scholarly journals Factores de riesgo para Síndrome Metabólico en adolescentes de nivel secundaria y bachillerato

2013 ◽  
Vol 2 (4) ◽  
pp. 20
Author(s):  
María Juana Castillo Arreguín ◽  
Ruth Barroso Muñoz ◽  
Javier Alonso Trujillo
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
High School Students ◽  
Sedentary Lifestyle ◽  
Cross Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Abdominal Perimeter ◽  
Significant Difference ◽  
Factores De Riesgo

<div>Resumen&nbsp;</div><div>Introducci&oacute;n: Actualmente la prevalencia de S&iacute;ndrome Metab&oacute;lico (SM) en los adolescentes mexicanos va en incremento, y los criterios para su diagn&oacute;stico a&uacute;n son heterog&eacute;neos. El SM tiene la capacidad de predecir riesgos vinculados a la diabetes y las enfermedades cardiovasculares.</div><div>Objetivo: Comparar la prevalencia de SM en adolescentes que estudian en dos planteles educativos y ponderar los factores de riesgo en cada caso. Metodolog&iacute;a: Estudio transversal comparativo y anal&iacute;tico, llevado a cabo en 67 adolescentes de 14-18 a&ntilde;os de edad, procedentes del CBTis No.227 (n=32) y la secundaria No.96 (n=35), seleccionados de manera aleatoria. Se realizaron mediciones cl&iacute;nicas, antropom&eacute;tricas, nivel de sedentarismo y adictivas. Se asumi&oacute; el criterio ATP III para diagnosticar SM. Se aplic&oacute; X2. Nivel &alpha; &le; 0.05. Resultados: La prevalencia de SM en CBTis fue 6% y en la Secundaria fue 23%. En los alumnos del CBTis los factores de riesgo que se asociaron &nbsp;significativamente con SM fueron; Hipertensi&oacute;n arterial, &nbsp;Hipertrigliceridemia, Per&iacute;metro abdominal y Sobrepeso/Obesidad. En los alumnos de secundaria fueron Hipertrigliceridemia, Per&iacute;metro abdominal, Sobrepeso/Obesidad y en el l&iacute;mite, el Sedentarismo (p = 0.058). Discusi&oacute;n: Se encontr&oacute; una diferencia significativa en SM, Bajo nivel de HDLc y sedentarismo entre ambos planteles, probablemente se deba a la alimentaci&oacute;n y actividad f&iacute;sica espec&iacute;ficamente. Conclusi&oacute;n: La prevalencia de SM fue relativamente baja en ambos grupos escolares. Epidemiol&oacute;gicamente no se considera riesgo a los factores evaluados ya que se presentaron pocos casos de SM, sin embargo, los casos del CBTis, presentaron hipertensi&oacute;n arterial, hipertrigliceridemia, per&iacute;metro abdominal, sobrepeso/obesidad, sedentarismo, alcoholismo y tabaquismo.</div><div><br /></div><div>Palabras clave: S&iacute;ndrome metab&oacute;lico, adolescentes, sedentarismo, alcoholismo y tabaquismo.</div><div><br /></div><div>Abstract&nbsp;</div><div>Introduction: Currently the prevalence of metabolic syndrome (MS) among Mexican adolescents is on the increase, and the criteria for diagnosis are still heterogeneous. MS has the ability to predict risks associated with diabetes and cardiovascular disease.&nbsp;</div><div>Objective: To compare the prevalence of MS in teenagers studying at two schools, weighing the risk factors in each case.&nbsp;</div><div>Methodology: Cross-sectional study comparative and analytical, conducted 67 adolescents 14-18 years of age, from the CBTis No.227 (n = 32) and the secondary No.96 (n = 35), selected randomly. They were measured clinical, anthropometric, level of sedentary and addictive. It took the ATP III criteria to diagnose MS. Applied X 2. Level &alpha; &le; 0.05.&nbsp;</div><div>Results: The prevalence of MS in CBTis was 6% and in the secondary was 23%. Risk factors significantly associated with MS CBTis students were; Arterial hypertension, hypertriglyceridemia, abdominal perimeter and Overweight/obesity. High school students were hypertriglyceridemia, abdominal perimeter, Overweight/obesity and on the edge, the sedentary lifestyle (p = 0.058).&nbsp;</div><div>Discussion: Found a significant difference in MS, low-level HDLc and sedentary lifestyle between both campuses, probably due to food and physical activity specifically.&nbsp;</div><div>Conclusion: The prevalence of MS was relatively low in both school groups. Epidemiologically not considered risk factors evaluated since few cases of MS, however, arose the CBTis cases, had hypertension, hypertriglyceridemia, abdominal perimeter, Overweight/obesity, sedentary lifestyle, alcoholism and smoking.</div><div><br /></div><div>Key words: Metabolic Syndrome, Adolescents, Sedentary Lifestyle, Alcoholism and Smoking.</div><div><br /></div>

