Assessing the effectiveness of school-based sex education in sexual health behaviours: A systematic review

Le résumé fourni par la source

Objective: To systematically review and synthesise evidence on the effectiveness of school-based sex education interventions on sexual health behaviour outcomes and to identify Behaviour Change Techniques (BCT) associated with school-based sex education interventions on sexual health behaviours.Methods: Electronic searches were conducted to systematically identify literature for school-based sex education interventions targeting sexual health behaviours. Results were presented as a narrative synthesis. Results: Twenty-seven studies met the inclusion criteria. Studies examined sexual health behaviours such as condom usage, frequency of sexual activity, initiation of sexual activity and number of sexual partners. Nine (out of 93) Behaviour Change Techniques (BCTs) were identified with the most used BCTs being information about health consequences and social and emotional consequences, demonstration of behaviour, behavioural practice/rehearsal and instructions on how to perform the behaviour.Conclusion: This review has systematically identified and synthesised all available evidence for school-based sex education interventions and sexual health behaviours. School-based sex education interventions can be effective in promoting positive sexual health behaviours. This review provides a conceptual foundation of school-based sex education interventions for shaping sexual health behaviours and offers evidence-based knowledge for researchers, educators and policy makers in understanding what is known across the diverse sexual health literature.

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