scholarly journals Assessing the Effect of Sexual and Reproductive Health Training Program on the Knowledge on Safe Sex Practice of Young Adults in College

2019 ◽  
Vol 10 (2) ◽  
pp. 27
Author(s):  
Jehoshaphat Muzungu ◽  
Jenae Logan ◽  
Akiiki Bitalabeho ◽  
Rex Wong

Young adults and adolescents ages 18 to 24 years are often either uninformed or misinformed about sexuality and health-promoting behaviors and are more likely to exhibit risky sexual behaviors. In sub-Saharan Africa, only 19-26% of adolescents display adequate knowledge related to HIV and sexual and reproductive health.Sexual and reproductive health education for young adults can reduce unintended pregnancies, delay sexual debut, reduce having multiple sex partners, increase pregnancy prevention practices and increase the practice of protected sex.This study utilized a pre- and post-intervention design to assess the impact of a sex education program on young adult freshman students ages 18 to 24 years, at a government education institution in Rwanda, on knowledge related to family planning and contraception, sexually transmitted infections/HIV/AIDS, and safe and risky sex practices.A total of 360 freshman students from the college completed the pre-intervention questionnaire and 341 completed the post-intervention questionnaire. The results showed that the overall knowledge in the sample was generally low before the intervention (67.8%) but had increased to 84.7% post-intervention (P<0.001). Many respondents thought STIs were genetic diseases, that withdrawal was a reliable birth control method, and that having multiple sexual partners or transactional sex were not risky sex practices.Universities in Rwanda should consider incorporating sexual and reproductive education in their curriculum. The increase in knowledge, however, does not guarantee a change in the respondents’ sexual behavior. Further study is needed to assess the impact of the intervention on actual change in sexual behavior and longterm health outcome.

Psico ◽  
2021 ◽  
Vol 52 (2) ◽  
pp. e36084
Author(s):  
André Teixeira Stephanou ◽  
Ana Cristina Garcia Dias

Sexually transmitted infections are increasing in Brazilian adolescents and youth. The aim of this study was to investigate the association of self-esteem, self-efficacy, and other psychosocial variables with condom use behavior and sexual debut in a sample of adolescents from Santa Maria-RS. Data was collected with 452 adolescents (57% girls), mean age of 15.9 years (SD = 1.4), using the Brazilian Youth Questionnaire – Phase II. Condom use behavior was not associated with self-esteem or self-efficacy in the logistic regression model, contrary to the main hypothesis. General self-efficacy was positively associated with sexual debut, while religiosity was negatively associated with this outcome. Family support was associated with older age at sexual debut. The findings support the importance of analyzing different sexual behaviors separately, as they may have distinct predictors. Studies should use specific measures of self-efficacy when studying sexual behavior and measure how participants value different sexual behaviors.


2020 ◽  
Vol 32 (2-3) ◽  
pp. 71-80 ◽  
Author(s):  
Farwa Rizvi ◽  
Joanne Williams ◽  
Humaira Maheen ◽  
Elizabeth Hoban

There is an increase in risky sexual behavior (RSB) in Cambodian female youth aged 10 to 24 years, which can contribute to detrimental sexual and reproductive health due to the increased risk of acquiring sexually transmitted infections, unintended pregnancies, or abortions. Bronfenbrenner’s social ecological model was used to identify factors at personal, microenvironment, and macroenvironment levels potentially associated with RSB. A systematic literature review employing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was conducted to search 8 databases for articles published between 1994 and 2019. A risk of bias tool was applied for methodological quality of the 4 included studies. RSB is associated with multiple factors including sexual debut at young age, alcohol and substance abuse, multiple partners, living away from parents or orphan status, peer delinquency, non-use of condoms by partners, transactional sex, low education and socioeconomic status, and no access to sexual and reproductive health services. Multipronged preventive strategies operating at different levels are recommended in terms of including sex education and increasing reproductive health literacy programs at the schools and community programs for safe sex, condom use and sexual negotiation skills, and access to modern contraceptive methods.


2005 ◽  
Vol 29 (4) ◽  
pp. 345-352 ◽  
Author(s):  
Maria Testa ◽  
Jennifer A. Livingston ◽  
Carol VanZile-Tamsen

Computer-administered self-interviewing (CASI) has been advocated as a way of overcoming underreporting of sensitive sexual behaviors. The present study compared reports of consensual and nonconsensual sexual behaviors (including childhood and adulthood sexual victimization) among women using CASI ( n = 1014) versus a self-administered questionnaire (SAQ; n = 318). Women, ages 18-30 years old, were recruited through random-digit dialing in the community. Response rates were significantly higher for the SAQ, which was sent and returned by mail (87.6% of those eligible), than for the CASI, which involved in-person assessment at a central location (61.4%). There were a few modest differences in reports of consensual or nonconsensual sexual behavior according to mode of administration, suggesting greater willingness to report sexual experiences among the SAQ sample. Mailed SAQ following telephone contact and with financial incentive may be a cost-effective way of obtaining data on sexual behavior from a community sample.


