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County-Level School Sex Education Policy: A Single State Analysis of the Association with Adolescent Birth and Sexually Transmitted Infections 县级学校性教育政策:与青少年生育和性传播感染相关的单州分析
IF 1.2 Q3 Social Sciences Pub Date : 2022-10-02 DOI: 10.1080/15546128.2022.2091697
Gaia L. Zori, Steve Foti, Mark Hart
Abstract Substantial evidence supports comprehensive sex education programs as effective means of promoting adolescent sexual health, but evidence on the effect of state-level sex education policy is inconclusive. Multiple states in the U.S. afford local authority in school policy, and existing literature calls for investigation of the impact of local interpretation and implementation of sex education policy. This study is the first to assess the association between stated county policy and select adolescent sexual health outcomes. In this single state multivariate analysis, stated county policy was not significantly associated with adolescent birth or sexually transmitted infections. The incongruity of evidence between the impacts of sex education programs and policies on teen birth and STIs in Florida suggests that implementation of policy and delivery of sex education at the district or school level may not align with stated county policy and may be a critical mediating factor, confirming an area of essential future research in sex education.
大量证据支持综合性教育作为促进青少年性健康的有效手段,但关于国家级性教育政策效果的证据尚无定论。美国的许多州在学校政策上都有地方权威,现有的文献呼吁调查地方对性教育政策的解释和实施的影响。这项研究是第一个评估国家政策和选择青少年性健康结果之间关系的研究。在这个单州多变量分析中,声明的县政策与青少年生育或性传播感染没有显著关联。在佛罗里达州,性教育项目和政策对青少年生育和性传播感染的影响之间的证据不一致表明,学区或学校层面的性教育政策的实施和交付可能与县政策不一致,这可能是一个关键的中介因素,确认了未来性教育的一个重要研究领域。
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引用次数: 0
Differences in Important Components of Sexual Satisfaction as Identified and Experienced by Undergraduate Males and Females 大学生男女性满意度重要组成部分的差异
IF 1.2 Q3 Social Sciences Pub Date : 2022-09-20 DOI: 10.1080/15546128.2022.2124211
K. Vail-Smith, B. Chaney, Megan Williams
Abstract Few studies explore the components of sexual satisfaction as specified by college students. This cross-sectional study examined sexual satisfaction at the event level for undergraduate students (n = 1,090), focusing on differences between males/females. Survey results revealed for both males and females, being comfortable with a partner, experiencing orgasm, and having a partner “with skills” predicted sexual satisfaction. Satisfied males reported feeling safe with their partners, spent time touching/kissing, and had “romantic” partners. Satisfied females had partners with previous sexual experience, whom they desired, and vice-versa. These findings can inform comprehensive sexuality education efforts to incorporate the teaching of satisfaction into sexual health.
摘要很少有研究探讨大学生性满意度的具体组成部分。这项横断面研究调查了本科生(n = 1090),重点关注男性/女性之间的差异。调查结果显示,对于男性和女性来说,与伴侣相处舒适、经历性高潮以及有一个“有技能”的伴侣可以预测性满意度。满意的男性报告说,与伴侣在一起感到安全,花时间触摸/亲吻,并有“浪漫”的伴侣。满意的女性拥有她们想要的有过性经验的伴侣,反之亦然。这些发现可以为全面的性教育工作提供信息,将满意度教学纳入性健康。
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引用次数: 0
Relationship Between Self-Esteem and Risky Sexual Behavior among Adolescents and Young Adults: A Systematic Review 青少年自尊与危险性行为关系的系统评价
IF 1.2 Q3 Social Sciences Pub Date : 2022-09-09 DOI: 10.1080/15546128.2022.2118199
J. Ahn, Youngran Yang
Abstract This systematic review aimed to understand the effects of self-esteem on risky sexual behavior (RSB) among adolescents and young adults. We followed the procedures outlined in the Cooper’s five-step approach, and used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 reporting requirements. Published studies were identified using nine electronic databases. Studies were included based on (a) a focus on populations aged between 10 and 25 years; (b) an examination of the association between self-esteem-related factors, in line with RSB outcomes among adolescents and young adults; and (c) early sexual debut before 16 years, having multiple sex partners, and unprotected sex. In total, 11,216 studies were identified, of which nine studies met the inclusion criteria. All articles received high quality ratings. Despite methodological limitations, results showed that early sexual debut positively associated with self-esteem among female participants; condom use showed a negative association with lower self-esteem among female participants, while condom use decreased with decreasing self-esteem. Several sexual partners were found not to be associated with self-esteem. Intervention programs to increase the self-esteem of adolescents are recommended by educators to reduce risky sexual behavior among adolescents and young adults. Moreover, subsequent studies should develop instruments that assess self-esteem using subscales and educational programs that enhance healthy self-esteem development and correct sexual norms in peer groups and local communities. KEY MESSAGE Early sexual debut was positively associated with self-esteem, and condom use negatively associated with self-esteem among adolescents. Intervention programs are recommended to establish healthy self-esteem and reduce risky sexual behavior among adolescents and young adults. Future research should consider self-esteem as a pertinent aspect of sexual behaviors (e.g., physical pride, romantic capacity, and sexual autonomy).
