Sex Education Research Articles

Exploring factors influencing awareness and knowledge of human papillomavirus in Chinese college students: A cross-sectional study

ABSTRACT Cervical cancer remains a significant health burden in China, characterized by high incidence and mortality rates, which are exacerbated by low Human Papillomavirus (HPV) vaccination coverage, leading to substantial loss of productivity, emotional suffering, and family strain. Understanding factors that influence HPV awareness and knowledge is crucial for developing effective educational strategies. This cross-sectional study, conducted from September to October 2022, involved 2,679 college students from various educational institutions in Jiangsu Province, China. Data were collected via an online questionnaire covering demographics, HPV knowledge, and vaccination behaviors. Statistical analyses, including Chi-square tests and multifactorial logistic regression, were used to identify factors influencing HPV knowledge. The study revealed that while over 90% of students correctly identified HPV’s transmission and risks, significant knowledge gaps and misconceptions persist, particularly regarding HPV’s association with HIV/AIDS and its treatment. Factors significantly associated with better HPV knowledge included age (22–24 years), female gender, being a medical major, being in a relationship, familiarity with HPV, and participation in sexual education programs. Despite a high willingness to receive the HPV vaccine (91.64%), actual vaccination rates remained low. These findings suggest that while Chinese college students were generally aware of HPV, targeted educational interventions are essential to address knowledge gaps and promote HPV vaccination effectively.

A Study on Gender-based Bullying in Australian High Schools-Take LGBTIQ Student Support Policy as an Example

This thesis provides an in-depth investigation of gender-based bullying in Australian high schools through a critical policy analysis of a relevant sexuality education policy text – LGBTIQ Student Support. The thesis summarises the general phenomenon of gender-based bullying among teenagers and points out the existence of the disconnection between policy and practice – including the unclear definitions in academic materials and policy texts regarding “bullying”, as well as the tendency of individuals to be “silenced” within the high school environment. The thesis subsequently provides an in-depth analysis of the selected policy text, exploring the underlying political discourses as well as the sexual political preferences within the policy. Further, the thesis evaluates the current state of the policy and its practice, revealing its issues and limitations, meanwhile providing certain possible suggestions for further development regarding gender-based bullying. The continuous focus on the issue of gender-based bullying among teenagers is significant, with further support from academic research, actual practices and politics should be provided – to address the disconnection status between policy texts and practices, and to achieve the objective of “improved solutions”. At the same time, the perspective of teenagers is significant and needs to be incorporated into future research and practices to enhance the responsiveness of the result.

Teachers navigating the sociocultural challenges of teaching sexuality education to South African learners

Objective: Globally, South Africa has the highest rate of HIV infection, nevertheless, society and communities seem hesitant to entrust teachers with the responsibility to teach their children about sexuality issues. This study examined how Further Education and Training Life Orientation teachers navigate the sociocultural complexities of teaching sexuality education. Design: A qualitative, narrative study was conducted. Data were generated using narrative frames, collages, and lesson observations. Setting: Six Life Orientation teachers from six schools in the province of KwaZulu-Natal, South Africa participated. Results: Life Orientation teachers faced a range of sociocultural challenges when teaching sexuality education. The following strategies were used to mitigate these challenges: avoiding teaching about contradicting cultural and religious beliefs; using social media platforms; involving specialists, peer educators and role models; and adopting pastoral and parental roles. Conclusion: Collaborative opportunities between Life Orientation teachers, specialists, role models and community members or organisations could offer a supportive role and influence the teaching of sexuality education positively. Social media platforms and innovative teaching strategies could enhance the quality and teaching of sexuality education.

Association Between Food Insecurity and Developmental Delay and Behavioral Problems in US Children 2 to 5 Years of Age.