2017 ◽  
Vol 33 (1) ◽  
pp. 31
Author(s):  
Puspasari Puspasari ◽  
Sukamdi Sukamdi ◽  
Ova Emilia

The correlation of reproductive health information exposure from media on premarital sexual behaviour: an Indonesia demographic health survey 2012 analysisPurposeThis study aimed to determine the correlation of type and intensity of exposure of reproductive health information through media to the sexual behavior of adolescents and young adults in Indonesia.MethodsThis study used a cross-sectional design. The data used was the Indonesian sub-survey of adolescent reproductive health, Indonesia demographic and health survey.ResultsThe results showed that adolescents and young adults who receive the health information type of adolescent reproductive health category have a smaller prevalence in sexual intercourse before marriage than information of contraceptive methods category or both. The intensity of exposure to reproductive health information which was low or no exposure, have higher prevalence of premarital sexual behavior. Age, gender, level of education, level of wealth, smoking, drinking alcohol, drug consumption and dating intimacy are significantly associated with premarital sexual behavior of adolescents and young adults.ConclusionType and intensity of reproductive health information are significantly associated with premarital sexual behavior of adolescents and young adults. The high intensity of exposure and type of adolescent reproductive Health category have a smaller prevalence in sexual intercourse before marriage.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Trena I. Mukherjee ◽  
Angubeen G. Khan ◽  
Anindita Dasgupta ◽  
Goleen Samari

Abstract Objective Despite gendered dimensions of COVID-19 becoming increasingly apparent, the impact of COVID-19 and other respiratory epidemics on women and girls’ sexual and reproductive health (SRH) have yet to be synthesized. This review uses a reproductive justice framework to systematically review empirical evidence of the indirect impacts of respiratory epidemics on SRH. Methods We searched MEDLINE and CINAHL for original, peer-reviewed articles related to respiratory epidemics and women and girls’ SRH through May 31, 2021. Studies focusing on various SRH outcomes were included, however those exclusively examining pregnancy, perinatal-related outcomes, and gender-based violence were excluded due to previously published systematic reviews on these topics. The review consisted of title and abstract screening, full-text screening, and data abstraction. Results Twenty-four studies met all eligibility criteria. These studies emphasized that COVID-19 resulted in service disruptions that effected access to abortion, contraceptives, HIV/STI testing, and changes in sexual behaviors, menstruation, and pregnancy intentions. Conclusions These findings highlight the need to enact policies that ensure equitable, timely access to quality SRH services for women and girls, despite quarantine and distancing policies. Research gaps include understanding how COVID-19 disruptions in SRH service provision, access and/or utilization have impacted underserved populations and those with intersectional identities, who faced SRH inequities notwithstanding an epidemic. More robust research is also needed to understand the indirect impact of COVID-19 and epidemic control measures on a wider range of SRH outcomes (e.g., menstrual disorders, fertility services, gynecologic oncology) in the long-term.


2019 ◽  
Vol 3 (1) ◽  
pp. 31 ◽  
Author(s):  
Putu Erma Pradnyani ◽  
I Gusti Ngurah Edi Putra ◽  
Ni Luh Eka Purni Astiti

Background: Adolescent sexual and reproductive health (SRH) problems remain an important public health issue in many developing countries, such as Indonesia. Therefore, assessing SRH knowledge, attitude, and behavior among adolescents are worth considering for public health intervention purpose in order to reduce their vulnerability to SRH problems. Aims: This study aimed to assess SRH knowledge, attitude, and behavior among adolescent students in Denpasar, Bali, Indonesia.Methods: This was a cross-sectional school-based study conducted in Denpasar, Bali, Indonesia from July to September 2016. This study applied multi-stage random sampling to recruit 1,200 students out of 24 junior, senior, and vocational high schools. Variables in this study consisted of socio-demographic characteristics, knowledge, attitude, and behavior related to SRH. Data were analyzed using descriptive analysis and cross-tabulation to identify proportion differences.Results: Regarding knowledge on SRH, students had less knowledge on a reproductive process (10.1%) and reproductive risk (11.4%), but half of them knew about the sexually transmitted infections (STIs) and HIV&AIDS (55.6%) and almost all had sufficient knowledge on puberty (90.7%). Meanwhile, few students argued that several sexual behaviors can be performed before getting married, such as kissing and hugging (48.9%), petting and oral sex (18.7%) and sexual intercourse (vaginal sex) (13.8%). Out of 1,200 adolescent students, 880 (73.3%) reported for have ever been in dating with someone. Among adolescent dating, few students reported for an experience of petting (14.3%), oral sex (9.8%), vaginal sex (6.5%), and anal sex (2.6%).Conclusion: Adolescent students in Denpasar, Bali, had a low level of sufficient knowledge in some SRH aspects, a few students reported for permissive attitude and performed premarital sexual behaviors. Therefore, providing comprehensive sexuality education (CSE) is worth considering to improve knowledge and appropriate skills in order to prevent risky sexual behavior among adolescents. Keywords: Sexual and reproductive health, adolescents, students, knowledge, attitude, sexual behavior.


