Sex education in adolescence: A systematic review of programmes and meta-analysis

  1. Barriuso-Ortega, Sonia 1
  2. Fernández-Hawrylak, María 1
  3. Heras-Sevilla, Davinia 1
  1. 1 Universidad de Burgos
    info

    Universidad de Burgos

    Burgos, España

    ROR https://ror.org/049da5t36

Revue:
Children and Youth Services Review

ISSN: 0190-7409

Année de publication: 2024

Volumen: 166

Pages: 107926

Type: Article

DOI: 10.1016/J.CHILDYOUTH.2024.107926 GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Children and Youth Services Review

Résumé

There are several factors that indicate the need for sexuality education during schooling. However, sexuality education programmes are very heterogeneous. The aim of this research is to quantitatively evaluate the effectiveness of school-based sexuality education programmes for adolescents. A meta-analysis was conducted on the scientific evidence of the effectiveness of school-based sexuality education programmes in different countries from 2000 to 2020. The PRISMA 2020 guidelines were used. The review included 47 studies. Effect size was calculated using Hedges’ g. Heterogeneity was analysed using Cochran’s Q test and the I2 statistic. Programmes increased attitudes towards sexuality and condoms, knowledge, condom self-efficacy, condom use intention and abstinence. Heterogeneity was high, so different moderator variables on the efficacy were analysed.