摘要本系统综述旨在了解自尊对青少年和年轻人危险性行为(RSB)的影响。我们遵循了库珀五步方法中概述的程序,并使用了系统审查和荟萃分析(PRISMA)2020报告要求的首选报告项目。使用九个电子数据库确定了已发表的研究。纳入的研究基于(a)对10至25岁人群的关注 年;(b) 根据青少年和年轻人的RSB结果,检查自尊相关因素之间的关系;以及(c)16岁之前的早期性行为 年,有多个性伴侣,以及无保护的性行为。总共确定了11216项研究,其中9项研究符合纳入标准。所有文章都获得了高质量的评价。尽管方法上存在局限性,但研究结果表明,女性参与者的早期性行为与自尊呈正相关;在女性参与者中,安全套的使用与自卑感呈负相关,而安全套的使用则随着自卑感的降低而减少。一些性伴侣被发现与自尊无关。教育工作者建议采取提高青少年自尊的干预计划,以减少青少年和年轻人的危险性行为。此外,后续研究应使用分量表和教育计划开发评估自尊的工具,以促进同龄人和当地社区的健康自尊发展和正确的性规范。关键信息青少年早期性行为与自尊呈正相关,安全套使用与自尊负相关。建议制定干预计划,以建立健康的自尊,减少青少年和年轻人的危险性行为。未来的研究应该将自尊视为性行为的一个相关方面(例如,身体自豪感、浪漫能力和性自主性)。
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引用次数: 2
Exploring African American Adolescent Females’ Sexual Health Beliefs: A Qualitative Secondary Data Analysis 探讨非裔美国青少年女性性健康信念:定性的二次数据分析
IF 1.2 Q3 Social Sciences Pub Date : 2022-08-23 DOI: 10.1080/15546128.2022.2112794
J. Corcoran, Gwendolyn D. Childs, S. Davies, Candace C. Knight, R. Lanzi, Peng Li, S. Ladores
Abstract Purpose The aim of this study was to gain insight into the sexual beliefs of African American adolescent females and yield greater evidence for reframing the methods used to communicate sexual health education information to educators. Design and methods This is a secondary data analysis of a qualitative descriptive study. One-on-one interviews were conducted with 36 African American females ages 12–14. The qualitative data were analyzed using exploratory deductive thematic analysis. Results Three themes emerged from the analysis: (a) perceptions of sexual health education, (b) threat of adverse sexual health outcomes, and (c) perceptions of condom usage. Overall, adolescents had basic sexual health knowledge and accurately appraised their risk for adverse sexual health outcomes. Many adolescents perceived the biggest disadvantage of condom usage was condom ineffectiveness. The greatest barrier to condom usage was male opposition. Adolescents perceived the threat of adverse sexual health outcomes, but the perceived benefits of condom usage in preventing pregnancies and STIs may not outweigh the disadvantages and barriers described by the adolescents. Conclusion The adolescents in this study had knowledge about pregnancies and STIs but lacked the skills necessary to enact safer sex practices.
