ArticleSexual and reproductive health matters2021
Healthy sexuality development in adolescence: proposing a competency-based framework to inform programmes and research.
Article in Sexual and reproductive health matters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- Strengthening interventions to support the sexual and reproductive health and wellbeing of young women involved in sex work amid conflict and distress migration in Ethiopia.Global health action · 2026Article
- Young People's Perspectives on Age Verification for Online Pornography in Australia: Cross-Sectional Online Survey.Journal of medical Internet research · 2026Article
- A Digital Program to Promote Sexual Communication Between Early Adolescents and Parents: Development and Acceptability Testing Results.Journal of sex research · 2026Article
- Sexual Well-Being of Young People in Times of Widespread Pornography Use: Protocol for a Multidisciplinary Research Framework.JMIR research protocols · 2026Article
- [International findings on sex education: a 15-year review (English version)].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Article
- "We Want Our Therapist to Talk With Us About Sexuality and Gender Diversity": Qualitative Perspectives of Adolescents and Professionals in Youth Mental Health Care.Clinical child psychology and psychiatry · 2026Article
- Parental sexual health development support for emerging adolescents in western upstate New York: a qualitative interpretive description study.Frontiers in public health · 2026Article
- Art as a generative mediating space: a configurable framework for adolescent affective-sexual learning.Frontiers in psychology · 2026Review
- What do youth need to know about puberty? A scoping review protocol to identify puberty education competencies.PloS one · 2026Article
- 'If her body responds then you know she wants it': a qualitative study on how young people in Ecuador and Uganda understand and practice consent.Global health action · 2025Article
- What About Well-Being? Measuring What We Really Care About in Sexual and Reproductive Health.Studies in family planning · 2025Article
- The Use and Effectiveness of Different Emergency Contraception Methods Among Adolescent Girls and Young Women in a Greek Clinic: A Cross-Sectional, Comparative, Observational Study.Clinics and practice · 2025Article
- Empowering mothers to educate daughters: a quasi-experimental study on adolescent girls' sexual health.Preventive medicine reports · 2025Article
- Youth Uptake of Digital Sexual and Reproductive Health Services Across Sociodemographic Groups (2018-2022): A Total Population Study from Stockholm, Sweden.Mayo Clinic proceedings. Digital health · 2025Article
- Pornography Use and Adolescent Sexual Self-Concept: The Role of Pornography-Related Expectancies and Generalizations.Archives of sexual behavior · 2025Article
- Strategies to Improve the Sexual and Reproductive Health of Youth Involved with the Child Welfare System: A Systematic Review.Sexuality research & social policy : journal of NSRC : SR & SP · 2025Article
- Climate change, resource insecurities and sexual and reproductive health among young adolescents in Kenya: a multi-method qualitative inquiry.BMJ global health · 2025Article
- Pleasure-Inclusive Sex Education, Sexual Agency, and Sexual Well-Being in Adolescents and Young Adults: A Scoping Review.Archives of sexual behavior · 2025Article
- Reproductive agency and the acceptability of divorce, abortion, and homosexuality among migrants from the Middle East and Africa living in Sweden-a cross-sectional analysis.International journal for equity in health · 2025Article
- Stress-responsive biomarkers and sexual behaviors among young women in rural South Africa.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
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Authors and funding
2 authors.
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Abstract
Positive aspects of sexuality remain understudied among young people globally, and consensus is lacking on how to conceptualise different aspects of healthy adolescent sexuality development in order to guide programmes, research, and policy. We propose a conceptual framework that draws on theories and literature related to positive youth development, empowerment, human rights, gender, social-ecological and life-course perspectives. The framework highlights six key competencies for healthy adolescent sexuality development: (1) sexual literacy, (2) gender-equal attitudes, (3) respect for human rights and understanding consent, (4) critical reflection skills, (5) coping skills, and (6) interpersonal skills. These competencies have the potential to strengthen or impede adolescents' sense of sexual wellbeing in relation to both themselves (e.g. body image, self-efficacy) and others (e.g. mutually respectful relationships). Whether adolescents are able to translate competencies into desired actions and achieve a sense of sexual wellbeing depends on the resources available to them, their agency, and on the influence of social-ecological opportunity structures. The framework can provide concrete direction for sexual and reproductive health practitioners and researchers by providing a platform for recognising and operationalising indicators of healthy sexuality development, and serve as a Theory of Change for programmes aiming to improve adolescent sexual and reproductive health and wellbeing. Our assets-based, life-course approach can also be used to make the case to donors and policymakers for why early investments and positive approaches to adolescent sexuality are needed to achieve sexual wellbeing over time.
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