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Lv SY, Bao ZC, Liu ZD, Zhang Y, Gu YL, Li BK, Deng YS, Zhang YJ, Zhang Y. Perceptions of sex education among college students: A case study of a medical school. World J Psychiatry 2025; 15:102624. [DOI: 10.5498/wjp.v15.i4.102624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2024] [Revised: 12/22/2024] [Accepted: 01/24/2025] [Indexed: 03/25/2025] Open
Abstract
BACKGROUND Sex education was introduced early in foreign countries. For example, there is a more systematic sex education system abroad, which can better achieve the popularization of sex education. China's sex education started relatively late, yet there are many problems in the development of sex education in China; for example, college students lack knowledge of sexuality.
AIM To explore the perception of sex education among medical college students.
METHODS Students majoring in medicine in a medical school were selected as the survey subjects. Anonymous online questionnaires were used to conduct the survey, and the results were analyzed using GraphPad Prism, SPSS, Microsoft Excel, and other software. The questionnaire was administered to understand the source of sexual knowledge, sexual responsibility, mastery of sexual knowledge, and distress caused by sexual problems.
RESULTS Most students majoring in medicine had no formal sex education, lacked sexual knowledge, or had a biased understanding of sexual responsibility. This study analyzed future research trends in sex education based on relevant achievements in the Chinese context and abroad to further realize the practical significance and value of sex education popularization in China and provide recommendations for parents and schools at different levels.
CONCLUSION Sex education should be conducted among college students, and medical colleges and universities should strengthen scientific sex education.
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Affiliation(s)
- Shang-Yu Lv
- The Second Clinical College, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Zhuo-Cong Bao
- Graduate School, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Zhao-Dong Liu
- Graduate School, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Ye Zhang
- Graduate School, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Yu-Le Gu
- The First Clinical College, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Bing-Kui Li
- The First Clinical College, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Yun-Shu Deng
- The First Clinical College, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Yu-Ji Zhang
- The First Clinical College, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
| | - Yan Zhang
- International Education School, International Exchange and Cooperation Office, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
- Key Laboratory of Human Ethnic Specificity and Phenomics of Critical Illness in Liaoning Province, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
- Key Laboratory of Phenomics in Shenyang, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
- Department of Biochemistry, School of Basic Medicine, Shenyang Medical College, Shenyang 110034, Liaoning Province, China
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Költő A, Winter K, Maloney R, Lunney L, Nicolaou C, Cosma A, de Looze M, Kelly C, Martin G. Cross-National Trends in Early Sexual Initiation Among 15-Year-Old Adolescents, 2002-2022. Int J Public Health 2025; 70:1607711. [PMID: 40134801 PMCID: PMC11932834 DOI: 10.3389/ijph.2025.1607711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2024] [Accepted: 02/20/2025] [Indexed: 03/27/2025] Open
Abstract
Objectives We examined how the proportion of adolescents who engaged in early sexual intercourse (before the age of 14) changed between 2002 and 2022 across 37 countries. Methods Data of 15-year-old adolescents participating in the 2002, 2006, 2010, 2014, 2018, and 2022 survey rounds of the Health Behaviour in School-aged Children study were analysed (N = 312,702). We used uni- and multivariate multilevel binary logistic regression models to test whether rates of early sexual initiation changed over time. Country, gender, family affluence, parental support and the clustering effect of school were incorporated in the statistical models; linearity was tested by cubic and quadratic terms in the multivariate models. Results A significant but very small decline over time was found in early sexual initiation across survey years. Girls and less affluent adolescents had lower odds of early initiation. Parental support (and its interaction with time) also had a significant but small protective role. Conclusion Despite a small decrease over time, still 4% of participants reported early sexual initiation in 2022. Concerted and sustained efforts are needed to support adolescent sexual health.
