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Rev Med Suisse ; 16(691): 765-768, 2020 Apr 22.
Artículo en Francés | MEDLINE | ID: mdl-32320150


Despite obvious needs, adolescent boys do not access information and care in the field of sexual and reproductive health as easily as adolescent girls. The primary care setting gives the opportunity to tackle sexuality topics with boys. It allows to defuse frequent causes of concern in this crucial developmental phase, in a proactive and open-minded way, while focusing on strengths rather than on risks. It also allows to discuss masculine norms and their impact on health, and to come up with essential prevention elements. It is -necessary to focus on boys' health to have them involved in a -changing process on behalf of their own health but also on behalf of girls' and young women's health.

Salud del Hombre , Atención Primaria de Salud/métodos , Educación Sexual/métodos , Salud Sexual/educación , Adolescente , Femenino , Humanos , Masculino , Salud Reproductiva/educación , Sexualidad , Salud de la Mujer
Am J Public Health ; 110(2): 145-148, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31855482


Sex education in the United States is limited in both its content and the measures used to collect data on what is taught. The risk-reduction framework that guides the teaching of sex education in the United States focuses almost exclusively on avoiding unintended pregnancy and sexually transmitted diseases, overlooking other critical topics such as the information and skills needed to form healthy relationships and content related to sexual pleasure.Young people express frustration about the lack of information on sexuality and sexual behavior that is included in sex education programs; sexual and gender minority youths, in particular, feel overlooked by current approaches.International guidance provides a more robust framework for developing and measuring sex education and suggests a number of areas in which US sex education can improve to better meet the needs of youths.

Placer , Educación Sexual , Conducta Sexual , Adolescente , Bienestar del Niño/psicología , Humanos , Conducta de Reducción del Riesgo , Enfermedades de Transmisión Sexual/prevención & control , Estados Unidos
Am J Public Health ; 110(2): 154-156, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31855489


In 2016, in response to concern about the impact of pornography on adolescents, the Boston Public Health Commission partnered with a university researcher to develop a nine-session media literacy curriculum on pornography for adolescents. The curriculum was pilot-tested with five small classes of adolescents between 2016 and 2019 (n = 31). Many adult teachers of sex education also expressed interest in being trained to use the curriculum, so our team has now trained 300 adults to use it.

Literatura Erótica , Conocimientos, Actitudes y Práctica en Salud , Alfabetización en Salud , Educación Sexual , Conducta Sexual/psicología , Adolescente , Conducta del Adolescente/psicología , Boston , Curriculum , Femenino , Humanos , Relaciones Interpersonales , Masculino , Medios de Comunicación de Masas , Evaluación de Programas y Proyectos de Salud/estadística & datos numéricos
Interface (Botucatu, Online) ; 24: e180625, 2020. tab
Artículo en Portugués | LILACS | ID: biblio-1056562


Esse artigo discute os desafios da prevenção em tempos de crescimento de casos de Aids entre jovens. Opiniões e práticas de estudantes no ensino médio, coletadas em pesquisa realizada de 2013-2017, indicaram que estavam incorporando o discurso preventivo e que a religiosidade tem efeito em crenças e valores antes da iniciação sexual, mas pode interferir negativamente no uso de preservativo desde a primeira relação. Sustentar o direito à prevenção dependerá de ampliarmos a compreensão pública sobre como a religiosidade vivida difere da política-religiosa. Sugere-se monitorar o efeito da retomada de discursos morais que remontam à ditadura civil-militar e da possível descontinuidade de programas de prevenção bem-sucedidos junto aos jovens desde os anos 1990. É urgente compreender a dinâmica entre velhos e novos discursos que estruturam a sexualização (frequentemente via redes sociais) assim como o acesso à recomendada "prevenção combinada" das Infecções Sexualmente Transmissíveis (IST/Aids).(AU)

Este artículo discute los desafíos de la prevención en tiempos de aumento de casos de Sida entre jóvenes. Opiniones y prácticas de estudiantes en la enseñanza media, recolectadas en un estudio realizado entre 2013-2017, indicaron que incorporaron el discurso preventivo y que la religiosidad tiene efecto en creencias y valores antes de la iniciación sexual, pero que puede interferir negativamente en el uso del preservativo desde la primera relación. Mantener el derecho a la prevención dependerá de que ampliemos la comprensión pública sobre cómo la religiosidad vivida difiere de la política-religiosa. Se sugiere el monitoreo del efecto de la reanudación de discursos morales que remiten a la dictadura civil-militar y de la posible discontinuidad de programas de prevención exitosos con los jóvenes desde la década de 1990. Es urgente comprender la dinámica entre viejos y nuevos discursos que estructuran la sexualización (frecuentemente vía redes sociales) así como el acceso a la recomendada "prevención combinada" de las Infecciones de Transmisión Sexual (ITS)/Sida.(AU)