摘要目的了解非裔美国青少年女性的性观念,为构建教育者的性健康教育方法提供依据。设计与方法这是一项定性描述性研究的二次数据分析。对36名12-14岁的非裔美国女性进行了一对一访谈。采用探索性演绎主题分析对定性数据进行分析。结果分析产生了三个主题:(a)对性健康教育的认识,(b)对不良性健康结果的威胁,以及(c)对避孕套使用的认识。总体而言,青少年具有基本的性健康知识,并能准确地评估其不良性健康结果的风险。许多青少年认为使用避孕套的最大缺点是避孕套无效。使用避孕套的最大障碍是男性的反对。青少年意识到不良性健康后果的威胁,但他们认为使用避孕套在预防怀孕和性传播感染方面的好处可能不会超过青少年所描述的缺点和障碍。结论本研究的青少年对怀孕和性传播感染有一定的了解,但缺乏实施安全性行为所需的技能。
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引用次数: 0
Comprehensive Sexuality Education in Rural Ecologies: An Asset-Based Approach 基于资产的农村生态综合性教育研究
IF 1.2 Q3 Social Sciences Pub Date : 2022-08-23 DOI: 10.1080/15546128.2022.2111011
Eustina Mudhumo, N. Mthiyane
Abstract Comprehensive Sexuality Education (CSE) is a curriculum-based process of teaching and learning where learners are equipped with knowledge to cope with their developmental changes and risky sexual behaviors. Teaching and learning sexuality education has been seen as the responsibility for teachers only, however research indicate that it is a responsibility and collaboration of all stakeholders. Underpinned by an Asset-based approach as the theoretical framework this study addressed this question: “How can an Asset-based approach be utilized to enhance Comprehensive Sexuality Education in rural ecologies?” A case study research design and an interpretive research as the paradigm were adopted. Data were generated using focus group discussions, one-on-one interviews and reflective narratives with teachers, parents, learners, pastor, chief, nurse, social worker and a local business representative and analyzed using thematic analysis. The findings pointed out that, the collaboration of various stakeholders enhance the teaching of sexuality education; a strong ongoing partnership between the community and the school should be maintained and sexuality education workshops for young people in collaboration with communities facilitated by social workers. The study concludes that the teaching of Comprehensive Sexuality Education is not a responsibility for schools only, but encourages community-based collaborations and shared activities from the school communities.
摘要综合性教育(CSE)是一个以课程为基础的教学过程,学习者具备应对其发展变化和危险性行为的知识。性教育的教学一直被视为教师的责任,但研究表明,这是所有利益相关者的责任和合作。本研究以基于资产的方法为理论框架,解决了以下问题:“如何利用基于资产的方式来加强农村生态中的全面性教育?”采用了案例研究设计和解释性研究作为范式。数据是通过与教师、家长、学习者、牧师、主任、护士、社会工作者和当地商业代表的焦点小组讨论、一对一访谈和反思性叙述生成的,并使用主题分析进行分析。研究结果指出,各利益相关者的合作加强了性教育教学;社区和学校之间应保持强有力的持续伙伴关系,并在社会工作者的协助下,与社区合作,为年轻人举办性教育讲习班。该研究得出结论,综合性教育的教学不仅仅是学校的责任,而是鼓励学校社区的社区合作和共享活动。
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引用次数: 0
“It’s Our Own Community Where We Can Educate Other People and Educate Each Other”: Youth Perspectives on Staffing a Textline “这是我们自己的社区,我们可以在这里教育他人并相互教育”:年轻人对文本线人员配置的看法
IF 1.2 Q3 Social Sciences Pub Date : 2022-08-22 DOI: 10.1080/15546128.2022.2113197
T. O’Malley, K. Horowitz
Abstract Peer education is a valued strategy for sexuality education and health promotion. Innovative approaches beyond traditional classroom settings offer critical opportunities to support adolescent sexual health. Yet, such models have been rarely used. It’s OK to Ask Someone (IOTAS) is the first to use customized software to enable youth to both ask and answer sexual health questions using cell phones. This article describes an evaluation aimed to understand high school peer educators’ experience staffing IOTAS and perception of how participation impacted their peer education training. Our findings suggest a value in direct peer education opportunities for participants through IOTAS in expanded education and skill development. The health promotion impact of sexuality education using cell phone interventions could be far-reaching for both peer education students and young people outside program participation.