To investigate the relationship between food insecurity and developmental delay and/or behavior problems (DD/PB) in US children aged 2 to 5 years before the COVID-19 pandemic. Data from 14,464 children aged 2 to 5 years from the National Survey of Children's Health from 2016 to 2017 were analyzed. Children with food insecurity came from families reporting they sometimes or often could not afford nutritious meals. Diagnosis of DD/PB by a professional was obtained through a caregiver report. A quarter of children aged 2 to 5 years lived in food insecure homes, and 9% were diagnosed with DD/PB. Children in food insecure households were more likely to be from minoritized populations publicly insured, with single parents, without high school education, living =< 130% Federal poverty line, and receiving supplemental nutrition assistance program (SNAP) benefits (all p < 0.001). Adjusting for age, sex, race, ethnicity, poverty, family structure, and parent education, children in food insecure households had 1.57 times the odds of being diagnosed with DD/PB compared with children in food secure households. In similarly adjusted models excluding poverty and stratified by SNAP use, homes not receiving SNAP maintained this association between food insecurity and diagnosis of DD/PB, whereas in homes receiving SNAP, the association was not significant. In this population-based study, US children aged 2 to 5 years in food insecure households were more likely to be diagnosed with DD/PB compared with those in food secure households. When stratified, there was no association between food insecurity and DD/PB among those receiving SNAP; the association remained for those not receiving SNAP. The potential long-term impact of this safety net program on our most vulnerable citizens must be considered as policymakers contemplate federal spending priorities.

Development of DNA Insertion-specific Markers Based on the Intron Region of Oplegnathus punctatus itih4b for Genetic Sex Identification.

Spotted knifejaw (Oplegnathus punctatus) is a significant marine fish species that exhibits pronounced sexual dimorphism, with males generally exhibiting greater weight and growth rates than females. Therefore, the farming of O. punctatus with a high proportion of males is beneficial for improving the quality and efficiency of the O. punctatus aquaculture industry. Furthermore, the development of a rapid technique in sexing O. punctatus fry will facilitate the selection and breeding of superior male varieties of O. punctatus. In this study, genome-wide scanning, comparative genomics, and structural variation analysis methods were employed to identify and extract the homologous region of the inter-alpha-trypsin inhibitor heavy chain 4 (itih4b) gene on the X and Y chromosomes from the complete genome sequence of O. punctatus. This analysis revealed the presence of a large segment of DNA insertion markers on the Y chromosome in the region. Itih4b plays an important role in the mechanisms that regulate inflammatory and immune responses in multicellular organisms. The method described here involved the design of a pair of primers to amplify two bands of 532bp and 333bp in males (individuals with DNA insertion variants in the intron of the itih4b gene). In females (individuals without DNA insertion), only one band of 333bp could be distinguished by agarose gel electrophoresis. This method shortened the time required to accurately characterize intronic DNA insertion variants and genetic sexes in O. punctatus, thereby improving detection efficiency. This study has significant value for the large-scale breeding of O. punctatus all-male seedlings and provides a reference point for the study of intron variation regulation and RNA shearing in the itih4b gene.

Evaluating factors affecting sexual abuse prevention education for primary school students according to the life skills approach

This comprehensive study delves into the intricate factors influencing sexual abuse prevention education for elementary school students, capturing insights from diverse stakeholders, including 423 students, 115 teachers, and 423 parents. Employing a Likert scale, the research evaluates various dimensions, shedding light on the nuanced dynamics that shape prevention programs. The results reveal that student-related factors, encompassing positive behavior, cognitive capacity, personality traits, and knowledge levels, received moderately positive mean scores. This underscores the significant contribution of inherent qualities and cognitive abilities of primary school students to the effectiveness of sexual abuse prevention education. Moving to family-related factors, parents’ extensive knowledge and understanding garnered a positive mean score of 2.91, signifying a favorable impact, while financial considerations received a slightly lower mean score of 2.92. Notably, parental educational methods and the inclination to delegate educational responsibilities to schools scored higher at 2.99 each, underscoring the influential role parents play in shaping their children's perspectives on sexual abuse prevention. Within the school environment, positive interactions between teachers and students stood out with a mean score of 2.97, emphasizing the pivotal role of supportive teacher-student relationships in facilitating effective sexual abuse prevention education. Societal factors exhibited varying influences, with local customs, culture, and social psychology receiving a mean score of 2.91, indicating a moderately positive impact. However, the development of the internet and information channels scored lower at 2.60, revealing potential challenges in adapting prevention education to the evolving landscape of online information dissemination. These nuanced findings contribute to a deeper understanding of the multifaceted factors shaping sexual abuse prevention education for elementary school students, providing a foundation for evidence-based interventions and policy decisions.