This article discusses Aids prevention in Brazil in the midst of growing numbers of cases of the disease among young people. A study was conducted between 2013 and 2017 to explore the sexual behavior of high school students and their opinions regarding sexuality. The findings show that students have adopted the prevention discourse and that religiosity influences beliefs and values relating to sexual initiation, negatively affecting condom use from the onset of sexual activity. To ensure the right to prevention is upheld, it will be necessary to broaden public understanding about how religion as it is actually lived differs from religious politics. The effects of the reversion to moral discourses reminiscent of the military dictatorship and possible discontinuity of successful longstanding prevention programs targeting young people should be monitored. There is an urgent need to understand the dynamic between the old and new discourses that shape sexualization (often via social media) and access to "combination prevention" of Sexually Transmitted Infections (STI)/Aids.(AU)

Humanos , Adolescente , Adulto Joven , Religión , Instituciones Académicas , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Sexualidad , Educación Sexual/tendencias , Derechos Humanos
Reprod Health ; 16(1): 180, 2019 Dec 18.
Artículo en Inglés | MEDLINE | ID: mdl-31852538


BACKGROUND: Early marriage and early childbearing are highly prevalent in Niger with 75% of girls married before age 18 years and 42% of girls giving birth between ages 15 and 18 years. In 2012, only 7% of all 15-19-year-old married adolescents (male and female) reported use of a modern contraceptive method with barriers including misinformation, and social norms unsupportive of contraception. To meet the needs of married adolescents and their husbands in Niger, the Reaching Married Adolescents (RMA) program was developed with the goal of improving modern contraceptive method uptake in the Dosso region of Niger. METHODS: Using a four-arm cluster randomized control design, the RMA study seeks to assess whether household visits only (Arm 1), small group discussions only (Arm 2), or a combination of both (Arm 3), as compared to controls (no intervention - Arm 4), improve modern contraceptive method use among married adolescent girls and young women (AGYW), age 13-19 years-old, in three districts of the Dosso region. Intervention conditions were randomly assigned across the three districts, Dosso, Doutchi, and Loga. Within each district, eligible villages were assigned to either that intervention condition or to the control condition (12 intervention and 4 control per district). Across the three intervention conditions, community dialogues regarding modern contraceptive use were also implemented. Data for the study was collected at baseline (April - June 2016), at 24 months post-intervention (April - June 2018), and a final round of data collection will occur at 40 months post-intervention (October - December 2019). DISCUSSION: The RMA intervention is a gender-synchronized and community-based program implemented among married adolescent girls and their husbands in the context of rural Niger. The intervention is designed to provide education about modern contraception and to promote gender equity in order to increase uptake of modern contraceptive methods. Results from this cluster randomized control study will contribute to the knowledge base regarding the utility of male engagement as a strategy within community-level approaches to promote modern contraceptive method use in the high need context of West Africa. TRIAL REGISTRATION: Registered October 2017 - NCT03226730.

Conducta Anticonceptiva/psicología , Anticoncepción/psicología , Composición Familiar , Conocimientos, Actitudes y Práctica en Salud , Matrimonio , Conducta Reproductiva/psicología , Educación Sexual/métodos , Adolescente , Adulto , Anticoncepción/estadística & datos numéricos , Conducta Anticonceptiva/estadística & datos numéricos , Servicios de Planificación Familiar/estadística & datos numéricos , Femenino , Humanos , Masculino , Embarazo , Ensayos Clínicos Controlados Aleatorios como Asunto , Adulto Joven
Med. infant ; 26(4): 358-363, dic. 2019. Tab
Artículo en Español | LILACS | ID: biblio-1047047