摘要同伴教育是一种有价值的性教育和健康促进策略。传统课堂环境之外的创新方法为支持青少年性健康提供了重要机会。然而,这样的模型很少被使用。It’s OK to Ask Someone(IOTAS)是第一个使用定制软件使年轻人能够使用手机询问和回答性健康问题的公司。本文描述了一项评估,旨在了解高中同伴教育工作者在IOTAS人员配置方面的经验,以及对参与如何影响其同伴教育培训的看法。我们的研究结果表明,通过IOTAS为参与者提供直接的同伴教育机会在扩大教育和技能发展方面具有价值。使用手机干预的性教育对健康促进的影响可能对同伴教育学生和项目参与之外的年轻人产生深远影响。
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引用次数: 0
The Interplay of Multiple Influences on the Development of Sexuality in Late-Adolescence—A Grounded Theory Study 青春期后期性行为发展的多重影响相互作用——一项有根据的理论研究
IF 1.2 Q3 Social Sciences Pub Date : 2022-08-19 DOI: 10.1080/15546128.2022.2111010
B. Unis, K. Bjuresäter, J. Nilsson
Abstract The aim of this grounded theory study was to explore late-adolescents’ process of sexual development along with their information- and support-seeking behaviors in a Swedish context. Data were collected in semi-structured interviews with late-adolescents aged between 18 and 21 years in high schools in central Sweden. The results showed that late-adolescents’ sexual development involved seeking for knowledge, discussing norms and attitudes, learning through interactions, and growing through practice and experience. Information- and support-seeking behaviors were observed throughout their developent. This study highlights that, in order to be able to provide adequate help and support, healthcare professionals need to have an awareness of the changing information and support needs of adolescents in our constantly changing and diverse society.
摘要这项基础理论研究的目的是探索瑞典背景下晚期青少年的性发展过程以及他们寻求信息和支持的行为。数据是在对18至21岁的晚期青少年进行的半结构化访谈中收集的 在瑞典中部的高中就读多年。研究结果表明,晚期青少年的性发展包括寻求知识、讨论规范和态度、在互动中学习以及在实践和经验中成长。在他们的整个发展过程中都观察到了寻求信息和支持的行为。这项研究强调,为了能够提供足够的帮助和支持,医疗保健专业人员需要意识到在我们不断变化和多样化的社会中,青少年不断变化的信息和支持需求。
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引用次数: 0
Online Sexual Health Information Seeking of Adolescents: A Content Analysis 青少年网络性健康信息寻求的内容分析
IF 1.2 Q3 Social Sciences Pub Date : 2022-08-18 DOI: 10.1080/15546128.2022.2111012
Gaia L. Zori, Sarah L. Collins, Ashby F. Walker
Abstract Internet-based platforms present vital new venues for sex education. However, research is limited on the ways adolescents utilize these resources, particularly within user-generated content contexts. This study assesses the sexual health content adolescents seek online through a qualitative, directed content analysis of 365 user-generated posts in an open sexual health community forum. An adapted version of the National Sex Education Standards, a comprehensive, evidence-based sexual health framework, was used as the schema for this data analysis. Collectively, our results highlight and confirm the importance of providing comprehensive, medically accurate sexual health information to adolescents. Our analysis further supports the need to provide information on pleasure in sexual health and well-being, as well as guidance on social and emotional aspects of sexual health, and for education to be supportive and inclusive of all individuals. Ultimately, our results can help guide effective public health interventions, including sex education efforts, aimed at promotion of adolescent sexual health by offering direct insight into adolescents’ perceived information needs.
基于互联网的平台为性教育提供了重要的新场所。然而,关于青少年利用这些资源的方式的研究是有限的,特别是在用户生成内容的背景下。本研究通过对一个开放的性健康社区论坛上365个用户生成的帖子进行定性、定向的内容分析,评估了青少年在网上寻求的性健康内容。这一数据分析的模式采用了《国家性教育标准》的改编版本,这是一个全面的、以证据为基础的性健康框架。总的来说,我们的研究结果强调并证实了向青少年提供全面、医学上准确的性健康信息的重要性。我们的分析进一步支持需要提供关于性健康和幸福的快乐的信息,以及性健康的社会和情感方面的指导,以及支持和包容所有个人的教育。最终,我们的结果可以帮助指导有效的公共卫生干预,包括性教育工作,旨在通过直接洞察青少年感知到的信息需求来促进青少年性健康。
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引用次数: 0
“Second Chances” for Adolescent Mothers: Four Decades of Insights and Lessons on Effectiveness and Scale-up of Jamaica’s PAM 青少年母亲的“第二次机会”:关于牙买加PAM有效性和规模的四十年见解和教训
IF 1.2 Q3 Social Sciences Pub Date : 2022-07-20 DOI: 10.1080/15546128.2022.2093808
J. Amo-Adjei, S. Caffe, Z. Simpson, Michelle Harris, V. Chandra-Mouli
Abstract The Women’s Center of Jamaica Foundation’s (WCJF) Programme for Adolescent Mothers)—has supported pregnant girls and adolescent mothers to have uninterrupted access to education and allied services since 1978. This paper analyzes the conception, establishment, scale up and sustainability of the Programme. The Programme evolved from a small, local initiative into a national and international model. Repeat pregnancy has remained under 2% among programme beneficiaries since inception. While the core package of interventions has remained for the past 40 years, some new dimensions have been added, with the most recent one being support for transition to higher education, all of which are aimed at strengthening the impact of the Programme. The achievements of the Programme were propelled prominently by a progressive national policy environment with the support of several non-state actors. The PAM demonstrates the value of sustained cross-sectoral support, spearheaded, or fully supported by the state in providing opportunities for adolescent mothers.