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Affiliation(s)
- András Költő
- Health Promotion Research Centre, University of Galway, Galway, Ireland
| | - Kristina Winter
- Institute of Medical Sociology, University Hospital in Halle, Halle, Bavaria, Germany
- Institute for Social Medicine, Rehabilitation Sciences and Health Services Research, Hochschule Nordhausen, Nordhausen, Thuringia, Germany
| | - Rachael Maloney
- Health Promotion Research Centre, University of Galway, Galway, Ireland
| | - Louise Lunney
- Health Promotion Research Centre, University of Galway, Galway, Ireland
| | - Christiana Nicolaou
- Centre for Educational Research and Evaluation, Ministry of Education and Culture, Nicosia, Cyprus
| | - Alina Cosma
- School of Psychology, Trinity College Dublin, Dublin, Ireland
- Olomouc University Social Health Institute (OUSHI), Olomouc, Czechia
| | - Margreet de Looze
- Department of Interdisciplinary Social Science, Faculty of Social and Behavioural Sciences, Utrecht University, Utrecht, Netherlands
| | - Colette Kelly
- Health Promotion Research Centre, University of Galway, Galway, Ireland
| | - Gina Martin
- Faculty of Health Disciplines, Athabasca University, Athabasca, AB, Canada
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Opara I, Asabor E, Rutledge J, Brooks Stephens JR, Cayo S, Duran-Becerra B, Abrams J. Empowerment in prevention: a qualitative inquiry into Black girl-centred strategies for reducing HIV/STI and drug misuse risk. Sex Reprod Health Matters 2024; 32:2444728. [PMID: 39876818 PMCID: PMC11884098 DOI: 10.1080/26410397.2024.2444728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2025] Open
Abstract
Black girls in the United States are disproportionately diagnosed with sexually transmitted infections (STIs), which can increase the risk of contracting HIV (human immunodeficiency virus), compared to adolescent girls of other races. Therefore, this study was designed to understand barriers to impactful HIV/STI and substance use prevention programmes for Black girls. Data was collected between October 2021 and June 2022 from twelve focus groups which included (N = 62) participants who identified as Black and female between the ages of 13 and 18 years old. Using intersectionality theory as a guiding framework, the data were analysed thematically. The analysis revealed three themes: (1) need for parent-child discussions on sex; (2) stigma in schools; (3) suggestions for Black girl-centred prevention programming. Participants described minimal discussion about sex in their household as well as STI/HIV and substance abuse stigma as barriers to impactful sex education. They also indicated that current substance use and STI/HIV prevention interventions are not tailored to the experience of Black girls and offered suggestions for improvement. In sum, participants pointed out several barriers to existing sex education and substance abuse prevention programmes. Findings revealed that HIV and drug use prevention information and knowledge may be best received from older peers in small private settings that can allow for intimate discussion and sharing of reliable information on HIV education, aetiology, and safer sexual practices. In addition, the study findings support the need to develop a racial and gender-specific prevention programming that fosters peer relationships, social support, and empowerment-based principles.
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Affiliation(s)
- Ijeoma Opara
- Associate Professor, Department of Social & Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA
| | - Emmanuella Asabor
- PhD Candidate, Yale School of Public Health, New Haven, CT, USA; Medical School Student, Yale School of Medicine, New Haven, CT, USA
| | - Jaleah Rutledge
- Postdoctoral Fellow, Yale School of Public Health, New Haven, CT, USA
| | | | - Sandy Cayo
- Assistant Professor, Yale School of Nursing, New Haven, CT, USA
| | | | - Jasmine Abrams
- Research Scientist, Yale School of Public Health, New Haven, CT, USA
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4
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Wever C, Gast J, Meier C, Ward L. Utah Young Adults Describe What They Wished They Had Learned in Sex Education: A Qualitative Study. J Sch Nurs 2024:10598405241286080. [PMID: 39344471 DOI: 10.1177/10598405241286080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/01/2024] Open
Abstract
Utah implements an abstinence-based approach to sex education. However, research has found that abstinence-based sex education is associated with higher risk-taking behaviors, and youth would like more from their school-based sex education. This study examined what sex education information or programs young adults in Utah would have liked to receive during high school. Participants provided responses to a single open-ended question included in the Utah College Sexual Behavior Survey. The results of a thematic analysis show the emergence of four salient themes, including fundamental knowledge, contraception and sexually transmitted infection prevention, personal safety, consent, and abuse. Findings suggest that participants wanted sex education beyond just abstinence and stressed the importance of inclusive education. Recommendations for school nurses and the important role they play in delivering sex education include receiving education needed to teach sex education and working with school health educators to act as a resource.
