School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents (Review)

by Mason-Jones AJ, Sinclair D, Mathews C et al.
Cochrane Database of Systematic Reviews 2016, Issue 11; 8 November 2016

93 pp. 1.0 MB
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006417.pub3/epdf

School-based sexual and reproductive health programmes are widely accepted as an approach to reducing high-risk sexual behaviour among adolescents. Many studies and systematic reviews have concentrated on measuring effects on knowledge or self-reported behaviour rather than biological outcomes, such as pregnancy or prevalence of sexually transmitted infections (STIs). The authors conclude that there is a continued need to provide health services to adolescents that include contraceptive choices and condoms and that involve them in the design of services. Schools may be a good place in which to provide these services. There is little evidence that educational curriculum-based programmes alone are effective in improving sexual and reproductive health outcomes for adolescents. Incentive-based interventions that focus on keeping young people in secondary school may reduce adolescent pregnancy but further trials are needed to confirm this.

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