Evidence map›Paper›PMID 27625058›Full record

ArticleBMJ open2016

What do young people think about their school-based sex and relationship education? A qualitative synthesis of young people's views and experiences.

Pandora Pound, Rebecca Langford, Rona Campbell

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
33.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 263 citations in OpenAlex.

  1. Pooled it
  2. Crush: A Randomized Trial to Evaluate the Impact of a Mobile Health App on Adolescent Sexual Health.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Trial
  3. Trial
  4. Can Teenage Men Be Targeted to Prevent Teenage Pregnancy? A Feasibility Cluster Randomised Controlled Intervention Trial in Schools.Prevention science : the official journal of the Society for Prevention Research · 2018
    Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Engaging Parents in Sexually Explicit Media Literacy Education: Expert Perspectives From Australia and New Zealand.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  14. Article
  15. Article
  16. Young People's Trust in Digital Sexual Healthcare: A Narrative Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Pandora PoundSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Rebecca LangfordSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Rona CampbellSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
University of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough sex and relationship education (SRE) represents a key strand in policies to safeguard young people and improve their sexual health, it currently lacks statutory status, government guidance is outdated and a third of UK schools has poor-quality SRE. We aimed to investigate whether current provision meets young people's needs.

designSynthesis of qualitative studies of young people's views of their school-based SRE.

settingEligible studies originated from the UK, Ireland, the USA, Australia, New Zealand, Canada, Japan, Iran, Brazil and Sweden.

participantsStudies of students aged 4-19 in full-time education, young adults ≤19 (not necessarily in full-time education) or adults ≤25 if recalling their experiences of school-based SRE.

results-69 publications were identified, with 55 remaining after quality appraisal (representing 48 studies). The synthesis found that although sex is a potent and potentially embarrassing topic, schools appear reluctant to acknowledge this and attempt to teach SRE in the same way as other subjects. Young people report feeling vulnerable in SRE, with young men anxious to conceal sexual ignorance and young women risking sexual harassment if they participate. Schools appear to have difficulty accepting that some young people are sexually active, leading to SRE that is out of touch with many young people's lives. Young people report that SRE can be negative, gendered and heterosexist. They expressed dislike of their own teachers delivering SRE due to blurred boundaries, lack of anonymity, embarrassment and poor training.

conclusionsSRE should be 'sex-positive' and delivered by experts who maintain clear boundaries with students. Schools should acknowledge that sex is a special subject with unique challenges, as well as the fact and range of young people's sexual activity, otherwise young people will continue to disengage from SRE and opportunities for safeguarding and improving their sexual health will be reduced.

Indexed as

Health Knowledge, Attitudes, PracticeSex EducationAdolescentChildChild, PreschoolFemaleHumansMaleQualitative ResearchSchoolsSexual BehaviorStudentsSurveys and QuestionnairesYoung AdultMeta-ethnographyQUALITATIVE RESEARCHsex and relationship educationsexual healthYoung people

Identifiers

PMID27625058
PMCPMC5030567
OpenAlexW2519751232

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.