Références bibliographiques

  • Abramson, (1975), Journal of Consulting and Clinical Psychology, 43, pp. 485, 10.1037/h0076830
  • Abe, (2016), American Journal of Public Health, 106, pp. S110, 10.2105/AJPH.2016.303395
  • Alonso-Martínez, (2022), Enfermería Global, 21, pp. 473, 10.6018/eglobal.474821
  • Arseneau, (2013), Journal of Counseling Psychology, 60, pp. 407, 10.1037/a0032799
  • Atwood, (2012), AIDS Education and Prevention, 24, pp. 68, 10.1521/aeap.2012.24.1.68
  • Bandura, (1977), Psychological Review, 84, pp. 191, 10.1037/0033-295X.84.2.191
  • Ballester, L., and Orte, C. (2019). Nueva pornografía y cambios en las relaciones interpersonales de adolescentes y jóvenes. Octaedro.
  • Barnett, (2003), The Journal of School Health, 73, pp. 264, 10.1111/j.1746-1561.2003.tb06576.x
  • Berglas, (2016), Sex Education, 16, pp. 549, 10.1080/14681811.2015.1133408
  • Borawski, (2005), American Journal of Health Behaviour, 29, pp. 423, 10.5993/AJHB.29.5.5
  • Borenstein, M., Hedges, L., Higgins, J., and Rothstein, H. (2013). Comprehensive Meta-Analysis Version 3. Biostat.
  • Botella, J., and Sánchez-Meca, J. (2015). Meta-análisis en ciencias Sociales y de la salud. Editorial Síntesis.
  • Burnett, (2011), The Journal of Adolescent Health, 48, pp. 507, 10.1016/j.jadohealth.2010.08.015
  • BZgA-Federal Centre for Health Education and International Planned Parenthood Federation European Network, (2018)
  • Cai, (2008), International Journal of STD & AIDS, 19, pp. 848, 10.1258/ijsa.2008.008129
  • Carrera, (2007), International Journal of Clinical and Health Pychology, 7, pp. 739
  • Cheng, (2008), Journal of Adolescent Health, 42, pp. 184, 10.1016/j.jadohealth.2007.07.016
  • Chin, (2012), American Journal of Preventive Medicine, 42, pp. 272, 10.1016/j.amepre.2011.11.006
  • Claramunt, C. (2011). Valoración del programa de educación sexual (P.E.Sex) en adolescentes de 13 a 16 años [Tesis doctoral inédita, Universidad Nacional de Educación a Distancia]. Repositorio Institucional de la Universidad Nacional de Educación a Distancia. http://creativecommons.org/licenses/by-nc-nd/4.0.
  • Coleman, J. C., and Hendry, L. B. (2003). Psicología de la adolescencia. Morata.
  • Coyle, (2019), The Journal of Primary Prevention, 40, pp. 607, 10.1007/s10935-019-00569-w
  • Coyle, (2013), The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 53, pp. 68, 10.1016/j.jadohealth.2012.12.012
  • Coyle, (2004), American Journal of Public Health, 94, pp. 843, 10.2105/AJPH.94.5.843
  • Constantine, (2015), BMC Public Health, 26, pp. 293, 10.1186/s12889-015-1625-5
  • Crosnoe, (2011), Annual review of sociology, 37, pp. 439, 10.1146/annurev-soc-081309-150008
  • Darabi, (2017), Journal of Research in Health Sciences, 17, pp. 400
  • Deeks, J.J., Higgins, J.P.T., and Altman, D.G. (2021). Analysing data and undertaking meta-analyses. In J.P.T. Higgins, J. Thomas, J. Chandler, M. Cumpston, T. Li, M.J. Page y V.A. Welch (Eds.), Cochrane Handbook for Systematic Reviews of Interventions version 6.2. Cochrane. www.training.cochrane.org/handbook.
  • Denny, (2006), The Journal of School Health, 76, pp. 414, 10.1111/j.1746-1561.2006.00135.x
  • Downs, (1998), Journal of Epidemiology Community Health, 52, pp. 377, 10.1136/jech.52.6.377
  • Duval, (2000), Biometrics, 56, pp. 455, 10.1111/j.0006-341X.2000.00455.x
  • Escribano, (2015), AIDS and Behaviour, 19, pp. 1850, 10.1007/s10461-015-1163-2
  • Espada, (2012), AIDS Education and Prevention: Official Publication of the International Society for AIDS Education, 24, pp. 500, 10.1521/aeap.2012.24.6.500
  • N.K. Fauk E. Kristanti M. Ratu A. Ambarwati Effectiveness of school-based, peer-led sexual health interventions in increasing STIS/HIV knowledge amongst adolescents: A systematic review International Journal of Health Sciences and Research 12 7 2017 221–233.https://www.ijhsr.org/IJHSR_Vol. 7_Issue.12_Dec2017/35.pdf.
  • Faust, (2018), BMC Public Health, 18, pp. 1254, 10.1186/s12889-018-6178-y
  • Fonner, (2014), PloS one, 9, pp. e89692, 10.1371/journal.pone.0089692
  • FoSE-Future of Sex Education Initiative National Sex Education Standards: Core Content and Skills, K-12 (2nd ed.). 2020 FoSE.
  • García-Vázquez, (2020), Global Health Promotion, 27, pp. 122, 10.1177/1757975919873621
  • Graves, (2011), Health Promotion Practice, 12, pp. 463, 10.1177/1524839910370420
  • He, (2020), BMC Infectious Diseases, 20, pp. 338, 10.1186/s12879-020-05003-9
  • Hedges, (1981), Journal of Educational Statistics, 6, pp. 107, 10.3102/10769986006002107
  • Heras, (2016), Revista de Psicodidáctica, 21, pp. 321, 10.1387/RevPsicodidact.14300
  • Heras-Sevilla, (2021), Perfiles Educativos, 43, pp. 148, 10.22201/iisue.24486167e.2021.173.59808
  • Ivanova, (2020), International Journal of Environmental Research and Public Health, 17, pp. 8183, 10.3390/ijerph17218183
  • Jennings, (2014), Health Education Research, 29, pp. 319, 10.1093/her/cyt153
  • Johnson, (2011), Archives of Paediatrics & Adolescent Medicine, 165, pp. 77, 10.1001/archpediatrics.2010.251
  • Juras, (2019)
  • Kanamori, (2017), Archives of Sexual Behavior, 46, pp. 1503, 10.1007/s10508-016-0840-1
  • Ketting, (2016), The European Journal of Contraception & Reproductive Health Care: The Official Journal of the European Society of Contraception, 21, pp. 68, 10.3109/13625187.2015.1050715
