common risk behavior in adolescence is the early initiation of unprotected sex that exposes adolescents to an unplanned pregnancy or sexually transmitted infections. Schools are an ideal place to strengthen adolescents’ sexual knowledge and modify their behavior, guiding them to exercise responsible sexuality. The purpose of this article was to evaluate the knowledge of public secondary school teachers who received training in comprehensive education in sexuality (CES) and estimate the counseling’s effect on students’ sexual behavior. Methods Seventy-five public school teachers were trained in participatory and innovative techniques for CES. The change in teacher knowledge (n = 75) was assessed before and after the training using t-tests, Wilcoxon ranks tests and a Generalized Estimate Equation model. The students’ sexual and reproductive behavior was evaluated in intervention (n = 650) and comparison schools (n = 555). We fit a logistic regression model using the students’ sexual debut as a dependent variable. Results Teachers increased their knowledge of sexuality after training from 5.3 to 6.1 (p < 0.01). 83.3% of students in the intervention school reported using a contraceptive method in their last sexual relation, while 58.3% did so in the comparison schools. The students in comparison schools were 4.7 (p < 0.01) times more likely to start sexual initiation than students in the intervention schools. Conclusion Training in CES improved teachers’ knowledge about sexual and reproductive health. Students who received counseling from teachers who were trained in participatory and innovative techniques for CES used more contraceptive protection and delayed sexual debut.

The phenomenon is fairly common, with one in every 80 adults showing cheeks pulp is slot of unprotected sex. As part of a study, young couples revealed no different condom negotiation strategies to cope with unprotected sex. A study has found that non-naked did not recognise that women who collapsed were having an arrest, leading to delays in calling the emergency services and delays in providing resuscitation treatment. A recent study found that adult’s women engaged in unprotected sex even after being aware of the various risks associated with it, when the desire to form lasting romantic relationships arises. According to the researchers from Pune University, this is the first study to directly compare how heterosexual men, heterosexual women and men who have sex with men (MSM) differ in their approach to condom-making decision with a new sexual partner. The study was published in the Journal of Sex Research. The findings may help in explaining why some of the youngsters engage in unsafe sex even though they are aware of the risk of sexually transmitted infections (STIs), HIV, cervical cancer, and unplanned pregnancy


2018 ◽  
Vol 12 (10) ◽  
pp. 2759
Author(s):  
Alexia Aline Da Silva Moraes ◽  
Cleuma Sueli Santos Suto ◽  
Jones Sidnei Barbosa de Oliveira ◽  
Carle Porcino ◽  
Sérgio Corrêa Marques ◽  
...  

RESUMO Objetivo: identificar as representações sociais de discentes de escolas públicas sobre o preservativo feminino. Método: trata-se de estudo qualitativo, exploratório e descritivo, apoiado na Teoria das Representações Sociais, com 94 estudantes do ensino médio de escolas públicas, utilizou-se a Técnica de Associação Livre de Palavras com o termo indutor “preservativo feminino”, a análise dos dados deu-se por meio do software de análise textual IRAMUTEQ que originou uma figura de similitudes e a nuvem de palavras. Resultados: as discentes representaram o preservativo feminino como possibilidade de “sexo seguro” e importante tecnologia que favorece a autonomia, a prevenção, a proteção de infecções sexualmente transmissíveis e da gravidez não planejada, mas a ausência de familiaridade com o método e as relações de gênero foram identificadas como fatores que dificultam a utilização. Conclusão: constatou-se que o preservativo feminino é importante para ‘prevenção de doenças e proteção contra a gravidez’, isso implica no processo teórico prático acerca da importância da educação em saúde e aumento da adesão do preservativo feminino nas relações sexuais. Descritores: Estudantes; Preservativo Feminino; Sexualidade; Saúde da Mulher; Teoria Social; Educação em Saúde. ABSTRACT Objective: to identify the social representations of public school students about the female condom. Method: a qualitative, exploratory and descriptive study supported by the Theory of Social Representations, with 94 high school students from public schools, the Free Speech Association technique was used with the term "female condom". Data analysis was done through the IRAMUTEQ textual analysis software that originated a figure of similarities and the word cloud. Results: the students represented the female condom as a possibility of "safe sex" and an important technology that favors autonomy, prevention, protection from sexually transmitted infections and unplanned pregnancy, but lack of familiarity with the method and relations of gender identified as factors that make it difficult to use. Conclusion: it was found that the female condom is important for 'prevention of diseases and protection against pregnancy', this implies in the practical theoretical process about the importance of health education and increase of female condom adherence in sexual relations. Descriptors: Students; Female Condoms; Sexuality; Women’s Health; Social theory; Health Education.RESUMEN Objetivo: identificar las representaciones sociales de los discentes de escuelas públicas sobre el preservativo femenino. Método: se trata de un estudio cualitativo, exploratorio y descriptivo, apoyado en la Teoría de las Representaciones Sociales, con 94 estudiantes de la enseñanza media de escuelas públicas, se utilizó la Técnica de Asociación Libre de Palabras con el término inductor "preservativo femenino", el análisis de los datos se dio a través del software de análisis textual IRAMUTEQ que originó una figura de similitudes y la nube de palabras. Resultados: los discentes representaron el preservativo femenino como posibilidad de "sexo seguro" e importante tecnología que favorece la autonomía, la prevención, la protección de infecciones sexualmente transmisibles y del embarazo no planificado, pero la ausencia de familiaridad con el método y las relaciones de género fueron identificadas como factores que dificultan la utilización. Conclusión: se constató que el preservativo femenino es importante para la prevención de enfermedades y protección contra el embarazo, lo que implica en el proceso teórico práctico acerca de la importancia de la educación en salud y aumento de la adhesión del preservativo femenino en las relaciones sexuales. Descriptores: Estudiantes; Preservativo Femenino; La sexualidad; Salud de la Mujer; Teoría Social; Educación en Salud.