scholarly journals Artificial neural network application for identifying risk of depression in high school students: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fang-Fang Zhao
Keyword(s):  
Risk Factors ◽  
High School ◽  
High School Students ◽  
Eastern China ◽  
Cross Sectional Study ◽  
Ann Model ◽  
Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Prevalence Of Depression

Abstract Background Identifying important factors contributing to depression is necessary for interrupting risk pathways to minimize adolescent depression. The study aimed to assess the prevalence of depression in high school students and develop a model for identifying risk of depression among adolescents. Methods Cross-sectional study was conducted. A total of 1190 adolescents from two high schools in eastern China participated in the study. Artificial neurol network (ANN) was used to establish the identification model. Results The prevalence of depression was 29.9% among the students. The model showed the top five protective and risk factors including perceived stress, life events, optimism, self-compassion and resilience. ANN model accuracy was 81.06%, with sensitivity 65.3%, specificity 88.4%, and area under the receiver operating characteristic (ROC) curves 0.846 in testing dataset. Conclusion The ANN showed the good performance in identifying risk of depression. Promoting the protective factors and reducing the level of risk factors facilitate preventing and relieving depression.

scholarly journals A Survey on Wellness and Its Predictors Amongst Fiji High School Students

2021 ◽  
Vol 9 ◽  
Author(s):  
Latileta Odrovakavula ◽  
Masoud Mohammadnezhad ◽  
Sabiha Khan
Keyword(s):  
High School Students ◽  
Ethnic Groups ◽  
Family Income ◽  
Statistical Tests ◽  
Cross Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Significant Difference ◽  
Adolescent Wellness

Background: Adolescent population face a number of health concerns which calls for objective and comprehensive assessment of their wellness during their critical development phase. This study aimed to determine adolescent wellness and its predictors amongst adolescents in secondary schools in Fiji.Methods: This quantitative cross sectional study was conducted in four purposively selected schools in Suva and the greater Suva area, Fiji, between August and September, 2019. Students of Fijian nationality, enrolled into years 11-13 in the selected schools were purposively selected. A structured self-administered questionnaire was used to collect data on four dimensions of wellness including physical, emotional, social, and spiritual. Spearman's Rho correlation was conducted to test for associations. Descriptive and inferential statistical tests were applied to analyze the data by the SPSS software version 25. A p-value &lt; 0.05 was considered significant.Results: A total of 350 students participated in the study. Mean raw scores for wellness dimensions were as follows: physical = 51 (out of 60), psychological = 63 (out of 80), social = 42 (out of 50), and spiritual = 34 (out of 40). For overall wellness, two significant differences were observed: students of Fijian Itaukei descent (193.68 ± 14.2) and participants with a family income of $40,000-50,000 (199.08 ± 12.60) (p = 0.04) had a higher overall wellness score. There were three significant differences observed for psychological wellness dimension; Fijians of Indian descent (64.68 ± 9.30), participants enrolled into year 13 (64.68 ± 9.30) and those with a family income of $40,000-50,000 had higher psychological score. For social wellness, a significant difference was observed: Itaukei participants had higher scores (43.34 ± 4.42) when compared to other ethnic groups (p &lt; 0.05). In terms of spiritual wellness, a significant difference was observed for ethnicity: Itaukei participants had a higher mean score (35.59 ± 4.26) when compared to other ethnic groups (p &lt; 0.05). Strong correlations were observed for all dimensions of wellness.Conclusions: Findings of this study highlighted different factors affecting adolescents' wellness in Fiji. It is recommended that health education and awareness program be carried out for developing adolescent wellness by considering these factors. It is also recommended that parental and family support are provided to adolescents.

