ArticleBMC public health2021
Delaying sexual onset: outcome of a comprehensive sexuality education initiative for adolescents in public schools.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 56 citations in OpenAlex.
- Return-on-investment for interventions to reduce adolescent pregnancy and child marriage in Southeast Asia: a five-country modelling study.BMJ global health · 2026Article
- Sociodemographic determinants of contraceptive intention among young adult women (15-24) in Nigeria: the role of age at first sex and region of residence.Contraception and reproductive medicine · 2026Article
- Genetic Association of Sexual Behavior, Sildenafil, and Hormonal Contraceptives With Mental Disorders.CNS neuroscience & therapeutics · 2026Article
- Unraveling the link between early sexual initiation and endometriosis: evidence from population-based analyses and genetic causal inference.Reproductive biology and endocrinology : RB&E · 2026Article
- State Sexual Health Education Policies and Sexual Behaviors among Adolescents in the USA Using Nationally Representative Data.Archives of sexual behavior · 2026Article
- Health literacy and risk behaviours related to sexually transmitted infections among Portuguese university students: a cross-sectional study.BMC public health · 2026Article
- Navigating reproductive health: Drivers of youth-friendly service utilization among secondary school students in Yeka Sub-City, Addis Ababa, Ethiopia.SAGE open medicine · 2026Article
- Knowledge and Opinions of Secondary School Teachers on Teaching the Subject of Sex Education.Cureus · 2025Article
- Theory of planned behavior-based cross-sectional study of family sex education for preschoolers in China: rural-urban comparative analysis.BMC public health · 2025Article
- Prevalence of sexual intercourse and risk factors among adolescents in schools in Guinea.Journal of public health in Africa · 2025Article
- Grade nine learners' experiences on Ubuntu workshop in Mopani District of South Africa: An appreciative inquiry.Health SA = SA Gesondheid · 2025Article
- Perspectives on delivering sexual and reproductive health and rights information and services to young people: focus group discussions with civil society organizations in the Democratic Republic of Congo.Global health action · 2024Article
- The effect of participatory action research on HPV primary preventive measures among in-school adolescents in Benue State, Nigeria.BMC public health · 2024Article
- HIV knowledge, sexual attitudes, and PrEP-Eligible behaviors among college students in Southwest China: a cross-sectional study.BMC infectious diseases · 2024Article
- Risky sexual behavior and associated factors among university students in Ethiopia: a cross-sectional national survey.BMC public health · 2024Article
- Development, implementation, and evaluation of the effectiveness of an intervention program to improve the sexual competence of young adult women about to get married: a protocol study.Reproductive health · 2024Article
- Insights from a Qualitative Exploration of Adolescents' Opinions on Sex Education.Children (Basel, Switzerland) · 2024Article
- Mendelian randomization analyses for the causal relationship between early age at first sexual intercourse, early age at first live birth, and postpartum depression in pregnant women.Frontiers in psychiatry · 2024Article
- Factors Influencing Sexuality in Late Adolescence: A Qualitative Study on Heterosexual Adolescents' Perspectives.Healthcare (Basel, Switzerland) · 2023Article
- Type of Sex Education in Childhood and Adolescence: Influence on Young People's Sexual Experimentation, Risk and Satisfaction: The Necessity of Establishing School Nursing as a Pillar.Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA common risk behavior in adolescence is the early initiation of unprotected sex that exposes adolescents to an unplanned pregnancy or sexually transmitted infections. Schools are an ideal place to strengthen adolescents' sexual knowledge and modify their behavior, guiding them to exercise responsible sexuality. The purpose of this article was to evaluate the knowledge of public secondary school teachers who received training in comprehensive education in sexuality (CES) and estimate the counseling's effect on students' sexual behavior.
methodsSeventy-five public school teachers were trained in participatory and innovative techniques for CES. The change in teacher knowledge (n = 75) was assessed before and after the training using t-tests, Wilcoxon ranks tests and a Generalized Estimate Equation model. The students' sexual and reproductive behavior was evaluated in intervention (n = 650) and comparison schools (n = 555). We fit a logistic regression model using the students' sexual debut as a dependent variable.
resultsTeachers increased their knowledge of sexuality after training from 5.3 to 6.1 (p < 0.01). 83.3% of students in the intervention school reported using a contraceptive method in their last sexual relation, while 58.3% did so in the comparison schools. The students in comparison schools were 4.7 (p < 0.01) times more likely to start sexual initiation than students in the intervention schools.
conclusionTraining in CES improved teachers' knowledge about sexual and reproductive health. Students who received counseling from teachers who were trained in participatory and innovative techniques for CES used more contraceptive protection and delayed sexual debut.
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