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Affiliation(s)
- Claire Wever
- Social Work Department, Utah State University, Logan, UT, USA
| | - Julie Gast
- Kinesiology and Health Science Department, Utah State University, Logan, UT, USA
| | - Cristian Meier
- Social Work Department, Utah State University, Logan, UT, USA
| | - Lily Ward
- Social Work Department, Utah State University, Logan, UT, USA
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Pleasants E, Whitfield B, Pleasure ZH, Larsen C, Johnson D, Steiner RJ, Lindberg LD. Adolescents and Young Adults' Sources of Contraceptive Information. JAMA Netw Open 2024; 7:e2433310. [PMID: 39269706 PMCID: PMC11400216 DOI: 10.1001/jamanetworkopen.2024.33310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/15/2024] Open
Abstract
This cross-sectional study examines whether there is an association between adolescents and young adults’ preferred and actual sources of contraceptive information and reporting sufficient contraceptive information.
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Affiliation(s)
| | | | - Zoe H Pleasure
- University of Washington School of Public Health, Seattle
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Krienert JL, Walsh JA, Ingold KA. Communicating sexual health to the incarcerated population: information dissemination in a US sample of inmate handbooks. CULTURE, HEALTH & SEXUALITY 2024:1-18. [PMID: 39225678 DOI: 10.1080/13691058.2024.2395465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Accepted: 08/19/2024] [Indexed: 09/04/2024]
Abstract
Incarcerated individuals frequently enter prison with a history of high-risk lifestyle behaviours likely to contribute to the transmission of infectious disease. Prisons offer a unique setting in which to advance health equity to an underserved population by disseminating information and education. Sexual health education has the potential to mitigate negative health consequences in the incarcerated population and improve sexual health practices upon community re-entry, benefiting both incarcerated individuals and communities. Limited empirical research examines sexual health information and education in US correctional facilities. Handbooks, given to all people upon incarceration, have the potential to provide vital information and education to promote safe sexual practice and prevent disease transmission. This work, guided by 22 critical sexual health education recommendations from the US Centers for Disease Control and Prevention, examines the presence (or absence) of recommended sexual health information and guidance in prison handbooks. Handbooks (n = 74) from 49 of 50 US states were qualitatively analysed with results revealing limited information, education or guidance about sexual health/safe sexual practice during incarceration or afterwards. Utilising handbooks for comprehensive sexual education could be a critical step towards reaching members of an already at-risk underserved population.
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Affiliation(s)
- Jessie L Krienert
- Criminal Justice Sciences, Illinois State University, Normal, IL, USA
| | - Jeffrey A Walsh
- Criminal Justice Sciences, Illinois State University, Normal, IL, USA
| | - Kimberly A Ingold
- Criminal Justice Sciences, Illinois State University, Normal, IL, USA
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Ryan RL, Emmanuel PJ, Sanders LJ. Preventing Behavioral Human Immunodeficiency Virus Infections in Adolescents and Young Adults. Adv Pediatr 2024; 71:87-105. [PMID: 38944491 DOI: 10.1016/j.yapd.2024.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/01/2024]
Abstract
HIV prevention in adolescents and young adults (AYA) requires a multi-pronged strategy encompassing behavioral, biologic, and structural approaches. This article reviews the epidemiology of HIV infection in the United States and its pathogenesis and transmission. Prevention approaches are discussed in more detail, with an emphasis on how each approach is relevant to AYA populations. Information is summarized in a resource table with links to references and in-depth discussions of the topics reviewed in this article.