scholarly journals FACTORES DE RIESGO PARA ADQUIRIR LAS INFECCIONES DE TRANSMISIÒN SEXUAL EN LOS ADOLESCENTES DEL “COLEGIO MUNICIPAL TÉCNICO SIGLO XXI”. SALINAS. 2013 – 2014

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Carmen Lascano Espinoza ◽  
Sonnia Santos Holguín ◽  
Doris Castillo Tomalá
Keyword(s):  
Risk Factors ◽  
High School Students ◽  
Sexually Transmitted Infections ◽  
Skin Lesions ◽  
Sexual Practices ◽  
School Students ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Factores De Riesgo ◽  
Infecciones De Transmisión Sexual

El siguiente trabajo de investigación tiene como objetivo determinar el grado de conocimiento sobre los factores de riesgo y las medidas de prevención que tienen los adolescentes del Colegio Técnico Municipal Siglo XXI de la parroquia José Luis Tamayo del Cantón Salinas. La investigación emplea una metodología de diseño cuantitativa, tipo descriptiva y de corte transversal. Para recolectar la información se aplicó un cuestionario a 145 estudiantes del bachillerato, a quienes se valoró la intervención educativa. Entre los resultados obtenidos se evidencia que los adolescentes tienen un déficit en el conocimiento sobre los factores de riesgo conductuales de las Infecciones de Transmisión Sexual (ITS), tales como: uso correcto del preservativo femenino y masculino, prácticas sexuales de riesgo, múltiples parejas sexuales, consumo de bebidas alcohólicas. También se constató que tanto la abstinencia sexual como el contacto directo con personas que manifiesten dermatitis o lesiones en la piel, no son las únicas estrategias para prevenir las ITS. Asimismo, se destaca la importancia de que se imparta la materia de educación para la sexualidad, puesto que no es suficiente la información que se difunde en cualquier medio de comunicación. En general, la mayoría de los jóvenes inician su actividad sexual durante la adolescencia, por consiguiente, el incremento de infecciones constituye un problema social. De ahí la necesidad de implementar una guía educativa acerca de la sexualidad e Infecciones de Transmisión Sexual, y utilizarlo como un recurso didáctico durante el proceso de enseñanza - aprendizaje. Palabras claves: Factor de riesgo, infecciones de trasmisión sexual.ABSTRACTThe following research aims to determine the degree of knowledge about risk factors and preventive measures that adolescents have of the Municipal Technical Colegio Siglo XXI of the parish José Luis Tamayo del Cantón Salinas. The research uses a methodology of quantitative design, descriptive and cross-sectional type. To collect the information, a questionnaire was applied to 145 high school students, in which the educational intervention was evaluated. Among the results obtained, it is evident that adolescents have a deficit in knowledge about the behavioral risk factors of Sexually Transmitted Infections, such as: correct use of female and male condoms, risky sexual practices, multiple sexual partners, alcoholic drinks. It was also found that both sexual abstinence and direct contact with people who exhibit dermatitis or skin lesions are not the only strategies to prevent STIs. Likewise, the importance of the education of sexuality is emphasized, since the information disseminated in any medium of communication is not enough. In general, the majority of young people begin their sexual activity during adolescence, therefore, the increase of infections is a social problem. Hence the need to implement an educational guide about sexuality and Sexually Transmitted Infections, and use it as a didactic recruiter during the teaching - learning process.Key words: Risk factor, sexually transmitted infections.

scholarly journals Sexual Knowledge among High School Students in Northwestern Iran

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Ayyoub Malek ◽  
Ali Reza Shafiee-Kandjani ◽  
Abdolrasool Safaiyan ◽  
Hamid Abbasi-Shokoohi
Keyword(s):  
High School ◽  
High School Students ◽  
Cross Sectional Study ◽  
Sexual Knowledge ◽  
School Students ◽  
Cross Sectional ◽  
Randomized Sampling ◽  
Parental Concerns ◽  
Significant Difference ◽  
Adolescence Period

