A Call to Action: Developing and Strengthening New Strategies to Promote Adolescent Sexual Health

Decker, Martha J.; Berglas, Nancy F.; Brindis, Claire D.

doi:10.3390/soc5040686

Cited by 22 publications

(12 citation statements)

References 117 publications

(143 reference statements)

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“…One study conducted with lesbian, gay, and bisexual students found that those in schools with inclusive sexual health education reported fewer sexual partners, less recent sex, and less substance use before having sex than those in schools that did not provide inclusive sexual health education (Blake et al, 2001). Literature on how to make sexual health education more relevant for sexual minority youth is sparse but growing, and it calls for discussions of sexual orientation as a way to keep these youth, who may be at a greater risk of adverse sexual health outcomes, engaged in sexual health education (Blake et al, 2001; CDC, 2012; Cohen et al, 2004; Decker, Berglas, & Brindis, 2015; Fisher et al, 2009; Gowen & Winges-Yanez, 2014). Recent calls-to-action have further described inclusive sexual health education (Advocates for Youth, 2016).…”

Section: Discussionmentioning

confidence: 99%

Professional Development on Sexual Health Education Is Associated With Coverage of Sexual Health Topics

Clayton

Brener

Barrios

et al. 2017

Pedagogy in Health Promotion

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Background. Sexual health education plays a vital role in preventing adverse consequences of sexual behavior. Data are limited on how professional development (PD) for teachers is associated with teaching sexual health content. Method. We used data from the 2014 School Health Policies and Practices Study, a cross-sectional survey that included a nationally representative sample of middle and high school health education courses (n = 328; 96.2% of those sampled). We examined whether teacher characteristics and receipt of PD on four sexual health domains (human sexuality and the prevention of pregnancy, HIV, and sexually transmitted diseases) were associated with teaching those four domains and whether PD was associated with teaching specific topics within each domain. In a second set of analyses, we compared the difference in coverage of specific topics by receipt of PD among only the teachers who reported teaching the domain. Results. The prevalence of teaching sexual health content was higher among courses in which teachers had a degree in health education or were certified to teach health education. A robust relationship between teachers' receipt of PD and the teaching of nearly all sexual health topics as well as an increase in the mean number of topics taught and the time devoted to the domain was demonstrated. Conclusions. PD has a positive impact on the coverage of sexual health topics among middle and high school courses. These data suggest a need for more PD on sexual health education content to ensure that sexual health topics are taught in the classroom.

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Section: Discussionmentioning

confidence: 99%

Professional Development on Sexual Health Education Is Associated With Coverage of Sexual Health Topics

Clayton

Brener

Barrios

et al. 2017

Pedagogy in Health Promotion

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“…In addition, the rates of STIs are increasing among adolescents and disproportionately affect youth from certain racial, ethnic, geographic, and socioeconomic backgrounds [ 20 ]. Too often, sexual health education and services do not reach these youth or do not reflect their experiences and backgrounds [ 21 ]. In many cases, youth who are at the greatest need for comprehensive programming are less likely to receive it.…”

Section: Introductionmentioning

confidence: 99%

“…In many cases, youth who are at the greatest need for comprehensive programming are less likely to receive it. For example, youth who frequently move, are unstably housed, or in foster care may miss school-based programming [ 21 , 22 ]. Similarly, few sex education curricula are designed to be inclusive of same-sex partners, sexual orientation, or gender identity [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the Effectiveness of an Intervention Integrating Technology and In-Person Sexual Health Education for Adolescents (In the Know): Protocol for a Cluster Randomized Controlled Trial