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Affiliation(s)
- Reed L Ryan
- Division of Pediatric Infectious Diseases, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, 5th Floor, Tampa, FL 33606, USA
| | - Patricia J Emmanuel
- Department of Pediatrics, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, 5th Floor, Suite 5016, Tampa, FL 33606, USA
| | - Lisa J Sanders
- Division of Pediatric Infectious Diseases, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, 5th Floor, Tampa, FL 33606, USA.
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Zhang Y, Geng M, Xing Y, Ren X, Chen L, Liu J, Song X, Qin Y, Wang R, Jiang J, Guo T, Yuan W, Ma Y, Ma J, Wang L, Song Y, Dong Y. Improvement and exacerbation of multiple disparities in sexually transmitted infections among children and adolescents aged 6-22 years: An analysis of national surveillance data from 2013 to 2021. J Med Virol 2024; 96:e29808. [PMID: 39023086 DOI: 10.1002/jmv.29808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Revised: 07/04/2024] [Accepted: 07/06/2024] [Indexed: 07/20/2024]
Abstract
To investigate the progress of disparities in human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), gonorrhea, and syphilis among children and adolescents aged 6-22 years in China during 2013-2021. A total of 614 325 cases data were extracted from the Chinese Information System for Infectious Diseases Control and Prevention during 2013-2021. Puberty health education data were drew from the Student Health Surveillance in 2021. Disparity patterns and average annual percentage changes (AAPCs) in sexually transmitted infections (STIs) incidence or new cases in China were examined using descriptive statistics and joinpoint regression. The incidence across 345 cities was stratified by gross domestic product (GDP). Between 2013 and 2021, there were 614 325 reported cases of HIV/AIDS, gonorrhea, and syphilis among children and adolescents aged 6-22, with an annual average incidence of 24.0967 per 100 000. The expansion of HIV/AIDS has halted, yet the surge in gonorrhea and syphilis remains notably pronounced. The ratio of male to female AIDS incidence increased from 2.75 (2.60, 2.90) to 7.13 (6.68, 7.62), but that of syphilis changed from 0.33 (0.32, 0.34) to 0.56 (0.55, 0.57). Students and out-of-school individuals aged 13-15 experienced a notably high increase in STI cases, surpassing other age groups, with an average annual percentage increase of 29.2% and 26.3%, respectively. Nonstudents consistently had a higher incidence rate than students, with an IRR reaching 31.80 (31.24, 32.37) in 2021. A noticeable clustering pattern of new cases emerged in the southeastern region of the Heihe-Tengchong line, extending inland from the coastal areas. Districts and counties with lower rates of puberty sexual health education tended to have higher average STI incidence rates. At the prefecture and city levels, there was a noticeable upward trend on average STI incidence rates in cities with per capita GDPs. Strategies to address those disparities include promoting equitable health education, and widespread sexual health education, particularly in areas with limited access to education and experiencing rapid economic development. The effectiveness of sexual health education intervention needs to be further evaluated in well-designed studies.
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Affiliation(s)
- Yi Zhang
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
- UNESCO Chair on Global Health and Education of Peking University, Beijing, China
| | - Mengjie Geng
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yi Xing
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Xiang Ren
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Li Chen
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Jieyu Liu
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Xinli Song
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Yang Qin
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - RuoLin Wang
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Jianuo Jiang
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Tongjun Guo
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Wen Yuan
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
| | - Yinghua Ma
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
- UNESCO Chair on Global Health and Education of Peking University, Beijing, China
| | - Jun Ma
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
- UNESCO Chair on Global Health and Education of Peking University, Beijing, China
| | - Liping Wang
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yi Song
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
- UNESCO Chair on Global Health and Education of Peking University, Beijing, China
| | - Yanhui Dong
- Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China
- UNESCO Chair on Global Health and Education of Peking University, Beijing, China
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SmithBattle L, Flick LH. Reproductive Justice as an Alternative to the Pregnancy Planning Paradigm for Teens. J Obstet Gynecol Neonatal Nurs 2024; 53:345-354. [PMID: 38575116 DOI: 10.1016/j.jogn.2024.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 02/29/2024] [Accepted: 02/29/2024] [Indexed: 04/06/2024] Open
Abstract
In this critical commentary, we describe the many limitations of the pregnancy planning paradigm as applied to pregnant and parenting teens. We describe how this paradigm, in characterizing pregnancies as intended or unintended, has shaped campaigns to prevent teen pregnancy and remains largely embedded in formal sex education and family planning programs in the United States. We argue that a paradigm shift is long overdue and describe how the reproductive justice framework addresses the limitations of the pregnancy planning paradigm. Although reproductive justice is endorsed by a growing number of organizations, recommended policies face formidable obstacles given that comprehensive sex education, contraception, and legal abortion are increasingly at risk in a post-Dobbs world.
