Sex Education Research Articles

Monitoring of snow leopards in the Sarychat-Ertash State Reserve (Kyrgyzstan), between 2011 and 2019, through scat genotyping

Snow leopards (Panthera uncia) are a keystone species of Asia’s high mountain ecosystem. The species is assessed as Vulnerable by the IUCN Red List of Threatened Species and is elusive, limiting accurate population assessments that could inform conservation actions. Non-invasive genetic monitoring conducted by citizen scientists offers avenues to provide key data on this species. From 2011 to 2019, OSI-Panthera citizen science expeditions tracked signs of presence of snow leopards and collected scat samples along transects in the main valleys and crests of the Sarychat-Ertash State Reserve (Kyrgyzstan). Scat samples were genotyped at twenty autosomal microsatellite loci and at a X/Y locus (sex identification), allowing an estimation of a minimum of 17 individuals. The genetic recapture of 12 of them provided indications of individuals’ habitat use throughout the reserve. We found putative family relationships between several individuals; however, further research is needed to validate these findings. Our results demonstrate the potential of a citizen science program to collect meaningful data that can inform the conservation management of snow leopards.

Assessment of Knowledge, Attitudes, and Practices towards Sexual and Reproductive Health among Secondary School Students in Kicukiro District, Rwanda

Sexual and reproductive health (SRH) is intricately connected to a variety of factors, including cultural norms, psychological influences, and individual experiences. This study explores the experiences of late adolescents regarding SRH, focusing on their knowledge, attitudes, and practices in Kicukiro District, Rwanda. Despite government efforts to educate youth on SRH, many secondary school students remain vulnerable to issues like unplanned pregnancies and sexually transmitted infections (STIs). To evaluate the knowledge, attitudes, and practices regarding sexual and reproductive health among secondary school students in Kicukiro District, Rwanda. The study targeted secondary school students from two schools: Groupe Scolaire Saint Vincent Pillotie Gikondo (urban) and EFOTEK (rural). Using Fisher’s formula, a sample size of 423 respondents was determined through stratified random sampling. Data were collected via structured questionnaires and analyzed using SPSS and descriptive statistics, including frequency, percentages, means, and standard deviations. The findings revealed that 88% of students were aware of puberty and pregnancy processes, while 78.7% were knowledgeable about contraceptive methods, particularly condoms and oral contraceptives. Positive attitudes towards SRH were noted, with a mean score of 4.00 for pre-marital relationships, but significant misconceptions existed, such as 11% of respondents lacking knowledge on HIV protection. The overall mean for practices related to SRH was 3.98 for seeking medical check-ups, indicating a willingness to engage with health services. However, practices promoting healthy lifestyles received a lower mean of 3.25, suggesting areas needing improvement. The study highlights the need for enhanced sexual and reproductive health education among secondary school students in Kicukiro District. While students demonstrate good knowledge and positive attitudes toward SRH, targeted interventions are necessary to address misconceptions and promote healthier practices, particularly in areas related to lifestyle and open communication.

Biblical Perspective and Educational Domains in Sex Education: Addressing Gaps in Indonesian Sex Education

In Indonesia, sex education is delivered in public high schools as part of the biology curriculum and under the topic of reproductive health. According to the government’s view, when schools teach students properly about reproductive health, they will have a good understanding of their sexuality. Therefore, there is no need to have any further sexual education outside of the school curriculum. However, about half of the teenagers living in major cities are involved in premarital sex, and the rate of teen abortion and HIV infections is high. This article examined the implementation of sexual education in public high schools in Indonesia using a combination of qualitative and quantitative research. The survey was done on a sample of 416 students from 30 provinces and 66 cities in Indonesia. The finding support a particular approach to sex education that incorporates cognitive, affective, and psychomotor learning aspects of educational taxonomy. We find that it is essential to develop a separate sex education module in addition to the current reproductive health topic taught in biology to encourage students to practice abstinence, rather than just teaching reproductive health.

Perspective of Midwives in Turkey Regarding Sexual Health Literacy and Sexual Healthcare Services.