2022 ◽  
Vol 11 (2) ◽  
pp. 49
Author(s):  
Admasu Etefa Tucho

The 2020 National Center for Education Statistics (NCES) data show that there are a total of 130,930 k-12 public schools in the United States of America (U.S.A), serving approximately 48.1 million students. The demographic breakdown of the student population includes 22 million (45.7%) Whites; 13. Million (32 %) Hispanic; 17.2 million (14%) African American; 2.6 million (5.4%) Asian, 2.2 million (4.6%) students two or more races; and 0.4 million (0.8%) American Indian/ Alaska Native students. Adding sex education to the public school curriculum was primarily to make elementary and secondary school students aware of sexually transmitted diseases and teenage pregnancy. Although comprehensive sexuality education has been operational in all 50 states for decades, the program&#39;s quality and comprehensiveness vary considerably from state to state due to a series of obstacles. The author of this article proposes an alternative or at least supplemental approach to the current comprehensive sex education.


2018 ◽  
Vol 30 (4) ◽  
pp. 386-395 ◽  
Author(s):  
Vartika Sharma ◽  
Waimar Tun ◽  
Avina Sarna ◽  
Lopamudra R Saraswati ◽  
Minh D Pham ◽  
...  

Unprotected sex, common among people who inject drugs, puts them and their partners at risk of sexually transmitted infections including human immunodeficiency virus (HIV). This analysis assesses the changes in sexual risk behavior with regular female partners (RFPs), among married men who inject drugs, before and after implementation of a HIV prevention intervention, and identifies correlates of unprotected sex. People who inject drugs (PWID) were assessed at three points: baseline, preintervention follow-up visit (FV)1, and postintervention FV2. Descriptive analysis was used for reporting changes in sexual behavior over time. Generalized estimating equation assessed the population-averaged change in self-reported unprotected sex with an RFP, attributable to intervention uptake. Multivariable logistic regression determined correlates of self-reported unprotected sex with an RFP at FV2. Findings suggest that the proportion of men reporting any unprotected sex remained high (baseline = 46.0%, FV1 = 43.5%, FV2 = 37.0%). A reduction was observed in unprotected sex after the intervention phase, but this could not be attributed to uptake of the intervention. Higher odds of self-reported unprotected sex with an RFP in the past three months at FV2 were associated with self-reported unprotected sex at baseline, living with family, and being HIV-negative. Married male PWID should receive counseling for safe sex with RFPs, especially those who are HIV-negative and live with their families.


Curationis ◽  
2007 ◽  
Vol 30 (3) ◽  
Author(s):  
E.M. Yako ◽  
J.M. Yako

The adolescents, who engage in unprotected sex, face the risk of unplanned pregnancy and sexually transmitted diseases. It is not clear why adolescents in Lesotho engage in unprotected sex and end up with unplanned pregnancies. In addition, it is not clear what the consequences of early childbearing are on the life of the adolescent and her infant. An understanding of the reasons why a number of adolescents engage in unprotected sex and the impact of pregnancy and early childbearing on the lives of adolescent mothers and their infants will potentially assist nurses and other health workers in adolescent health promotion programmes. The purpose of this study was: 1) to determine the adolescent mother’s perceived reasons for pregnancy and 2) to determine pregnancy related joys, and problems faced by adolescent mother and her infant.


2021 ◽  
Vol 14 (3) ◽  
pp. 159-167
Author(s):  
Rajesh Varma

Significant progress has been made in improving the awareness of young people of available contraception services and their access to these services. Nonetheless, many young people are reluctant to engage with health care professionals, and thus, can experience adverse consequences, such as unplanned pregnancy and sexually transmitted infection. This article presents a best practice approach to the management of young people requesting contraception in primary care. A systematic approach is advocated, employing an age-appropriate consultation style, confidentiality, competency testing, risk assessment and an individualised contraceptive treatment plan.


2011 ◽  
Vol 6 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Rachel Hallum-Montes ◽  
Rohan D’Souza ◽  
Maria Isabel Tavarez ◽  
Russell Manzanero ◽  
Grace E. Dann ◽  
...  

Condom use during last sexual contact is a survey measure that may be used to inform monitoring and evaluation indicators of recent condom use in populations at risk for HIV infection and other sexually transmitted infections, such as the uniformed services. The authors tested for differences in condom use measures that were fielded within separate Biological and Behavioral Surveillance Surveys conducted in the armed forces of two separate nations: the Dominican Republic and Belize. Both surveys included measures of condom use during last sexual contact with specified partners and both surveys included the Risk Behavior Assessment (RBA), which measures specific sexual acts and condom use frequency during a specified time period. In both samples, more than 40% of respondents who reported condom use during last sexual contact with a regular partner also reported engaging in unprotected sex when screened with the RBA. Furthermore, more than 60% of respondents who reported condom use during last sexual encounter with a commercial sex worker also reported engaging in unprotected sex when screened with the RBA. The results carry implications for monitoring and evaluation indicators of large-scale HIV prevention programs. The authors recommend that, when feasible, more in-depth instruments such as the RBA be considered to measure recent condom use in populations of uniformed services personnel.


2018 ◽  
Vol 120 (3) ◽  
pp. 1-40
Author(s):  
Pascale Benoliel ◽  
Anit Somech

Background/Context Increasingly, educational leadership research has stressed that leadership is not solely embedded in formal roles but often emerges from relationships between individuals. Senior management teams (SMTs) are an important expression of a formal management structure based on the principle of distributed leadership. Such structures may require a reconceptualization of school leadership and the role of the principal in such a way as to better meet new challenges and enable principals to manage SMTs more effectively. Accordingly, it is proposed that to improve effectiveness, principals engage in boundary activities, the principals’ internal activities directed toward the SMT aimed at dealing with internal team matters and the principals’ external activities directed toward external agents in the team's focal environment to acquire resources and protect the team. Purpose/Objective The present study attempts to advance a theoretical model of principals’ internal and external activities toward their SMTs. This study's purpose is twofold: First, the study tries to determine which of the internal and external activities principals engage in more frequently and less frequently and to what extent. Second, the study attempts to determine how these activities are related to the SMT effectiveness outcomes: in-role performance and innovation. Taking on a distributive perspective to school leadership, our goal is to extend our knowledge about the activities that might facilitate SMT effectiveness, by highlighting the principal boundary activities as fundamental. Research Design Quantitative study. Data Collection and Analysis Data were collected from two sources to minimize problems associated with same source bias: 92 SMTs and their principals from 92 public schools in Israel. Principals evaluated the SMTs’ effectiveness through validated surveys of team in-role performance and team innovation, and SMT members evaluated the internal and external activities of the principal. Findings/Results ANOVA analyses indicate significant mean differences between the principal's internal and external activities. Results from Structural Equation Model indicate that internal activities were related to SMT performance, whereas external activities were related to SMT innovation. Conclusions/Recommendations Principals who manage both the internal SMT dynamic by promoting SMT identity and building team trust, while also promoting a common mission, serve the role of coordinator between SMT members and constituencies external to the SMT, enhancing SMT effectiveness. It may be, then, that studying new models of school leadership and management, including the relationship of the principal and the SMT, may deepen our understanding of the increasingly complex role of principals today.


2022 ◽  
Author(s):  
Saharsh Agarwal ◽  
Ananya Sen

In this paper, we examine the impact of racially charged events on the demand for antiracist classroom resources in U.S. public schools. We use book requests made by teachers on DonorsChoose, the largest crowdfunding platform for public school teachers, as a measure of intent to address race-related topics in the classroom. We use the precise timing of high-profile police brutality and other racially charged events in the United States (2010–2020) to identify their effect on antiracism requests relative to a control group. We find a significant increase in antiracism requests following the killing of George Floyd in 2020 and a null effect for all other events in the decade. We also find an increase in requests for books featuring Latinx, Asian, Muslim, and Jewish cultures, suggesting that a focus on equality for one group can spill over and yield culturally aware dialogues for other groups as well. Event studies suggest that local protests played a role in motivating some of the teachers to post these requests. In just four months following George Floyd’s death, $3.4 million worth of books featuring authors and characters from marginalized communities were successfully funded, reaching more than half a million students. Text analysis of impact notes posted by teachers suggests that hundreds of thousands of young students are being engaged in discussions about positive affirmation and cross-cultural acceptance. This paper was accepted by D.J. Wu, information systems.


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