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Psaros C, Hill-Rorie J, Quint M, Horvitz C, Dormitzer J, Biello KB, Krakower DS, Safren SA, Mimiaga MJ, Sullivan P, Hightow-Weidman LB, Mayer KH. A qualitative exploration of how to support PrEP adherence among young men who have sex with men. AIDS Care 2024; 36:732-743. [PMID: 37748111 PMCID: PMC10961251 DOI: 10.1080/09540121.2023.2240070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 07/18/2023] [Indexed: 09/27/2023]
Abstract
New HIV infections disproportionately affect young men who have sex with men (YMSM). PrEP is effective in preventing HIV acquisition; however, adherence is critical and is often suboptimal among YMSM. Interventions addressing the unique PrEP adherence challenges faced by YMSM are needed. We conducted qualitative interviews with 20 HIV-negative, YMSM (ages 15-24) with a PrEP indication and 11 healthcare professionals to inform adaption of a PrEP adherence intervention (Life-Steps for PrEP) for YMSM. We explored environmental, healthcare, and individual factors influencing uptake, adherence, attitudes, and perspectives (including desired modifications) on the Life-Steps intervention. Interviews were analyzed using content analysis. Of YMSM study participants (mean age 21.6) 55% were White, 15% Hispanic, and 5% Black. Most YMSM were PrEP-experienced (70%). Healthcare professionals (6 prescribers, 1 nurse, 2 health educators, 2 other/unspecified) averaged 6.9 years of experience caring for YMSM. All described stigma as a barrier to PrEP; YMSM expressed concern around being perceived as "risky" and concern about inadvertent PrEP disclosure if family/friends found their medication, or if parental insurance was used. Difficulty with planning for potential adherence challenges were identified by both groups. YMSM highlighted benefits of a nurse-led intervention (i.e., adding "legitimacy"), but stressed need for nonjudgmental, "savvy" interventionists. YMSM expressed a desire for comprehensive YMSM-specific sexual health information. These findings informed modification and expansion of Life-Steps content. Results highlight key potential barriers, many of which center around privacy. Content that addresses PrEP stigma, disclosing PrEP use, navigating insurance, and planning ahead in a nonjudgmental environment by trusted providers emerged as important components of a YMSM-focused delivery of Life-Steps for PrEP.
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Affiliation(s)
- Christina Psaros
- Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States
- The Fenway Institute, Fenway Health, Boston, MA, United States
| | | | - Meg Quint
- The Fenway Institute, Fenway Health, Boston, MA, United States
- Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women’s Hospital, Boston, Massachusetts, United States
| | - Casey Horvitz
- Behavior and Technology Lab, Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | | | - Katie B. Biello
- The Fenway Institute, Fenway Health, Boston, MA, United States
- Center for Health Promotion and Health Equity, Brown University School of Public Health, Providence, RI, United States
- Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, United States
- Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States
| | - Douglas S. Krakower
- The Fenway Institute, Fenway Health, Boston, MA, United States
- Department of Medicine, Harvard Medical School, Boston, MA, United States
- Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, United States
| | - Steven A. Safren
- Department of Psychology, University of Miami, Coral Gables, FL, United States
| | - Matthew J. Mimiaga
- The Fenway Institute, Fenway Health, Boston, MA, United States
- UCLA Center for LGBTQ+ Advocacy, Research & Health, Los Angeles, CA, United States
- Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, United States
- Department of Psychiatry & Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA, United States
| | - Patrick Sullivan
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States
| | - Lisa B. Hightow-Weidman
- Institute on Digital Health and Innovation, College of Nursing, Florida State University, Tallahassee, FL, United States
| | - Kenneth H. Mayer
- The Fenway Institute, Fenway Health, Boston, MA, United States
- Department of Medicine, Harvard Medical School, Boston, MA, United States
- Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, United States
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11
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Wood S, Stevenson EL. Fertility Planning Is More Critical Now Than Ever. Nurs Womens Health 2023; 27:S1751-4851(23)00203-9. [PMID: 39491927 DOI: 10.1016/j.nwh.2023.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 07/10/2023] [Accepted: 09/21/2023] [Indexed: 11/05/2024]
Abstract
Comprehensive fertility care has been reduced in many parts of the United States following the U.S. Supreme Court decision in June 2022 in the Dobbs v. Jackson Women's Health Organization case, which eliminated the constitutional right to abortion. Because of this change, there is an increasing need and desire among many for fertility planning as women want to understand their health, including their reproductive health. This commentary outlines the importance of fertility planning, how fertility planning affects fetal and maternal outcomes, and what people need to know about fertility planning. Guidance is offered on the role of nurses in supporting and advocating for individuals in their desire for fertility planning.
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12
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Rice WS, Narasimhan S, Newton-Levinson A, Pringle J, Redd SK, Evans DP. "Post- Roe" Abortion Policy Context Heightens the Imperative for Multilevel, Comprehensive, Integrated Health Education. HEALTH EDUCATION & BEHAVIOR 2022; 49:913-918. [PMID: 36172995 PMCID: PMC9574421 DOI: 10.1177/10901981221125399] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The exceptionalism of abortion in public health education, due to social stigma, politicization, and lack of training, contributes to misinformation, policies unjustified by rigorous science, lack of access to person-centered health care, and systemic pregnancy-related inequities. Now that abortion access has vanished for large portions of the United States, following the Supreme Court decision in Dobbs v. Jackson Women's Health Organization (JWHO), health educators must work to eliminate abortion-related silos, destigmatize abortion education, and bring comprehensive sexual and reproductive health information and evidence to the many audiences that will require it. We discuss consequences of abortion exceptionalism in health education for the public, health care providers, pregnant people, and health professionals in training-and opportunities to better and more accessibly provide sexual and reproductive health education to these audiences.
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13
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Eisenberg ME, Oliphant JA, Plowman S, Forstie M, Sieving RE. Increased Parent Support for Comprehensive Sexuality Education Over 15 Years. J Adolesc Health 2022; 71:744-750. [PMID: 36220687 DOI: 10.1016/j.jadohealth.2022.08.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 08/02/2022] [Accepted: 08/04/2022] [Indexed: 11/06/2022]
Abstract
PURPOSE Comprehensive sexuality education (CSE) has been shown to reduce sexual risk-taking behaviors and promote healthy sexual development, and studies have shown high support for this approach. However, the past decade has seen many changes in the political landscape and social controversies. The present study reports on an updated survey and analysis of changes in support from 2006 to 2021. METHODS Survey data were collected by telephone in 2006 (N = 1,605) and online and in-person in 2021 (N = 719) from separate samples of Minnesota parents of school-age children. Parents responded to items regarding preferences for CSE, support for teaching numerous specific sexuality education topics, and the grade level at which topics should be introduced. Chi-square tests and logistic regression (with weighted 2021 data) were used to detect differences in support between survey years and across demographic and personal characteristics. RESULTS At both time points, approximately 90% of parents thought that CSE should be taught in schools, with significant increases in support within several demographic categories. Support for including all specific topics was high, including for topics typically considered highly controversial (e.g., gender identity, 68.7%; abortion, 77.7% in 2021). Parents endorsed introducing most topics in elementary or middle school years. DISCUSSION Findings suggest that policy makers and educators in Minnesota can be confident of strong parental support for CSE covering a wide range of content to meet students' needs. Advocacy and action to advance the use of national sexuality education standards are in keeping with the views of the overwhelming majority of parents of school-age children.
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Affiliation(s)
- Marla E Eisenberg
- Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
| | - Jennifer A Oliphant
- Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Shari Plowman
- Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Melanie Forstie
- Office of Measurement Services, University of Minnesota, Minneapolis, Minnesota
| | - Renee E Sieving
- Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota; School of Nursing, University of Minnesota, Minneapolis, Minnesota
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Qing L, Wang Y, Yang T, Chen X, Zhang M, Bu Q, Tan B, Deng D. Study on HIV/AIDS knowledge, sexual attitudes, sexual behaviors, and preventive services among young students in Chongqing, China. Front Public Health 2022; 10:982727. [PMID: 36299747 PMCID: PMC9589276 DOI: 10.3389/fpubh.2022.982727] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 09/23/2022] [Indexed: 01/25/2023] Open
Abstract
Objectives This study aimed to describe the HIV/AIDS knowledge, sexual attitudes, and sexual behaviors of young students (14-25 years) in Chongqing, China, and to examine their use of preventive services and related factors. Method A cross-sectional study was conducted with students from 67 schools from December 2019 to June 2021. The chi-square test, non-parametric test to assess the differences between respondents with different characteristics in the above aspects. Additionally, univariate and multivariate logistic regression analyses were conducted to examine factors associated with the awareness of HIV/AIDS knowledge. Confidence intervals without crossover or P < 0.05 was considered significant. Results A total of 31,782 participants were included in the study. A total of 62.62% of the respondents were considered to be aware of basic HIV/AIDS knowledge, including 78.44%, 62.15%, and 52.08% in undergraduate colleges, junior colleges and secondary vocational schools, respectively. In total, 60.96% of males and 29.42% of females accepted premarital sex, 15.49% of males and 6.18% of females reported being sexually experienced, and only 57.18% of the students used condoms every time they had sex. The percentage of condom use among students who were aware of HIV/AIDS knowledge was higher than that among students who were not aware. A total of 85.60% of the students thought they needed HIV/AIDS prevention and control knowledge, and 94.60% thought more health education activities on HIV/AIDS prevention needed to be conducted in schools. Entrance education, lectures or consultation hotlines, WeChat official accounts and other media platforms were rated as the most acceptable HIV/AIDS prevention education methods. Conclusion These respondents lacked knowledge about HIV/AIDS, and an increasing number of students show an open attitude toward premarital sex and engage in risky sexual behaviors. It is urgent to enhance and widely disseminate comprehensive HIV/AIDS and sexual health education in multiple formats.
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Pratt MC, Jeffcoat S, Hill SV, Gill E, Elopre L, Simpson T, Lanzi R, Matthews LT. "We Feel Like Everybody's Going to Judge us": Black Adolescent Girls' and Young Women's Perspectives on Barriers to and Opportunities for Improving Sexual Health Care, Including PrEP, in the Southern U.S. J Int Assoc Provid AIDS Care 2022; 21:23259582221107327. [PMID: 35699978 PMCID: PMC9201301 DOI: 10.1177/23259582221107327] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Black adolescent girls and young women (AGYW) are disproportionately affected by
HIV in the southern U.S.; however, PrEP prescriptions to Black AGYW remain
scarce. We conducted in-depth interviews (IDIs) with Black AGYW ages 14-24 in
Alabama to explore opportunities for and barriers to sexual health care
including PrEP prescription. Twelve AGYW participated in IDIs with median age 20
(range 19-24). All reported condomless sex, 1-3 sexual partners in the past 3
months, and 6 reported prior STI. Themes included: 1) Stigma related to sex
contributes to inadequate discussions with educators, healthcare providers, and
parents about sexual health; 2) Intersecting stigmas around race and gender
impact Black women's care-seeking behavior; 3) Many AGYW are aware of PrEP but
don't perceive it as an option for them. Multifaceted interventions utilizing
the perspectives, voices, and experiences of Black cisgender AGYW are needed to
curb the HIV epidemic in Alabama and the U.S. South.
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Affiliation(s)
- Madeline C Pratt
- Division of Infectious Diseases, Department of Medicine, School of Medicine, 9968University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | | | - Samantha V Hill
- Division of Adolescent Medicine, Department of Pediatrics, School of Medicine, 9968University of Alabama at Birmingham, Birmingham, AL, USA
| | - Elizabeth Gill
- School of Medicine, 9968University of Alabama at Birmingham, Birmingham, AL, USA
| | - Latesha Elopre
- Division of Infectious Diseases, Department of Medicine, School of Medicine, 9968University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | - Tina Simpson
- Division of Adolescent Medicine, Department of Pediatrics, School of Medicine, 9968University of Alabama at Birmingham, Birmingham, AL, USA
| | - Robin Lanzi
- Department of Health Behavior, School of Public Health, 9968University of Alabama at Birmingham, Birmingham, AL, USA
| | - Lynn T Matthews
- Division of Infectious Diseases, Department of Medicine, School of Medicine, 9968University of Alabama at Birmingham (UAB), Birmingham, AL, USA
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Xiang Y, Peng J, Yang J, Tang Y, Li D. What Influences Coital Frequency Among Chinese Men?: A Cross-Sectional Study. Sex Med 2021; 9:100363. [PMID: 34090240 PMCID: PMC8240365 DOI: 10.1016/j.esxm.2021.100363] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 03/17/2021] [Accepted: 03/20/2021] [Indexed: 01/23/2023] Open
Abstract
INTRODUCTION There are many Western reports on factors influencing coital frequency among men. However, no articles could be found about the factors influencing sexual activity among Chinese men. AIM The aim of this study was to identify the factors that influence the coital frequency of Chinese men. MAIN OUTCOME MEASURES The main outcome measures included self-reported monthly coital frequency, age, occupation, education level, andrology-related scales and dietary habits. METHODS Data for 1,407 men aged 18-79 years were collected in the Health Management Center of the Third Xiangya Hospital of Central South University from January 2019 to May 2019. The respondents completed the questionnaires independently or with the help of an interviewer (who read or explained the questionnaires to them) to analyse the factors that influence coital frequency. RESULTS In the previous 6 months, the sample had a mean monthly coital frequency (±SD) of 4.34 ± 3.18. Univariate logistic regression results indicated that the number of children (P = 0.004), IIEF-5 scores (P <0.001), EHSs (P <0.001) and frequency of milk consumption (P = 0.001) were associated with more frequent sexual activity. These statistical associations did not change after further adjustment for age, occupation, and reproductive history. We observed that the frequency of sexual activity showed an increasing trend with a greater number of children, higher IIEF-5 scores, higher EHSs and greater frequency of milk consumption (test for trend, P<0.05). Both univariate and multivariate analysis results indicated that the frequency of sexual activity decreased with increasing age (test for trend, P<0.001). CONCLUSION The coital frequency of Chinese men is associated with erectile function, anthropometric parameters, age, occupation, and dietary habits. Xiang Y, Peng J, Yang J, et al. What Influences Coital Frequency Among Chinese Men?: A Cross-Sectional Study. Sex Med 2021;9:100363.
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Affiliation(s)
- Yali Xiang
- Health Management Center, The Third Xiangya Hospital of Central South University, Changsha, China; Health Management Center, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China
| | - Jingxuan Peng
- Department of Urology, The Third Xiangya Hospital of Central South University, Changsha, China; Andrology Center, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Jianfu Yang
- Department of Urology, The Third Xiangya Hospital of Central South University, Changsha, China; Andrology Center, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Yuxin Tang
- Department of Urology, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, P.R. China; Guangdong Provincial Key Laboratory of Biomedical Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong Province, China.
| | - Dongjie Li
- Department of Geriatric Urology, Xiangya International Medical Center, Xiangya Hospital, Central South University, Changsha, P.R. China; National Clinical Research Center for Geriatric Disorders, Changsha, P.R.China; Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China; Institute of Clinical Pharmacology, Central South University; Hunan Key Laboratory of Pharmacogenetics, Changsha, Hunan, P.R. China.
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