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Voter Support for Offering Sexual Health Services through School-Based Health Clinics 选民支持透过校本健康诊所提供性健康服务
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-05-27 DOI: 10.1080/15546128.2022.2080141
Michele J. Moore, Elissa Barr, Carrigan Hayes, Michael Binder

Abstract

School-based health clinics (SBHCs) offer convenient, free, and much-needed health services to adolescents who have been shown to lack access to preventative care and treatment. With high rates of risky sexual behavior and associated negative health outcomes, SBHCs are particularly effective in providing sexual health services. This article presents results of a survey assessing support for such services through SBHCs. Data were collected using computer-assisted telephone interviewing (CATI) software. With significant differences found for each demographic variable assessed, findings document that the majority of participants supported offering all four sexual health services in both middle and high schools: STI/HIV testing, STI/HIV treatment, pregnancy testing, and providing condoms. These findings may be used to reduce barriers in providing SBHCs, advocate for policy change regarding SBHCs, add or expand current SBHCs, and support others in conducting similar studies hoping to document local support to implement these and other sexual health services. Although limited research shows that using local data can impact policy and facilitate local change, more studies are needed to explore the impact of using local data to implement change and further evaluate the impact of sexual health services through SBHCs.

摘要校本卫生诊所为缺乏预防保健和治疗的青少年提供方便、免费和急需的卫生服务。由于高风险的性行为和相关的负面健康后果发生率高,小卫生保健中心在提供性健康服务方面特别有效。本文介绍了一项调查的结果,该调查评估了通过shbhcs对此类服务的支持。使用计算机辅助电话访谈(CATI)软件收集数据。在评估的每个人口统计变量中发现了显著差异,调查结果表明,大多数参与者支持在初中和高中提供所有四项性健康服务:性传播感染/艾滋病毒检测、性传播感染/艾滋病毒治疗、怀孕检测和提供避孕套。这些研究结果可用于减少提供性卫生保健服务的障碍,倡导改变有关性卫生保健服务的政策,增加或扩大目前的性卫生保健服务,并支持其他人进行类似的研究,希望记录当地对实施这些和其他性健康服务的支持。尽管有限的研究表明,使用地方数据可以影响政策并促进地方变革,但需要更多的研究来探索使用地方数据实施变革的影响,并进一步评估通过小卫生保健中心提供性健康服务的影响。
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引用次数: 0
Implementing anti-Racist Strategies in the Evidence-Based Sexuality Education Classroom 在循证性教育课堂中实施反种族主义策略
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-05-23 DOI: 10.1080/15546128.2022.2076758
Leslie Massicotte
Abstract Many sexuality educators in the United States have noted that current sex education models do not meet the needs of an increasingly diverse student body, and they have begun advocating for anti-racist sex education. Many sexuality instructors, however, work in public schools that require the use of prevention-focused, evidence-based sexuality curricula. This article explores the unique challenges for sexuality instructors in incorporating anti-racist content into the public school classroom. It outlines the intersections of racism and sexuality to manifest the need for anti-racist sex education and offers five strategies for sexuality instructors wishing to incorporate anti-racist frameworks into the evidence-based sex education classroom.
美国的许多性教育工作者注意到,目前的性教育模式已经不能满足日益多样化的学生群体的需求,他们开始倡导反种族主义的性教育。然而,许多性教师在公立学校工作,这些学校要求使用以预防为重点、以证据为基础的性课程。这篇文章探讨了性教师在将反种族主义内容纳入公立学校课堂时所面临的独特挑战。它概述了种族主义和性的交叉点,以表明反种族主义性教育的必要性,并为希望将反种族主义框架纳入循证性教育课堂的性教师提供了五种策略。
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引用次数: 1
STIs and Stigma: Effects of STI Diagnoses and Sexual/Gender Minority Identity on Perceptions of Potential Partners 性传播感染和污名化:性传播感染诊断和性/性别少数认同对潜在伴侣感知的影响
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-05-10 DOI: 10.1080/15546128.2022.2070566
Rebecca E. Sanchez, Megan M. Ringel, Katherine L. Goldey
Abstract This study tested how an STI diagnosis influences perceptions of hypothetical romantic/sexual partners. In an online experiment, participants (n = 189) were randomly assigned to one of five vignette conditions, which varied in how a potential partner’s STI status was described. HSV or HIV-positive status (with treatment) decreased the likelihood that participants would have sex or a relationship with the target. However, LGBTQ participants were less likely to consider an STI diagnosis a deal-breaker relative to cisgender, heterosexual participants. Results highlight a need for accurate sex education content about living with treatable but incurable STIs.