Introducción: Según el Plan Nacional de Prevención del Embarazo no Intencional en la Adolescencia en Argentina, 109 mil adolescentes y 3 mil niñas menores de 15 años, tienen un hijo cada año. Los factores son múltiples, pero el más importante y frecuente es la falta de educación sexual integral. Objetivos: 1- Evaluar el conocimiento sobre salud sexual y reproductiva antes y después de un taller dirigido a madres y padres internados con sus hijos. 2- Detectar si hubo diferencia entre los padres y madres según la edad. Material y métodos: estudio observacional, descriptivo, analítico, longitudinal, prospectivo y antes- después. Se incluyeron madres y padres con sus hijos internados que realizaron el taller por primera vez. Los padres y madres participantes fueron categorizados en función de la edad en menores de 19 años y 11 meses (Gr1= adolescentes) e igual o mayor a 20 años (Gr2= jóvenes/adultos). Se analizaron las variables: edad, sexo, lugar de residencia, si recibió información sobre salud sexual y reproductiva y cuál fue la fuente de la misma. Se aplicó una encuesta autoadministrada con 12 preguntas sobre métodos anticonceptivos, infecciones de transmisión sexual (ITS) y derechos sexuales y reproductivos y se analizaron los datos antes y después de la intervención. Resultados: Se encuestaron a 116 padres que cumplían los criterios y accedieron a participar. (Gr1 = 24 y Gr2 = 92) Mediana de edad: 22 años (15-47). Un 53% refirió haber recibido anteriormente información, 30% de la escuela observándose un desconocimiento previo de la temática antes del taller independiente de la edad. La intervención realizada en el taller aumentó significativamente los conocimientos en ambos grupos. Conclusión: La estrategia educativa debe centrarse en participación e integración. La metodología de taller es la más adecuada, ya que facilita el debate y posibilita la adquisición de competencias y habilidades, además de aportar conceptos teóricos (AU)

Introduction: According to the National Unintentional Pregnancy Prevention Plan in Adolescence in Argentina, yearly 109 thousand adolescents and 3 thousand girls under 15 years of age give birth. Multiple factors are involved; however, the most common and important is the lack of integrated sexual education. Objectives: 1- To evaluate the knowledge on sex and reproductive health before and after a a workshop addressed to mothers and fathers of hospitalized children. 2- To detect if there was a difference between mothers and fathers regarding age. Material and methods: A prospective, longitudinal, analytical, descriptive, observational beforeand-after study was conducted. Mothers and fathers of hospitalized children who participated in the workshop for the first time were included. The participating mothers and fathers were categorized according to age into younger than 19 years and 11 months (Gr1= adolescents) and 20 years or older (Gr2= young/adults). The following variables were analyzed: age, sex, place of origin, whether or not the person received sex and reproductive health education, and the source of sex and reproductive health information. A selfadministered survey was used with 12 questions on contraceptive methods, sexually transmissible diseases (STDs), and sex and reproductive rights and data were analyzed before and after the intervention. Results: 116 parents who met the inclusion criteria and agreed to participate were surveyed. (Gr1 = 24 and Gr2 = 92) Median age: 22 años (15-47). Overall, 53% reported having received prior information. 30% of whom had received information at school. A previous lack of knowledge on the topic was observed before attending the workshop regardless of age. The intervention of the workshop significantly increased the knowledge in both groups. Conclusion: The educational strategy should be focused on participation and integration. The methodology of a workshop is the most adequate as it facilitates debate and acquisition of competencies and skills and additionally provides theoretical concepts (AU)

Humanos , Adolescente , Adulto , Persona de Mediana Edad , Padres/educación , Embarazo en Adolescencia/prevención & control , Educación Sexual/métodos , Derechos Sexuales y Reproductivos , Planificación Familiar , Salud Sexual/educación , Estudios Prospectivos , Encuestas y Cuestionarios , Estudios Longitudinales
Rev Chilena Infectol ; 36(3): 318-330, 2019 Jun.
Artículo en Español | MEDLINE | ID: mdl-31859751


BACKGROUND: Since the incorporation of antiretroviral therapy (ART) HIV has become a chronic condition, improving survival and allowing children with the virus to come in better conditions to adolescence, where they are faced with a series of changes, among them, to sexual awakening. AIM: To explore the main beliefs, perceptions and experiences in sexuality of a group of adolescents with HIV infection acquired through vertical transmission. METHODS: A qualitative research was carried out with exploratory and descriptive scope. Semi-structured interviews were applied to 28 adolescents, under control in hospitals in Santiago and Valparaíso, with HIV infection. The analysis was carried out according to the Grounded Theory. RESULTS: There was a lack of sexual education and a vision that focuses on risks, such as sexually transmissible infections or teenage pregnancy. There are fears about the possibility of rejection by others and of transmitting the virus to the couple or the children and they are invaded by feelings of shame and anger. CONCLUSION: It is important to train health professionals who work with this group, because they are identified as a reliable source of information and education.