Objectives. Regarding the importance of sexual desire in adolescence period and public and parental concerns about it and considering the lack of studies on sexual knowledge especially in adolescents in Iran, this study was conducted to evaluate the sexual issues in high school girls and boys. Patients and Methods. The cross-sectional study was performed on 2700 high school students. Students were selected through a multi-staged randomized sampling method in Tabriz and by the convenience method in Ardabil and Urmia. Data collection tool was a questionnaire including knowledge questions and measured by a three-point scale. Data were statistically analyzed with SPSS version 11.5 software. Results. 11.8% of the students had a low sexual knowledge, 46.7% had average and 41.5% had a high one. There was no significant difference between male and female students' general sexual knowledge. The highest knowledge was about being aware of the religious rules concerning sex. Conclusion. Adolescents should be trained and acquire information about the different aspects of sexual issues. Female adolescents especially need to be educated about puberty physiology, fertility physiology and STDs.

scholarly journals A cross-sectional study of risk factors and hypertension among adolescent Senior High School students

2019 ◽  
Vol Volume 12 ◽  
pp. 1173-1180 ◽  
Author(s):  
Cecilia Amponsem-Boateng ◽  
Weidong Zhang ◽  
Timothy Oppong Bonney ◽  
Godfrey Opolot ◽  
Emmanuel Kumi Duodu Kyere
Keyword(s):  
Risk Factors ◽  
High School ◽  
High School Students ◽  
Cross Sectional Study ◽  
Senior High School ◽  
Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Senior High School Students

scholarly journals Prevalence of Color Vision Deficiency among Students in Hajand and Amad High Schools in Shekhan City

2017 ◽  
Vol 2 (2) ◽  
pp. 84-88
Author(s):  
Masood Abdulkareem Abdulrahman
Keyword(s):  
High School ◽  
High School Students ◽  
High Schools ◽  
Color Vision ◽  
Cross Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Color Vision Deficiency ◽  
Significant Difference ◽  
Age Range

Color vision deficiency is a condition affecting human's ability to see or recognize specific colors. It is mostly genetic, X-linked recessive inheritance and thus, is more common  among  males  than  females.  This  cross  sectional study was done to find the prevalence of color vision deficiency among high school students in Shekhan city and to find the relation of color vision deficiency with different races. The study has been conducted in two high schools that were present inside Shekhan city at the  time of the study (Amad high school for males and Hajand high school for females). All students screened by using Ishihara 24 plates.640 students (283 males, 357 females) were screened. Students' age range (15-22 years), the Mean age for males17.50 years and for females 17.13 years. The prevalence of Color Vision Deficiency was 6.36% among males and 0.84% among females. The most common types of Color Vision Deficiency  among  males  were  deuteranomaly  (10cases),protanomaly (5 cases), deuteranopia (2 cases) and protanopia (1 case).  There was no significant difference between races and color vision deficiency. Similar to dyslexia, before it was well known and well understood, color vision deficiency is aninvisible disability and can lead to students becoming disappointment with learning or feeling that they are moronic or less cable than others. It can provide erroneous rules for learning and indeed, even influence how well they do in their exams and consecutively their choice of career.

scholarly journals Factores de riesgo cardiovascular según género en el Programa "Muévete Corazón" de Barranquilla, 2011 / Cardiovascular risk factors according to the gender in the “MuéveteCorazón” program, in Barranquilla city

2014 ◽  
Vol 14 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Yaneth Erazo Beltrán ◽  
Mirary Mantilla Morrón ◽  
Miguel alberto Urina Triana
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Abdominal Perimeter ◽  
Factores De Riesgo ◽  
Las Mujeres

