Pupil-led sex education in England (RIPPLE study): cluster-randomised intervention trial

Improvement of sex education in schools is a key part of the UK government's strategy to reduce teenage pregnancy in England. We examined the effectiveness of one form of peer-led sex education in a school-based randomised trial of over 8000 pupils. 29 schools were randomised to either peer-led...

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Veröffentlicht in:	The Lancet (British edition) 2004-07, Vol.364 (9431), p.338-346
Hauptverfasser:	Stephenson, JM, Strange, V, Forrest, S, Oakley, A, Copas, A, Allen, E, Babiker, A, Black, S, Ali, M, Monteiro, H, Johnson, AM
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adolescent Behavior Age Behavior Biological and medical sciences Birth control Contraception Education England Evidence-based medicine Female General aspects Girls Health Knowledge, Attitudes, Practice Health promotion Health services Humans Intervention Male Medical sciences Motivation Peer Group Pregnancy Randomization Risk Factors School Health Services Schools Sex Sex Education Sexual Behavior Sexual health Sexually transmitted diseases Socioeconomic Factors STD Teachers Teaching methods Teenage pregnancy Wellness programs Young adults
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container_end_page	346
container_issue	9431
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container_title	The Lancet (British edition)
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creator	Stephenson, JM Strange, V Forrest, S Oakley, A Copas, A Allen, E Babiker, A Black, S Ali, M Monteiro, H Johnson, AM
description	Improvement of sex education in schools is a key part of the UK government's strategy to reduce teenage pregnancy in England. We examined the effectiveness of one form of peer-led sex education in a school-based randomised trial of over 8000 pupils. 29 schools were randomised to either peer-led sex education (intervention) or to continue their usual teacher-led sex education (control). In intervention schools, peer educators aged 16–17 years delivered three sessions of sex education to 13–14 year-old pupils from the same schools. Primary outcome was unprotected (without condom) first heterosexual intercourse by age 16 years. Analysis was by intention to treat. By age 16 years, significantly fewer girls reported intercourse in the peer-led arm than in the control arm, but proportions were similar for boys. The proportions of pupils reporting unprotected first sex did not differ for girls (8·4% intervention vs 8·3% control) or for boys (6·2%vs 4·7%). Stratified estimates of the difference between arms were –0·4% (95% CI –3·7% to 2·8%, p=0·79) for girls and –1·4% (–4·4% to 1·6%, p=0·36) for boys. At follow-up (mean age 16·0 years [SD 0·32]), girls in the intervention arm reported fewer unintended pregnancies, although the difference was borderline (2·3%vs 3·3%, p=0·07). Girls and boys were more satisfied with peer-led than teacher-led sex education, but 57% of girls and 32% of boys wanted sex education in single-sex groups. Peer-led sex education was effective in some ways, but broader strategies are needed to improve young people's sexual health. The role of single-sex sessions should be investigated further.
doi_str_mv	10.1016/S0140-6736(04)16722-6
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subjects	Adolescent Adolescent Behavior Age Behavior Biological and medical sciences Birth control Contraception Education England Evidence-based medicine Female General aspects Girls Health Knowledge, Attitudes, Practice Health promotion Health services Humans Intervention Male Medical sciences Motivation Peer Group Pregnancy Randomization Risk Factors School Health Services Schools Sex Sex Education Sexual Behavior Sexual health Sexually transmitted diseases Socioeconomic Factors STD Teachers Teaching methods Teenage pregnancy Wellness programs Young adults
title	Pupil-led sex education in England (RIPPLE study): cluster-randomised intervention trial
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