Development of molecular sex identification method for Asian palm civet (Paradoxurus hermaphroditus) and Small Indian civet (Viverricula indica): a step towards forensic identification

Civet coffee and perfume are premium products in demand worldwide. Consequently, the civet population is threatened by several factors (e.g., the rapidly growing trend of civets being removed from the wild and held in captivity), raising concerns about civet welfare and conservation. In light of this, our aim was to develop a molecular sex identification method for the Asian palm civet (Paradoxurus Hermaphroditus) and the Small Indian civet (Viverricula Indica). We collected five Asian palm civet tissue samples (two male, one female, and two of unknown sex) and one female Small Indian civet from the repository, Advanced Institute for Wildlife Conservation (AIWC). DNA was extracted from all tissue samples using the DNeasy Blood and Tissue Kit. For sex identification, we optimized the PCR conditions to amplify partial fragments of sex-determining region Y (Sry) and the zinc finger X (Zfx) genes using DNA from two male Asian palm civet samples. The PCR amplicons were examined on a 2% agarose gel, and two male civets showed one distinct band at 250 bp (for Sry) and another at 120 bp (for Zfx). To confirm this finding, the PCR amplicons (Sry and Zfx genes) from one male sample were sequenced and % similarity and nucleotide pairwise analysis were calculated. The Sry and Zfx sequences showed 96.99% (for Sry) and 97.78% (Zfx) similarity to the masked palm civet, the only species in the families Paradoxurinae or Viverridae for which sequence data was publicly available. These results confirmed that the optimized PCR conditions are suitable for amplifying the Sry and Zfx genes in the Asian palm civet, which will be helpful for sex identification. Subsequently, we used this optimized method for the sex identification of three Asian palm civets and one Small Indian civet sample obtained from the repository, AIWC. Additionally, we used the method for identification of sex in a seized civet tissue sample received for forensic analysis. This report is the first to focus on developing a method for identifying the sex of Asian palm civets and Small Indian civets. This method will be helpful for researchers working on the ecology and conservation of civet population.

Development of School-Based Comprehensive Sexuality Education Module in Junior High School

Adolescent's sexual changes without being accompanied by the proper arrangements can make young people caught in risky sexual behavior which affects their future. Various challenges in giving sex instruction encourage the realization of comprehensive school-based sexuality education that's compelling in avoiding risky sexual behavior in adolescents. The objectives of this study are (1) Development of comprehensive school-based sex education using the ADDIE model. (2) Validation of a comprehensive school-based sex education module. The research method is research and development using the ADDIE model. A questionnaire served as the instrument. Data were analyzed descriptively qualitatively and descriptively quantitatively. The results showed that (1) the module design and development process followed five steps of the ADDIE model as follows: Analysis, Design, Development, Implementation, and Evaluation. (2) Based on the content expert validation, the module was suitable for use with improvements. There were some comments given by experts about the module. The average of student's questionnaires fell into the good category.

Forbidden Conversations: A Comprehensive Exploration of Taboos in Sexual and Reproductive Health.