Conducta del Adolescente/psicología , Infecciones por VIH/transmisión , Conocimientos, Actitudes y Práctica en Salud , Transmisión Vertical de Enfermedad Infecciosa , Conducta Sexual/psicología , Adolescente , Adulto , Niño , Cultura , Femenino , Infecciones por VIH/psicología , Humanos , Acontecimientos que Cambian la Vida , Masculino , Percepción , Educación Sexual , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
Estud. pesqui. psicol. (Impr.) ; 19(3): 644-664, dez. 2019. tab
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1045989


O presente estudo, de delineamento explanatório sequencial, corte transversal e abordagem mista, buscou caracterizar o acesso e a qualidade da informação recebida sobre sexo e sexualidade nos contextos familiar e escolar a partir da perspectiva de adolescentes. Os participantes foram adolescentes do 6º ao 9º ano do ensino fundamental de duas escolas de São Leopoldo e quatro de Porto Alegre. Na etapa quantitativa, 253 jovens responderam ao Questionário de Dados Sociodemográficos e Comportamentos Sexuais, enquanto que na etapa qualitativa foram realizados grupos focais. Os dados foram analisados estatisticamente e por análise temática, destacando-se dois grandes temas: 1) fontes e limites de acesso às informações sobre sexo e sexualidade e 2) vieses da comunicação. A média de iniciação sexual foi de 13,7 anos (DP=1,33) e o uso inconsistente de preservativo foi relatado por 40% dos participantes. Em conjunto, os dados sugerem uma lacuna entre a transmissão de informações sobre sexo e sexualidade nos contextos investigados e o comportamento preventivo dos adolescentes, revelando o escopo reduzido de temáticas abordadas, sentimentos de constrangimento e atitudes sexistas e homofóbicas. Destaca-se a necessidade de investimento em capacitação de profissionais para a realização da educação sexual na escola, visando atender não somente os adolescentes, mas também suas famílias.(AU)

The present study, with a sequential explanatory delineation, cross - sectional and mixed approach, sought to characterize the access and quality of information received about sex and sexuality in family and school contexts from the perspective of adolescents. The participants were adolescents from the 6th to the 9th year of elementary school in two schools in São Leopoldo and four in Porto Alegre. In the quantitative stage, 253 young people answered the Questionnaire on Socio-demographic Data and Sexual Behaviors, while in the qualitative phase, focus groups were performed. The data were analyzed statistically and by thematic analysis, highlighting two main topics: 1) sources and limits of access to information about sex and sexuality and 2) communication bias. The average sexual initiation was 13.7 years (SD = 1.33), and inconsistent condom use was reported by 40% of participants. Together, the data suggest a gap between the transmission of information about sex and sexuality in the contexts investigated and the adolescents' preventive behavior, highlighting the reduced scope of the issues addressed, feeling of embarrassment and sexist and homophobic attitudes. It is important to emphasize the need for investment in training professionals to carry out sex education at school, in order to serve not only adolescents, but also their families.(AU)

El presente estudio, de delineamiento explicativo secuencial, corte transversal y abordaje mixto, buscó caracterizar el acceso y la calidad de la información recibida sobre sexo y sexualidad en los contextos familiar y escolar desde la perspectiva de adolescentes. Los participantes fueron adolescentes del 6º al 9º año de la enseñanza fundamental de dos escuelas de São Leopoldo y cuatro de Porto Alegre. En la etapa cuantitativa, 253 jóvenes respondieron al Cuestionario de Datos Sociodemográficos y Comportamientos Sexuales, mientras que en la etapa cualitativa se realizaron grupos focales. Los datos fueron analizados estadísticamente y por análisis temático, destacándose dos grandes temas: 1) fuentes y límites de acceso a las informaciones sobre sexo y sexualidad y 2) sesgos de la comunicación. El promedio de iniciación sexual fue de 13,7 años (DP = 1,33), y el uso inconsistente de preservativo fue reportado por el 40% de los participantes. En conjunto los datos sugieren una laguna entre la transmisión de información sobre sexo y sexualidad en los contextos investigados y el comportamiento preventivo, revelándose el escaso de temáticas abordadas, sentimiento de constreñimiento y actitudes sexistas y homofóbicas. Se destaca la necesidad de inversión en capacitación de profesionales para la realización de la educación sexual en la escuela, buscando atender no sólo a los adolescentes, sino también a sus familias.(AU)

