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UNESCO HIV and Health Education Clearinghouse

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  1. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

    An emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.

  2. Developing guidelines for comprehensive sexuality education

    Educators, service providers, and health professionals worldwide are advocating that young people receive comprehensive sexuality education to help them become sexually healthy adults and to help them practice safer sexual behaviors, delay the onset of sexual intercourse, and reduce unplanned pregnancy and sexually transmitted disease (STD) rates. Though there is often consensus that young people should receive such education, few actually do. This is primarily due to a lack of understanding and consensus about sexuality education goals, components, and standards. …

  3. Promoting parent engagement in schools to prevent HIV and other STDs among teens: information for state and local education agencies

    Parent engagement in schools is defined as parents and school staff working together to support and improve the learning, development, and health of children and adolescents (See Box 1). School staff may already engage parents in a variety of ways that support teens’ academic success, such as through parent-teacher conferences and open houses. …

  4. 3Rs campaign kit: rights, respect, responsibility: the campaign

    Rights. Respect. Responsibility.® is Advocates for Youth’s national, long-term campaign giving voice to a new vision of adolescent sexual health. These core values underpin Advocates’ vision of a society where adolescents are valued, public health policy is driven by scientific research, and sexuality is viewed as a normal and healthy part of being human, of being a teen, of being alive.

  5. The association between sex education and youth’s engagement in sexual intercourse, age at first intercourse, and birth control use at first sex

    Purpose: Sex education is intended to provide youth with the information and skills needed to make healthy and informed decisions about sex. This study examined whether exposure to formal sex education is associated with three sexual behaviors: ever had sexual intercourse, age at first episode of sexual intercourse, and use of birth control at first intercourse. Methods: Data used were from the 2002 National Survey of Family Growth, a nationally representativesurvey. The sample included 2019 never-married males and females aged 15–19 years. …

  6. Efficacy of a theory-based abstinence-only intervention over 24 months: A randomized controlled trial with young adolescents

    Objective: To evaluate the efficacy of an abstinence-only intervention in preventing sexual involvement in young adolescents. Design:Randomized controlled trial. Setting: Urban public schools. Participants:A total of 662 African American students in grades 6 and 7. …

  7. School culture and the well-being of same-sex attracted youth

    This study assesses how variations in heteronormative culture in high schools affect the well-being of same-sex-attracted youth. The authors focus on the stigmatization of same-sex attraction (rather than identity or behavior) to better understand how heteronormativity may marginalize a wide range of youth. …

  8. Working with transgender children and their classmates in pre-adolescence: Just be supportive

    This study documents a school district’s coordinated response to an elementary student’s social transition from a gender variant boy to a female gender expression. Data were gathered through analysis of journal entries, lesson plans, and interviews with the child, guardian, and district personnel. Stakeholders reported a favorable outlook on the transition, particularly in the areas of classroom and school interventions, peer involvement, and maintaining safety for all. The greatest concerns related to communication and language. …

  9. Gay, lesbian, and bisexual youths' perception of their high school environments and comfort in school

    This study investigated gay, lesbian, and bisexual adolescents' perceptions of their school environment, their experiences with victimization and professional support in school, and individual, peer, and family factors associated with their perceptions of and comfort in their school environments. Data were gathered from 136 self-identified gay, lesbian, and bisexual high school students in northern New England. …

  10. Sexual orientation and bullying among adolescents in the Growing Up Today Study

    Purpose - To examine the relationship between sexual orientation and past-year reports of bullying victimization and perpetration in a large sample of American youth. Methods - Survey data from 7,559 adolescents aged 14 to 22 who responded to the 2001 wave questionnaire of the Growing Up Today Study were examined cross-sectionally. Multivariable generalized estimating equations regression was performed using the modified Poisson method. …

  11. A tale of two countries: rethinking sexual risk for HIV among young people in South Africa and the United States

    This paper compares the sexual behaviors of young people in South Africa (SA) and the United States (US) with the aim of better understanding the potential role of sexual behavior in HIV transmission in these two countries that have strikingly different HIV epidemics. Nationally representative, population-based surveys of young people ages 18-24 years from SA (n = 7,548) and the US (n = 13,451) were used. The prevalence of HIV was 10.2% in SA and 1% in the US. …

  12. High school gay-straight alliances (GSAs) and young adult well-being: an examination of GSA presence, participation, and perceived effectiveness

    Gay-Straight Alliances (GSAs) are student-led, school-based clubs that aim to provide a safe environment in the school context for lesbian, gay, bisexual, and transgender (LGBT) students, as well as their straight allies. The present study examines the potential for GSAs to support positive youth development and to reduce associations among LGBT-specific school victimization and negative young adult well-being. …

  13. The Association of AIDS Education and Sex Education with Sexual Behavior and Condom Use Among Teenage Men

    A 1998 national U.S. survey of 15-19 year olds found that 73% had received education about AIDS, 79% about birth control and 58% about resisting sexual activity. Multivariate analysis shows that AIDS and sex education moderately but significantly decreased number of sexual partners and frequency of intercourse in the year prior to the survey. This type of education was also associated with more consistent condom use. Education on some topics was associated with increased knowledge and improved attitudes about AIDS, but these did not always correlate with safer sexual behavior.

  14. Sexually Active Adolescents have Less Knowledge and Less Fear of HIV than their Abstinent Peers

    A study in four districts of Rhode Island (USA) of 1,379 junior high school students (average age 13.2 years) found that sexually active boys were less knowledgeable about HIV, less tolerant of people living with AIDS, less fearful of contraction of HIV and more likely to undertake risky behavior, than those who were not sexually active. The same pattern, although less extreme, is found among girls in the sample. …

  15. Effects of general and homophobic victimization on adolescents' psychosocial and educational concerns: the importance of intersecting identities and parent support

    Many adolescents experience peer victimization, which often can be homophobic. Applying the minority stress model with attention to intersecting social identities, this study tested the effects of general and homophobic victimization on several educational outcomes through suicidality and school belonging among 15,923 adolescents in Grades 7 through 12 on account of their sexual orientation and race/ethnicity. Parent support also was tested as a moderator of these effects. …

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