The Effectiveness of Delivering Comprehensive Sexuality Education Through Live Streaming to Schools in Western China

Sexual-Related Knowledge, School and Family Sexuality Education and Its Association with Experience of Sexual Intercourse among Vocational Secondary School Students in China

“…Obviously, the current “abstinence only” program cannot meet the needs of VSSS for sexuality education. Numerous studies suggested that comprehensive sexuality-education (CSE) programs based on gender, power, and human rights contribute to improved sexual knowledge and sexual self-efficacy, delayed initiation of sexual intercourse, reduced risk taking, and increased use of condoms and other contraceptives [ 8 , 49 , 50 ]. Considering the health risk of unsafe sexual intercourse among adolescents, school and family sexuality education with comprehensive coverage of sexual topics should be strengthened among VSSS to meet their needs for sexual related information, help them make healthy and responsible decisions, and allow them to refuse unsafe sexual behaviors.…”

“…In sub-Saharan Africa, studies carried out on women with obstetric fistulae have reported that 35–40% of them first developed the condition as adolescents [ 7 ]. In China, an increasing number of adolescents are engaging in sexual activity without any knowledge of how to better protect themselves [ 8 ]. As a result, unintended pregnancy, induced abortion, and STDs, including HIV infection among young people, have become major public health issues.…”

“…For example, findings from a study conducted among senior high school and college students in 11 provinces in China show that about 75.29% of high school students reported that they had never discussed sex-related topics with their parents [ 20 ]. The practice of sexuality education is minimized within schools, and western China lags far behind eastern China in the promotion of comprehensive sexuality education [ 8 , 21 ]. This is on account of western China’s more conservative culture, its lower level of economic development, and its relative lack of faculty resources [ 21 ].…”

Comprehensive sexuality education (CSE) programming adaptations in response to disruptions caused by the COVID-19 pandemic

“…For example, after completing the CSE course, students’ HIV/STI prevention knowledge increased by 24%. 15 …”

The Global Mobility of Sex Education in a Chinese Context

“…Under the educational globalization, sex education is becoming one of the most important topics. "Chinese youth have been constructing and experimenting with their sexuality in the context of a rapidly shifting cultural, socioeconomic, and political environment, influenced by both local and global influences" [6,7]. It is undeniable that sex education in developed countries is much more advanced than that in China, and it is an opportunity for Chinese scholars to learn and may use for reference to create Chinese traditional sex education according to Chinese feudal and conservative society.…”