Humanos , Masculino , Femenino , Adolescente , Educación Sexual , Sexualidad , Adolescente , Condones/estadística & datos numéricos
Artículo en Inglés | MEDLINE | ID: mdl-31861114


Background and objectives: Sex education is a necessity and a right of young people in Angola. However, this education is deficient or even absent in various subsystems and, therefore, the impact of an educational intervention on human biology and sexuality was addressed. Materials and methods: This quasi-experimental study employed a non-equivalent control group, pre-test post-test design. It was conducted with students from three secondary schools (6th to 12th grade, two public and one private) in Huambo (Angola), between June and December 2017. First, a questionnaire was distributed to assess the students' knowledge on aspects related to sexual maturation, psychological development, gynecological organs' anatomy, human fertilization, contraception, and risks of unprotected sexuality. Then, an educational program was developed by the principal investigator along with the school's moral and civic education and biology teachers selected for a group of students (experimental group, EG); the others constituted the control group (CG). Classes were held on non-working days, on Saturday mornings (8:00 to 10:00 a.m.), so as not to interfere with the school calendar. The initial questionnaire was redistributed two months later to assess the impact of the intervention. Results: Of the 589 individuals included (mean age of 16.8 ± 2.5 years), 56.7% were males. EG (n = 241) consisted of students from the public school and CG (n = 348) by students from public and private schools. The last part of the questionnaire consisted of 30 questions to assess students' knowledge, and in 23 of these questions, both groups showed no differences at baseline. After the intervention, the EG showed significant improvements (p < 0.05), while the CG revealed only slight improvements. Conclusions: Students from Huambo province have a significant lack of knowledge on human biology and sexuality. Rigorous development and evaluation of interventions addressing multiple individual and environmental level factors is needed, notably for effective education in human biology and sexuality.

Conocimientos, Actitudes y Práctica en Salud , Educación Sexual/organización & administración , Adolescente , Adulto , Angola , Anticoncepción , Femenino , Humanos , Masculino , Instituciones Académicas , Conducta Sexual , Estudiantes , Adulto Joven
Afr J Reprod Health ; 23(3): 134-148, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31782638


Teenage pregnancy and the prevalence of HIV among school girls are very high in South Africa, despite the introduction of sexuality education in schools since 2002. A qualitative approach of inquiry was used to investigate challenges faced by schools offering sexuality education in Mahikeng, South Africa. Four school principals, seven teachers and 39 learners were interviewed. The curriculum on sexuality education indicates that sexual matters are introduced to learners only when they reach Grade 8, whereas pregnancy is already common among girls as early as Grade 3. Participants from all groups represented in the study revealed that Life Orientation was not taken seriously in schools compared to other subjects. Although learners are very much interested in the subject matter, there were no qualified teachers and the content of the curriculum is very shallow. In addition, schools paid very little attention to this subject since it is not considered for admission into tertiary institutions. There is need, therefore, for the South African government to revise the curriculum content and presentation of Life Orientation to ensure the improvement of sexuality education in schools. The appropriate age-specific topics on sexual matters for learners should also be revised and the qualification of teachers considered.

Curriculum , Conocimientos, Actitudes y Práctica en Salud , Embarazo en Adolescencia/prevención & control , Educación Sexual , Adolescente , Femenino , Humanos , Masculino , Embarazo , Instituciones Académicas , Sudáfrica , Estudiantes , Encuestas y Cuestionarios
Pan Afr Med J ; 33: 224, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31692753