摘要:本研究测试了性传播感染诊断如何影响假想的浪漫/性伴侣的看法。在一项在线实验中,参与者(n = 189)被随机分配到五个小场景中的一个,这些小场景在描述潜在伴侣的性传播感染状况方面有所不同。HSV或hiv阳性状态(经过治疗)降低了参与者发生性行为或与目标发生关系的可能性。然而,与异性恋参与者相比,LGBTQ参与者不太可能认为性传播感染诊断会破坏交易。研究结果强调,需要对可治疗但无法治愈的性传播感染患者进行准确的性教育。
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引用次数: 0
The Effectiveness of Delivering Comprehensive Sexuality Education Through Live Streaming to Schools in Western China 通过直播向中国西部学校提供全面性教育的有效性
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-04-21 DOI: 10.1080/15546128.2022.2064952
M. Kaidbey, Sui Zhen, Sylvia Wong, S. Navchaa, Gaoshan Junjian
Abstract Live streaming comprehensive sexuality education (CSE) to rural schools in China’s western region is an innovative program that was implemented by the United Nations Population Fund (UNFPA), Marie Stopes International of China (MSIC), and the Chinese Family Planning Association (CFPA) between September and December 2020. An 8-week CSE course was delivered to 418 Students, grades 7–9, in five middle schools in Western China. The course curriculum applied internationally approved technical standards and was delivered by trained online tutors. An independent research team undertook a curriculum content analysis to evaluate course effectiveness, administered a pre-post students survey, and conducted interviews with students, teachers, and principals. The findings revealed statistically significant positive changes in students’ reproductive and sexual health knowledge (SRH), attitudes, and self-efficacy to make decisions, negotiate, and communicate about sexual matters. Multivariable analysis indicated that the school, gender, and students’ living arrangement were important predictors of outcomes. The study concluded that the pairing of live streaming technology with a comprehensive CSE curriculum is an effective teaching strategy to expand access to CSE to students in remote areas of the country.
摘要向中国西部农村学校直播综合性教育(CSE)是联合国人口基金(UNFPA)、中国玛丽·斯托普斯国际组织(MSIC)和中国计划生育协会(CFPA)于2020年9月至12月实施的一项创新计划。为中国西部五所中学的418名7-9年级学生提供了为期8周的CSE课程。课程采用国际认可的技术标准,由受过培训的在线导师授课。一个独立的研究小组进行了课程内容分析,以评估课程的有效性,进行了学生岗前调查,并对学生、教师和校长进行了采访。研究结果显示,学生的生殖和性健康知识(SRH)、态度和自我效能感在做出决策、协商和沟通性问题方面发生了具有统计学意义的积极变化。多变量分析表明,学校、性别和学生的生活安排是预测结果的重要因素。该研究得出结论,将直播技术与全面的CSE课程相结合是一种有效的教学策略,可以扩大该国偏远地区学生获得CSE的机会。
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引用次数: 5
A Review of History of Sex Education by SIECUS SIECUS性教育史回顾
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-04-07 DOI: 10.1080/15546128.2022.2060888
Tanya M. Bass, J. Coleman
Abstract This article critiques the History of Sex Education, a publication by SIECUS: Sex Ed for Social Change (SIECUS). This document identifies the foundations of sex education in the United States. It recognizes the white middle class's centering within the historically racist, classist, and fear-based sex education. SIECUS utilizes this publication to explore the organization’s history and its impact on the progress of sex education. Still, this history is missing recounts of the intersection of gender, race, and sex, including reproductive justice and notable organizations, works, and people.