2021 ◽  
Vol 11 (2) ◽  
pp. 80-88
Author(s):  
Ali Johnson Onoja ◽  
Felix Olaniyi Sanni ◽  
Paul Olaiya Abiodun ◽  
John Shaibu ◽  
Sheila Iye Onoja ◽  
...  

Introduction: The major means of transmitting sexual-related diseases including HIV is through unprotected sexual activities. This study aimed to assess the impact of comprehensive HIV prevention interventions on the sexual behavior of oil and gas workers in Bonny Island, a rural community of Rivers State, Nigeria. Methods: This is a cross-sectional-quantitative study that employed a structured questionnaire among oil and gas workers aged 15 – 49 years in Bonny Island. The information collected from February to April 2012 (after a three year HIV prevention and control intervention programs) includes the socio-demographics; age, gender, education, occupation, marital status and data related to sexual behaviors. Data were analyzed using IBM-SPSS version 25.0. Results: There were 419 respondents each in baseline and post-intervention surveys. The rate of unprotected sex among respondents at baseline was 82.1% as compared to 20.3% after the intervention, odds ratio-18.02 (95% CI-12.76-25.45; P<0.0001). Sixty-one (14.6%) exchanged sex for gifts in the baseline and 12.4% in the post-intervention. At the baseline, 5.0% used condoms in the last sexual intercourse as compared to 26.0% in the post-intervention; odds ratio - 6.66 (95% CI-4.08-10.88; P<0.0001). Factors associated with condoms use include sex, age, education, duration in the community, marital status, and living with spouses (p<0.01). Conclusion: There was a significant positive impact of a comprehensive intervention programme on the sexual behavior of the workers in the rural community of Rivers State, Nigeria. However, regular interventions in rural communities towards the prevention of spread of STIs and HIV are needed in Nigeria.


2017 ◽  
Vol 50 (2) ◽  
pp. 161-177 ◽  
Author(s):  
Joshua Amo-Adjei ◽  
Derek Anamaale Tuoyire

SummaryThis study aimed to contribute to the evidence on the timing of sexual debut in young people in sub-Saharan African countries. Data were extracted from 34 nationally representative surveys conducted in the region between 2006 and 2014. The study sample comprised unmarried women (n=167,932) and men (n=76,900) aged 15–24 years. Descriptive techniques and Cox proportional regression models were used to estimate the timing of sexual debut, and Kaplan–Meier hazard curves were used to describe the patterns of sexual debut in each country by sex. For the countries studied, sexual debut for both women and men occurred between the ages of 15 and 18 years, with median ages of 16 for women and 17 for men. Overall, education and household wealth provided significant protection against early sexual debut among women, but the reverse was found among men for wealth. Women in rural areas, in female-headed households and in Central, South and West Africa reported higher hazards of early commencement of sexual activity than their counterparts in urban, male-headed households and East Africa. However, the impact of these variables on male sexual debut did not follow a consistent pattern. Varied timing, as well as country-specific risk factors associated with sexual debut for young women and men across sub-Saharan Africa, were identified. Sexual health programmes and interventions for young people may require different approaches for young women and men.


2018 ◽  
Vol 34 (6) ◽  
pp. 644-651 ◽  
Author(s):  
Janni J. Kinsler ◽  
Deborah Glik ◽  
Sandra de Castro Buffington ◽  
Hannah Malan ◽  
Carsten Nadjat-Haiem ◽  
...  

Author(s):  
Maycon Klerystton B. Tavares ◽  
Romulo L. P. de Melo ◽  
Bianca F. da Rocha ◽  
Débora J. Andrade ◽  
Danielle R. Evangelista ◽  
...  

Although dating applications (apps) have become popular among young adults, there is a dearth of information regarding the sexual health implications among Brazilian college students. This study examined risky sexual behavior and attitudes of dating app users, based on their sex in Brazil’s Legal Amazon. Three hundred and fifty-nine students reported their sociodemographic data, dating app use, and sexual behaviors and attitudes through self-administered questionnaires. Bivariate analyses and analysis of variance (ANOVA) with Bonferroni post-hoc tests were performed. Dating app use was reported by 238 (66.3%) subjects, most of whom had an encounter and sex with a casual partner. Women frequently requested condom use. Trust in one’s partner or having repeated encounters were the main reasons for engaging in risky sexual behavior. Men had a greater number of sexual partners and less protective attitudes. Sexual health awareness by apps was not reported by 97% of women, and most of them were not tested for sexually transmitted infections. A positive attitude toward sexual health was not a predictor of safe sex. Important similarities and differences regarding risky sexual behaviors and attitudes were observed between the sexes, many of which correlated with increased sexual vulnerability during the sexual encounters arranged through the dating apps. This cross-sectional study supports efforts on sexual health promotion and sexual education implementation in the face of growing usage of apps among young adults for sexual matters.


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