Introduction: Despite increasing efforts to address the reproductive health needs of persons living with Human Immuno-Deficiency Virus (HIV), a high unmet need for contraception exists among HIV+ women in sub-Saharan Africa. Currently, Ethiopia promotes integration of family planning (FP) services in to HIV chronic care. Yet the contraceptive prevalence rate among clients remains low. The objective of the study was to assess the role of socio-cultural factors on modern family planning use among HIV+ clients attending Anti-Retroviral Therapy clinics in Addis Ababa sub-cities. Methods: The study involved a facility based cross sectional survey. The ten sub cities were initially categorized/stratified into 5 based on direction (East, West, South, North and Central) and from each category one sub city was randomly selected. The total sample size was proportionally allocated to the selected health facilities according to previous monthly average client load per health center. Participants were selected using simple random sampling technique during their routine visit at the health centers. Data were collected through a semi-structured interviewer administered questionnaire. Both descriptive and inferential statistics were generated and results considered significant at 95% confidence level using STATA version 14.0. Results: Six hundred and thirty-six clients participated in the study. Majority of them were age between 30-39 years. Though majority, 607 (95.4%) participants approved the use of modern FP method, current use rate stood at 39%. Condom was the most (14.5%) commonly used single method. The odds of FP use by participants who disclosed their HIV status were almost twice that of their counterparts (AOR= 1.84; 95% CI: 1.14, 2.95). Participants who held discussion with their spouse/partners concerning FP, irrespective of the frequency had an odd of more than four when using FP than their counterparts (AO= 4.35; 95% CI: 2.69, 7.04). Conclusion: This study revealed that 6 out of every 10 HIV+ clients are not currently using FP methods. Disclosure of HIV status as well as open discussion with spouse/partner were positively associated with family planning use. These study findings call for comprehensive and client focus FP education and counseling in line with disclosure of HIV status and dialogue with spouse/partner in order to increase uptake and utilization of FP among clients. Partners have a great influence on the use and choice of FP methods, so their views are paramount.

Conducta Anticonceptiva/estadística & datos numéricos , Servicios de Planificación Familiar/estadística & datos numéricos , Infecciones por VIH/epidemiología , Educación Sexual/estadística & datos numéricos , Síndrome de Inmunodeficiencia Adquirida/epidemiología , Adulto , Condones/estadística & datos numéricos , Anticoncepción/métodos , Anticoncepción/estadística & datos numéricos , Estudios Transversales , Revelación/estadística & datos numéricos , Etiopía , Servicios de Planificación Familiar/organización & administración , Femenino , Humanos , Masculino , Salud Reproductiva , Parejas Sexuales/psicología , Encuestas y Cuestionarios , Adulto Joven
Metas enferm ; 22(9): 49-58, nov. 2019. tab
Artículo en Español | IBECS | ID: ibc-185040


Se presenta un programa de educación sexual orientado a la mujer que ha sufrido mutilación genital femenina (MGF), que se incluye en grupos preconstituidos que abordan temas relacionados con el cuidado y la salud. Este programa estará dirigido por matronas y mediadores culturales, y requiere una colaboración interdisciplinar. El objetivo del programa es promover la vivencia positiva de la sexualidad en la mujer mutilada. Se propone un programa de salud de seis sesiones con objetivos educativos y criterios de resultado. Se sugiere realizar la evaluación mediante un cuestionario que permitirá conocer los cambios en conocimientos, habilidades y actitudes producidos, junto a indicadores de cobertura, proceso y resultados y un cuestionario de satisfacción

We present a sexual education program targeted to women who have suffered female genital mutilation (FGM), to be included in pre-established groups addressing topics associated with care and health. This program will be led by midwives and cultural mediators, and requires interdisciplinary collaboration. The objective of this program is to promote a positive experience of sexuality in mutilated women. A six-session health program is put forward, with educational objective and outcome criteria. It is suggested to conduct the evaluation through a questionnaire that will allow to learn about the changes occurred in knowledge, skills and attitudes, together with indicators for coverage, process and outcomes, and a satisfaction questionnaire

Humanos , Femenino , Circuncisión Femenina/métodos , Educación en Salud/organización & administración , Educación Sexual , Sexualidad , Promoción de la Salud , Circuncisión Femenina/clasificación , Circuncisión Femenina/educación
Artículo en Inglés | MEDLINE | ID: mdl-31590239


