Redeveloping a Digital Sexual Health Intervention for Adolescents to Allow for Broader Dissemination: Implications for HIV and STD Prevention

HIV/STDs and unintended pregnancy persist among adolescents in the United States; thus, effective sexual health interventions that can be broadly disseminated are necessary. Digital health interventions are highly promising because they allow for customization and widespread reach. The current project involved redeveloping and expanding HEART (Health Education and Relationship Training)—a brief, digital sexual health intervention efficacious at improving safer sex knowledge, self-efficacy, and behavior—onto an open-source platform to allow for greater interactivity and accessibility while reducing long-term program costs. The authors describe the process of adapting, reprogramming, and evaluating the new program, which may serve as a guide for investigators seeking to adapt behavioral interventions onto digital platforms. The final product is an open-source intervention that can be easily adapted for new populations. Among 233 adolescents (Mage = 15.06; 64% girls), HEART was highly acceptable and generally feasible to administer, with no differences in acceptability by gender or sexual identity.

PENGARUH PENDIDIKAN KESEHATAN REPRODUKSI TERHADAP PENGETAHUAN SEKS BEBAS REMAJA DI BPRSW YOGYAKARTA

Free sex is sexual behavior by individuals before marriage which is common in adolescence. As a result of changes in adolescent sexual attitudes and behavior will increase adolescent sexual problems. The consequences that can occur from free sex are unprotected sexuality, venereal disease, mortality of young mothers and their babies, abortion and unwanted pregnancy. The incidence of childbirth as many as 219 occurred in Sleman in 2017 and there were 47 marriage dispensation agreements in 2018. Factors of knowledge about reproductive health are important factors that must be possessed by adolescents to prevent the occurrence of free sex. This study aims to determine the effect of reproductive health education on adolescent free sex knowledge. This study uses a type of pre experiment design with a one-group pretest-posttest design. The population in this study were teenagers in BPRSW as many as 30 people, with sampling using total sampling. Data collection techniques using the method of observation and questionnaires. Test validity in this study using product moment correlation and declared valid with the value of r count <r table (0.05). Reliability test using Cronbach's alpha obtained Cronbach's alpha value of 0.745 so it was declared reliable. Data analysis uses univariate and bivariate analysis. Bivariate analysis using paired T-test. The results of the study indicate that reproductive health education influences adolescent knowledge in BPRSW Yogyakarta, with a value of p = (0.048) <α (0.05). As many as 24 (80.0%) of respondents had good category knowledge after being given health education about free sex.

SEX KNOWLEDGE AND ATTITUDE AMONG UNDERGRADUATE MEDICAL STUDENTS: A CROSS-SECTIONAL STUDY

Background: The word ‘sex’ in India is a taboo and not discussed openly. Sex attitude referes to one’s attitude toward sexuality or different sexual behaviors such as masturbation, oral sex, anal sex and sexual relationships. Poor sex knowledge causes many of these problems. Liberal attitude without adequate knowledge is harmful. Aims: The present study aimed to assess the knowledge and attitude of undergraduate medical students. Methods: a cross sectional study was carried out to assess sex knowledge and attitude among 752 medical undergraduate students. The Google document contained structured questionnaire in four important parts: (1) Demographic details of students (2) Sex Knowledge and Attitude Questionnaire II (SKAQ II). Results: The mean score of participants on attitude towards sex scale is 25.47 ±5.04. Overall participants shows conservative attitude towards sex. Female participants have statistical significantly higher sex knowledge (p=0.038) and attitude towards sex score (p<0.001). As academic year of participants increases sex knowledge increases (p<0.001). Statistical significant positive correlation was observed between sex knowledge and attitude scores (r=0.544, p<0.001). Conclusion: Participants are deficits in sex knowledge and conservative attitude in certain areas. Females, higher education level and urban area participants have higher sex knowledge and liberal attitude. Liberal attitude towards sex develops as sex knowledge increases. There are areas of sex knowledge and attitude which need improvement by proper sex education.

