The road not taken: sexuality education and its associations with sexual knowledge and attitudes among senior high school students in rural areas of Western China

Guo, Wei; Chen, Lijuan; Su, Zhirui; Wei, Jian

doi:10.1007/s42379-020-00059-1

Cited by 9 publications

(10 citation statements)

References 41 publications

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“…Uneven distributions of social resources, de cient sexual health education, and migration pattern may be responsible for the higher prevalence of STIs and unintended pregnancy in ALBEs. The demographic background of participants in this survey is similar to the annual census report that compared to AOLBEs, a higher percentage of ALBEs is from rural areas where the sexual education and health screen programs are limited, which indirectly increases the risk of STI in rural adolescents 15 22 . Moreover, a higher frequency of exposure to substance abuse and drug injection also exaggerates the prevalence of HIV in rural China 23 24 .…”

Section: Discussionmentioning

confidence: 57%

Left-Behind Experience, Sexual Practices and Reproductive Health: Results of a Large-Scale National Survey of University Students

Cao

Hee

et al. 2022

Preprint

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Left-behind experience is a demographic issue caused by unbalanced distributions of social determinants that affect individuals’ wellbeing. While the number of adolescents with left-behind experiences has increased over the past decades, the understanding of the impacts of left-behind experiences on the sexual and reproductive health of Chinese adolescents is limited. To determine the associations between left-behind experience and sexual health, this study analyzed 54,485 responses in the 2022 China Family Planning Association National College Student Survey sponsored by the China Family Planning Association with descriptive analysis and multivariable regression modeling. Participants with left-behind experiences demonstrated a higher prevalence of sexually transmitted infections (OR: 2.11, 95% CI:1.78—2.49) and unintended pregnancies (OR: 1.51. 95%CI: 1.26—1.82) but a lower prevalence of reproductive health problems (OR: 0.95, 95% 0.91—0.99), induced abortion (OR: 0.5, 95% CI: 0.28—0.95), and contraception at their first sexual behavior (OR: 0.81, 95%CI: 0.72–0.9). The studying results indicate sexual health disparities between adolescents with left-behind experiences and their counterparts, suggesting that current sex education programs in China should be further implemented to promote adolescent sexual health and dimmish the gap of health inequities.

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Section: Discussionmentioning

confidence: 57%

Left-Behind Experience, Sexual Practices and Reproductive Health: Results of a Large-Scale National Survey of University Students

Cao

Hee

et al. 2022

Preprint

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“…For example, findings from a study conducted among senior high school and college students in 11 provinces in China show that about 75.29% of high school students reported that they had never discussed sex-related topics with their parents [ 20 ]. The practice of sexuality education is minimized within schools, and western China lags far behind eastern China in the promotion of comprehensive sexuality education [ 8 , 21 ]. This is on account of western China’s more conservative culture, its lower level of economic development, and its relative lack of faculty resources [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…The practice of sexuality education is minimized within schools, and western China lags far behind eastern China in the promotion of comprehensive sexuality education [ 8 , 21 ]. This is on account of western China’s more conservative culture, its lower level of economic development, and its relative lack of faculty resources [ 21 ]. Most schools integrated sexuality education into subjects such as psychology, biology, and moral education using lectures, videos, in-class discussion, and class meetings as teaching methods [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Sexual-Related Knowledge, School and Family Sexuality Education and Its Association with Experience of Sexual Intercourse among Vocational Secondary School Students in China

Fang

Yang

Yan³

et al. 2022

Children

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Objectives: To investigate the associations between sexual-related knowledge, access to school and family sexuality education, and the experience of sexual intercourse, in order to make recommendations on sexuality education for vocational secondary school students in China. Methods: A cross-sectional study was conducted among 3180 vocational secondary school students in the Shanghai municipality and the Shaanxi province, China. Data were collected through an online, electronic questionnaire, which included socio-demographics, sexual-related knowledge, sources of information, and sexual-related behaviors. Results: The score on sexual-related knowledge among girls (53.8) is higher than that of boys (48.8), and that of participants from Shanghai (55.2) is higher than their counterparts from Shaanxi (47.6). The proportions of girls (70% and 41.7%, respectively) and participants from Shanghai (65% and 35.7%, respectively) who reported acquiring sexual information from their schools/teachers and parents are higher than that of boys (54.3% and 21.0%, respectively) and their counterparts from Shaanxi (59.7% and 27.4%, respectively). About 6% of participants had experienced sexual intercourse and 10% had watched porn actively. Experience of sexual intercourse was associated with higher sexual-related knowledge scores (OR = 1.01, 95% CI: 1.00–1.02) and active porn watching (OR = 2.63, 95% CI: 1.79–3.84) but was not associated with school and family sexuality education. Conclusions: Vocational secondary school students had poor sexual knowledge and inadequate school and family sexuality education. School and family-based comprehensive sexuality education should be promoted among vocational secondary school students.

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“…Delivering proper sexuality education for adolescents is important as it is the stage associated with exploration and risk-taking (Guo et al, 2020). However, the sexuality education and teaching methods can be affected by the context.…”

Section: Introductionmentioning

confidence: 99%

The Factors to Determine the Content about Gender and Sexuality Education among Adolescents in China

2022

JERP

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The risks of adolescents being exposed to sexually transmitted diseases (STDs) and participating in unsafe sexual practices are increasing. There is the necessity and significance of providing adolescents with appropriate sexuality education considering they are at the stage of life exploration and risk-taking. However, in delivering sexuality education, the contents and instruction methods are usually discussed with contextual differences. In the Chinese context, the socially prejudiced perceptions on homosexuality can be attributed to the traditional Chinese Confucian philosophy, which has been dominating Chinese education for thousands of years. In China, students rarely receive adequate information about HIV, STDs, the use of contraceptives, pregnancies, and other sexually related topics in their formal education. Underlying the Confucian cultural background, this essay will analyze the variables that determine the subject matter of sexuality education for adolescents and then discuss how this cultural form affects social views and policy on sexuality education.

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The road not taken: sexuality education and its associations with sexual knowledge and attitudes among senior high school students in rural areas of Western China

Cited by 9 publications

References 41 publications

Left-Behind Experience, Sexual Practices and Reproductive Health: Results of a Large-Scale National Survey of University Students

Left-Behind Experience, Sexual Practices and Reproductive Health: Results of a Large-Scale National Survey of University Students

Sexual-Related Knowledge, School and Family Sexuality Education and Its Association with Experience of Sexual Intercourse among Vocational Secondary School Students in China

The Factors to Determine the Content about Gender and Sexuality Education among Adolescents in China

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