Abstract
Adolescence is the time during which the personal and sexual identity develops. The specific characteristics of adolescents and the lack of maturity facilitates the acquisition of sexual risk behaviors such as relaxation in the use of barrier contraceptives or the use of toxic substances, alcohol or drugs during sexual relations, increasing of sexually transmitted infections (STIs) and unwanted pregnancies. Health education in sexuality is one of the best ways to prevent risk behaviors and to promote healthy and responsible sexuality. While there have been different works in sex education in adolescents, there is still a lack of a comprehensive systematic literature review that including randomized and non-randomized clinical trials and quasi-experimental pre-post studies addressing education programs that provide information on healthy and responsible sexuality. Further, it is noted that a protocol drafted in consideration of the existing approaches is needed to present a basis for a systematic literature review in this area. This article, therefore, proposes a review protocol that will evaluate the impact of comprehensive sex education programs in the level of knowledge about STIs, behavioral level concerning the frequency of use of effective contraceptive methods and level of knowledge about sexual identity, diversity and/or responsible sexuality, after the intervention.
Highlights
IntroductionThe adolescence is the time during which the personal and sexual identity develops [1]
For studies that analyze changes from a baseline, the mean differences will be included as a covariate in a regression model or covariance analysis (ANCOVA)
The publication bias will be evaluated through the funnel plot, in which the sample size of each job is represented against the size of the detected effect
Summary
The adolescence is the time during which the personal and sexual identity develops [1]. Sexuality takes into account aspects such as sex, gender identity, gender roles, sexual orientation, eroticism and intimacy. It is influenced by various factors like biology (age and sex), society (culture and religion) and psychology [2]. The majority of the human population has their first sexual encounters during their adolescence. The specific characteristics of adolescents (need for independence, impulsiveness and emotional lability) and the lack of maturity at the time of initiating sexual relations facilitates the acquisition of risk behaviors in these relationships, among which the following stand out as the most prevalent [3,4]:
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