摘要本文批评了社会变革性教育协会出版的《性教育史》。这份文件确定了美国性教育的基础。它承认白人中产阶级以历史上的种族主义、阶级主义和基于恐惧的性教育为中心。SIECUS利用这份出版物来探索该组织的历史及其对性教育进步的影响。尽管如此,这段历史还是缺少对性别、种族和性别交叉点的叙述,包括生殖正义和著名的组织、作品和人物。
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引用次数: 1
Teaching Puberty for LGBTQIA + Diversity, Inclusion, and Beyond: A New Model of Expansive Pubertal Understanding 青春期的LGBTQIA教学+多样性、包容性和超越:一种扩张性青春期理解的新模式
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-03-31 DOI: 10.1080/15546128.2022.2053259
M. Poran
Abstract The following article presents a paradigm shift in order to engage in more expansive pedagogy in the teaching of puberty; specifically, to create a more inclusive and affirming space for LGBTIQA + youth. Attention to LGBTQIA + populations has slowly been integrated into many areas of research, theory, and teaching in psychology and related disciplines. While positive strides have been made, lessons on adolescent psychology, and puberty specifically, remain stuck in older binary models. The following is an examination of the dominant approach utilized for teaching puberty in senior-level high school and early undergraduate adolescent psychology courses, a critique of that model, as well as a presentation of a new model for teaching pubertal development. A proposed Model of Expansive Pubertal Understanding is shared here, and allows for a fuller, more accurate, and more positive, approach to pubertal development. It is further proposed that the information shared in this model be infused much earlier in youth education, and through a breadth of disciplines, to effectively promote psychological and physical wellbeing among children and youth of diverse genders, sexes, and sexualities.
摘要以下文章提出了一种范式转变,以便在青春期教学中采用更广泛的教育学;特别是为LGBTIQA创造一个更具包容性和肯定性的空间 + 青年关注LGBTQIA + 人口已经慢慢融入心理学和相关学科的许多研究、理论和教学领域。尽管已经取得了积极的进展,但关于青少年心理学,特别是青春期的课程,仍然停留在旧的二元模型中。以下是对高中和本科早期青少年心理学课程中用于青春期教学的主导方法的审查,对该模式的批评,以及对青春期发展教学新模式的介绍。这里分享了一个拟议的青春期扩展理解模型,它允许对青春期发展采取更全面、更准确、更积极的方法。进一步建议,在青年教育中更早地融入该模式中共享的信息,并通过广泛的学科,有效促进不同性别、性别和性取向的儿童和青年的心理和身体健康。
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引用次数: 1
Peer Educators as Partners in Sexual Health Programming: A Case Study 作为性健康规划伙伴的同伴教育者:个案研究
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-03-26 DOI: 10.1080/15546128.2022.2056101
S. Panjwani, W. Garney, Kathy Harms, S. Rodine, Kobi M. Ajayi, Shelby C Lautner, K. Wilson
Abstract The Sexual Health And Peer Education (SHAPE) program implemented in middle schools in Oklahoma County utilizes a hybrid adult and peer educator model to deliver sexual health programming. While peer educators have been incorporated into school-based sexual health programs in the past, this program is unique in its approach to preparing and engaging peer educators. Researchers synthesized data from interviews with program implementers and focus group discussions with teenage peer educators and middle school students who recently participated in the program to understand the process elements that contribute to the benefit of the SHAPE program model. Interviews with program implementers described the thorough peer educator recruitment and training process. Teenage peer educators felt well-prepared to deliver lessons, and through this program, they developed leadership skills, confidence, and grew personally. Middle school students revealed that peer educators were relatable and provided a positive experience where they could engage and ask questions. The application of a hybrid adult and teenage peer educator model proved useful for delivering sexual health topics and benefited students and teenage peer educators. This study’s findings highlight elements that can be utilized in future sexual health programming to prepare and engage teenage peer educators in more meaningful ways.