This study aimed to examine the factors associated with the level of sexual health literacy of midwives and their views on sexual healthcare. This is a descriptive and correlational study. A total of 324 midwives with at least 1 year of professional experience and at least a bachelor's degree participated in the study. Data were collected with the "Midwife Information Form" and "Sexual Health Literacy Scale." The professional work experience, marital status, and education related to sexual health did not affect the sexual health literacy of midwives. Age, educational status, and voluntary choice of the profession willingly affected sexual health literacy. The sexual health literacy of midwives who hold positive views on sexuality and sexual healthcare services is higher. The midwives' perspectives on sexual health, their level of knowledge, and the sexual health education they receive impact the quality of care they provide. Sexual and reproductive health should be emphasized within the scope of midwifery education.

Dual HIV risk and vulnerabilities among people who inject drugs in Iran: Findings from a nationwide study in 2020

IntroductionPeople who inject drugs (PWID) are a key population at risk of HIV in Iran. We measured the prevalence and covariates of HIV-related risk behaviours among PWID in Iran.MethodsWe conducted a respondent-driven bio-behavioural surveillance survey among PWID from July 2019 to March 2020 in 11 major cities. We assessed PWID’s recent (i.e., last three months) HIV-related risk behaviours using a four-level categorical variable: Only unsafe injection (i.e., sharing needles/syringes or injecting equipment), only unsafe sex (i.e., unprotected sex), dual HIV risk (i.e., both unsafe injection and unprotected sex), and safe injection and sex. Data were summarized using RDS-weighted analysis. Multinomial logistic regression models were built to characterize HIV-related risk behaviours and relative risk ratio (RRR) with 95% confidence interval (CI) were reported.ResultsOverall, 2562 men who inject drugs (MWID) were included in the regression analysis. The RDS-weighted prevalence of dual HIV risk was 1.3% (95% CI: 0.8, 1.9), only unsafe injection was 4.5%, and only unsafe sex was 11.8%. Compared to the safe injection and sex group, dual HIV risk was significantly and positively associated with multiple partnership (RRR = 15.06; 3.30, 68.73). Only unsafe injection was significantly associated with homelessness in the last 12 months (RRR: 3.02; 95% CI: 1.34, 6.80). Only unsafe sex was significantly associated with multiple partnership (RRR = 6.66; 4.27, 10.38), receiving free condoms (RRR = 1.71; 1.01, 2.89), receiving free needles (RRR = 2.18; 1.22, 3.90), and self-received risk for HIV (RRR = 2.51; 1.36, 4.66). Moreover, history of HIV-testing in the last three months was significantly associated with only unsafe injection (RRR = 2.71; 1.84, 3.80). Among the 90 women who injected drugs, none reported dual HIV risk behaviours.Discussion and conclusionsWhile the low prevalence of dual HIV risk among PWID is encouraging, unprotected sexual practices among PWID is concerning. Expanding sexual health education and care services as well as tailored interventions aimed at reducing high-risk sexual activities among PWID are warranted. Additionally, tackling potential misperceptions about risk of HIV transmission among PWID in Iran is warranted.

What are future doctors learning about sex? An assessment of sexual health curricula across medical schools in the Northeastern United States.

Sexual health is an imperative area of study in medical school education, yet many medical schools do not offer a comprehensive curriculum nor is it standardized across the United States (US). This study aims to assess written curriculum materials from sexual health curricula in medical schools across the northeast region of the US and compare the current teachings to suggested standards. A compilation of academic resources including lecture materials and syllabi were systematically reviewed utilizing a standardized and validated rubric with variables assessed including: biological and psychological aspects of human sexual development, anatomy and physiology of the human sexual response cycle, sexual health in relation to human reproduction, and contraceptive options. We analyzed our data from the document analysis to look at the frequency of inclusion and exclusion of the sexual health topics included in our rubric. The outcomes of our data set were in line with our hypothesis that there is significant variance between sexual health curricula across institutions as well as an overall lack in material covering sexual health topics. The data show significant sex specific differences such that male-specific topics were covered more frequently than female-specific information. Additionally, only one of the 10 schools examined taught about vulvar conditions. There was also a paucity of information about sexuality in the post-partum period. The clinical implications of this study aim to highlight the discrepancy between an ideal sexual health curriculum and what is actually being taught in medical schools and help to guide future work of creating a comprehensive and standardized sexual medicine education in US. medical schools. The validity of this study was strengthened by analyzing direct curricula materials as opposed to previous use of subjective, self-reported questionnaires. However, the sample location being restricted to the Northeast was a limitation to generalize findings across the country. Future studies would aim to analyze medical school curricula across different regions in the US. This study shows that there is a lack of comprehensive and standardized sexual health curriculum in medical schools in the Northeastern US and serves as initial evidence for further investigation of this topic across American medical schools.

