Sex Education in the Spotlight: What Is Working? Systematic Review

Adolescence, a period of physical, social, cognitive and emotional development, represents a target population for sexual health promotion and education when it comes to achieving the 2030 Agenda goals for sustainable and equitable societies. The aim of this study is to provide an overview of what i...

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Veröffentlicht in:International journal of environmental research and public health 2021-03, Vol.18 (5), p.2555
Hauptverfasser: Lameiras-Fernández, María, Martínez-Román, Rosana, Carrera-Fernández, María Victoria, Rodríguez-Castro, Yolanda
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container_issue 5
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container_title International journal of environmental research and public health
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creator Lameiras-Fernández, María
Martínez-Román, Rosana
Carrera-Fernández, María Victoria
Rodríguez-Castro, Yolanda
description Adolescence, a period of physical, social, cognitive and emotional development, represents a target population for sexual health promotion and education when it comes to achieving the 2030 Agenda goals for sustainable and equitable societies. The aim of this study is to provide an overview of what is known about the dissemination and effectiveness of sex education programs and thereby to inform better public policy making in this area. : We carried out a systematic review based on international scientific literature, in which only peer-reviewed papers were included. To identify reviews, we carried out an electronic search of the Cochrane Database Reviews, ERIC, Web of Science, PubMed, Medline, Scopus and PsycINFO. This paper provides a narrative review of reviews of the literature from 2015 to 2020. : 20 reviews met the inclusion criteria (10 in school settings, 9 using digital platforms and 1 blended learning program): they focused mainly on reducing risk behaviors (e.g., VIH/STIs and unwanted pregnancies), whilst obviating themes such as desire and pleasure, which were not included in outcome evaluations. The reviews with the lowest risk of bias are those carried out in school settings and are the ones that most question the effectiveness of sex education programs. Whilst the reviews of digital platforms and blended learning show greater effectiveness in terms of promoting sexual and reproductive health in adolescents (ASRH), they nevertheless also include greater risks of bias. : A more rigorous assessment of the effectiveness of sexual education programs is necessary, especially regarding the opportunities offered by new technologies, which may lead to more cost-effective interventions than with in-person programs. Moreover, blended learning programs offer a promising way forward, as they combine the best of face-to-face and digital interventions, and may provide an excellent tool in the new context of the COVID-19 pandemic.
doi_str_mv 10.3390/ijerph18052555
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subjects Access to information
Adolescent
Adolescents
Bias
Blended learning
Child development
Coronaviruses
COVID-19
Disease transmission
Education
Female
Health promotion
High income
Humans
Internet access
Learning
Learning programs
Literature reviews
Medical research
New technology
Pandemics
Pregnancy
Public policy
Reproduction
Reproductive health
Review
Reviews
Risk management
Risk reduction
Risk taking
SARS-CoV-2
School effectiveness
Sex Education
Sexual behavior
Sexual health
Sexuality
Sexually transmitted diseases
STD
Systematic review
Teenagers
Young adults
title Sex Education in the Spotlight: What Is Working? Systematic Review
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