Objetivo: Determinar cuáles son los factores de riesgo asociados al género. Materiales y Métodos: Se realizó un estudio descriptivo transversal en 566 personas afiliadas a una institución prestadora de salud en la ciudad de Barranquilla e inscritas  en el programa “Muévete Corazón” en el periodo comprendido de marzo a diciembre del 2011. Se indagó sobre la edad, sexo y los factores de riesgo cardiovascular, sedentarismo, consumo de tabaco, hipertensión, índice de masa corporal (IMC), perímetro abdominal y diagnóstico de diabetes mellitus tipo 2. Se estimaron los odds ratios (OR) de tener más de 3 y ≥4 factores de riesgo cardiovasculares en comparación con no tener factores de riesgo según el sexo. Resultados: De las 566 personas, el 73,1% fueron mujeres, con una media de edad de 63,4±13,6 años. El 62,7% tenía entre dos y tres factores de riesgo. Se encontró que las mujeres tienen mayor probabilidad de presentar de 1 a 3 y más de cuatro a factores de riesgo cardiovascular [OR 6,81 (IC 95% 2,2-22,1)] y [OR 17,0 (IC 95% 5,0-61,9)], respectivamente. Conclusión: Fue mayor la presencia de tres o más factores de riesgo en el sexo femenino, animando a implementar intervenciones eficaces para la prevención de las enfermedades cardiovasculares.Objective: To determinate what are the risk factors related to the gender. Materialsand methods: It was made a cross sectional study with 566 people affiliated to ahealth provider institution in Barranquilla city and registered in the “Muévete Corazón”program, in the period from March to December of 2011. It was inquired about the age,sex and the cardiovascular risk factors, sedentarism, snuff use, hypertension, bodymass index (BMI), abdominal perimeter, and diagnosis of diabetes mellitus type 2. It

scholarly journals Comparação das barreiras percebidas para a prática de atividade física de acordo com o sexo e nível de atividade física.

2021 ◽  
Vol 21 (1) ◽  
pp. 204-215
Author(s):  
Edina Maria De Camargo ◽  
José Francisco López-Gil ◽  
Wagner De Campos
Keyword(s):  
Physical Activity ◽  
High School Students ◽  
Public Schools ◽  
Cross Sectional Study ◽  
Descriptive Statistics ◽  
Perceived Barriers ◽  
Sectional Study ◽  
School Students ◽  
Cross Sectional ◽  
Significant Difference