Factors Associated with Self-Efficacy in Dating Violence Prevention among Teachers and School Counselors in Québec, Canada

This study explored the link between comfort, profession-specific training, past sexual education training, and self-efficacy in school staff for communicating and intervening in cases of teen dating violence (TDV). Among 108 school staff members, findings revealed that school counselors and those more comfortable discussing positive relationships and TDV had better self-efficacy in communicating TDV content. Additionally, school counselors, those comfortable discussing TDV, and those with previous sexual health training showed increased self-efficacy in TDV intervention. These results highlight the importance of customized training programs and fostering comfort in discussing TDV to improve intervention capabilities among school staff.

Sexuality in Older Adults: Comprehensive Strategies for Clinicians and Patient-Centered Care

Introduction: Healthcare providers play a crucial role in promoting sexual health among older adults, an important yet often neglected aspect of aging well. Although sexuality evolves beyond the reproductive years, it remains a meaningful part of life for many. Despite the natural decline in sexual activity with age, numerous older adults continue to value and engage in fulfilling sexual relationships. Unfortunately, targeted interventions to support later-life sexuality are lacking, creating gaps in care. Intervention: Sexuality in older adults is influenced by biological, psychological, and social factors. Clinicians should include comprehensive sexual health assessments, including STI screenings, as part of routine care. Providing age-appropriate sexual education and resources helps promote lifelong sexual wellness. Open communication between healthcare providers and patients is vital for addressing sexual concerns, often left unspoken due to stigma or discomfort. Additionally, adopting lifestyle medicine principles—such as balanced nutrition, regular exercise, stress management, and social connection—can enhance sexual health and overall well-being. Conclusion: Specialized training for healthcare professionals on the unique aspects of older adult sexuality is essential to bridge knowledge gaps. A holistic, evidence-based approach will empower providers to better support the evolving sexual health needs of older adults, improving their quality of life.

Sex Educators' Strategies for Building Student Trust.

Although clinicians have been the focus of research on trust in health care, much of the health guidance Americans receive occurs outside clinical settings. School-based health education is one such setting. Given the importance of interpersonal dynamics to clinicians' work, trust likely features heavily in achieving health educators' outcomes. This study asks: How do health educators approach building trust with students? In interviews with 39 sexual health educators in Ohio and Illinois, I find that educators report several strategies that they use in their attempt to build student trust: They use personal anecdotes and informality to distinguish themselves from teachers; adjust their approach based on their race, gender, or age if they perceive these identities impede trust; and emphasize lessons are factual when facing pushback. My findings reveal key differences in how clinicians and nonclinical professionals approach trust and more broadly, how organizational factors impact health professionals' approach to trust.

She said, “Really, you’re just going to have to suffer through it”: The lack of discussion of perimenopause between women and healthcare professionals

Perimenopausal symptoms adversely impacting women’s sexual health are often unacknowledged or even dismissed by healthcare professionals (HCP). Using semi-structured interviews with 23 women experiencing perimenopause, we aimed to understand how HCPs address women’s sexual health needs and concerns during this transition. Thematic data analysis was employed with the reduction of data into themes. Several major themes were identified concerning participants’ experiences with a HCP and sexual health, including insufficient sexual health information and preventative education; the lack of open discussion about sexual health; the need for enhanced support and treatment options; feeling dismissed by a healthcare professional; and sexual pleasure not addressed by healthcare professionals. Additionally, women expressed concerns regarding medical education and training in healthcare professionals on approaching sexual health conversations. There appears to be a need for more formal training, both within medical school and continuing medical education (CME), to address these important aspects of women’s sexual and reproductive health.

