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UNESCO HIV and Health Education Clearinghouse

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  1. HIV prevention in Mexican schools: prospective randomised evaluation of intervention

    Objective: To assess effects on condom use and other sexual behaviour of an HIV prevention programme at school that promotes the use of condoms with and without emergency contraception. […] Intervention: Schools were randomised to one of three arms: an HIV prevention course that promoted condom use, the same course with emergency contraception as back-up, or the existing sex education course. Self administered anonymous questionnaires were completed at baseline, four months, and 16 months. …

  2. The miseducation of Latin American girls: poor schooling makes pregnancy a rational choice

    Our interest in understanding the determinants of adolescent childbearing and how adolescent childbearing influences educational trajectories derive from a concern about the inverse relationship between educational outcomes and adolescent fertility. Through in-depth interviews with 118 women, we contrast the educational trajectories of adolescent and adult child-bearers in urban neighborhoods in Paraguay and Peru. The findings suggest that adolescents who face obstacles that discourage academic achievement and high aspirations in life are also more likely to bear children. …

  3. The influence of early sexual debut and sexual violence on adolescent pregnancy: a matched case-control study in Jamaica

    CONTEXT: Contraceptive knowledge and use at first sex have increased over time among Jamaican adolescents, yet high unintended pregnancy rates persist. More information on risk factors for adolescent pregnancy is needed to inform programs. METHODS: Structured interviews were conducted with 15–17-year-old females—250 who were currently pregnant and 500 sexually experienced, but never-pregnant, neighborhood-matched controls. …

  4. Invited commentary: Broadening the evidence for adolescent sexual and reproductive health and education in the United States

    Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies-particularly sexuality health education policies and programs-have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. …

  5. Education and Nonuse of Contraceptives Among Poor Women in Chiapas, Mexico

    Context: Relatively little is known about how poverty and illiteracy affect women's decisions to adopt contraception, specifically their likelihood of never having practiced contraception. Methods: A random sample of 883 women in union aged 15-49 living in the Border Region of the Mexican state of Chiapas were interviewed in 1994 as part of a regional survey of reproductive health. …

  6. The Effects of Contraceptive Education On Method Use at First Intercourse

    Despite long-standing public support for sex education in the schools, it has been difficult to show concrete effects of sex education on sexual and contraceptive behavior. Data from the 1988 National Survey of Family Growth indicate that exposure to a formal contraceptive education program increases the likelihood that a teenage woman will use a contraceptive method at first intercourse. …

  7. Reproductive health programs for young adults: school-based programs

    There is an urgent need for the global community to act on the preceding principles and recommendations. Currently comprising more than 1.5 billion people, young adults, defined by the World Health Organization (WHO) as those individuals aged 10 to 24, face considerable threats to their reproductive health. …

  8. Changing emphases in sexuality education in U.S. public secondary schools, 1988-1999

    This study analyzed data from a nationally representative survey of 3,754 7th-12th grade teachers of the subjects most often responsible for sexuality education. These results are compared to the subset of 1,767 teachers who actually taught sexuality education and another comparable survey from 1988. By 1999, 93% of respondents indicated that sexuality education was being taught in ther schools. This education covered STIs, abstinence, birth control, abortion and sexual orientation. …

  9. Sexuality Education in Fifth and Sixth Grades in U.S. Public Schools, 1999

    This study was conducted in 1999 using data from a nationally representative survey of 5th and 6th grader teachers (n=1789) in 5,543 public schools. Analyses were conducted of topics and skills taught relating to sexuality education, grades to which they were taught, teaching approaches, pressures experienced, support received and their needs. Seventy-two percent of the teachers reported that sexuality education is taught in their schools in at least one grade. …

  10. Outcomes of three different models for sex education and citizenship programs concerning knowledge, attitudes, and behavior of Brazilian adolescents

    This cross-sectional study describes three approaches to sex education in schools in three locations-- Rio de Janeiro, Belo Horizonte, and Salvador, all in Brazil. It compares knowledge, attitudes and practices related to sexuality, citizenship and gender among adolescents in schools with such programs, compared to controls in schools without them. Results show that the program in Salvador improved knowledge on sexuality and reproductive physiology, attitudes towards citizenship, and use of modern contraceptives compared to controls. …

  11. Práticas educativas e prevenção de HIV/Aids: lições aprendidas e desafios atuais

    A prevenção tem sido uma questão crucial para os programas de controle da Aids. Os enormes progressos doá conhecimento e da técnica nesse campo não chegaram a alterar substantivamente os determinantes fundamentais da infecção e adoecimento de significativos contingentes populacionais. Neste ensaio busca-se sistematizar as lições que aprendemos no campo da prevenção nessas duas décadas de epidemia, tomando como base, em especial, a experiência brasileira. …

  12. Preventing teen pregnancy among marginalized youth: Developing a policy, program, and research agenda for the future

    The document is a report produced by Healthy Teen Networks in September 2008. Its vision is that all young people make responsible decisions regarding their sexual, reproductive, and parenting behaviors. The document focuses on improving the effective transition to adulthood among all young by examining how to be more effective in reducing their risk of early pregnancy. …

  13. Abstinence only vs. comprehensive sex education: What are the arguments? What is the evidence?

    Abstinence Only vs. Comprehensive Sex Education: What are the arguments? What is the evidence? is a document focusing on the impact of abstinence and comprehensive sex education programs established in United States. Indeed, the United States still has the highest rates of STIs and teen pregnancy of any industrialized nation. Since President Bush, the Congress tends to promotes abstinence-only approach that will likely have serious unintended consequences by denying young people access to the information they need to protect themselves. …

  14. The sexual and reproductive health of young people in Latin America: Evidence from WHO case studies

    This original article addresses the sexual and reproductive health needs of young people aged 15 to 24 in Latin America. It introduces five articles from original research projects in three countries: Argentina, Brazil, and Peru. These projects were funded by the World Health Organization. This article explains the importance of studies that address the sexual and reproductive health of young people in developing countries. It provides an overview of sexual and reproductive health issues in Latin America and a discussion these issues in the three study countries.

  15. Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights

    Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights is a short informational brief focusing on young adolescents across the world and their needs to know about their bodies and their sexual rights and responsibilities. It aims to inform policymaking on the importance to include 10-14 years old adolescents in programs and policy regarding sexual and reproductive health and rights. The document states that all young people need information and skills to protect themselves from harm and to make free, informed, and responsible sexual and reproductive decisions. …

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