Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 11.114
Filtrar
1.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 42(4): 452-458, 2020 Aug 30.
Artigo em Chinês | MEDLINE | ID: mdl-32895096

RESUMO

Objective To understand the family sex education for young children in rural areas of Sichuan province and analyze the influencing factors. Methods A multi-stage random sampling method was used to select 2246 parents of kindergarten children from rural areas in Sichuan province for a questionnaire-based survey.The Chi-square test and Logistic regression model were used for data analysis. Results It was found 1132(52.33%)parents had implemented family sex education for young children and 1031(47.67%)had not.Young children having asked sex-related questions(OR=1.536,95%CI=1.257-1.878),parents thinking that early childhood sex education is necessary(OR=3.691,95%CI=2.029-6.717),and parents having the intention to know early childhood sex education(OR=1.700,95%CI=1.274-2.269),and kindergarten having implemented early childhood sex education(OR=3.316,95%CI=2.515-4.372)were promoting factors for parents to conduct early childhood sex education,whereas a total annual household income at the middle level(OR=0.664,95%CI=0.456-0.968)was a hindering factor for parents to conduct early childhood sex education. Conclusions Parents of young children in rural areas of Sichuan province have poor awareness of sex education,and the proportion of parents who have never conducted sex education for children is high.The total annual income of the family,whether the children have asked about sex-related questions,parents' attitude towards early childhood sex education,and whether the kindergarten has conducted the early childhood sex education are important factors that influence the level of children's family sex education.


Assuntos
Educação Sexual , Criança , China , Humanos , Modelos Logísticos , Pais , Inquéritos e Questionários
3.
Lancet Child Adolesc Health ; 4(9): 699-708, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32827491

RESUMO

Sexual and reproductive health is an important aspect of human development, but discussions with adolescents and young adults on this topic are often challenging for health-care providers. As a result, many adolescents and young adults do not receive appropriate, comprehensive sexual education, despite recognition from WHO and the UN that access to this education is a human right. Adolescents and young adults with mild to moderate intellectual or developmental disability, or both, are just as likely to be sexually active as are their peers without disability; however, these individuals are less likely to receive comprehensive sexual education. To ensure adequate comprehensive sexual education for adolescents and young adults with intellectual and developmental disabilities, sexual health educators should facilitate conversations about sexual and reproductive health that are non-judgmental and sexually inclusive. Such initiatives should use an educational framework grounded in universal design for learning, including use of multiple media types with clear, concise language and images.


Assuntos
Educação Sexual/métodos , Comportamento Sexual , Saúde Sexual/educação , Adolescente , Deficiências do Desenvolvimento/psicologia , Deficiências do Desenvolvimento/terapia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Deficiência Intelectual/psicologia , Deficiência Intelectual/terapia , Masculino , Medição de Risco , Adulto Jovem
5.
Pediatrics ; 146(2)2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32690805

RESUMO

Rates of sexual activity, pregnancies, and births among adolescents have continued to decline during the past decade to historic lows. Despite these positive trends, many adolescents remain at risk for unintended pregnancy and sexually transmitted infections (STIs). This technical report discusses the new data and trends in adolescent sexual behavior and barrier protection use. Since 2017, STI rates have increased and use of barrier methods, specifically external condom use, has declined among adolescents and young adults. Interventions that increase availability of or accessibility to barrier methods are most efficacious when combined with additional individual, small-group, or community-level activities that include messages about safer sex. Continued research informs public health interventions for adolescents that increase the consistent and correct use of barrier methods and promote dual protection of barrier methods for STI prevention together with other effective methods of contraception.


Assuntos
Preservativos Femininos , Preservativos , Comportamento Sexual , Adolescente , Fatores Etários , Preservativos/estatística & dados numéricos , Preservativos Femininos/estatística & dados numéricos , Comportamento Contraceptivo/estatística & dados numéricos , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Interpessoais , Profilaxia Pré-Exposição , Gravidez , Gravidez na Adolescência/estatística & dados numéricos , Gravidez não Planejada , Fatores Raciais , Sexo Seguro , Autoimagem , Educação Sexual , Minorias Sexuais e de Gênero/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/epidemiologia , Doenças Sexualmente Transmissíveis/prevenção & controle , Apoio Social
6.
Cochrane Database Syst Rev ; 6: CD009829, 2020 06 22.
Artigo em Inglês | MEDLINE | ID: mdl-32572950