Relationship in stages of development with age between living male children and male adults through measurement of sternum bone in Lucknow City of U.P

The ideal rule of identification of sex and age is a sever need in medico legal cases. Sternum is much more appropriate for detection of sex and age of human beings separately from racial characters. In present study, our objectives were to find out the age and gender on the basis of sternum length in living male children and adults. This study has been conducted on the total 100 subjects, 50 male children (02-15 yrs) and 50 male adult (16-60yrs) of healthy people (living children & adults) from general population of north India as well as in and around the Lucknow of Uttar Pradesh. The technique described by Ashley GT -1956b was used for measurement of sternum. Comparing the mean length, Student’s t test showed significantly different and higher length of manubrium (16.1%) (49.45 ± 3.45 vs. 58.97 ± 6.68, t=8.94, p<0.001) and length of sternum (4.0%) (156.16 ± 5.26 vs. 162.70 ± 5.70, t=5.97, p<0.001) in 16-60 yrs as compared to 2-15 yrs. The assessment of the relationship in stage of development and sex between living male children and adult through measurement of sternum bone in lucknow city of U.P., significantly different and higher length of sternum, because the growth of sternum segment was completely develop in adult, but the development in children male is continuous in ratio of adults male.

Towards women's digital health equity: A qualitative inquiry into attitude and adoption of reproductive mHealth services in Bangladesh.

Health equity in Bangladesh faces a large chasm over the economic conditions, socio-cultural factors and geographic location despite the push for digitalization of the health sector. While some research has been conducted assessing the viability of digital health solutions in Bangladesh, gender dynamics of digital healthcare have been absent. This study dived into healthcare equity for women with a focus on reproductive health services delivered through mobile devices. This paper reported the findings of a qualitative study employing in-depth interviews conducted among 26 women about their behavioral intention to use mHealth services for reproductive health and the underlying factors influencing this intention with the help of the Integrative Model of Planned Behavior (IMPB). A snowball sampling technique were used to interview those university educated women, aged 21-31, based on their familiarity and exposure of mHealth services from seven universities in Bangladesh. The findings suggested that users of mHealth services find it more convenient and secure compared to visiting healthcare facilities, especially for trivial issues and inquiries regarding their reproductive health. Although promoting such services is lagging behind traditional healthcare, the attitude toward reproductive health services in Bangladesh is generally favorable resulting increasing adoption and use. Because such information-related mobile services (apps, websites, and social media) served as a first base of knowledge on reproductive health among many young girls and women in Bangladesh, who are generally shy to share or talk about their menstruation or personal health problems with family members, peers, or even health professionals due to socio-cultural factors and stigmatization. Conversely, urban centric services, availability of experts, quality management, security of privacy, authenticity of the information, digital divide, lack of campaign initiatives, lack of equipment and technology, lack of sex education, and outdated apps and websites were identified as obstacles that constrain the widespread use of reproductive mHealth services in Bangladesh. This study also concluded that promotion will be crucial in reforming conservative norms, taboos, and misconceptions about women's health and recommended such endeavors to be initiated by the policy makers as there is a substantive need for a specific policy regulating emerging digital health market in Bangladesh. Notwithstanding, women-only sample, low sample size, narrow focus on mHealth users and absence of perspectives from healthcare providers were among shortcomings of this study which could be addressed in future research. Further quantitative explorations are must to determine the usage patterns of reproductive mHealth services and their effectiveness that would identify implementation challenges in terms of customization and personalization in reproductive healthcare in a developing country like Bangladesh.

Identification of sex-specific markers using genome re-sequencing in the blunt snout bream (Megalobrama amblycephala)

BackgroundThe blunt snout bream (Megalobrama amblycephala) is an important economic freshwater fish in China with tender flesh and high nutritional value. With the cultivation of superior new varieties and the expansion of breeding scale, it becomes imperative to employ sex-control technology to cultivate monosexual populations of M. amblycephala, thereby preventing the deterioration of desirable traits. The development of specific markers capable of accurately identifying the sex of M. amblycephala would facilitate the determination of the genetic sex of the breeding population before gonad maturation, thereby expediting the processes of sex-controlled breeding of M. amblycephala.ResultsA whole-genome re-sequencing was performed for 116 females and 141 males M. amblycephala collected from nine populations. Seven candidate male-specific sequences were identified through comparative analysis of male and female genomes, which were further compared with the sequencing data of 257 individuals, and finally three male-specific sequences were generated. These three sequences were further validated by PCR amplification in 32 males and 32 females to confirm their potential as male-specific molecular markers for M. amblycephala. One of these markers showed potential applicability in M. pellegrini as well, enabling males to be identified using this specific molecular marker.ConclusionsThe study provides a high-efficiency and cost-effective approach for the genetic sex identification in two species of Megalobrama. The developed markers in this study have great potential in facilitating sex-controlled breeding of M. amblycephala and M. pellegrini, while also contributing valuable insights into the underlying mechanisms of fish sex determination.