Despite increasing contraceptive use and prevalence, many women who want to avoid or delay pregnancy are not using contraceptives. This results in unintended pregnancies, which increases the risk of unsafe abortions. This study aimed to explore the extent of the unmet need for family planning (FP) among urban and rural married women in Myanmar and their demand for and satisfaction with FP. A cross-sectional survey using adapted Demographic and Health surveys questions was conducted in south and north Yangon from September 2016 to November 2016. A total of 1100 currently married women of 18-49 years participated. The contraceptive prevalence was 67.2% in total, 63% urban, and 70% rural. About 19.4% (95% CI: 16.7%-22.4%) of the studied women had an unmet need for FP, significantly higher in urban than rural women (22.6% versus 16.6%). Rural women also showed significant lesser odds (adjusted OR: 0.63; 95% CI: 0.461-0.849) of unmet need than the urban counterparts. About 86% of the women had demand for contraception and 77% of them satisfied their demand. The study population revealed a fairly good contraceptive coverage; however, a considerable proportion of women had an unmet need for FP, especially the urban women. The demand for contraception is increasing, and contraceptive services need to expand coverage to marginalized groups in order to reduce the risk of unsafe abortions.

Servicios de Planificación Familiar , Población Rural , Población Urbana , Adolescente , Adulto , Anticoncepción/métodos , Conducta Anticonceptiva/estadística & datos numéricos , Estudios Transversales , Femenino , Necesidades y Demandas de Servicios de Salud , Humanos , Mianmar , Embarazo , Educación Sexual , Adulto Joven
Artículo en Inglés | MEDLINE | ID: mdl-31652488


Early marriage and childbearing have led to Bangladesh having the highest adolescent fertility rate in the Asia Pacific region. Adolescent pregnancy is correlated with pregnancy-related complications, preterm delivery, delivery of low-birth weight babies, and spousal violence. A quasi-experimental study was conducted in four urban slums (two intervention and two control areas) of Dhaka from July 2014 to August 2016 to assess the effectiveness of a married adolescent girls club (MAG club) in reducing the unmet need for family planning (FP) among married girls between the ages of 14 and 19 (n = 1601, 799 in intervention and 802 in control areas). The percentages of the targeted population using any modern method of contraception were significantly higher among respondents in the intervention areas than those in the control areas (72.6% versus 63.5%). The unmet need for FP was significantly lower among respondents in the intervention areas than that of the control areas (16.2% versus 20.7%). The MAG club was a well-received strategy to provide comprehensive information on FP, which in turn helped improve contraceptive method practices and reduced the unmet need for FP among married adolescent girls in urban slums in Bangladesh. The government could leverage its existing resources to expand the MAG Club model in rural parts of the country to achieve the targets outlined in its Adolescent Reproductive Health Strategy.

Servicios de Planificación Familiar , Conocimientos, Actitudes y Práctica en Salud , Matrimonio , Áreas de Pobreza , Población Urbana , Adolescente , Adulto , Bangladesh , Anticoncepción , Conducta Anticonceptiva , Femenino , Humanos , Embarazo , Embarazo en Adolescencia , Educación Sexual , Adulto Joven
BMC Public Health ; 19(1): 1393, 2019 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-31660918


BACKGROUND: Limited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10-14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators. METHODS: We conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI. RESULTS: Between July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66-2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs. CONCLUSION: This study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future. TRIAL REGISTRATION: NCT03669913 , registered retrospectively on September 13th, 2018.

Conocimientos, Actitudes y Práctica en Salud , Población Rural , Servicios de Salud Escolar , Educación Sexual , Estudiantes/psicología , Adolescente , Niño , Femenino , Humanos , Masculino , Embarazo , Evaluación de Programas y Proyectos de Salud , Población Rural/estadística & datos numéricos , Estudiantes/estadística & datos numéricos , Uganda
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1208-1212, out.-dez. 2019.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1022310


Objetivo: Discutir a percepção de adolescentes acerca da sexualidade no espaço escolar. Método: estudo descritivo e exploratório, de natureza qualitativa, realizado com quarenta e seis adolescentes em três escolas públicas do município de Macapá, capital do Estado do Amapá. A coleta de dados ocorreu através de entrevistas realizadas com a autorização dos respectivos responsáveis, posteriormente transcritos e submetidos à análise de conteúdo na modalidade temática. Resultados: Obteve-se a formação da seguinte categoria: a sexualidade no cotidiano dos adolescentes - um desafio para a educação sexual e reprodutiva, em que foi trabalhado estes aspectos: a sexualidade relacionada ao ato de gerar filhos; o desconhecimento dos adolescentes acerca da saúde sexual e reprodutiva. Conclusão: torna-se relevante a aproximação entre profissionais da educação e saúde para reverem as práticas pedagógicas ofertadas aos estudantes, sendo necessário avaliar as metodologias aplicadas e buscar novas propostas que alcancem as necessidades de informações necessárias para que adolescentes

