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UNESCO HIV and Health Education Clearinghouse

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  1. Sexual and reproductive health outcomes are positively associated with comprehensive sexual education exposure in Mexican high-school students

    This paper provides evidence of the potential beneficial effects of CSE on attitudes, knowledge, and behaviors regarding sexual and reproductive health among adolescents. In addition, it identifies areas that should be strengthened to increase the positive impact of CSE.

  2. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  3. Sexual and reproductive health and rights for the next decades: What's been achieved? What lies ahead?

    This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

  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. Sexual politics and sexual rights in Brazil: An overview

    The objective of this text is to survey the political construction of sexual rights in Brazil working on themes that are especially relevant to the configuration of these rights (reproduction/abortion, STDs/AIDS and sexual diversity), and mapping the main actors, the legal instruments now in place or still being discussed and, lastly, the public policies that have been adopted in the last two decades. …

  6. Prevalence of pattern of risky behaviors for reproductive and sexual health among middle- and high-school students

    This research aimed to establish the prevalence and factors associated with the pattern of risky behavior for reproductive and sexual health (PRBRSH) among secondary education students in Santa Marta, Colombia. A cross-sectional study was done. The PRBRSH was defined as having had two or more out of four possible risky sexual practices across the lifetime. Logistic regression was calculated to control for confounding variables. In total, 804 students reported lifetime sexual intercourse. PRBRSH was reported by 36.1% of the sample. …

  7. Intersexuality and sexual rights in southern Brazil

    This paper reports of the socio‐medical management of intersexuality in a teaching hospital in southern Brazil. Findings reveal that the ‘search for sex’ in the body treats sex as a medical‐diagnostic category constructed during decision‐making negotiations. In the course of the various bodily ‘regulations’ and ‘corrections’ imposed, the insufficiency of a model in which categories are based around a sexual dichotomy is revealed. …

  8. Risky groups, risky behaviour, and risky persons: Dominating discourses on youth sexual health

    Significant public health attention has been focused on the problems of youth sexual behaviour. Empirical public health research in this area has attempted to account for mostly negative sexual health outcomes (e.g. sexually transmitted infections and teenage pregnancies) by examining individual characteristics and risk-taking behaviour. Public health practice has followed suit, focusing primarily on modifying sexual risk behaviour and lifestyle ‘choices’. …

  9. Multifaceted Adolescent Reproductive Health Education Strategies in Panama

    Reproductive health education relates directly to six of the United Nations Millennium Development Goals, including that of combating HIV/AIDS. The need for high-impact adolescent sexual and preoductive health care programs has become a primary concern for global health organizations. Regarding HIV/AIDS prevalence, Panama is at a critical point in which the situation can either drastically improve or deteriorate depending on how it is addressed. …

  10. Programas de Salud y Género. Mujeres con VIH/SIDA

    La proliferación de trabajos biológicos sobre el proceso del VIH/Sida contrasta con el abordaje de la problemática desde la experiencia de los que lo viven. De entre los involucrados, la mujer se vio implicada desde el comienzo como una de las poblaciones de riesgo de contagiar y de enfermarse. …

  11. First sexual intercourse and subsequent regret in three developing countries

    The authors analyzed the reasons behind first sex, cases of regret, and the association between reasons and regret. They provided a questionnaire to 8,495 high school students ages 14–18 years residing in the Philippines, El Salvador, and Peru. Sexually active participants were asked what circumstances led them to become involved in their first sexual relationship. They also were asked whether they regretted having already had sexual relationships. …

  12. Improving the HIV response for women in Latin America: barriers to integrated advocacy for sexual and reproductive health and rights

    Civil society plays an important health governance role by influencing international sexual, reproductive health and HIV agendas as expressed in international conferences; monitoring and evaluating implementation; and holding governments accountable for their commitments. Integration of sexual and reproductive health (SRH) and HIV services to achieve the health-related MDGs would seem to be a strategic joint advocacy agenda for the women's sexual and reproductive health movement and HIV activists, particularly women living with HIV. …

  13. Prevalence and correlates of sexual risk behaviors among Jamaican adolescents

    Despite high levels of sexual activity and risk behaviors among Jamaican youth, few population-based studies have examined their prevalence or correlates. The prevalence of three sexual risk behaviors was assessed using data from the 2008-2009 Jamaican Reproductive Health Survey on a subsample of adolescents aged 15-19 who neither were in a union nor had a child. Factors associated with the risk behaviors were examined separately for females and males, using bivariate analysis and multivariate logistic regression. …

  14. Adolescents' reports of reproductive health education, 1988 and 1995

    This study used formal reproductive health education and communication with parents on reproductive health among 15-19 year old males from the National Survey of Adolescent Males (1988 and 1995). Female adolescent reports were taken from the 1995 National Survey of Family Growth. During this period, reproductive health education became almost universal among adolescent males. The percentage of males receiving information on HIV and AIDS rose from 73% to 97% and percentage receiving instruction on saying no to sex rose from 58% to 75%. Those who dropped out of school received less education. …

  15. The Journal of Sexual Medicine: Findings from the national survey of sexual health and behavior (NSSHB), Center for Sexual Health Promotion Indiana University

    Presentation of a series of nine papers from the National Survey of Sexual Health and Behavior (NSSHB), a nationally representative study of the sexual and sexual healthrelated behaviors of 5,865 adolescents and adults in the U.S. Our team, based at the Center for Sexual Health Promotion at Indiana University, and representing the disciplines of public health, psychology, medicine, and gender studies, sought to conduct a study that would provide a contemporary snapshot of sexual behaviors, condom and contraceptive use, and sexual health of the U.S. population. …

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