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Sex Education as Health Promotion

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (28 February 2023) | Viewed by 20666

Special Issue Editors


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Guest Editor
Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, Universidad de Castilla La Mancha, 45600 Talavera de la Reina, Spain
Interests: sexuality; mental health care; occupational therapy; rural issues

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Guest Editor
Medical-Surgical Therapeutics Department, University of Extremadura, 10003 Cáceres, Spain
Interests: neurodevelopmental disorders; autism spectrum disorder; inclusion; physical activity; occupational therapy; sensory integration; sexuality; activities of daily living; play
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Developmental and Educational Psychology, University of Salamanca, 37005 Salamanca, Spain
Interests: interpersonal and sexual relationships; socially vulnerable groups; prison inmates; parental incarceration; health; quality of life
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Faculty of Sport Science, University of Extremadura, 10003 Cáceres, Spain
Interests: health-related quality of life; health promotion; health education; physical and sports activities as a strategy to promote a healthy society; physical activity interventions; exercise training physical exercise; physical health; assessment of physical capacity; health; quality of life in groups of subjects and active lifestyle (elderly; children, type 2 diabetes, Parkinson’s, etc.); balance and muscle strength; rehabilitation; osteoporosis; fall prevention; validity and reliability of physical fitness testing; active tourism; outdoor behavioral healthcare; wilderness therapy; forest bathing; shinrin-yoku
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Comprehensive sex education (CSE) is essential in order to enhance people's ability to know, accept, and express their sexuality in a way that is satisfactory in the contexts in which they live. CSE plays a central role in developing a safe, productive, and fulfilling life and can help to achieve a high quality of life.

Traditionally, greater attention has been given to sex education for adolescents and young people, such as teaching them to avoid unhealthy behaviors (prevention of HIV, prevention of unwanted pregnancies). However, the social changes that have taken place in the last few decades have created the need for differentiated approaches to address aspects of sexuality throughout life from an intersectional (age, social context, disability, gender) and multidisciplinary perspective to improve the quality of comprehensive sexuality education interventions. 

We invite authors to submit papers on these topics for publication in this Special Issue, especially those that combine a high academic level with a practical approach to provide intervention strategies for sex education to improve people's quality of life. The following formats are accepted: study protocols, longitudinal studies, cross-sectional studies, case reports, qualitative studies, systematic reviews, and meta-analyses. 

Dr. Pablo A. Cantero Garlito
Dr. Sabina Barrios Fernández
Dr. Rodrigo J. Carcedo González
Dr. José Carmelo Adsuar Sala
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • sexuality
  • sex education
  • health promotion
  • quality of life

Published Papers (6 papers)