RESUMO

BACKGROUND: Around 1 in 1000 adolescents aged 12 to 17 years old display problematic or harmful sexual behaviour (HSB). Examples include behaviours occurring more frequently than would be considered developmentally appropriate; accompanied by coercion; involving children of different ages or stages of development; or associated with emotional distress. Some, but not all, young people engaging in HSB come to the attention of authorities for investigation, prosecution or treatment. Depending on policy context, young people with HSB are those whose behaviour has resulted in a formal reprimand or warning, conviction for a sexual offence, or civil measures. Cognitive-behavioural therapy (CBT) interventions are based on the idea that by changing the way a person thinks, and helping them to develop new coping skills, it is possible to change behaviour. OBJECTIVES: To evaluate the effects of CBT for young people aged 10 to 18 years who have exhibited HSB. SEARCH METHODS: In June 2019, we searched CENTRAL, MEDLINE, Embase, 12 other databases and three trials registers. We also examined relevant websites, checked reference lists and contacted authors of relevant articles. SELECTION CRITERIA: We included all relevant randomised controlled trials (RCTs) using parallel groups. We evaluated CBT treatments compared with no treatment, waiting list or standard care, irrespective of mode of delivery or setting, given to young people aged 10 to 18 years, who had been convicted of a sexual offence or who exhibited HSB. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures expected by Cochrane. MAIN RESULTS: We found four eligible RCTs (115 participants). Participants in two studies were adolescent males aged 12 to 18 years old. In two studies participants were males simply described as "adolescents." Three studies took place in the USA and one in South Africa. The four studies were of short duration: one lasted two months; two lasted three months; and one lasted six months. No information was available on funding sources. Two studies compared group-based CBT respectively to no treatment (18 participants) or treatment as usual (21 participants). The third compared CBT with sexual education (16 participants). The fourth compared CBT (19 participants) with mode-deactivation therapy (21 participants) and social skills training (20 participants). Three interventions delivered treatment in a residential setting by someone working there, and one in a community setting by licensed therapist undertaking a PhD. CBT compared with no treatment or treatment as usual Primary outcomes No study in this comparison reported the impact of CBT on any measure of primary outcomes (recidivism, and adverse events such as self-harm or suicidal behaviour). Secondary outcomes There was little to no difference between CBT and treatment as usual on cognitive distortions in general (mean difference (MD) 1.56, 95% confidence interval (CI) -11.54 to 14.66, 1 study, 18 participants; very low-certainty evidence), assessed with Abel and Becker Cognition Scale (higher scores indicate more problematic distortions); and specific cognitive distortions about rape (MD 8.75, 95% CI 2.83 to 14.67, 1 study, 21 participants; very low-certainty evidence), measured with the Bumby Cardsort Rape Scale (higher scores indicate more justifications, minimisations, rationalisations and excuses for HSB). One study (18 participants) reported very low-certainty evidence that CBT may result in greater improvements in victim empathy (MD 5.56, 95% CI 0.94 to 10.18), measured with the Attitudes Towards Women Scale, compared with no treatment. One additional study also measured this, but provided no usable data. CBT compared with alternative interventions Primary outcomes One study (59 participants) found little to no difference between CBT and alternative treatments on post-treatment sexual aggression scores (MD 0.09, 95% CI -0.18 to 0.37, very low-certainty evidence), assessed using Daily Behaviour Reports and Behaviour Incidence Report Forms. No study in this comparison reported the impact of CBT on any measure of our remaining primary outcomes. Secondary outcomes One study (16 participants) provided very low-certainty evidence that, compared to sexual education, mean cognitive distortions pertaining to justification or taking responsibility for actions (MD 3.27, 95% CI -4.77 to -1.77) and apprehension confidence (MD 2.47 95% CI -3.85 to -1.09) may be lower in the CBT group. The same study indicated that mean cognitive distortions pertaining to social-sexual desirability may be lower in the CBT group, and there may be little to no difference between the groups for cognitive distortions pertaining to inappropriate sexual fantasies measured with the Multiphasic Sex Inventory. AUTHORS' CONCLUSIONS: It is uncertain whether CBT reduces HSB in male adolescents compared to other treatments. All studies had insufficient detail in what they reported to allow for full assessment of risk of bias. 'Risk of bias' judgements were predominantly rated as unclear or high. Sample sizes were very small, and the imprecision of results was significant. There is very low-certainty evidence that group-based CBT may improve victim empathy when compared to no treatment, and may improve cognitive distortions when compared to sexual education, but not treatment as usual. Further research is likely to change the estimate. More robust evaluations of both individual and group-based CBT are required, particularly outside North America, and which look at the effects of CBT on diverse participants.


Assuntos
Adaptação Psicológica , Terapia Cognitivo-Comportamental/métodos , Delitos Sexuais/prevenção & controle , Adolescente , Atitude , Criança , Transtornos Cognitivos/psicologia , Dessensibilização Psicológica , Fantasia , Humanos , Masculino , Ensaios Clínicos Controlados Aleatórios como Assunto , Estupro/psicologia , Reincidência , Autoimagem , Educação Sexual , Delitos Sexuais/psicologia , Habilidades Sociais
7.
AIDS Patient Care STDS ; 34(6): 259-266, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32484743

RESUMO

We aimed to systematically evaluate the feasibility of integrating HIV prevention services, including pre-exposure prophylaxis (PrEP), into a family planning setting in a high-prevalence community. We used the RE-AIM Framework (Reach, Efficacy, Adoption, Implementation, Maintenance) to evaluate the integration of HIV prevention services into a family planning clinic over 6 months. Before the integration, PrEP was not offered. We implemented a staff training program on HIV PrEP. We determined the proportion of women presenting to the clinic who were screened, eligible for, and initiated PrEP through chart review. We assessed staff comfort with PrEP pre- and post-integration. We compared planned and actual implementation, interviewed staff to determine barriers and facilitators, and tracked systems adaptations. We assessed maintenance of PrEP after the study concluded. There were 640 clinical encounters for 515 patients; the rate of HIV counseling and PrEP screening was 50%. The rate was 10% in month 1 and peaked to 65% in month 3. Nearly all screened patients were eligible for PrEP (98.4%) and 15 patients (6%) initiated PrEP. Staff knowledge and comfort discussing PrEP improved after education. Facilitators included partnering with local experts, continuing education, clinical tools for providers, and patient education materials. Barriers included competing priorities during clinical encounters, limited woman-centered patient education materials, and insurance-related barriers. Embedding HIV prevention services in the family planning setting was feasible in this pilot. The proportion of women screened for PrEP rapidly increased. In this high HIV prevalence community, nearly all screened women were eligible and 6% initiated PrEP.


Assuntos
Fármacos Anti-HIV/administração & dosagem , Prestação Integrada de Cuidados de Saúde/organização & administração , Serviços de Planejamento Familiar/estatística & dados numéricos , Infecções por HIV/prevenção & controle , Programas de Rastreamento/estatística & dados numéricos , Profilaxia Pré-Exposição/métodos , Adulto , Instituições de Assistência Ambulatorial , Fármacos Anti-HIV/uso terapêutico , Estudos de Coortes , Aconselhamento , Serviços de Planejamento Familiar/organização & administração , Feminino , Infecções por HIV/tratamento farmacológico , Humanos , Estudos Prospectivos , Educação Sexual , Parceiros Sexuais
8.
Cochrane Database Syst Rev ; 5: CD011189, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32356377

RESUMO

BACKGROUND: Sexual dysfunction following stroke is common but often is poorly managed. As awareness of sexual dysfunction following stroke increases as an important issue, a clearer evidence base for interventions for sexual dysfunction is needed to optimise management. OBJECTIVES: To evaluate the effectiveness of interventions to reduce sexual dysfunction following stroke, and to assess adverse events associated with interventions for sexual dysfunction following stroke. SEARCH METHODS: We conducted the search on 27 November 2019. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; from June 2014), in the Cochrane Library; MEDLINE (from 1950); Embase (from 1980); the Cumulative Index to Nursing and Allied Health Literature (CINAHL; from 1982); the Allied and Complementary Medicine Database (AMED; from 1985); PsycINFO (from 1806); the Physiotherapy Evidence Database (PEDro; from 1999); and 10 additional bibliographic databases and ongoing trial registers. SELECTION CRITERIA: We included randomised controlled trials (RCTs) that compared pharmacological treatments, mechanical devices, or complementary medicine interventions versus placebo. We also included other non-pharmacological interventions (such as education or therapy), which were compared against usual care or different forms of intervention (such as different intensities) for treating sexual dysfunction in stroke survivors. DATA COLLECTION AND ANALYSIS: Two review authors independently selected eligible studies, extracted data, and assessed study quality. We determined the risk of bias for each study and performed a 'best evidence' synthesis using the GRADE approach. MAIN RESULTS: We identified three RCTs with a total of 212 participants. We noted significant heterogeneity in interventions (one pharmacological, one physiotherapy-based, and one psycho-educational), and all RCTs were small and of 'low' or 'very low' quality. Based on these RCTs, data are insufficient to provide any reliable indication of benefit or risk to guide clinical practice in terms of the use of sertraline, specific pelvic floor muscle training, or individualised sexual rehabilitation. AUTHORS' CONCLUSIONS: Use of sertraline to treat premature ejaculation needs to be tested in further RCTs. The lack of benefit with structured sexual rehabilitation and pelvic floor physiotherapy should not be interpreted as proof of ineffectiveness. Well-designed, randomised, double-blinded, placebo-controlled trials of long-term duration are needed to determine the effectiveness of various types of interventions for sexual dysfunction. It should be noted, however, that it may not be possible to double-blind trials of complex interventions.


Assuntos
Disfunções Sexuais Fisiológicas/terapia , Acidente Vascular Cerebral/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Antidepressivos/efeitos adversos , Antidepressivos/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Orgasmo , Diafragma da Pelve , Ejaculação Precoce/tratamento farmacológico , Ejaculação Precoce/etiologia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Treinamento de Resistência/métodos , Sertralina/efeitos adversos , Sertralina/uso terapêutico , Educação Sexual/métodos , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/reabilitação , Parceiros Sexuais/psicologia , Vitamina B 12/análogos & derivados , Vitamina B 12/uso terapêutico , Complexo Vitamínico B/uso terapêutico , Adulto Jovem
10.
Rev Med Suisse ; 16(691): 765-768, 2020 Apr 22.
Artigo em Francês | MEDLINE | ID: mdl-32320150

RESUMO

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.


Assuntos
Saúde do Homem , Atenção Primária à Saúde/métodos , Educação Sexual/métodos , Saúde Sexual/educação , Adolescente , Feminino , Humanos , Masculino , Saúde Reprodutiva/educação , Sexualidade , Saúde da Mulher
12.
Artigo em Inglês | MEDLINE | ID: mdl-32169418

RESUMO

Fertility awareness-based methods (FABMs) of family planning involve monitoring various signs and symptoms of fertility during the menstrual cycle to identify the "fertile window," or the days of the cycle when unprotected intercourse is most likely to result in pregnancy. Signs and symptoms include menstrual cycle length, basal body temperature, urinary hormone measurements, and/or cervical fluid and may be used alone or in combination. Fertility signs reflect both physiological changes during the menstrual cycle and the life cycle of the ovum and sperm. Women learn to observe or measure and interpret these signs according to the instructions of their chosen FABM and avoid unprotected intercourse on fertile days. FABMs are appropriate for those who choose to use them, are able and willing to observe one or more fertility signs, and are in relationships that support the use of a coitus-related method such as a condom or abstaining from intercourse on fertile days.


Assuntos
Serviços de Planejamento Familiar/métodos , Fertilidade/fisiologia , Conhecimentos, Atitudes e Prática em Saúde , Feminino , Humanos , Masculino , Ciclo Menstrual/fisiologia , Métodos Naturais de Planejamento Familiar , Gravidez , Educação Sexual , Espermatozoides
13.
Pediatrics ; 145(4)2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32184336

RESUMO

BACKGROUND: In the United States, transgender youth are at especially high risk for HIV infection. Literature regarding HIV prevention strategies for this vulnerable, often-hidden population is scant. Before effective, population-based HIV prevention strategies may be adequately developed, it is necessary to first enhance the contextual understanding of transgender youth HIV risk and experiences with HIV preventive services. METHODS: Two 3-day, online, asynchronous focus groups were conducted with transgender youth from across the United States to better understand participant HIV risk and experiences with HIV preventive services. Participants were recruited by using online advertisements posted via youth organizations. Qualitative data were analyzed by using content analysis. RESULTS: A total of 30 transgender youth participated. The average age was 18.6 years, and youth reported a wide range of gender identities (eg, 27% were transgender male, 17% were transgender female, and 27% used ≥1 term) and sexual orientations. Four themes emerged: (1) barriers to self-efficacy in sexual decision-making; (2) safety concerns, fear, and other challenges in forming romantic and/or sexual relationships; (3) need for support and education; and (4) desire for affirmative and culturally competent experiences and interactions (eg, home, school, and health care). CONCLUSIONS: Youth discussed experiences and perspectives related to their gender identities, sexual health education, and HIV preventive services. Findings should inform intervention development to improve support and/or services, including the following: (1) increasing provider knowledge and skills to provide gender-affirming care, (2) addressing barriers to services (eg, accessibility and affordability as well as stigma and discrimination), and (3) expanding sexual health education to be inclusive of all gender identities, sexual orientations, and definitions of sex and sexual activity.


Assuntos
Infecções por HIV/prevenção & controle , Serviços de Saúde para Pessoas Transgênero , Pessoas Transgênero/psicologia , Adolescente , Competência Cultural , Tomada de Decisões , Feminino , Grupos Focais , Identidade de Gênero , Infecções por HIV/transmissão , Humanos , Relações Interpessoais , Masculino , Pesquisa Qualitativa , Medição de Risco , Autoimagem , Autoeficácia , Educação Sexual , Apoio Social , Pessoas Transgênero/estatística & dados numéricos , Estados Unidos , Adulto Jovem
16.
Artigo em Inglês | MEDLINE | ID: mdl-32046083

RESUMO

Extended family can be a resource for conversations about sex, but extended family perspectives have been largely left out of existing research. The present study investigates how extended family, such as aunts and uncles, siblings and cousins, perceive communication with teens in their families about sex. A thematic analysis was conducted with data from interviews in the U.S. with 39 extended family members, primarily siblings, who reported talk with teens in their families about sex. The analyses identified one theme focused on perspectives surrounding what is most important for teens to know about sex and relationships and seven themes focused on the content of conversations with teens about sex. The most prevalent content areas were: Healthy and Unhealthy Relationships (87%), Sexual Orientation (82%), Sexual Behavior (82%), and Protection (74%). The findings highlight extended family members' unique roles in supporting the sexual health of teens in their families, which include providing information and support about issues other family members may not address, such as sexual orientation and the positive aspects of sex. The findings suggest the need to include extended family in sex education interventions to reflect the broader ecology of teens' family relationships and access an underutilized resource for teens' sexual health.


Assuntos
Comunicação , Relações Familiares , Família , Educação Sexual , Sexualidade , Adolescente , Adulto , Ecologia , Feminino , Humanos , Conhecimento , Masculino , Saúde Sexual
18.
Artigo em Inglês, Português | LILACS | ID: biblio-1099897

RESUMO

Objetivo: Descrever a experiência vivenciada por acadêmicos de Enfermagem em prática de educação em saúde acerca de infecções sexualmente transmissíveis (IST). Síntese dos dados: As atividades educativas de um projeto de extensão foram desenvolvidas para estudantes do primeiro ano da Faculdade de Enfermagem da Universidade do Pará (UFPA), localizada no município de Belém, Pará, Brasil, no período de março a dezembro de 2019. A prática de educação em saúde foi dividida em três etapas: "IST: epidemiologia, agente etiológico, sintomas e prevenção"; "Boas práticas para o uso correto dos preservativos masculino e feminino" e "Modo de transmissão sexual das IST/HIV e importância de serem multiplicadores de saúde", que se constituiu de uma dinâmica e roda de conversa sobre a temática. Conclusão: A atividade extensionista possibilitou a discussão da promoção da saúde sexual dos estudantes visando à prevenção e ao controle da transmissão das IST. Para os extensionistas, a vivência favoreceu a autonomia das atividades de educação em saúde e a compreensão da necessidade de abordar a temática com jovens ingressantes na universidade e, também, a de estabelecer a socialização com os estudantes com a pretensão de sensibilizá-los a serem multiplicadores de saúde.