This scoping review aims to comprehensively explore the landscape of taboos and their impact on sexual and reproductive health. Titled "Forbidden Conversations," it delves into the intricate web of societal, cultural, and religious norms that have contributed to the elusive and often stigmatized nature of sexual and reproductive health topics. The review navigates through the multifaceted dimensions of these taboos, shedding light on their impact on individuals, communities, and public health while advocating for a paradigm shift toward open, inclusive, and informed dialogue. The analysis within this review spans a decade, capturing the most recent and relevant literature to map the landscape of taboos in sexual and reproductive health. It explores the persistent societal apprehensions and subsequent stigmatization surrounding topics such as menstruation, contraception, fertility, sexual orientation, and gender identity. The review contextualizes the multifaceted challenges presented by these prevailing norms by tracing historically rooted taboos and their evolution across different cultures and contexts. The scoping review identifies the profound implications of these taboos on public health, highlighting how they contribute to disparities in access to healthcare, perpetuate misinformation, and infringe upon the fundamental rights of individuals. It addresses the challenges in sexual education, emphasizing how these taboos impede comprehensive understanding and enforcement of sexual and reproductive health rights among adolescents and young adults. The intersectional approach taken in this review situates these taboos within broader systems of inequality, emphasizing the compounded impact they have on marginalized populations. Through this comprehensive exploration, the review aims to provide actionable insights and identify existing research, policy, and practice gaps. It seeks to lay the foundation for future initiatives that advocate for destigmatization, empowerment, and equity in sexual and reproductive health. Ultimately, "Forbidden Conversations" aims to steer the conversation toward openness and inclusivity while advocating for unbiased, comprehensive sexual and reproductive healthcare with dignity for all individuals.

‘Because it’s who I am’: self-determination of LGBTQ adults with intellectual disability

Lesbian, Gay, Bisexual, Transgender, Intersex, Queer and Asexual (LGBTIQA+) people with intellectual disability face unique challenges in asserting their identities. We aim to understand how Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) individuals with intellectual disability exercise self-determination within disability services. Eight LGBTQ adults with intellectual disability who used disability services participated in qualitative interviews. Fifteen key informants, representing government policy makers, disability service organisations, gender and sexuality educators, and senior leaders of LGBTQ organisations were also interviewed. We found that LGBTQ people with intellectual disability navigate barriers to self-determination: making autonomous decisions about their sexualities or gender identities; coming out and being recognised as LGBTQ; and gaining a sense of belonging in both disability and LGBTQ spaces. We suggest organisational-level actions including: (1) building organisational awareness; (2) including sexuality and gender identities in person centred support planning; and (3) increasing access to positive visual representations and experiences of pride.

Post-Omicron SARS-CoV-2 serostatus in Sierra Leone: A cross-sectional study in a maternity hospital setting in Freetown, November/December 2022

BackgroundSpread of SARS-CoV-2 in Sub-Saharan African countries has been poorly investigated, especially in the later pandemic stages. We aimed to assess the post-Omicron situation in Sierra Leone in November/December 2022 considering SARS-CoV-2 serostatus, vaccinations, and behavioral factors. MethodsIn a cross-sectional study conducted in a maternity hospital in Freetown, Sierra Leone, both patients and staff provided dried blood spot samples for analysis of anti-S and anti-N IgG prevalence using Anti-SARS-CoV-2-ELISA. Additionally, we collected sociodemographic and infection-related information through questionnaires. Outcome parameters included seropositivity, infection-related seroprevalence, and self-reported vaccination status. We used logistic regression to identify associations with prior infection and with vaccination status. ResultsOut of 791 participants (389 patients, 402 staff), 670 (84.7 %) displayed a positive SARS-CoV-2 serostatus resulting from either infection or vaccination. Among a sub-sample of 514 participants within which determination of prior natural infection was possible, 441individuals (85.8 %) were affected. Prior infection was associated with female sex and tertiary education level. Overall, 60.3 % reported having been vaccinated. Staff as opposed to patients, and individuals with higher socioeconomic status were more likely to report vaccination. Individuals who assessed their risk of COVID-19 as either higher or lower compared to a medium-level risk were more likely to have contracted the virus and less likely to have received vaccination. ConclusionOur findings suggest that since the Omicron wave in 2022, the Sierra Leonean population has almost universally been exposed to SARS-CoV-2. While this is encouraging in the light of relatively low excess mortality in the country, future investigations on the long-term effect of high viral exposure on epidemic resilience and public health impact will be crucial.