摘要俄克拉荷马县中学实施的性健康和同伴教育(SHAPE)计划利用成人和同伴教育者的混合模式来提供性健康计划。虽然同伴教育者过去曾被纳入学校的性健康计划,但该计划在培养和吸引同伴教育者方面是独特的。研究人员综合了对项目实施者的采访以及与最近参加该项目的青少年同伴教育者和中学生的焦点小组讨论中的数据,以了解有助于SHAPE项目模型的过程要素。对项目实施者的访谈描述了同行教育工作者的全面招聘和培训过程。青少年同伴教育者觉得自己已经做好了授课的准备,通过这个项目,他们培养了领导技能、信心,并个人成长。中学生透露,同伴教育者是有关系的,并提供了一种积极的体验,他们可以参与其中并提出问题。事实证明,成人和青少年同伴教育者混合模式的应用有助于提供性健康主题,并使学生和青少年同伴性教育者受益。这项研究的发现强调了可以在未来的性健康规划中使用的元素,以更有意义的方式为青少年同伴教育者做好准备并让他们参与进来。
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引用次数: 1
Protecting Their Daughters with Knowledge: Understanding Refugee Parental Consent for a U.S.-Based Teen Sexual Health Program 用知识保护女儿:了解难民父母对美国青少年性健康计划的同意
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-03-22 DOI: 10.1080/15546128.2022.2052217
D. Morrison-Beedy, Abigail Ewart, Samiha Ross, R. Wegener, A. Spitz
Abstract Due to limited knowledge and exposure to sexual health information, refugee adolescent girls need health education programming and research studies that oftentimes require parental consent. We sought to understand the parental consent decision-making process of thirteen refugee parents from eight different countries who consented for their 15–17-year-old daughters to participate in a sexual health promotion program. Interviews with eight mothers and five fathers provided insight into motivations and concerns driving their decision, as well as barriers and facilitators for obtaining consent. In-depth qualitative thematic analysis revealed five predominant themes: (1) Protecting our daughters with knowledge; (2) A different country, a different approach to protection; (3) Consent and understanding can be different; (4) Parents cannot do it all; and (5) My daughter gained a voice. These findings are useful for developing consent protocols and tailored programming to meet the needs of this understudied population.
摘要由于对性健康信息的了解和接触有限,难民少女需要健康教育方案和研究,而这些方案和研究往往需要父母的同意。我们试图了解来自八个不同国家的13名难民父母的父母同意决策过程,他们同意他们15-17岁的女儿参加性健康促进计划。对八位母亲和五位父亲的采访深入了解了促使他们做出决定的动机和担忧,以及获得同意的障碍和促进因素。深入的定性主题分析揭示了五个主要主题:(1)用知识保护我们的女儿;(2) 不同的国家,不同的保护方式;(3) 同意和理解可能是不同的;(4) 父母不可能做到这一切;(5)我女儿有了发言权。这些发现有助于制定同意协议和量身定制的程序,以满足这一研究不足人群的需求。
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引用次数: 1
Responsiveness of Sex Education to the Needs of LGBTQ + Undergraduate Students and Its Influence on Sexual Violence and Harassment Experiences 性教育对LGBTQ +大学生性需求的响应及其对性暴力骚扰经历的影响
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-02-24 DOI: 10.1080/15546128.2022.2033662
Brittnie E. Bloom, Talia Kieu, Jennifer A. Wagman, Emilio C. Ulloa, Elizabeth Reed
Abstract Exposure to comprehensive sex education shows promise in preventing sexual violence and sexual harassment (SVSH) perpetration and victimization and supporting survivors. Determining if these benefits are also found in communities experiencing high levels of SVSH, such as lesbian, gay, bisexual, transgender and queer (LGBTQ+) communities, is needed. Utilizing a sequential explanatory mixed-methods study design, we assessed LGBTQ + undergraduates’ exposure to sex education (SE), what SE sources they relied on, and SE’s perceived usefulness and responsivity to LGBTQ + needs. Compared to their non-LGBTQ + peers, LGBTQ + students perceived SE as less helpful in navigating personal desires (t294 = 2.08, p < .05) and sexual consent (t295= 2.15, p < .05). LGBTQ + students were more likely to use media (e.g., internet, pornography) as their primary source of SE on topics such as violence in relationships and consent. In-depth interviews substantiated quantitative findings, highlighting the non-responsiveness of SE among LGBTQ + students and further revealed that having to supplement SE through media increased LGBTQ + students’ vulnerability to SVSH (including online sexual coercion). Via interviews, LGBTQ + students reported formal SE to be non-inclusive, led to experiences of othering, silencing, erasure, and made them more vulnerable to SVSH and related outcomes. SE policy and education must be modified to be more inclusive and helpful for LGBTQ + students, especially relating to SVSH prevention.