Applying the Theory of Planned Behavior in Sexuality Education: Educators’ Behavioral Intentions Toward Sexuality Issues

Grounded on Ajzen’s theory of planned behavior (1991), the current project in two studies (N = 402) examined Greek and Spanish pre-service early childhood educators’ behavioral intentions (i.e., approach and avoidance intentions) toward young children’s sexual curiosities. Specifically, the current research project aimed to examine whether Greek and Spanish pre-service early childhood educators’ views on sexuality education were linked to their behavioral intentions toward children’s sexual curiosities. The current research also examined whether conservative ideology (religiosity and right-wing political orientation) moderates the link between educators’ views and their behavioral intentions. This study’s findings showed that educators’ views influence their behavioral intentions toward children’s curiosity about sexual issues. In addition, moderation analysis showed religiosity’s role in avoidance intention. This result provides evidence that there are theoretical and empirical grounds to assume that conservative worldviews (i.e., religiosity) significantly influence behavioral intentions concerning sexuality education. The theory of planned behavior not only represents the factors influencing intention but also provides an opportunity to comprehend the impacts of contextual and individual background elements that may be relevant to a particular behavior.

A qualitative study on perceptions of adolescents' sexual and reproductive health education in Yogyakarta, Indonesia.

Sexual and reproductive health (SRH) education in Yogyakarta, Indonesia, is contentious due to societal and religious taboos in the Javanese Muslim community and being misunderstood as a potential catalyst for the premarital sex of unmarried adolescents. The existing practice of SRH education cannot guarantee reliable information about adolescent sexuality. The research aims to understand the intergenerational perception of SRH education conducted at high schools, which has not been comprehensively researched. This qualitative study was conducted in 2016 to explore the perspectives of adults and adolescents regarding school-based SRH education. Focus group discussions and individual interviews were used for data collection, while data analysis was conducted using a feminist perspective. The study identified gaps in the delivery of SRH education among Javanese Muslim, Indonesia. SRH education had not adequately addressed how adults and adolescents perceived sexuality as taboo due to moral panic about premarital sex and societal expectations placed on girls to maintain their virginity. Peer counsellors, responsible for imparting SRH information and facilitating communication with adolescents, reproduced adult moral values toward their peers, leading to a reluctance among adolescents to share their issues. Consequently, SRH education failed to reach those experiencing unwanted pregnancy or a toxic intimate relationship. The results of the study indicate the need to challenge intergenerational perceptions regarding sexuality and gender expectations to promote a positive gender perspective within SRH education in Indonesia.

Exploring the Relationship between Teacher Training and Challenges in Delivering Effective Sex Education

Exploring the Relationship between Teacher Training and Challenges in Delivering Effective Sex Education

Large Language Models in an App: Conducting a Qualitative Synthetic Data Analysis of How Snapchat’s “My AI” Responds to Questions About Sexual Consent, Sexual Refusals, Sexual Assault, and Sexting

ABSTRACT Comprehensive sexual health education for young people often remains largely inaccessible, leaving gaps in knowledge about sexual consent, refusals, sexual assault, and sexting. Snapchat’s My AI, tailored to its users, offers accessible and potentially stigma-free responses to sexual health queries, showing promise in addressing these gaps. This study aimed to evaluate My AI’s effectiveness in handling questions related to sexual communication, assault, and sexting, and its response consistency across users. Collaborating with young adults and leveraging prior literature, our team formulated questions on sexual consent, refusals, sexual assault, and sexting submitted to My AI by 15 researchers. Each team member opened a chat with My AI in Snapchat and asked it a set of questions in the same order. We then conducted a qualitative content analysis to assess for consistency across users. My AI responses emphasized the importance of clear, honest consent and refusal communication through physical contact or direct conversation. With potential experiences of sexual assault or sexting, it advised consultation with a trusted caregiver. While My AI provided similar responses across researchers, variations were noted. My AI’s responses mirrored common sexual health education messages and the responses used language reflective of sympathy toward potential assault victims or those who were asked for sexual images. My AI’s potential to enhance accessibility to sexual health information could empower young people in making informed sexual health decisions. However, variability in responses may limit impact and comprehension, underscoring the importance of educators complementing these tools.