Understanding Youth Vulnerability to HIV/AIDS in Uganda: Social, Economic, and Behavioural Dimensions

This review examines the multifaceted vulnerability of Ugandan youth to HIV/AIDS, emphasising the interplay of social, economic, and behavioural dimensions. Through a comprehensive analysis of HIV prevalence rates, trends, regional variations, and gender disparities, the review highlights key risk factors, including peer pressure, cultural norms, stigma, economic hardship, and substance use. It underscores the critical role of gender dynamics, with female youth facing unique challenges such as gender-based violence and economic dependence, while LGBTQ+ youth encounter compounded risks due to societal stigma and inadequate services. We also explore the disparities between rural and urban youth in access to information and services, uncovering significant barriers they face. Youth-led initiatives are critical in addressing these challenges, with peer education programs, youth-friendly services, and innovative digital campaigns all playing a crucial role in prevention efforts. We discuss barriers to youth participation, such as stigma, cultural norms, and educational gaps, and discuss strategies to overcome them, like culturally sensitive education and improved access to resources. We highlight the role of schools and educational institutions, emphasising the importance of integrating comprehensive sex education, school-based health services, and extracurricular activities to foster awareness and preventive behaviours. The review also highlights the importance of youth advocacy and leadership in shaping inclusive policies and driving effective interventions. We present economic empowerment strategies, including skills training andmicrofinance, as complementary to health-focused efforts by addressing socioeconomic vulnerabilities. The review concludes by advocating for a holistic approach that combines education, economic empowerment, gender-sensitive interventions, and collaborative partnerships among government, NGOs, civil society, and the private sector to effectively reduce HIV prevalence and improve the well-being of Ugandan youth. Keywords: Youth, HIV/AIDS, Uganda, social, economic, and behavioural dimensions

Comprehensive Sexuality Education (CSE) and HIV/AIDS Prevention among Youth in East Africa

Comprehensive Sexuality Education (CSE) is a pivotal strategy for reducing HIV/AIDS prevalence among youth in East Africa, where the growing young population presents significant challenges for effective prevention. This review examines the role of CSE in equipping young people with essential knowledge, skills, and attitudes to make informed decisions about their sexual health. We explore the importance of culturally relevant and evidence-based curricula, the impact of teacher training programmes, and the integration of CSE into both school and community settings. We highlight the crucial role of youth-friendly health services in providing accessible and confidential care and identify peer education and youth-led initiatives as key strategies for engaging and empowering young people in HIV prevention. We examine the role of economic empowerment strategies, such as microfinance and vocational training, in reducing HIV vulnerability. We discuss gender-sensitive approaches to address the unique needs of different genders, including LGBTQ+ youth. The review also explores the potential of innovative technologies and digital solutions, such as mobile health applications and social media campaigns, to enhance HIV prevention efforts. The review emphasises community engagement and support systems, policy advocacy, and research as essential components for a comprehensive response. By integrating these diverse strategies, the review underscores the need for a multi-faceted approach to effectively address HIV/AIDS among youth in East Africa, ultimately aiming to improve health outcomes and achieve sustainable prevention goals. Keywords: Comprehensive Sexuality Education (CSE), HIV/AIDS, Youth, East Africa

Stop leaving people with disability behind: Reviewing comprehensive sexuality education for people with disability

