Implementing community-based comprehensive sexuality education with high-risk youth in a conservative environment: lessons learned

Secor-Turner, Molly; Randall, Brandy A.; Christensen, Katie; Jacobson, Amy; Meléndez, Migdalia Loyola

doi:10.1080/14681811.2017.1318273

Cited by 18 publications

(10 citation statements)

References 13 publications

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“…96 Effective prevention of HIV and sexually transmitted infections and advancement of broader sexual and reproductive health in young people necessitates evidence-based, tailored, flexible, and client-centred approaches to sexual harm reduction and comprehensive sexual education (figure 8). 97 Ready access to contraception and other family planning services is essential because half of pregnancies in girls aged 15–19 years are unintended. 98…”

Section: Opportunities For Integration and Synergy In The Global Healmentioning

confidence: 99%

Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: the International AIDS Society—Lancet Commission

et al. 2018

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Section: Opportunities For Integration and Synergy In The Global Healmentioning

confidence: 99%

Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: the International AIDS Society—Lancet Commission

et al. 2018

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“…However, the majority of the states such as Kentucky and Nevada offer minimal guidelines as to what should be included in the sex education curriculum [34]. Although comprehensive sex education (CSE) is gaining popularity, and is supported by many organizations, given its effectiveness in delaying sexual activity and decreasing risky sexual behavior among young people have been evidenced [35], the Abstinence-Only Education approach is still adopted by states that are more likely to hold socially and politically conservative beliefs, such as Tennessee and Montana [36].…”

Section: Sex Education In the United States Of Americamentioning

confidence: 99%

Development of Contextually-relevant Sexuality Education: Lessons from a Comprehensive Review of Adolescent Sexuality Education Across Cultures

Leung

Shek

Leung

et al. 2019

IJERPH

169

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As reported by the World Health Organization in 2017, there are 2 million+ young people living with HIV worldwide. The World Health Organization also reported that a third of all new HIV infections around the world are estimated to occur among youths (aged 15–25). and teen pregnancy rates are on the rise in many places. These worrying trends suggest that existing sexuality education programs and interventions may be inadequate and/or ineffective. Although the 1994 International Conference on Population and Development’s (ICPD) Programme of Action highlighted the roles of Governments to offer sex education to young people to promote teenage reproductive health, yet inconsistency exists in the related initiatives in the global context. The present article aims to provide a comprehensive literature review of the existing sexuality programs in selected places in both English-speaking (i.e., the United States of America, the United Kingdom) and Chinese-speaking contexts (i.e., Hong Kong, Mainland China, and Taiwan). Based on the review, observations and implications for sexuality education policy and practice, as well as recommendations for future research for youths are outlined.

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“…For instance, interventions addressing gaps in motivation might target social norms surrounding use of prevention methods through comprehensive sex education. 22 Interventions addressing access gaps could include outreach programmes to make prevention methods available and changes to the legal system like the decriminalisation of sex work 23 or drug use 24 , removing fundamental barriers to access for these key populations. To address gaps in effective use, behavioural and couples counselling may improve skills, self-efficacy, and partner acceptability necessary for prevention use, while strengthening women's rights may improve protection against gender-based violence (for instance, 36 countries in the world have no laws against domestic violence 25 ).…”

Section: A Unifying Framework For Hiv Prevention Cascadesmentioning

confidence: 99%

HIV prevention cascades: a unifying framework to replicate the successes of treatment cascades

et al. 2019

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Many countries are off track to meet targets for reducing new HIV infections. HIV prevention cascades have been proposed to assist in the implementation and monitoring of HIV prevention programmes by identifying gaps in the steps required for effective use of prevention methods, similar to HIV treatment cascades. However, lack of a unifying framework impedes widespread use of prevention cascades. Building on a series of consultations, we propose an HIV prevention cascade consisting of three key domains of motivation, access, and effective use in a priority population. This three-step cascade can be used for routine monitoring and advocacy, particularly by attaching 90-90-90-style targets. Further characterisation of reasons for gaps across motivation, access, or effective use allows for a comprehensive framework, guiding identification of relevant responses and platforms for interventions. Linking the prevention cascade, reasons for gaps, and interventions reconciles the different requirements of prevention cascades, providing a unifying framework.

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Implementing community-based comprehensive sexuality education with high-risk youth in a conservative environment: lessons learned

Cited by 18 publications

References 13 publications

Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: the International AIDS Society—Lancet Commission

Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: the International AIDS Society—Lancet Commission

Development of Contextually-relevant Sexuality Education: Lessons from a Comprehensive Review of Adolescent Sexuality Education Across Cultures

HIV prevention cascades: a unifying framework to replicate the successes of treatment cascades

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