Abstract

As reported by the World Health Organization in 2017, there are 2 million+ young people living with HIV worldwide. The World Health Organization also reported that a third of all new HIV infections around the world are estimated to occur among youths (aged 15–25). and teen pregnancy rates are on the rise in many places. These worrying trends suggest that existing sexuality education programs and interventions may be inadequate and/or ineffective. Although the 1994 International Conference on Population and Development’s (ICPD) Programme of Action highlighted the roles of Governments to offer sex education to young people to promote teenage reproductive health, yet inconsistency exists in the related initiatives in the global context. The present article aims to provide a comprehensive literature review of the existing sexuality programs in selected places in both English-speaking (i.e., the United States of America, the United Kingdom) and Chinese-speaking contexts (i.e., Hong Kong, Mainland China, and Taiwan). Based on the review, observations and implications for sexuality education policy and practice, as well as recommendations for future research for youths are outlined.

Highlights

  • Adolescence marks a developmental phase where one has relatively sound health, a time where physical sexual maturity is acquired

  • Worrying trends in sexual wellbeing of adolescents are observed globally with increasing prevalence rates of teenage pregnancy in certain regions and sexually transmitted infections (STIs) which urged scholars, practitioners, policy makers, parents and young people to examine the implementation and effectiveness of sex education targeted at youths

  • The call for stronger Government involvement in promoting sex education in young people can be seen in the 1994 International

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Summary

Introduction

Adolescence marks a developmental phase where one has relatively sound health, a time where physical sexual maturity is acquired. It is during this period marked by increased autonomy, social immaturity, risk taking, and spontaneity which make them more susceptible to reproduction and sexual health risks. These risks include unplanned, or unprotected sex, which may lead to an elevated risk of sexually transmitted infections (STIs), unintended pregnancy, and unsafe abortion [1,2]. Four curable STIs include syphilis, gonorrhea, chlamydia, and trichomoniasis, while, hepatitis B, herpes, HIV, and human papillomavirus (HPV)

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