Objective: The study's purpose has been to discuss the adolescents' perception about sexuality in the scholar framework. Methods: It is a descriptive-exploratory study with a qualitative approach, which was carried out with forty-six adolescents from three public schools in Macapá city, Amapá State. Data collection took place through interviews lead by the authorization of the respective parents/relatives. The data was later transcribed and submitted to content analysis by the thematic modality. Results: The following category was achieved: sexuality in the adolescents' daily life - a challenge for sexual and reproductive education; where the following aspects were addressed: sexuality related to the act of generating children; adolescents' lack of knowledge about sexual and reproductive health. Conclusion: Therefore, it is relevant to improve the relationship between education and health professionals aiming to reappraisal the pedagogical practices offered to students. Furthermore, it is necessary to assess the applied methodologies and to pursue new proposals that can reach the adolescents' information needs

Objetivo: Discutir la percepción de adolescentes acerca de la sexualidad en el espacio escolar. Método: estudio descriptivo y exploratorio, de naturaleza cualitativa, realizado con cuarenta y seis adolescentes en tres escuelas públicas del municipio de Macapá, capital del Estado de Amapá. La recolección de datos ocurrió a través de entrevistas realizadas con la autorización de los respectivos responsables, posteriormente transcritas y sometidas al análisis de contenido en la modalidad temática. Resultados: Se obtuvo la formación de la siguiente categoría: la sexualidad en el cotidiano de los adolescentes - un desafío para la educación sexual y reproductiva, en que se trabajó estos aspectos: la sexualidad relacionada al acto de generar hijos; el desconocimiento de los adolescentes acerca de la salud sexual y reproductiva. Conclusión: se hace relevante la aproximación entre profesionales de la educación y salud para revisar las prácticas pedagógicas ofrecidas a los estudiantes, siendo necesario evaluar las metodologías aplicadas y buscar nuevas propuestas que alcancen las necesidades de informaciones necesarias para que adolescentes

Humanos , Masculino , Femenino , Adolescente , Educación Sexual , Conducta del Adolescente , Salud Reproductiva , Brasil , Sexualidad , Salud Sexual
Bull Soc Pathol Exot ; 112(2): 90-95, 2019.
Artículo en Francés | MEDLINE | ID: mdl-31478618


Schools are considered as one of the most effective vectors for education on sexually transmitted diseases among young people. We report here the results of a study of HIV infection as presented in school textbooks in Ivory Coast, conducted in June 2018 as part of the development of a communication strategy to increase demand for HIV infection testing, especially among young people. Surprisingly, even though the textbooks studied were published between 2007 and 2017, almost all of them stated that HIV infection leads to death, with no mention of the existence of treatments that make it possible to live in good health. Some textbooks even stated that no treatment is available. These findings highlight one cause - perhaps major - for the reluctance of young people to get tested. The misrepresentation of HIV infection, reinforced by education, hampers incentive campaigns for HIV testing, for which the best argument is that awareness of a positive HIV status makes it possible to benefit from treatment. The present study included textbooks from the French educational program, used throughout French-speaking Africa, and from the Ivory Coast program. It would be interesting to conduct a similar study in other French-speaking and English-speaking African countries. Adapting the presentation of HIV in school textbooks to reflect the current situation in the fight against HIV infection should be a priority.

Comunicación , Infecciones por VIH , Servicios de Salud Escolar , Libros de Texto como Asunto , Síndrome de Inmunodeficiencia Adquirida/diagnóstico , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Síndrome de Inmunodeficiencia Adquirida/transmisión , Actitud Frente a la Salud , Costa de Marfil/epidemiología , Infecciones por VIH/diagnóstico , Infecciones por VIH/prevención & control , Infecciones por VIH/transmisión , VIH-1/fisiología , VIH-2/fisiología , Promoción de la Salud/métodos , Promoción de la Salud/normas , Humanos , Conocimiento , Lenguaje , Tamizaje Masivo/psicología , Servicios de Salud Escolar/normas , Servicios de Salud Escolar/estadística & datos numéricos , Educación Sexual/normas , Educación Sexual/estadística & datos numéricos , Enfermedades de Transmisión Sexual/diagnóstico , Enfermedades de Transmisión Sexual/prevención & control , Enfermedades de Transmisión Sexual/transmisión , Libros de Texto como Asunto/normas