摘要接受全面性教育表明,在预防性暴力和性骚扰(SVSH)的实施和受害以及支持幸存者方面有希望。需要确定这些益处是否也存在于SVSH水平较高的社区中,如女同性恋、男同性恋、双性恋、跨性别者和酷儿(LGBTQ+)社区。利用顺序解释混合方法研究设计,我们评估了LGBTQ + 本科生对性教育(SE)的接触,他们所依赖的SE来源,以及SE对LGBTQ的有用性和反应 + 需求。与非LGBTQ相比 + 同龄人,LGBTQ + 学生认为SE在驾驭个人欲望方面帮助较小(t294=2.08,p < .05)和性同意(t295=2.15,p < .05)。LGBTQ + 学生更有可能在关系暴力和同意等话题上使用媒体(如互联网、色情)作为SE的主要来源。深入访谈证实了定量调查结果,强调了LGBTQ中SE的无反应性 + 学生,并进一步透露,必须通过媒体补充SE会增加LGBTQ + 学生对SVSH的脆弱性(包括在线性胁迫)。通过采访,LGBTQ + 学生们报告说,正式的SE是非包容性的,导致了其他人、沉默、擦除的经历,并使他们更容易受到SVSH和相关结果的影响。必须修改SE政策和教育,使其更具包容性,对LGBTQ更有帮助 + 学生,尤其是与SVSH预防有关的学生。
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引用次数: 4
Autism Spectrum Disorder and Sexual Minority Identity: Sex Education Implications 自闭症谱系障碍与性少数认同:性教育启示
IF 1.2 Q2 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2022-02-22 DOI: 10.1080/15546128.2021.2002225
Samantha J. Herrick, Paul A. Datti
Abstract A common misperception of people with disabilities is that they are unable and/or disinterested in sex; however, research indicates that they express sexual desires and engage in sexual behaviors. Studies about the sexuality of people on the Autism Spectrum (ASD; on the spectrum), however, suggests they receive limited sex education and are more likely than the general population to identify as a sexual minority, making the need for inclusive sex education especially important. This selective review will present the sexual orientation/identity statistics for people on the spectrum, factors proposed that may help explain identity differences and trends, and sex education implications, particularly for those who identify as a sexual minority. Future sex education practice and research recommendations are also provided.
对残疾人的一个常见误解是他们不能和/或对性不感兴趣;然而,研究表明,他们表达性欲并从事性行为。自闭症谱系(ASD)患者的性取向研究;然而,在频谱上,他们接受的性教育有限,比一般人更有可能被认定为性少数群体,这使得包容性教育的必要性尤为重要。这篇有选择性的综述将介绍性取向/身份的统计数据,提出的可能有助于解释身份差异和趋势的因素,以及性教育的含义,特别是对那些认为自己是性少数的人。并对今后的性教育实践和研究提出了建议。
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引用次数: 2
期刊
American Journal of Sexuality Education
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