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Research

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9 pages, 351 KiB  
Article
Sex Education and Comprehensive Health Education in the Future of Educational Professionals
by Francisco Javier Jiménez-Ríos, Gracia González-Gijón, Nazaret Martínez-Heredia and Ana Amaro Agudo
Int. J. Environ. Res. Public Health 2023, 20(4), 3296; https://doi.org/10.3390/ijerph20043296 - 13 Feb 2023
Cited by 1 | Viewed by 1850
Abstract
This work shows an approach to comprehensive sexual education as an anthropological key to promoting health in the self-realisation of future education professionals. Comprehensive sexual education and health form a system. To carry out this study, we have analysed the opinion that students [...] Read more.
This work shows an approach to comprehensive sexual education as an anthropological key to promoting health in the self-realisation of future education professionals. Comprehensive sexual education and health form a system. To carry out this study, we have analysed the opinion that students of the Faculty of Education Sciences of the University of Granada (Spain) have about the comprehensive sexual education received and the importance of this training in their professional practice. For this purpose, we used a quantitative and exploratory research design, using a questionnaire as an instrument for collecting information with a sample of 293 students. The results show that students have received poor sex education, along with the belief that education professionals do not receive proper and organised training in sex education. We can conclude that the majority of respondents consider sex education to be a recognised right, highlighting the importance of education professionals receiving proper training in sex education at university, where content related to respect, education for equality, and sexual health is prioritised. Sexuality constitutes the fundamental anthropological structure: comprehensive sexual education is a source of personal (corporal, psychic, spiritual) and social health, hence the importance of educating in comprehensive sexuality. Full article
(This article belongs to the Special Issue Sex Education as Health Promotion)
13 pages, 315 KiB  
Article
A Study on the Analysis of and Educational Solution for Digital Sex Crimes in Korea
by Woo-Chun Jun
Int. J. Environ. Res. Public Health 2023, 20(3), 2450; https://doi.org/10.3390/ijerph20032450 - 30 Jan 2023
Viewed by 2220
Abstract
With the development and spread of information and communication technology, our society is experiencing side effects of digital culture while also benefiting from various digital cultures. Representative side effects have spread significantly, including Internet addiction, copyright infringement, personal information infringement, and digital sex [...] Read more.
With the development and spread of information and communication technology, our society is experiencing side effects of digital culture while also benefiting from various digital cultures. Representative side effects have spread significantly, including Internet addiction, copyright infringement, personal information infringement, and digital sex crimes. Digital sex crimes are very serious crimes, and we must find their causes and strongly prevent and deal with them at the social level. In this study, the causes and routes of occurrence of digital sex crimes in Korea are analyzed using statistics on digital sex crimes at the national level over the past four years. The statistical analysis results are as follows. First, the main victims of digital sex crimes are women in their teens and twenties, though the number of male victims is steadily increasing. Second, illegal filming is the most common type of digital sex crime, but it is not statistically significant. In other words, various digital sex crimes are occurring evenly. Third, the relationship between the victim and the perpetrator demonstrates the most temporary relationship, and there is no significant correlation between direct and indirect recognition with respect to the route of crime recognition. Finally, deletion by a digital platform is the highest for adult sites compared to other platforms. Based on these analysis results, this study proposes educational countermeasures to digital sex crimes, such as the need for early education to prevent digital sex crimes and the diversification of crime-reporting methods via the establishment of an educational portal site. Full article
(This article belongs to the Special Issue Sex Education as Health Promotion)
14 pages, 365 KiB  
Article
Analyzing University Students’ Perceptions Regarding Mainstream Pornography and Its Link to SDG5
by Itsaso Biota, Maria Dosil-Santamaria, Nahia Idoiaga Mondragon and Naiara Ozamiz-Etxebarria
Int. J. Environ. Res. Public Health 2022, 19(13), 8055; https://doi.org/10.3390/ijerph19138055 - 30 Jun 2022
Cited by 3 | Viewed by 3894
Abstract
Background: Violence against women and girls continues to be a widespread problem, and its elimination is one of the targets of the Sustainable Development Goal 5 toward achieving gender equality. One of the main causes of this violence is the structural sexism present [...] Read more.
Background: Violence against women and girls continues to be a widespread problem, and its elimination is one of the targets of the Sustainable Development Goal 5 toward achieving gender equality. One of the main causes of this violence is the structural sexism present in societies that continues to be perpetuated through pornography, especially among young people. Therefore, the main objective of this research is to analyze the consumption of pornography among young people, studying its effects and relationship with affective-sexual education. Methods: This study was carried out with a sample of 280 students in the north of Spain. The ages of the entire sample ranged from 18 to 37 years (M = 20.3, SD = 2.6). From the sample, 78.9% (n = 221) define their gender identity as women and 21.1% (n = 59) define their gender identity as men; no person within this research self-identify as non-binary. The instrument used was the Survey on Affective-sexual Education and Pornography (Ballester et al., 2019). The sample was recruited by snowball sampling. Results: The results of the present study show that the average age at which people start watching pornography is 10.4 years. The majority of young people consume it to satisfy their curiosity. In addition, with regard to gender, boys consume more pornography, especially for masturbation. Finally, 20.5% of the participants believe that the sexual education they have received has not been adequate, and most of them solve their sexual doubts by asking friends. Conclusions: The results indicate that it is necessary to improve the affective-sexual education provided in schools, since students consume pornography at a very early age, and young people have normalized its consumption to address their curiosity and satisfy their sexual needs. Finally, the impact of pornography consumption on SDG5 was reflected on. Full article
(This article belongs to the Special Issue Sex Education as Health Promotion)
17 pages, 1395 KiB  
Article
Changes in the Sexual Behavior of Partners in Each Trimester of Pregnancy in Otwock in Polish Couples
by Robert Kulhawik, Katarzyna Zborowska, Beniamin Oskar Grabarek, Dariusz Boroń, Violetta Skrzypulec-Plinta and Agnieszka Drosdzol-Cop
Int. J. Environ. Res. Public Health 2022, 19(5), 2921; https://doi.org/10.3390/ijerph19052921 - 02 Mar 2022
Cited by 5 | Viewed by 3257
Abstract
The aim of this study was to improve knowledge regarding pregnant couples by assessing changes in their sexual behavior, the reasons for the frequency and forms of intercourse, and the self-sexuality of partners in each trimester of pregnancy. As a result, 100 couples [...] Read more.
The aim of this study was to improve knowledge regarding pregnant couples by assessing changes in their sexual behavior, the reasons for the frequency and forms of intercourse, and the self-sexuality of partners in each trimester of pregnancy. As a result, 100 couples were qualified to take part in the final study, with 100 men and 100 women examined at intervals equivalent to the trimesters of pregnancy. These women (n = 100) and men (n = 100) were partners. Each of the studied couples was assessed in the trimesters of pregnancy. A prospective examination was conducted based on the observation of the same people, which were heterosexual couples, throughout pregnancy. The data used in the study was obtained using Davies’ Sexual Satisfaction Scale (DSSS), as well as an original survey on the sexuality of people during pregnancy (SARSS). The survey allowed us to obtain sociodemographic (metrics) information along with information regarding the sexual activity, satisfaction, and sexual attraction of the partners. All questionnaire questions were answered in paper form. There was a statistically significant drop in sexual intercourse from the first trimester in the second and third trimesters. The frequency of masturbation increased in men and decreased in women. The most common cause of sexual abstinence during the pregnancy was cited as fear for the fetus by all genders. A statistical analysis indicated that the average overall scores of the DSSS for the examined women in the first trimester of pregnancy were statistically significantly higher than in the two subsequent trimesters (p < 0.05). Sexual satisfaction, measured through both DSSS and SARSS, was also strongly correlated with the level of satisfaction in the assessment of the partner relationship and with the sense of one’s own attractiveness (p < 0.05). Changes in sexual behavior and sexual problems are often exposed or worsened during a first pregnancy and can have negative impacts on a person and the future of relationships. Medical staff should be trained in the assessment of sexual difficulties in people during pregnancy, in order to conduct reliable education and increase the awareness of couples regarding sexual and reproductive health. Full article
(This article belongs to the Special Issue Sex Education as Health Promotion)
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20 pages, 369 KiB  
Article
Access to Mental Health and Substance Use Resources for 2SLGBTQ+ Youth during the COVID-19 Pandemic
by Michael Chaiton, Iman Musani, Mari Pullman, Carmen H. Logie, Alex Abramovich, Daniel Grace, Robert Schwartz and Bruce Baskerville
Int. J. Environ. Res. Public Health 2021, 18(21), 11315; https://doi.org/10.3390/ijerph182111315 - 28 Oct 2021
Cited by 11 | Viewed by 4198
Abstract
Previous research has established that gender and sexual minority (2SLGBTQ+) youth experience worse mental health and substance use outcomes than their heterosexual and cisgender counterparts. Research suggests that mental health and substance use concerns have been exacerbated by the COVID-19 pandemic. The current [...] Read more.
Previous research has established that gender and sexual minority (2SLGBTQ+) youth experience worse mental health and substance use outcomes than their heterosexual and cisgender counterparts. Research suggests that mental health and substance use concerns have been exacerbated by the COVID-19 pandemic. The current study used self-reported online survey responses from 1404 Canadian 2SLGBTQ+ youth which included, but were not limited to, questions regarding previous mental health experiences, diagnoses, and substance use. Additional questions assessed whether participants had expressed a need for mental health and/or substance use resources since the beginning of the COVID-19 pandemic (March 2020) and whether they had experienced barriers when accessing this care. Bivariate and multinomial logistic regression analyses were conducted to determine associations between variables and expressing a need for resources as well as experiencing barriers to accessing these resources. Bivariate analyses revealed multiple sociodemographic, mental health, and substance use variables significantly associated with both expressing a need for and experiencing barriers to care. Multinomial regression analysis revealed gender identity, sexual orientation, ethnicity, and level of educational attainment to be significantly correlated with both cases. This study supports growing research on the mental health-related harms that have been experienced during the COVID-19 pandemic and could be used to inform tailored intervention plans for the 2SLGBTQ+ youth population. Full article
(This article belongs to the Special Issue Sex Education as Health Promotion)

