Changes In Sexual Behavior Following A Sex Education Program In Brazilian Public Schoolsm [mudanças No Comportamento Sexual De Adolescentes De Escolas Públicas No Brasil Após Um Programa De Educação Sexual]

This paper describes an evaluation of possible changes in sexual behavior in adolescents who participated in a school-based sex education program in selected public schools in four municipalities in the state of Minas Gerais, Brazil. The program is inserted within the context of reproductive rights, deals with risks involved in unsafe sexual practices and focuses on the positive aspects of sexuality. A quasi-experimental design with pre and post-tests and a non-equivalent control group was used to evaluate the intervention. A total of 4,795 questionnaires were included in this analysis. The program succeeded in more than doubling consistent condom use with casual partners and in increasing the use of modern contraceptives during last intercourse by 68%. The intervention had no effect on age at first intercourse or on adolescents' engagement in sexual activities. The sex education program was effective in generating positive changes in the sexual behavior of adolescents, while not stimulating participation in sexual activities.25511681176(2006) Promoting and Safeguarding the Sexual and Reproductive Health of Adolescents, , World Health Organization, Geneva: World Health Organization, (Policy Brief, 4. Implementing the Global Reproductive Health Strategy)Ross, J., Godeau, E., Dias, S., Sexual health (2004) Young People's Health In Context: Health Behaviour In School-aged Children (hbsc) Study. International Report From the 2001/2002 Survey, pp. 153-60. , In: Currie C, Roberts C, Morgan A, Smith R, Settertobulte W, Samdal O, et al., editors, Copenhagen: WHO Regional Office for Europe, (Health Policy for Children and Adolescents, 4)Kirby, D.B., Laris, B.A., Rolleri, L.A., Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world (2007) J Adolesc Health, 40, pp. 206-17Figueiró, N.M.D., A produção teórica no Brasil sobre educação sexual (1996) Cad Pesqui, (98), pp. 50-63Figueiró, N.M.D., Revendo a história da educação sexual no Brasil: Ponto de partida para construção de um novo rumo (1998) Nuances, 4, pp. 123-33(1998) Temas Transversais: Orientação Sexual, , Secretaria de Educação Fundamental, Ministério da Educação. Parâmetros curriculares nacionais, Brasília: Secretaria de Educação Fundamental, Ministério da EducaçãoPaiva, V., Pupo, L.R., Barboza, R., O direito à prevenção e os desafios da redução da vulnerabilidade ao HIV no Brasil (2006) Rev Saúde Pública, 40 (SUPPL.), pp. 109-19Hughes, J., McCauley, A.P., Improving the fit: Adolescents' needs and future programs for sexual and reproductive health in developing countries (1998) Stud Fam Plann, 29, pp. 233-45Díaz, M., Mello, M.B., Sousa, M.H., Cabral, F., Silva, R.C., Campos, M., Et al., Outcomes of three different models for sex education and citizenship programs concerning knowledge, attitudes, and behavior of Brazilian adolescents (2005) Cad Saúde Pública, 21, pp. 589-97(1999) Projeto Educação Afetivo-sexual: Sucessos E Desafios Na Educação Sexual De Adolescentes Da Rede Pública Estadual De Ensino De Belo Horizonte - Relatório Da Avaliação Externa, , Centro de Pesquisas em Saúde Reprodutiva de Campinas/Fundação Odebrecht, Campinas: Centro de Pesquisas em Saúde Reprodutiva de Campinas/Salvador: Fundação OdebrechtCosta, A.C.G., (2000) Protagonismo Juvenil: Adolescência, Educação E Participação Democrática, , Salvador: Fundação OdebrechtAndrade, H.H.S.M., Marques, C.M., Gouveia, M.C., Gregório, Y.M., Atendimento ambulatorial de adolescentes: A experiência do PAIA/ABEB (1996) J Pediatr (rio J), 72, pp. 319-23Cronbach, L.J., Coefficient alpha and the internal structure of tests (1951) Psychometrika, 16, pp. 297-334Mello, M.B., Fruet, M.S.B., Diaz, M., Silva, R.C., Paiva, V., Avaliação preliminar de impactos de um programa de orientação sexual de longa duração (1999) Anais Do Vii Congresso Brasileiro De Sexualidade Humana, p. 74. , Rio de Janeiro: Sociedade Brasileira de Estudos em Sexualidade HumanaFleiss, J.L., (1981) Statistical Methods For Rates and Proportions, , 2nd Ed. New York: John Wiley and SonsBertrand, J.T., Magnani, R.J., Rutenberg, N., (1996) Evaluating Family Planning Programs: With Adaptations For Reproductive Health, , Chapel Hill: Carolina Population Center, University of North Carolina at Chapel HillHosmer, D.W., Lemeshow, S., (1989) Applied Logistic Regression, , New York: John Wiley and SonsGrunseit, A., Kippax, S., (1997) Impact of Hiv and Sexual Health Education On the Sexual Behaviour of Young People: A Review Update, , Geneva: United Nations Joint Programme on HIV/AIDSKirby, D., (1995) A Review of Educational Programs to Designed to Reduce Sexual Risk-taking Behaviors Among School-aged Youth In the United States, , Santa Cruz: ETR AssociatesKirby, D., (2001) Emerging Answers: Research Findings On Programs to Reduce Teen Pregnancy, , Washington DC: National Campaign to Prevent Teen PregnancyAntunes, M.C., Peres, C.A., Paiva, V., Stall, R., Hearst, N., Diferenças na prevenção da AIDS entre homens e mulheres jovens de escolas públicas em São Paulo, SP (2002) Rev Saúde Pública, 36 (4 SUPPL.), pp. 88-95Magnani, R.J., Gaffikin, L., Aquino, E.M.L., Seiber, E.E., Almeida, M.C.C., Lipovsek, V., Impact of an integrated adolescent reproductive health program in Brazil (2001) Stud Fam Plann, 32, pp. 230-43Taquette, S.R., Vilhena, M.M., Paula, M.C., Doenças sexualmente transmissíveis e gênero: Um estudo transversal com adolescentes no Rio de Janeiro (2004) Cad Saúde Pública, 20, pp. 282-90Oliveira, F.A., Pfleger, V., Lang, K., Heukelbach, J., Miralles, I., Fraga, F., Sexually transmitted infections, bacterial vaginosis, and candidiasis in women of reproductive age in rural Northeast Brazil: A population-based study (2007) Mem Inst Oswaldo Cruz, 102, pp. 751-6(1999) Adolescentes, Jovens E a Pesquisa Nacional Sobre Demografia E Saúde: Um Estudo Sobre Fecundidade, Comportamento Sexual E Saúde Reprodutiva, , Bem-Estar Familiar no Brasil, Rio de Janeiro: Bem-Estar Familiar no BrasilAlmeida, M.C., Aquino, E.M., Barros, A.P., School trajectory and teenage pregnancy in three Brazilian state capitals (2006) Cad Saúde Pública, 22, pp. 1397-409Chalem, E., Mitsuhiro, S.S., Ferri, C.P., Barros, M.C.M., Guinsburg, R., Laranjeira, R., Gravidez na adolescência: Perfil sócio-demográfico e comportamental de uma população da periferia de São Paulo (2007) Brasil. Cad Saúde Pública, 23, pp. 177-86Baraldi, A.C.P., Daud, Z.P., Almeida, A.M., Gomes, F.A., Nakano, A.M.S., Adolescent pregnancy: A comparative study between mothers who use public and private health systems (2007) Rev Latinoam Enferm, 15, pp. 799-805. , (Spe

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