Background: The pathologisation of people with disability1 has long affected the educational quality of the sexuality education they receive. Whilst concern for people with disability has been growing in some comprehensive sexuality education settings, the quality of education in these spaces is variable and typically accommodations for people with disability are not made. The lack of accessibility fosters few opportunities to learn about and practise skills related to establishing and maintaining social relationships, including platonic, romantic and sexual relationships, thereby limiting informed decision-making. Moreover, the lack of good quality sexuality education significantly increases the risk of sexual abuse, assault, and family and domestic violence – impacting people with disability’s self-determination, autonomy and ultimately, ability to work, live independently, and maintain their mental and physical health. Objective: Few reviews of comprehensive sexuality education programmes for people with disability have been reported. Therefore, four current comprehensive sexuality education programmes for people with disability were reviewed, including their content and the topics included; the feasibility of implementation including costs; different accessibility considerations for varied learners and disabilities; and methods of delivery. This allowed an assessment of their strengths and opportunities for people with disability. Results: The review highlighted strong positive changes occurring within the field, as well as challenges due to funding limitations, and the extensive number of topics under comprehensive sexuality education that need to be addressed in teaching and delivering quality comprehensive sexuality education to people with disability. Conclusion: Informed by the evidence in this review, we advocate for the inclusion of a more comprehensive range of topics, including gender and sexuality diversity within accessible comprehensive sexuality education for people with disability, and the establishment of appropriate forms of teacher education and training to increase confidence and comfort when delivering comprehensive sexuality education to people with disability.

Parents perceptions about sex education for early adolescents in primary schools in Hegarmanah village area

Parents perceptions about sex education for early adolescents in primary schools in Hegarmanah village area

Inclusion Goals: What Sex Education for LGBTQIA+ Adolescents?

According to the World Health Organization and the World Association for Sexual Health (WAS) Declaration of Sexual Rights, sex education aims to provide children and adolescents with comprehensive knowledge, skills, attitudes, and values, promoting equality and nondiscrimination while upholding freedom of thought and expression. However, current school curricula often focus on dichotomous sexual identity and hetero-cis-normative prevention strategies, neglecting the needs of gender minority (GM) and sexual minority (SM) youths. In family settings, discussions typically revolve around sexual risk reduction and basic contraception, omitting relational aspects and components of sexual identity such as orientations and gender expressions. This discrepancy highlights a gap between the official goals of sex education and its practical implementation, reflecting a cultural deficit in familial sex education. This study reviews the scientific literature on sexual health promotion interventions from 2015 to 2024 to identify inclusive approaches that enhance the participation of all youths, not just hetero-cis-normative individuals. The hypothesis is that most interventions primarily serve heterosexual and cisgender youths, indicating a need for more inclusive strategies to achieve better sexual health and educational outcomes. The study also suggests expanding curricula to align with recognized guidelines and the diverse needs of youth.

Queer youth and critical sexuality education pedagogies within networked publics: implications for school-based practice

ABSTRACT There is a body of international literature demonstrating queer young people’s dissatisfaction with their school-based sexuality education. Seeking relevant information and social support, queer young people frequently report turning to the internet. Though this is well-documented in the literature, little research has specifically examined young people’s embeddedness in social media sites – or networked publics – as a legitimate form of sexuality education pedagogy. Drawing on narrative data on the sexuality education experiences of trans, non-binary and gender diverse Australians aged 18–26, this article uses the perspectives of Paulo Freire and bell hooks to theorise and compare the sexuality education pedagogies in the classroom and within queer networked publics. While school-based approaches are often limited to banking pedagogies that communicate prescriptive and normative ‘facts’ about sex, gender and health, online pedagogies represent a much greater potential for peer teaching and learning that is comprehensive, queer-affirming, and arguably impossible to replicate at school. This paper teases out the implications of this argument for school-based sexuality education pedagogies that grapple with expectations to be comprehensive in addressing diversity and digital literacy, and it maps out possibilities for formal and informal sexuality education to complement each other in a more holistic way.