自1978年以来,牙买加基金会(WCJF)青少年母亲方案的妇女中心一直支持怀孕女孩和青少年母亲不间断地获得教育和相关服务。本文分析了该方案的概念、建立、规模和可持续性。该方案从一个小型的地方倡议发展成为一个国家和国际模式。自方案实施以来,重复怀孕在方案受益人中一直保持在2%以下。虽然核心的一揽子干预措施在过去40年里一直保持不变,但增加了一些新的方面,最近的一个是支持向高等教育过渡,所有这些都是为了加强方案的影响。该方案的成就主要是由若干非国家行为者支持的进步的国家政策环境推动的。PAM显示了持续的跨部门支持的价值,由国家带头或全面支持,为青少年母亲提供机会。
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引用次数: 2
TikTok and Child Hypersexualization: Analysis of Videos and Narratives of Minors TikTok与儿童超性化:未成年人视频与叙事分析
IF 1.2 Q3 Social Sciences Pub Date : 2022-07-13 DOI: 10.1080/15546128.2022.2096734
Encarnación Soriano-Ayala, María Bonillo Díaz, V. Cala
Abstract The objective of this study is to analyze the degree of sexualization observed in TikTok videos and to compare it with the narratives of young people about the social network. A mixed-methods research design was used combining (1) a quantitative observational study based on measuring indicators of sexualization in 648 videos published by the 12 TikTokers most followed in Spain and (2) a qualitative study with 12 in-depth interviews to TikTok users (6 male, 6 female) between 8 and 17 years old from Spain. The video analysis reveal hypersexualized behaviors in 10/12 accounts, without statistically significant gender differences. Narratives about the social network showed ambivalent ideas, considering it a fundamental space for fun and socialization while being aware of numerous risks and threats. Sexualization is described with the expression “being loose” and is recognized as an intrinsic characteristic of the network. The discourses on hypersexualization are markedly gendered, recognizing sexualization almost exclusively in women. Some young people perceive self-sexualization as a form of self-empowerment, while when they describe it in other women, it is penalized and negatively valued as a form of objectification that favors bullying. They also warn about its impact on self-esteem and mental health, especially in terms of those bodies that do not fit into body hierarchies. The climate of the network facilitates criticism and insult, the dissociation between the real and virtual self, and that public exposure increases their vulnerability. It is urgent to advance digital affective-sexual education that addresses these problems.
本研究的目的是分析在TikTok视频中观察到的性化程度,并将其与年轻人关于社交网络的叙述进行比较。采用混合方法的研究设计,结合(1)定量观察研究,测量西班牙最受关注的12位TikTok用户发布的648个视频的性别化指标;(2)定性研究,对西班牙8至17岁的TikTok用户(6男6女)进行12次深度访谈。视频分析显示,10/12个账户中存在过度性化行为,没有统计学上显著的性别差异。关于社交网络的叙述表现出矛盾的想法,认为它是一个娱乐和社交的基本空间,同时也意识到许多风险和威胁。性化用“松散”一词来描述,被认为是网络的内在特征。关于过度性化的论述是明显的性别化,几乎只承认女性的性化。一些年轻人认为自我性化是一种自我赋权的形式,而当他们在其他女性身上描述它时,它会受到惩罚和负面评价,被认为是一种有利于欺凌的物化形式。他们还警告说,这对自尊和心理健康的影响,尤其是对那些不符合身体等级制度的人来说。网络氛围促进了批评和侮辱,真实自我和虚拟自我之间的分离,公众曝光增加了他们的脆弱性。迫切需要推进解决这些问题的数字化情感性教育。
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引用次数: 3
期刊
American Journal of Sexuality Education
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