Descriptive study about non-formal sex education resources available in Spain
e202302014
Keywords:
Educación Sexual, Sexualidad, Salud Pública, Educación para la Salud, Promoción de la Salud, UNESCOAbstract
BACKGROUND // Sex education (SE) is a fundamental element of a fulfilling and safe life. Currently, education is understood beyond what happens inside the classroom. The aim of this research was to describe and to compare sex education resources available in official webs of Autonomous Communities of Spain (ACS) that to could be used in non-formal educational context.
METHODS // A review of the ACS official web pages related to healthcare, education, youth, family and equality was made. Finally, 216 resources were selected for descriptive analysis. The resources were classified based on United Nations Educational, Scientific and Cultural Organization’s (UNESCO) Technical Guidelines.
RESULTS // 64% of resources were targeted at young people/adolescents. 80% dealt some specific issues, the most frequent being Reproductive Health, Violence and Gender. Values and Rights related to sexuality, Skills for Health and Well-being and Sexual behaviour are issues rarely addressed. Only 6 ACS were a social network profile related to SE. ACS with the widest diversity of issues addressed were Andalusia, Asturias and the Canary Islands.
CONCLUSIONS // Homogeneity in the kind of resources and issues disparity reveals potential inequities in SE access in Spain. To enhance out-of-school environments learning can provide better successful health promotion. UNESCO’s guidelines can be used to classify educational resource content and to identify the institutions that have best integrated actual SE paradigm.
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References
UNESCO, Joint United Nations Programme on HIV/AIDS, United Nations Population Fund, United Nations Children’s Fund, United Nations Entity for Gender Equality and the Empowerment of Women, World Health Organization. International technical guidance on sexuality education: An evidence-informed approach. France: Organización de las Naciones Unidas para la Educación, la Ciencia y la Cultura (UNESCO); 2018.
Federal Centre for Health Education (BZgA), World Health Organization Regional Office for Europe (WHO EUROPE). Standards for Sexuality Education in Europe. Cologne, Germany: WHO Collaborating Centre for Sexual and Reproductive Health; 2010.
Department of Economic and Social Affairs UN. Transforming our world: the 2030 Agenda for Sustainable Development | Department of Economic and Social Affairs n.d. https://sdgs.un.org/2030agenda (consultado 30 diciembre 2021).
Planned Parenthood. ¿Qué es la educación sexual? Recursos de Educación Sexual 2021. https://www.plannedparenthood.org/es/temas-de-salud/para-educadores/que-es-la-educacion-sexual (consultado 20 diciembre 2021).
Rocío L, Martín B. Contextos de aprendizaje: formales, no formales e informales. Ikastorratza, e-Revista de Didáctica, ISSN-e 1988-5911, Nº 12, 2014, 11 Págs 2014:5-11.
Fernández García CM, Rodríguez Menéndez MC. Educación formal, no formal e informal en el Espacio Europeo: nuevas exigencias para los procesos de formación en educación. Aula Abierta 2005;85:45-56.
Cook MA, Wynn LL. “Safe sex”: evaluation of sex education and sexual risk by young adults in Sydney. Cult Health Sex 2021;23. https://doi.org/10.1080/13691058.2020.1805797
Kantor LM, Lindberg LD, Tashkandi Y, Hirsch JS, Santelli JS. Sex Education: Broadening the Definition of Relevant Outcomes. Journal of Adolescent Health 2021;68:7-8. https://doi.org/10.1016/J.JADOHEALTH.2020.09.031
Goldfarb ES, Lieberman LD. Three Decades of Research: The Case for Comprehensive Sex Education. Journal of Adolescent Health 2021;68:13-27. https://doi.org/10.1016/J.JADOHEALTH.2020.07.036
UNESCO. International technical guidance on sexuality education: an evidence-informed approach for schools, teachers and health educators 2009. https://unesdoc.unesco.org/ark:/48223/pf0000183281
Haberland N, Rogow D. Sexuality education: emerging trends in evidence and practice. J Adolesc Health 2015;56:S15-21. https://doi.org/10.1016/J.JADOHEALTH.2014.08.013
UNESCO. Education for people and planet: creating sustainable futures for all, Global education monitoring report, 2016. Paris, France: Organización de las Naciones Unidas para la Educación, la Ciencia y la Cultura (UNESCO); 2016.