Psychoeducation About Sexual Life Literacy in Adolescents

Sexual education is still considered taboo by society, which results in adolescents having less knowledge about sexual education and searching for it from sources that cannot be accounted for. Education related to reproductive health and sexual life is needed so that adolescents can face their lives healthily and support adolescents in developing aspects of life skills and positive attitudes toward themselves. This study aims to see the effect of psychoeducation on literacy and sexuality in adolescents. Psychoeducation was conducted for one day at SMPN 3 Cipatat using an experiential learning model. The adolescents (N = 40) participated in a focus group discussion and completed pre and post questionnaire on their sexual life problems. The data obtained were compared using t-test analysis. The results of this psychoeducation for adolescent students of SMPN 3 Cipatat are a healthier perception of sexual life and more positive behavior toward their sexuality life after being given literacy, so adolescent students of SMPN 3 Cipatat experience more mentally healthy growth and development. Keywords: adolescents, mental health, sexuality life

Understanding Sexuality: A Quick Survey of Teenagers in Kupang and Its Environs

This study aims to determine teenagers’ understanding of sexuality in Kupang and its environs. The discussion about sexuality in Eastern culture is considered taboo and impolite, however, with the advancement in technology comes several interesting contents including sexuality. Although there have been studies discussing sex education, little is known about the topic in the context of Kupang and East Nusa Tenggara. A quick survey was conducted to show a considerable deficiency in literacy and understanding of sexuality among teenagers in Kupang to counter the open fast-growing information access world. A sample of 153 students from the junior secondary (SMP) and senior secondary schools provided their feedback through an online questionnaire. The results show that (1) respondents did not fully comprehend the meaning of the term sex; (2) social media was the main source of the knowledge respondents had regarding sex; (3) majority of the respondents did not ask their parents about sexuality and prefer to find it on their own; (4) parents gave negative responses when asked about sex/sexuality because of lack of knowledge; (5) most of the respondents accessed pornography to see body parts and sexual activities; and (6) more than half of the respondents reported rejection emotions toward sex, such as ignorant, disapproval, and sexual desire arousal. To conclude, parents should educate their children on sexuality in a clear and easy-to-understand language without trying to cover up sexuality talks. It is essential to provide a solution to increase teenagers’ understanding of sexuality by encouraging comprehensive sex education based on their development stages, Eastern culture, and religious values conducted by parents, the media, and schools. Keywords: quick survey, sexuality, teenagers, understanding

Effectiveness of digital interventions to reduce school-age adolescent sexual risks: A systematic review.

The increase in risky sexual behaviors among adolescent students has sparked alarm and has become an area of research interest. As adolescents prioritize confidentiality and accessibility, digital interventions are becoming increasingly relevant in sex education. We therefore posed the following research question: Are digital application interventions effective to prevent risky sexual behaviors in school adolescents? A systematic peer review was conducted between January and December 2023 in five databases (PubMed, Web of Science, Scopus, EMBASE, and PsycINFO) without restricting for language or year of publication. We included randomized control trials or quasi-experimental studies that measured the effectiveness of interventions targeting young people aged 10-19 years or their parents and developed in a school setting. Interventions aimed at young people with intellectual disabilities, learning difficulties, or any disease requiring a specific intervention were excluded. The search ultimately yielded 27 studies covering a total of 18 digital interventions that demonstrated positive effects, not maintained over time, on knowledge, attitudes, and behaviors, although the latter to a lesser extent. We have found very interesting digital interventions with effects, among others, on knowledge, attitudes, and contraceptive use in adolescents. In general, digital interventions have positive effects on knowledge and attitudes, but it is more difficult to modify behaviors with strictly digital interventions or combined with complementary face-to-face sessions or group class activities. We thus believe that digital interventions are adequate to reduce adolescent sexual risk behaviors, and our systematic review facilitates the implementation of these interventions by sharing existing digital interventions that have had positive effects, as well as the main characteristics a digital intervention should possess to reduce sexually risky behaviors in adolescents. Digital interventions with adolescents improve sexual behaviors and can be a valuable resource in education on this topic due to their accessibility and confidentiality, two key points for young people.