  • Khalajabadi, (2020), Journal of Reproduction & Infertility, 21, pp. 194
  • Kinsler, (2004), Health Education Research, 19, pp. 730, 10.1093/her/cyg091
  • Kirby, D. (2007). Emerging answers. Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. National Campaign to Prevent Teen and Unplanned Pregnancy.
  • Kirby, (2011)
  • Kyrychenko, (2006), The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 39, pp. 900, 10.1016/j.jadohealth.2006.06.006
  • Lameiras, (2009)
  • Lameiras, (2005), Cuadernos de Medicina Psicosomática y Psiquiatría de Enlace, 73, pp. 48
  • Lameiras, M., Rodríguez, Y., Ojea, M., and Dopereiro, M. (2004). Programa Agarimos. programa coeducativo de desarrollo psicoafectivo y sexual. Ediciones Pirámide.
  • Lazarus, (2010), Croatian medical journal, 51, pp. 74, 10.3325/cmj.2010.51.74
  • LeCroy, (2018), Health Education & Behavior: The Official Publication of the Society for Public Health Education, 45, pp. 286, 10.1177/1090198117715667
  • Lee, (2019), Sex Education, 19, pp. 519, 10.1080/14681811.2018.1552584
  • Li, (2011), Health Education Research, 26, pp. 419, 10.1093/her/cyr001
  • Lieberman, (2012), SAGE Open, 2, pp. 1, 10.1177/2158244012442938
  • Lipsey, M.W. (1994). Identifying potentially interesting variables and analysis opportunities. En H. Cooper, y L.V. Hedges (Eds.), The handbook of research synthesis (pp. 111-123). Russell Sage Foundation.
  • López, F. (2005). La educación sexual. Biblioteca Nueva.
  • Mahat, (2008), Journal of Pediatric Nursing, 23, pp. 358, 10.1016/j.pedn.2007.12.007
  • Mason-Jones, A.J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., and Lombard, C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents. The Cochrane Database of Systematic Reviews, 11(11), CD006417. DOI: 10.1002/14651858.CD006417.pub3.
  • Mathews, (2016), AIDS and Behavior, 20, pp. 1821, 10.1007/s10461-016-1410-1
  • Morales, (2018), PloS One, 13, pp. e0199421, 10.1371/journal.pone.0199421
  • Morales, (2014), The European Journal of Contraception & Reproductive Health Care: The Official Journal of the European Society of Contraception, 19, pp. 379, 10.3109/13625187.2014.919445
  • Muñoz-Silva, (2009), The Spanish Journal of Psychology, 12, pp. 485, 10.1017/S1138741600001864
  • NGTF-National Guidelines Task Force (2004). Guidelines for Comprehensive Sexuality Education. SIECUS.
  • WHO-World Health Organization (2024). Sexually transmitted infections (STIs). WHO. https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis).
  • WHO-World Health Organization (2020). Adolescent pregnancy. WHO. https://www.who.int/es/news-room/fact-sheets/detail/adolescent-pregnancy.
  • Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C. D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., McDonald, S., McGuinness, L.A., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372(71). DOI: 10.1136/bmj.n71.
  • Petersen, (2010), Psychological bulletin, 136, pp. 21, 10.1037/a0017504
  • Pinkleton, (2008), Health Communication, 23, pp. 462, 10.1080/10410230802342135
  • Planned Parenthood (2012). La educación sexual en los Estados Unidos. Katharine Dexter McCormick Library and the Education Division of Planned Parenthood Federation of America.
  • Ramiro, T. (2018). Relación diádica adolescente y riesgo para ITS/VIH: programa de prevención. [Tesis doctoral, Universidad de Granada]. Repositorio Institucional de la Universidad de Granada. http://hdl.handle.net/10481/54073.
  • Rijsdijk, (2011), BMC Public Health, 11, pp. 334, 10.1186/1471-2458-11-334
  • Rocha, (2022), Sex Education, 22, pp. 198, 10.1080/14681811.2021.1908984
  • Rye, (2008), Canadian Journal of Human Sexuality, 17, pp. 15
  • Scott-Sheldon, (2011), Journal of Acquired Immune Deficiency Syndromes, 58, pp. 489, 10.1097/QAI.0b013e31823554d7
  • Scull, (2018), Journal of Health Communication, 23, pp. 1051, 10.1080/10810730.2018.1548669
  • Somers, (2001), The Journal of School Health, 71, pp. 188, 10.1111/j.1746-1561.2001.tb07314.x
  • Taggart, (2016), Prevention Science: The Official Journal of the Society for Prevention Research, 17, pp. 544, 10.1007/s11121-016-0645-4
  • Taylor, (2014), Health Care for Women International, 35, pp. 845, 10.1080/07399332.2014.910216
  • Thato, (2008), Journal of Advanced Nursing, 62, pp. 457, 10.1111/j.1365-2648.2008.04609.x
  • Tortolero, (2010), The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 46, pp. 169, 10.1016/j.jadohealth.2009.06.008
  • Underhill, K., Operario, D., and Montgomery, P. (2007). Abstinence-only programs for HIV infection prevention in high-income countries.The Cochrane database of systematic reviews, (4), CD005421. DOI: 10.1002/14651858.CD005421.pub2.
  • UNESCO-United Nations Educational, (2018)
  • UNFPA-United Nations Fund for Population Activities (2015). La evaluación de los programas de educación integral para la sexualidad: Un enfoque en resultados de principios de género y empoderamiento. UNFPA.
  • UNAIDS (2024). Global HIV statistics-Fact sheet. UNAIDS. https://www.unaids.org/sites/default/files/media_asset/UNAIDS_FactSheet_en.pdf.
  • Weed, (2008), American Journal of Health Behavior, 32, pp. 60, 10.5993/AJHB.32.1.6
  • Widman, (2018), American Journal of Public Health, 108, pp. 96, 10.2105/AJPH.2017.304106
  • Yakubu, (2019), Reproductive Health, 16, pp. 124, 10.1186/s12978-019-0784-8