HUBUNGAN PENGETAHUAN DENGAN SIKAP REMAJA TENTANG SEKS PRANIKAH SMA KARTINI KOTA BATAM TAHUN 2018

Various factors causing premarital sexual behavior are loosening of supervision from parents and schools, lack of faith in God, low education in religious values, social influences, easy to absorb western cultures that are currently rife in Indonesia, mass media as well as the internet that provides a variety of positive and negative information. This type of research is a descriptive-analytic study with a cross-sectional approach, which was conducted in February 2017. The population of this study was students of class XII Natural Sciences and Social Sciences of Kartini High School in Batam City, totaling 111 people. Sampling with random sampling technique, as many as 84 people. Data obtained from filling out the questionnaire to respondents, then the data were analyzed univariately and bivariate by computer using the Chi-Square Statistical Test. The results showed that students who had good knowledge about premarital sex were 32 students (38.1%), students who had sufficient knowledge about premarital sex were 24 students (28.6d%) and students who had less knowledge about premarital sex as many as 28 students (33.3%). The results showed that students who had good attitudes about premarital sex were 44 students (52.4%), students who had sufficient attitudes about premarital sex were 21 (25.0%) and students who had fewer attitudes about premarital sex were 19 students (22.6%). Statistical test results show (P = 0,000) meaning that there is a relationship between knowledge and attitudes of adolescents about premarital sex in Batam City Kartini High School in 2018. From the results of the study it can be concluded that there is a significant relationship between Premarital Sex Knowledge and Premarital Sexual Attitudes in Kartini High School students in Batam City in 2018.

Esthetic Perception of Various Forms of Anterior Diastemas during Smiling

Introduction Midline diastema is a common esthetic problem in mixed and permanent dentition. It is considered attractive in some cultures and unattractive in others. Aim The aim of this study is to compare the perceptions of anterior diastema by dental students and laypersons. Materials and Methods The study was conducted on 100 undergraduate students of Bhojia Dental College (n = 50) and Bhojia Nursing College (n = 50), Himachal Pradesh, India. A self-prepared questionnaire was given, which consisted of two parts: first part had personal details (name, age, sex, knowledge of diastema) and the second part contained an edited photograph of a patient who had reported to the Department of Orthodontics, Bhojia Dental College, with the chief complaint of midline diastema. The photographs were modified by photoediting software and arranged according to the previous studies on anterior diastema by Frush and Fisher, Lombardi, and Simian. A visual analog scale with scores 1–4 (1, most attractive; 2, attractive; 3, less attractive; 4, least attractive) was used to rank these photographs by the students. Comparison between various variables was made by using chi-squared test. Results Smile attractiveness from the most to the least attractive was Simian > Frush and Fisher > Lombardi > midline diastema among both dental and nursing students. Gender and presence of diastema had no relation with the students’ perceptions (p > 0.05). Conclusion The location and width of diastema had an important role in the perception of dental diastemas. Midline diastema was a gap with most negative perception.

Premarital Abortion—What is the Harm? The Responsibilisation of Women’s Pregnancy Among China’s “Privileged” Daughters

In the West, women’s safe access to abortion services is central to the debate around reproductive freedom. In China, easy access to abortion arrived hand-in-hand with the one-child policy in 1979 as part of the Party-state’s birth control programme. Based on interviews with 31 women and 11 men from the well-educated 1980s generation, and using vignettes to explore attitudes towards premarital sex and abortion in the context of an increasingly sexualized popular culture, and the acceptability of premarital sex but lack of safe sex knowledge, I illustrate a strictly moralised discourse around female sexuality, where the normalisation of abortion practice does not translate into public acceptance of premarital abortion for women. I argue that the responsibilisation of women’s pregnancy reflects persistent patriarchal values and the state’s regulatory power over women’s reproductive bodies. While the heterosexual family remains the only legitimate site for reproduction, Chinese women’s reproductive freedom is subjugated to the priority of maintaining social stability. Hence, permissiveness over premarital abortion should not be simply understood as moral approval of abortion practice, but reflects pragmatic attitudes under a restrictive regime. I further argue that the Chinese case shows that a more nuanced, contextualised approach to understanding reproductive rights is necessary. At time of publication, the journal operated under the old name. When quoting please refer to the citation on the left using British Journal of Chinese Studies. The pdf of the article still reflects the old journal name; issue number and page range are consistent.