Effects of an Animation-Based Comprehensive Sexuality Education Package
A 2-Year Repeated Intervention Study
Bibliographic Data
| ID | 21650874 |
|---|---|
| Authors | Hui Zhou (0000-0002-7466-5350, Tsinghua University, Beijing, China), Hanxiyue Zhang (Tsinghua University, Beijing, China), Angela Y Xiao (0009-0006-5477-5639, Tsinghua University, Beijing, China), Lei Yu (0000-0001-7883-197X, Jinan Vocational College of Nursing, Shandong, China), Kun Tang (0000-0001-7382-9344, Tsinghua University, Beijing, China, corresponding author) |
| Year | 2024 |
| Volume | 51 |
| Issue | 5 |
| Pages | 733-747 |
| Publication date | 2024-10-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Education & Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-1981 • E-ISSN: 1552-6127 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/10901981241236415 |
| PMID | 38634397 |
| OpenAlex | W4394918706 |
| Language | EN |
| Citations received | 1 |
| References cited | 35 |
BACKGROUND: Preadolescents, who are in a transitional phase of development, may experience higher exposure to heterosexual interactions while facing higher risks regarding misinformation in sexual knowledge and unsafe engagement in sexual activities. There is a deficiency in the availability of qualified educators and age-appropriate teaching materials for sexuality education in China. METHODS: We implemented an animation-based comprehensive sexuality education package among preadolescents aged 9 to 12 years from eight schools in Anhui, China. The first round of intervention included 1,835 participants, lasting 2 months from September to November 2020. A total of 374 participants, accounting for 52% of the intervention group, received a second round of intervention in September 2021. Participants completed immediate follow-up assessment and 1-year follow-up assessment to assess changes in their sexual knowledge, attitudes, and other outcomes. Propensity score matching and difference-in-difference analysis were performed to determine the short- and long-term impacts. RESULTS: Significant improvements were observed for both sexual knowledge and sexual attitudes in the immediate follow-up. There was no significant effect on pornography-seeking behavior or awareness of experiencing sexual abuse. After 1 year, the effect was sustained for sexual knowledge, but slightly declined for sexual attitudes. The second intervention significantly improved sexual knowledge; however, no significant change in sexual attitudes, pornography-seeking behavior, or awareness of experiencing sexual abuse was observed. CONCLUSIONS: Our comprehensive sexuality education package was effective in improving sexual knowledge both immediately and 1 year after the intervention. Repeated intervention can be an effective strategy for promoting preadolescent health development regarding comprehensive sexuality education
Environmental health · Human sexuality · Misinformation · Population · Pornography · Psychiatry · Reproductive health · Adolescent Sexual and Reproductive Health · Clinical Psychology · Gender Studies · Medicine · Psychology · Sexual function and dysfunction studies · Sexuality, Behavior, and Technology
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| Citations per year | 1 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |