Knowledge, attitudes, and resources of sex education among female adolescents in public and private schools in Central Saudi Arabia.

OBJECTIVE: To investigate the knowledge and sources of knowledge among Saudi female adolescent students, attending public and private schools in the city of Riyadh with regard to sexuality and reproductive health. METHODS: This cross sectional survey was conducted from January to April 2009. Female adolescents between 11 and 21 years of age were invited to participate in the survey. Five classes of intermediate and secondary levels were randomly selected from 2 schools in Riyadh city. A total of 417 female students were included into the sample. Students were asked to answer a self-administrated questionnaire. RESULTS: Forty-two percent of the participants reported that they discussed sexual matters with their friends. Only 15.8% discussed these matters with their parents (mothers). Interestingly, 17.3% discussed sexual matters with the domestic helper. Most (61%) reported that their teachers had negative attitudes toward questions related to sexual issues. Only 33.3%, 37.9% and 14.5% knew that syphilis, gonorrhea, and hepatitis B, are sexually transmitted diseases. No significant differences were found between students in private schools and public schools. CONCLUSION: Formal sexual education should be introduced in the curriculum of the schools within the context of our religion and culture. Parents and teachers should be more open to discuss sexual issues with their children and students.