Gestational exposure to organophosphate esters and autism spectrum disorder and other non-typical development in a cohort with elevated familial likelihood

BackgroundGestational exposure to organophosphate esters (OPEs) is known to affect offspring neurodevelopment in animal studies. However, epidemiological evidence is inconsistent. MethodsParticipants were 277 mother-child pairs from MARBLES (Markers of Autism Risk in Babies – Learning Early Signs), a cohort with elevated familial likelihood of autism spectrum disorder (ASD). Nine OPE biomarker concentrations were quantified in maternal urine collected during the 2nd or 3rd trimesters of pregnancy. At age 3 years, children underwent clinical assessment for ASD and were classified into ASD, other non-typical development (non-TD), or typical development (TD). Multinomial logistic regression was used to estimate associations between each OPE biomarker and relative risk ratios for ASD and non-TD compared to TD. We examined effect modification by child sex and socioeconomic status. We also conducted a secondary analysis by using a continuous measure of ASD symptom severity as an outcome. Quantile-based g-computation was performed to examine the associations for an OPE mixture. ResultsOverall, no significant association was observed between the concentrations of each OPE biomarker or their mixture and relative risk for either ASD or non-TD. Effect modifications by child sex and maternal education were not observed. When the analysis was stratified by homeownership, among non-homeowners, ASD likelihood was increased with increased levels of bis(1-chloro-2-propyl) phosphate, bis(butoxyethyl) phosphate, and sum of di-n-butyl phosphate and di-iso-butyl phosphate (DBUP/DIBP) (pint < 0.10). Higher DBUP/DIBP were associated with increased ASD symptom severity scores. ConclusionThere was no clear evidence of gestational OPE exposure in association with relative risk for ASD; however, potential effect modification by homeownership was observed. Although our cohort includes children with elevated familial likelihood of ASD, this is the first study investigating the association between gestational OPE exposure and clinically-diagnosed ASD. Further research is needed to confirm our findings in the general population.

Sex Education Training as Capacity Building Tool for Mothers and their Children with Intellectual Disability: A Qualitative Study

Sex is a biological need of human beings and the aspects of sexuality and sexual development are less discussed in people with intellectual disability (ID). Sex education training (SET) for persons with ID and their parents is pivotal in mitigating challenges and creating a safe and healthy space for expressing their sexual needs. The aim was (a) to see the effects of SET in the enhancement of knowledge and skills about sexual health among adults with ID, (b) To see the effect of mothers as an observer during SET on their perception, attitude and practice on sexual health for their children with ID. The sample consisted of 11 mothers and their children who were above 18 years with ID. Awareness of sexual health education for parents of intellectually challenged children and family life and sexual health assessment tools were used. A qualitative/descriptive analysis was done. SET was started for the period of three months, two sessions in a week, each session lasting one and half hours. It was done in a playful manner on self and social awareness, safe/unsafe touch, relationships, personal safety rules and sexual harassment of women at workplace (POSH). SET shows not only enhancement in the level of awareness, knowledge on sexual health but also improved communication skills and decision-making skills among adults with ID and their mothers. Mothers feel more confident and comfortable to have open discussions with their children on sexual health.

Evaluation of the Sources of Sexual Knowledge and Information among Men in Kenya

AbstractSources of sexual knowledge and information among men have impact on quality of their sexual literacy and decision making. Sexual knowledge impacts on sexual attitudes, which underpin sexual behaviours and in turn impacts the sexual health outcomes of men. A cross-sectional quantitative survey was used to assess the sources of sexual knowledge and information among 484 Kenyan adult men aged 18–54. Data analysis was performed with STATA-16. Results showed that 79% of men learned about sex from school-based sex education, 75% and 72% from peers and mass media respectively while healthcare professionals (35%) and parents (28%) had the lowest influence on sexual knowledge and information. Understanding men’s sources of sexual knowledge and information that informs their sexual decision making can influence sexuality education planning and sexological practice policies targeted to out of school youths and older men. Hence, appraising formal peer educator’s knowledge could provide transformative sexual and reproductive health support services to men.