Review

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23 pages, 1090 KiB  
Review
Shared Components of Worldwide Successful Sexuality Education Interventions for Adolescents: A Systematic Review of Randomized Trials
by Betzabé Torres-Cortés, Loreto Leiva, Katia Canenguez, Marcia Olhaberry and Emmanuel Méndez
Int. J. Environ. Res. Public Health 2023, 20(5), 4170; https://doi.org/10.3390/ijerph20054170 - 25 Feb 2023
Viewed by 3027
Abstract
A crucial aspect of human development is sexuality which has implications for health, particularly in adolescence, since unfavorable sexual experiences may result in physical and mental problems. Sexuality education interventions (SEI) are one of the most used actions to promote sexual health in [...] Read more.
A crucial aspect of human development is sexuality which has implications for health, particularly in adolescence, since unfavorable sexual experiences may result in physical and mental problems. Sexuality education interventions (SEI) are one of the most used actions to promote sexual health in adolescents. Nevertheless, there is variability across their components; therefore, key elements for an effective SEI targeted at adolescents (A-SEI) are not well known. Based on this background, this study aims to identify the shared components of successful A-SEI through a systematic review of randomized controlled trials (RCT). This study followed the preferred reporting items for systematic reviews and meta-analyses statement. A search was conducted in CINAHL, PsycInfo, PubMed, and Web of Science between November and December 2021. A total of 21 studies passed the inclusion test after the review of 8318 reports. A total of 18 A-SEIs were identified in these studies. The components analyzed were the intervention’s approach, dose, type of intervention, theoretical framework, facilitators’ training, and intervention methodology. The results established that components that should be present in the design of an effective A-SEI are behavior change theoretical models, the use of participatory methodology, be targeted at mixed-sex groups, facilitators’ training, and at least ten hours of weekly intervention. Full article
(This article belongs to the Special Issue Sex Education as Health Promotion)
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