Objective: To describe the experience of Nursing students in health education practices about sexually transmitted infections (STIs). Data Synthesis: The educational activities of an extension project were developed for first-year students at the Faculty of Nursing of the University of Pará (UFPA), located in the municipality of Belém, Pará, Brazil, from March to December 2019. The practice of health education was divided into three stages: STI: epidemiology, etiologic agent, symptoms and prevention; Good practices for the correct use of male and female condoms; and Sexual transmission mode of STIs / HIV and the importance of being health multipliers, which consisted of a dynamic and dialogue circle on the theme. Conclusion: The extension activity made it possible to discuss the promotion of students' sexual health aiming at the prevention and control of STI transmission. For extension workers, the experience favored the autonomy of health education activities and the understanding of the need to address the topic with young people entering the university and also to establish socialization with students to sensitize them to be health multipliers.


Objetivo: Describir la experiencia de académicos de Enfermería en práctica de educación en salud sobre las Enfermedades de Transmisión Sexual (ETS). Síntesis de los datos: Las actividades educativas de un proyecto de extensión han sido desarrolladas para estudiantes del primer año de la Facultad de Enfermería de la Universidad de Pará (UFPA) localizada en el municipio de Belém, Pará, Brasil en el período entre marzo y diciembre de 2019. La práctica de educación en salud ha sido dividida en tres etapas: "IST: epidemiología, agente etiológico, síntomas y prevención"; "Buenas prácticas para el uso correcto de los preservativos masculino y femenino" y "Modo de transmisión sexual de las ETS/VIH y la importancia de ser multiplicador de salud" como parte de una dinámica y rueda de conversa sobre la temática. Conclusión: La actividad de extensión ha posibilitado la discusión sobre la promoción de la salud sexual de estudiantes respecto la prevención y el control de transmisión de las ETS. Para los estudiantes, la experiencia ha favorecido la autonomía para las actividades de educación en salud y la comprensión de la necesidad de hablar sobre esa temática con los jóvenes que acaban de ingresar en la universidad y también de establecer la socialización con los estudiantes con el objetivo de sensibilizarlos para que sean multiplicadores de salud.


Assuntos
Educação Sexual , Doenças Sexualmente Transmissíveis , Educação em Saúde , Enfermagem
20.
J Pediatr Adolesc Gynecol ; 33(1): 72-82, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31561033

RESUMO

STUDY OBJECTIVE: In the present study we investigated the association between receiving information on sexual literacy topics and likelihood of experiencing adolescent pregnancy. DESIGN: Cross-sectional analysis. SETTING: Colombia. PARTICIPANTS: Female Adolescents, 13-19 years old (N = 8525). MAIN OUTCOME MEASURES: Our primary outcome of interest was adolescent pregnancy. RESULTS: We created a gradation of public health impact variable that ranged from grade 1 (least impactful) to grade 4 (most impactful) to determine which sexuality-related topics were most strongly associated with teenage pregnancy. We found that not receiving information on grade 4 topics had the strongest association with adolescent pregnancy. These topics were: changes related to puberty (prevalence ratio [PR], 2.15; 95% confidence interval [CI], 1.40-3.30), how sex organs work (PR, 1.90; 95% CI, 1.37-2.66), and sexual orientation (PR, 1.84; 95% CI, 1.38-2.44). In fact, teenagers who did not receive information on any sexuality-related topic were approximately 75% more likely (PR, 1.73; 95% CI, 1.09-2.74) to experience pregnancy during adolescence. CONCLUSION: The gradation levels of this study could guide sexual education programs in Colombia to prioritize sexuality-related themes, especially when resources are limited.


Assuntos
Letramento em Saúde/estatística & dados numéricos , Gravidez na Adolescência/estatística & dados numéricos , Saúde Reprodutiva/educação , Educação Sexual/estatística & dados numéricos , Adolescente , Colômbia/epidemiologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Gravidez , Gravidez na Adolescência/psicologia , Comportamento Sexual/estatística & dados numéricos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA