Zusammenfassung
Hintergrund
Seit 1980 führt die Bundeszentrale für gesundheitliche Aufklärung (BZgA) in regelmäßigen Abständen die Repräsentativbefragungen „Jugendsexualität“ durch. Dieses kontinuierliche Monitoring generiert Erkenntnisse zur sexuellen und reproduktiven Gesundheit von jungen Menschen in Deutschland, die eine wichtige Basis einer bedarfs- und zielgruppengerechten Entwicklung von Maßnahmen der Sexualaufklärung und Familienplanung darstellen.
Ziel
Das aktuelle Sexual- und Verhütungsverhalten von Jugendlichen und jungen Erwachsenen soll anhand erster deskriptiver Ergebnisse der 9. Trendwelle zusammenfassend dargestellt werden.
Material und Methoden
An der Befragung nahmen insgesamt N = 6032 Jugendliche und junge Erwachsene teil. Die Datenerhebung erfolgte in 2019 als kombiniert mündlich-schriftliche Interviews (Computer-assisted Personal Interviewing, CAPI).
Ergebnisse
Ein zentraler Befund der vorliegenden Trendwelle ist, dass der Anteil an Jugendlichen, die beim ersten Geschlechtsverkehr jünger als 17 Jahre sind, seit einigen Jahren rückläufig ist. Zur Kontrazeption setzten Jugendliche am häufigsten das Kondom ein, die Nutzung der Pille ist im Trend deutlich rückläufig.
Diskussion
Die Daten der aktuellen Trendwelle weisen ein sicheres und verantwortungsbewusstes Verhütungsverhalten von jungen Menschen in Deutschland nach. Trotzdem gilt es, das Engagement im Bereich der sexuellen Gesundheitsförderung aufrechtzuerhalten und zielgruppenspezifische Präventionsmaßnahmen weiter auszubauen. Denn nur so kann die sexuelle und reproduktive Gesundheit der nachfolgenden Generation gewährleistet werden.
Um die aktuelle Arbeitssituation der aufsuchend tätigen Gesundheitsfachkräfte in den Frühen Hilfen und die Lage der Familien während der Kontaktbeschränkungen durch die Corona-Pandemie einschätzen zu können, befragte das Nationale Zentrum Frühe Hilfen (NZFH) Familienhebammen sowie Familien- und Gesundheitskinderkrankenpflegende. Die Ergebnisse der Befragung sind in dieser Arbeit zusammengefasst.
Families in stressful living circumstances seem to benefit from family midwife and nurse services. However, further research proposals (i. e. CTs) are requested, whereby the appropriate outcome variables to measure the effect should be selected.
ZuFa Monitoring collects data regarding the care for families with psychosocial burdens at the interface of the health and the child and youth welfare sector. The research program generates information on inhibitory as well as promoting factors, thereby informing the further development and expansion of prevention networks at the municipal level, and heightening the quality of care for families in the health sector.
The Federal Centre for Health Education (BZgA) has been conducting the ‘Youth Sexuality’ representative survey on a regular basis since 1980. This continuous monitoring generates insights into the sexual and reproductive health of young people in Germany and constitutes an important basis for evidence-based health communication.
A total of N=6,032 young people between the ages of 14 and 25 participated in a combination of oral and written interviews (Computer Assisted Personal Interviews (CAPI)).
As primary sources of knowledge for, adolescents state that they obtain information through school lessons (69%), personal discussions (68%), and the Internet (59%). In addition to these sources, professional gynaecological counselling and sexuality education at home are also important sources of information. To what extent trusted contact persons are available in the family depends heavily on the adolescents’ sociocultural backgrounds.
Providing information and disseminating knowledge to young people in the field of sexual and reproductive health is organised intersectorally in Germany. In this way, it is possible to also reach those who do not have any contact persons at their disposal in their direct family. Maintaining and strengthening the current commitment in promoting sexual health is of key importance, as only this will ensure the next generation’s sexual and reproductive health, and provide an evidence-based counterbalance to anecdotal information, especially in the digital domain.
The study complements results of national and international studies showing that families with high levels of psychosocial burdens accept home visiting support. Furthermore, this support seems to be useful. An increase of the offer and the additional qualification is recommended for improving the developmental and living conditions of families with psychosocial burdens.
This paper presents first results of the Cologne (Germany) evaluation study about a prevention training for University students. University students of special needs education (N=391) received a special prevention training on sexual abuse of children and adolescents with disabilities. The training was evaluated in an experimental-controlgroup-design with three points of measurement. The effectiveness of the training was investigated by exploring learning and attributional outcomes. These constructs were operationalized by using the "Questionnaire for the assessment of verbal knowledge" (FDW) and the "Child Sexual Abuse Myth Scale" (CSAM). Results show that increased knowledge and decreased Myth Acceptance over the series of measurements is related to completing the training. Our findings provide empirical evidence for the effectiveness of the prevention training. Furthermore we were able to present a training that may be implemented in education for students in university setting. Our results are in accordance with empirical evidence that staff who had been trained on the prevention of sexual abuse shows a greater awareness and sensitivity towards sexual abuse as well as a greater commitment to put prevention and intervention plans into action. Thus the education of students and staff is an important contributor in preventing sexual abuse of children and adolescence with disabilities. 1 The authors are aware of the fact some of the references are rather old. However, they were cited due to a lack of newer studies which meet the criteria for being evidence-based.
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