Sexual and Dating Violence Prevention Programs for Male Youth: A Systematic Review of Program Characteristics, Intended Psychosexual Outcomes, and Effectiveness.

Sexual and dating violence (SDV) by male youth (≤ 25 years)-including sexual harassment, emotional partner violence, and rape-is a worldwide problem. The goal of this preregistered (PROSPERO, ID: CRD42022281220) systematic review was to map existing SDV prevention programs aimed at male youth, including their characteristics (e.g., content, intensity), intended psychosexual outcomes, and empirically demonstrated effectiveness, guided by the principles of the theory of planned behavior (TPB). We conducted searches in six online databases for published, peer-reviewed quantitative effectiveness studies on multi-session, group focused, and interaction based SDV prevention programs for male youth ending March 2022. After screening of 21,156 hits using PRISMA guidelines, 15 studies on 13 different programs, from four continents were included. Narrative analysis showed, first, broad ranges in program intensity (2-48 h total), and few program curricula included explicit discussion of relevant aspects of the TPB. Second, programs' main intended psychosexual outcomes were to change SDV experiences, or related attitudes, or norms. Third, significant effects were found mostly on longer term behaviors and short-term attitudes. Other theoretical proxies of SDV experiences, such as social norms and perceived behavioral control, were sparsely investigated; thus, program effectiveness on these outcomes remains largely unknown. Assessed with the Cochrane Risk of Bias Tool, moderate to serious risk of bias arose in all studies. We present concrete suggestions for program content, such as explicit attention to victimization and masculinity and discuss best practices for evaluation research, including assessments of program integrity, and examining relevant theoretical proxies of SDV.

A Warm Nest or 'The Talk'? Exploring and Explaining Relations Between General and Sexuality-Specific Parenting and Adolescent Sexual Emotions.

PURPOSE: The aim of the study was to explore and explain two hypothesized indirect longitudinal pathways and investigate gender differences in linking parenting factors to adolescents' sexual emotions. The general pathway expected higher parent-adolescent relationship quality to be related to more positive and less negative sexual emotions through higher adolescent global self-esteem. The sexuality-specific pathway expected more frequent parent-adolescent sexual communication to be related to more positive and less negative sexual emotions through higher adolescent sexual autonomy. METHODS: Online questionnaire data were used from three waves of Project STARS, a longitudinal study on adolescent sexual development. The analysis sample included 248 sexually experienced adolescents (M = 14.74 years at baseline). Adolescents reported on the quality of their parent-adolescent relationship, how often they discussed sexual topics with their parents, their global self-esteem, sexual autonomy, and experience of positive (happy, proud, and loved) and negative (dirty, ashamed, and guilty) emotions after having sex. RESULTS: Overall, adolescents experienced more positive than negative emotions after sex. Mplus path model results indicated that, first, higher parent-adolescent relationship quality was related to higher adolescent global self-esteem, but global self-esteem was not related to sexual emotions. Second, more frequent parent-adolescent sexual communication was related to more adolescent sexual autonomy, and more sexual autonomy was related to more positive and less negative sexual emotions. However, no significant indirect effects, nor gender differences were found. CONCLUSIONS: Adolescents' sexual autonomy appears to play a particularly important role in how they experience having sex. Concrete suggestions for how the development of adolescents' sexual autonomy may be supported are discussed.

Offline and Online Sexual Risk Behavior among Youth in the Netherlands: Findings from "Sex under the Age of 25".

Sexually developing adolescents and emerging adults face sexual health risks as well as potentially negative outcomes of online sexual behaviors. The goal of this study was to describe three categories of sexual risk behavior: (1) behavior related to STI/HIV, (2) behavior related to unplanned pregnancy, and (3) online sexual risk behavior. In addition, we investigated whether these behaviors are actually related to negative (health) outcomes. For this purpose, we used data from a Dutch probability survey: "Sex under the age of 25." Adolescents and emerging adults aged 12 through 24 (8,053 boys and 12,447 girls) completed a digital questionnaire, including measures of the risk of STI/HIV and pregnancy, online sexual behavior and non-consensual sex. Chi-square tests and logistic regressions were used to test for gender and age differences and compute associations between risk behavior and negative outcomes. The results showed that the risk of unplanned pregnancy is low in the Netherlands. It seems that adolescents and emerging adults are less aware of the risk of STI/HIV than of the risk of pregnancy. About 11% of the participants had had more than one partner in the last 6 months and had not used condoms consistently with their last partner, and these participants had a 3.56 times higher likelihood of ever being diagnosed with an STI. Although many young people stop using condoms with their partner after a while, most of them did not get tested for STIs. More emerging adults (aged 18-24) engage in sexting (sending personal nude pictures and sex videos to others), but the chance that these images are shared with other people than the intended recipient is higher among adolescents (aged 12-17). The results of this study can guide professionals working in sex education and sexual health services to focus their efforts on the risk behaviors in the Netherlands that deserve most attention.