Objetivo: Relatar as barreiras percebidas para a prática de atividade física no lazer pelos adolescentes e comparar de acordo com o sexo e nível de atividade física. Métodos: Estudo transversal, conduzido em 2018 com uma amostra representativa de 1518 adolescentes. As barreiras e o nível de atividade física foram avaliados por meio de instrumentos validados. Os adolescentes foram separados em três grupos: inativos, insuficientemente ativos, ativos. Resultados: Meninas reportaram com mais frequência: “não ter companhia” (33.2%; 34.9%; 31.9%) e “preguiça” (30.0%; 38.7%; 31.3%), sendo respectivamente: inativas, insuficientemente ativas e ativas. “Acha chato”, “clima” e “não ter como pagar” apresentaram diferenças estatísticas entre os grupos. Meninos inativos fisicamente reportaram com mais frequência: “não ter alguém para levar” (30.8%), “preguiça” e “não ter companhia” (30.1%, ambas). Insuficientemente ativos “não ter companhia” (37.6%) e “clima” (38.6%). Ativos reportaram “falta de locais” (38.7%) e “não ter alguém para levar” (36.2%). Apenas a barreira “não ter motivação” apresentou diferença significativa. Conclusão: “Não ter companhia” e “preguiça” foram as barreiras mais citadas por meninas em todos os grupos. Meninas insuficientemente ativas apresentaram diferenças significativas, para: “acha chato”, “clima” e “não tem como pagar”. Meninos reportaram com mais frequência as barreiras: “não ter alguém para levar”, “preguiça”, “não ter companhia”, “clima”, “falta de locais”. Quando comparado com os demais grupos apenas a barreira “não ter motivação” apresentou diferença significativa para o grupo de meninos. Objective: To compare the perceived barriers to the practice of physical activity of adolescents, according to gender and level of physical activity. Methods: A cross-sectional study was conducted in 2018 with a representative sample of 1513 high school students from public schools. Barriers and level of physical activity were assessed using validated instruments. Adolescents were divided into three groups: inactive, insufficiently active, active. Descriptive statistics were used to verify differences in proportions regarding gender and Kruskal-Wallis for groups. Results: For girls: "having laziness" (n=470), "climate" (n=437) and "not having company" (n=428) were the most reported. For boys: "not having company" (n=186), "not having someone to take" (n=185) and "lack of places" (n=181). Among the groups (active, inactive, insufficient), only for the girls, there were differences: "finds it boring" (p=0.013), "climate" (p=0.003 and p=0.014) and "cannot pay" (p=0.005). Conclusion: Inactive girls perceive more the barriers "finds boring" and "climate" when compared to those insufficiently active and active, respectively. And, insufficiently active girls perceive more the barrier "cannot pay" when compared to inactive girls. For boys, there was no significant difference when comparing groups. Objetivo: Comparar as barreiras percebidas para a prática de atividade física de adolescentes, de acordo com o sexo e nível de atividade física. Métodos: Estudo transversal, conduzido em 2018 com uma amostra representativa de 1513 estudantes do ensino médio de escolas públicas. As barreiras e o nível de atividade física foram avaliados por meio de instrumentos validados. Os adolescentes foram separados em três grupos: inativos, insuficientemente ativos, ativos. Foi utilizada a estatística descritiva, para verificar diferenças nas proporções em relação ao sexo e o Kruskal-Wallis para grupos. Resultados: Para meninas: “ter preguiça" (n=470), "clima" (n=437) e "não ter companhia "(n=428) foram as mais relatadas. Para meninos: “não ter companhia" (n=186), "não ter alguém que leve"(n=185) e "falta de locais” (n=181). Entre os grupos (ativos, inativos, insuficiente), somente para as meninas, houve diferenças: “acha chato” (p=0.013), “clima” (p=0.003 e p=0.014) e “não tem como pagar” (p=0.005). Conclusão: Meninas inativas percebem mais a barreira “acha chato” e “clima”, quando comparado com as insuficientemente ativas e ativas, respectivamente. E, meninas insuficientemente ativas percebem mais a barreira “não tem como pagar” quando comparado com inativas. Para meninos, não houve diferença significativa quando comparado os grupos.

scholarly journals Knowledge and Attitudes of Sexually Transmitted Infections Among High School Students in Sarajevo

2019 ◽  
Vol 48 (2) ◽  
pp. 147
Author(s):  
Sabina Mahmutovic Vranic ◽  
Mufida Aljicevic ◽  
Sabina Segalo ◽  
Anes Joguncic
Keyword(s):  
High School ◽  
High School Students ◽  
Sexually Transmitted Infections ◽  
Cross Sectional Study ◽  
School Students ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Significant Difference ◽  
The Impact

<p><strong>Objective. </strong>The aim of the study was to evaluate knowledge and behavioural risks related to sexually transmitted infection (STIs) among high school students.</p><p><strong>Methods. </strong>The cross sectional study was conducted among students aged 15-18 years old from two high schools in the Sarajevo Canton in the period from October 2017 to March 2018. An anonymous self-administered questionnaire was used. The survey investigated their socio-demographic characteristics, sexual habits and level of knowledge about STIs. The data were analysed using SPSS version 25 and MS Excel 2016.</p><p><strong>Results. </strong>In total 278 high school students participated in the study, with a mean age of 17.79±1.026 years, of which 89 (32%) were male, and 189 (68%) were female. There was no significant difference in age in relation to sex distribution (P=0.074). Regarding the number of participants, 234 (84.2%) were from the dental school, while 44 (15.8%) were from a <em>gimnazija </em>(grammar high school). There was no significant difference in gender-based distribution by school (P=0.080). Students from the grammar high school had significantly better knowledge about the impact of STI on the foetus (P=0.025) and infected individuals (P=0.001), also about the impact of STI on sterility (P=0.005).</p><p><strong>Conclusion. </strong>Our study confirmed the need for implementation of sexual education programs in the final grades of elementary school or in first grades of high school, aimed at improving knowledge of sexually transmitted infections and improving sexual and reproductive health.</p>

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