Decker¹,

Gutmann-Gonzalez²,

Price³

et al. 2020

JMIR Res Protoc

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Background Access to a smartphone is nearly universal among American adolescents, and most of them have used the internet to seek health information. Integrating digital technologies into health program delivery may expand opportunities for youth to receive important health information, yet there are few rigorous studies assessing the effectiveness of this type of intervention. Objective The purpose of this study is to assess the effectiveness of In the Know (ITK), a program integrating in-person and technology-based sexual health education for underserved adolescents. Methods Youth were engaged in the development of the intervention, including the design of the digital technology and the curriculum content. The intervention focuses on 3 main areas: sexual health and contraceptive use, healthy relationships, and educational and career success. It includes an in-person, classroom component, along with a web-based component to complement and reinforce key content. A cluster randomized controlled trial is in progress among adolescents aged 13-19 years living in Fresno County, California. It is designed to examine the differences in self-reported health and behavioral outcomes among youth in the intervention and control groups at 3 and 9 months. Primary outcomes are condom and contraceptive use or no sex in the past 3 months and use of any clinical health services in the past 3 months. Secondary outcomes include the number of sexual partners in the past 3 months and knowledge of local clinical sexual health services. We will use mixed-effects linear and logistic regression models to assess differences between the intervention and control groups. Results Trial enrollment began in October 2017 and ended in March 2020 with a total of 1260 participants. The mean age of the participants is 15.73 (SD 1.83) years, and 69.98% (867/1239) of the participants report being Hispanic or Latino. Study results will be available in 2021. Conclusions ITK has the potential to improve contraceptive and clinic use among underserved youth. This trial will inform future youth-focused health interventions that are considering incorporating technology. International Registered Report Identifier (IRRID) DERR1-10.2196/18060

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“…Teenage pregnancy leads to a high rate of maternal mortality, infant mortality, and various risks for babies. Therefore, strategies to prevent teen pregnancy, which include enhancing knowledge and building positive attitudes as well as personal development, are of prime importance [6]. These pregnancy prevention strategies were proven effective in reducing the risk of teenage pregnancy, as some individual states in the United States, for example, saw a successful reduction of 82% in the number of adolescent pregnancy [7].…”

Section: Introductionmentioning

confidence: 99%

Adolescent Pregnancy Prevention Behavior in Indonesia: Internal and External Factors Influencing

Deswinda¹,

Machmud

Yusrawati

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: The reasons behind teenage pregnancy and marriage in Indonesia are the lack of life skills and low self-efficacy. Teenagers with a lack of life skills are more likely to be influenced by their peers, in this case, to have sex before marriage. Teenage pregnancy often leads to a high rate of maternal and infant mortality and high-risk infants. AIM: This study aimed to identify internal and external factors influencing adolescent pregnancy prevention behavior. METHODS: This quantitative study with a cross-sectional design recruited 398 adolescents using a multistage sampling technique. Chi-square test and logistic regression test were employed with p < 0.05. RESULTS: The odds ratio (OR) value from the exponent β with confidence interval 95%. More than half of respondents (64%) have behavior that might lead to teenage pregnancy, with both male and female respondents having equal risk (p = 0.920). Variables of knowledge, attitudes, self-efficacy, life skills, and peer influence were associated with adolescent pregnancy prevention behavior as all of them have a p = 0.000. Moreover, peers were found to be the most influential variable of teenage pregnancy prevention behavior with the OR value of 3.84, the highest among other variables which meant adolescents receiving negative influence from their peers are 3.84 times more likely to conceive at a young age. Peers become the most dominant factor in determining adolescent behavior in preventing pregnancy. CONCLUSION: Among the variables related to prevention behavior, peers were found to be the one that will primarily determine adolescent behavior in terms of pregnancy prevention.

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A Call to Action: Developing and Strengthening New Strategies to Promote Adolescent Sexual Health

Cited by 22 publications

References 117 publications

Professional Development on Sexual Health Education Is Associated With Coverage of Sexual Health Topics

Professional Development on Sexual Health Education Is Associated With Coverage of Sexual Health Topics

Evaluating the Effectiveness of an Intervention Integrating Technology and In-Person Sexual Health Education for Adolescents (In the Know): Protocol for a Cluster Randomized Controlled Trial

Adolescent Pregnancy Prevention Behavior in Indonesia: Internal and External Factors Influencing

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