The Lancet Public Health. Education: a neglected social determinant of health. Lancet Public Health 2020;5:e361. https://doi.org/10.1016/S2468-2667(20)30144-4
Sielert U. Sexualerziehung und Sexualpädagogik in Deutschland. Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 2006 50:1 2006;50:68-77. https://doi.org/10.1007/S00103-007-0107-Z
Serra ME. Comprehensive sex education. The role of pediatricians. Arch Argent Pediatr 2020;118:84-88. https://doi.org/10.5546/aap.2020.eng.84
Acharya DR, van Teijlingen ER, Simkhada P. Opportunities and challenges in school-based sex and sexual health education in Nepal. Kathmandu University Medical Journal 2009;7:445-453. https://doi.org/10.3126/KUMJ.V7I4.2773
Fowler LR, Schoen L, Smith HS, Morain SR. Sex Education on TikTok: A Content Analysis of Themes. Sexual & Reproductive Healthcare 2021;28. https://doi.org/10.1177/15248399211031536
Constantine NA, Jerman P, Berglas NF, Angulo-Olaiz F, Chou CP, Rohrbach LA. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial. BMC Public Health 2015;15. https://doi.org/10.1186/S12889-015-1625-5
Rohrbach LA, Berglas NF, Jerman P, Angulo-Olaiz F, Chou CP, Constantine NA. A Rights-Based Sexuality Education Curriculum for Adolescents: 1-Year Outcomes From a Cluster-Randomized Trial. J Adolesc Health 2015;57:399-406. https://doi.org/10.1016/J.JADOHEALTH.2015.07.004
Goesling B, Colman S, Trenholm C, Terzian M, Moore K. Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors: A Systematic Review. Journal of Adolescent Health 2014;54:499-507. https://doi.org/10.1016/J.JADOHEALTH.2013.12.004
Chin HB, Sipe TA, Elder R, Mercer SL, Chattopadhyay SK, Jacob V et al. The Effectiveness of Group-Based Comprehensive Risk-Reduction and Abstinence Education Interventions to Prevent or Reduce the Risk of Adolescent Pregnancy, Human Immunodeficiency Virus, and Sexually Transmitted Infections: Two Systematic Reviews for the Guide to Community Preventive Services. Am J Prev Med 2012;42:272-294. https://doi.org/10.1016/J.AMEPRE.2011.11.006
Lopez LM, Bernholc A, Chen M, Tolley EE. School-based interventions for improving contraceptive use in adolescents. Cochrane Database Syst Rev 2016;2016. https://doi.org/10.1002/14651858.CD012249
Proulx CN, Coulter RWS, Egan JE, Matthews DD, Mair C. Associations of Lesbian, Gay, Bisexual, Transgender, and Questioning-Inclusive Sex Education With Mental Health Outcomes and School-Based Victimization in U.S. High School Students. J Adolesc Health 2019;64:608-614. https://doi.org/10.1016/J.JADOHEALTH.2018.11.012
Herzig van Wees S, Fried S, Larsson EC. Arabic speaking migrant parents’ perceptions of sex education in Sweden: A qualitative study. Sex Reprod Healthc 2021;28:100596. https://doi.org/10.1016/J.SRHC.2021.100596
Rabbitte M. Sex Education in School, are Gender and Sexual Minority Youth Included?: A Decade in Review. Am J Sex Educ 2020;15:530-542. https://doi.org/10.1080/15546128.2020.1832009
Seiler-Ramadas R, Grabovac I, Niederkrotenthaler T, Dorner TE. Adolescents’ Perspective on Their Sexual Knowledge and the Role of School in Addressing Emotions in Sex Education: An Exploratory Analysis of Two School Types in Austria. J Sex Res 2020;57:1180-1188. https://doi.org/10.1080/00224499.2020.1802644
Fonner VA, Armstrong KS, Kennedy CE, O’Reilly KR, Sweat MD. School based sex education and HIV prevention in low- and middle-income countries: a systematic review and meta-analysis. PLoS One 2014;9. https://doi.org/10.1371/JOURNAL.PONE.0089692
Shepherd J, Kavanagh J, Picot J, Cooper K, Harden A, Barnett-Page E et al. The effectiveness and cost-effectiveness of behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19: a systematic review and economic evaluation. Health Technol Assess 2010;14:1-230. https://doi.org/10.3310/HTA14070
Lindberg LD, Maddow-Zimet I, Boonstra H. Changes in Adolescents’ Receipt of Sex Education, 2006-2013. J Adolesc Health 2016;58:621-627. https://doi.org/10.1016/J.JADOHEALTH.2016.02.004
Pound P. How should mandatory sex education be taught? BMJ 2017;357. https://doi.org/10.1136/BMJ.J1768
Schaalma HP, Abraham C, Gillmore MR, Kok G. Sex education as health promotion: what does it take? Arch Sex Behav 2004;33:259-269. https://doi.org/10.1023/B:ASEB.0000026625.65171.1D
Hall KS, McDermott Sales J, Komro KA, Santelli J. The State of Sex Education in the United States. J Adolesc Health 2016;58:595. https://doi.org/10.1016/J.JADOHEALTH.2016.03.032
Underhill K, Montgomery P, Operario D. Sexual abstinence only programmes to prevent HIV infection in high income countries: systematic review. BMJ 2007;335:248-252. https://doi.org/10.1136/BMJ.39245.446586.BE
Maziarz LN, Dake JA, Glassman T. Sex Education, Condom Access, and Contraceptive Referral in U.S. High Schools. Journal of School Nursing 2020;36:325-329. https://doi.org/10.1177/1059840519872785
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