Researching youth voices on Comprehensive Sexuality Education: A literature review of qualitative studies

Authors

  • Carolina Trivelli Diaz University of Verona https://orcid.org/0009-0006-4694-8296

DOI:

https://doi.org/10.6092/issn.1825-8670/18974

Keywords:

Comprehensive sexuality education, Youth voices, Critical pedagogy, Qualitative methods, Inclusive education

Abstract

The past decades have seen an increase in the design and implementation of sexuality education programs deemed comprehensive within formal schooling. Qualitative research is gaining relevance in the field; however, few studies focus on youth perspectives. This study analyzes qualitative research through a literature review on the implementation of Comprehensive Sexuality Education (CSE) programs from the perspective of young people. A review of qualitative studies and a meta-synthesis were conducted to outline a state-of-the-art of qualitative research on youth perceptions of CSE. Results point to two main areas of concern for youth: contents and pedagogy. There remains a general dissatisfaction over the depth and breadth of the CSE curriculum, leaving young people feeling unprepared for positive relationships and good sexual health. In terms of pedagogy, there is still a shortfall in the effective implementation of innovative teaching and learning strategies, pointing towards a gap regarding the pedagogical frameworks underlying CSE.

References

Aggleton, P., & Campbell, C. (2000). Working with young people: Towards an agenda for sexual health. Sexual and Relationship Therapy, 15(3), 283–296. https://doi.org/10.1080/14681990050109863

Aikman, S., Unterhalter, E., & Challender, C. (2005). The education MDGs: Achieving gender equality through curriculum and pedagogy change. Gender and Development, 13(1), 44–55. https://doi.org/10.1080/13552070512331332276

Allen, L. (2007a). Examining dominant discourses of sexuality in sexuality education research. International Studies in Sociology of Education, 17(1-2), 163–180. https://doi.org/10.1080/09620210701433910

Allen, L. (2007b). Denying the sexual subject: Schools’ regulation of student sexuality. British Educational Research Journal, 33(2), 221–234. https://doi.org/10.1080/01411920701208282

Allen, L. (2011). Young People and Sexuality Education: Rethinking Key Debates. New York: Palgrave Macmillan.

Alonso-Martínez, L., Fernández-Hawrylak, M., Heras-Sevilla, D., & Ortega-Sánchez, D. (2021). Understand sexual risk behaviours in young adults and challenges in their education. Qualitative Research in Education, 10(2), 172–203. https://doi.org/10.17583/qre.2021.6996

Araúz Ledezma, A. B., Massar, K., & Kok, G. (2020). Me and my new world: Effects of a school based social-emotional learning program for adolescents in Panama. Education Sciences, 10(9), 251. https://doi.org/10.3390/educsci10090251

Bengtsson, J., & Bolander, E. (2020). Strategies for inclusion and equality: ‘Norm-critical’ sex education in Sweden. Sex Education, 20(2), 154–169. https://doi.org/10.1080/14681811.2019.1634042

Bradford, N. J., DeWitt, J., Decker, J., Berg, D. R., Spencer, K. G., & Ross, M. W. (2019). Sex education and transgender youth: ‘Trust means material by and for queer and trans people’. Sex Education, 19(1), 84–98. https://doi.org/10.1080/14681811.2018.1478808

Bredström, A., Bolander, E., & Bengtsson, J. (2018). Norm-critical sex education in Sweden: Tensions within a progressive approach. In S. Lamb & J. Gilbert (Eds.), The Cambridge Handbook of Sexual Development (1st ed., pp. 537–558). Cambridge: Cambridge University Press. https://doi.org/10.1017/9781108116121.028

Brown, S., & McQueen, F. (2020). Engaging young working class men in the delivery of sex and relationships education. Sex Education, 20(2), 186–201. https://doi.org/10.1080/14681811.2019.1636780

Currin, J. M., Hubach, R. D., & Croff, J. M. (2020). Sex-ed without the stigma: What gay and bisexual men would like offered in school based sex education. Journal of Homosexuality, 67(13), 1779–1797. https://doi.org/10.1080/00918369.2019.1616429

Decker, M. J., Dandekar, S., Gutmann‐Gonzalez, A., & Brindis, C. D. (2021). Bridging the gap between sexual health education and clinical services: Adolescent perspectives and recommendations. Journal of School Health, 91(11), 928–935. https://doi.org/10.1111/josh.13084

Ezer, P., Kerr, L., Fisher, C. M., Waling, A., Bellamy, R., & Lucke, J. (2020). School-based relationship and sexuality education: What has changed since the release of the Australian Curriculum?. Sex Education, 20(6), 642–657. https://doi.org/10.1080/14681811.2020.1720634

Formby, E., & Donovan, C. (2020). Sex and relationships education for LGBT+ young people: Lessons from UK youth work. Sexualities, 23(7), 1155–1178. https://doi.org/10.1177/1363460719888432

Freire, P. (2021). Education for Critical Consciousness. London: Bloomsbury Academic. (Original work published 1973).

Gacoin, A. (2016). Risky forms of knowledge: Configuring pedagogical practices and their excesses in a sexuality education programme in South Africa. Sex Education, 16(5), 534–548. https://doi.org/10.1080/14681811.2015.1124258

Grant, R., & Nash, M. (2019). Educating queer sexual citizens? A feminist exploration of bisexual and queer young women’s sex education in Tasmania, Australia. Sex Education, 19(3), 313–328. https://doi.org/10.1080/14681811.2018.1548348

Haley, S. G., Tordoff, D. M., Kantor, A. Z., Crouch, J. M., & Ahrens, K. R. (2019). Sex education for transgender and non-binary youth: Previous experiences and recommended content. The Journal of Sexual Medicine, 16(11), 1834–1848. https://doi.org/10.1016/j.jsxm.2019.08.009

Heard, E., Fitzgerald, L., Vaai, S., Whittaker, M., Aiolupotea, T. J., Collins, F., & Mutch, A. (2019). Intimate partner violence prevention: Using interactive drama for intimate relationship education with young people in Samoa. Sex Education, 19(6), 691–705. https://doi.org/10.1080/14681811.2019.1597697

Heslop, C. W., Burns, S., & Lobo, R. (2019). ‘Everyone knows everyone’: Youth perceptions of relationships and sexuality education, condom access and health services in a rural town. Sex Education, 19(6), 644–660. https://doi.org/10.1080/14681811.2019.1566120

Hobaica, S., & Kwon, P. (2017). “This is how you hetero”: Sexual minorities in heteronormative sex education. American Journal of Sexuality Education, 12(4), 423–450. https://doi.org/10.1080/15546128.2017.1399491

Hobaica, S., Schofield, K., & Kwon, P. (2019). “Here’s your anatomy… Good luck”: Transgender individuals in cisnormative sex education. American Journal of Sexuality Education, 14(3), 358–387. https://doi.org/10.1080/15546128.2019.1585308

hooks, bell (1994). Teaching to Transgress: Education as the Practice of Freedom. New York: Routledge.

International Sexuality and HIV Curriculum Working Group (2009). It’s All One Curriculum: Guidelines for a Unified Approach to Sexuality, Gender, HIV, and Human Rights Education. N. Haberland & D. Rogow, eds. New York: Population Council.

IPPF (2010). IPPF Framework for Comprehensive Sexuality Education (CSE). London: Author.

Jarpe-Ratner, E. (2020). How can we make LGBTQ+-inclusive sex education programmes truly inclusive? A case study of Chicago Public Schools’ policy and curriculum. Sex Education, 20(3), 283–299. https://doi.org/10.1080/14681811.2019.1650335

Johnson, B., Flentje, J., & Bartholomaeus, C. (2020). Co-researching and designing innovative learning approaches in sexuality and relationships education. Pastoral Care in Education, 38(3), 191–207. https://doi.org/10.1080/02643944.2020.1773907

Jones, T. (2011). Saving rhetorical children: Sexuality education discourses from conservative to post-modern. Sex Education, 11(4), 369–387. https://doi.org/10.1080/14681811.2011.595229

Jørgensen, C. R., Weckesser, A., Turner, J., & Wade, A. (2019). Young people’s views on sexting education and support needs: Findings and recommendations from a UK-based study. Sex Education, 19(1), 25–40. https://doi.org/10.1080/14681811.2018.1475283

Laverty, E. K., Noble, S. M., Pucci, A., & MacLean, R. E. D. (2021). Let’s talk about sexual health education: Youth perspectives on their learning experiences in Canada. The Canadian Journal of Human Sexuality, 30(1), 26–38. https://doi.org/10.3138/cjhs.2020-0051

Le Mat, M. L. J. (2017). (S)exclusion in the sexuality education classroom: Young people on gender and power relations. Sex Education, 17(4), 413–424. https://doi.org/10.1080/14681811.2017.1301252

Lesko, N. (2010). Feeling abstinent? Feeling comprehensive? Touching the affects of sexuality curricula. Sex Education, 10(3), 281–297. https://doi.org/10.1080/14681811.2010.491633

Likupe, G., Chintsanya, J., Magadi, M., Munthali, A., & Makwemba, M. (2021). Barriers to sexual and reproductive education among in-school adolescents in Zomba and Mangochi districts, Malawi. Sex Education, 21(4), 450–462. https://doi.org/10.1080/14681811.2020.1821181

Lucero, J. E., Hanafi, S. L., Emerson, A. D., Rodriguez, K. I., Davalos, L., & Grinnell, L. (2020). Sexual health and sexual health education: Contemporary perceptions and concerns of young adults within the Millennial population cohort. American Journal of Sexuality Education, 15(4), 476–490. https://doi.org/10.1080/15546128.2020.1832008

Marshall, S. A., Hudson, H. K., & Stigar, L. V. (2020). Perceptions of a school-based sexuality education curriculum: Findings from focus groups with parents and teens in a Southern State. Health Educator, 52(1), 37–51.

Mayeza, E., & Vincent, L. (2019). Learners’ perspectives on Life Orientation sexuality education in South Africa. Sex Education, 19(4), 472–485. https://doi.org/10.1080/14681811.2018.1560253

Miedema, E., Le Mat, M. L. J., & Hague, F. (2020). But is it Comprehensive? Unpacking the ‘comprehensive’ in comprehensive sexuality education. Health Education Journal, 79(7), 747–762. https://doi.org/10.1177/0017896920915960

Namukonda, E. S., Rosen, J. G., Simataa, M. N., Chibuye, M., Mbizvo, M. T., & Kangale, C. (2021). Sexual and reproductive health knowledge, attitudes and service uptake barriers among Zambian in-school adolescents: A mixed methods study. Sex Education, 21(4), 463–479. https://doi.org/10.1080/14681811.2020.1832458

Narushima, M., Wong, J. P.-H., Li, A. T.-W., Bhagat, D., Bisignano, A., Fung, K. P.-L., & Poon, M. K.-L. (2020). Youth perspectives on sexual health education: Voices from the YEP study in Toronto. The Canadian Journal of Human Sexuality, 29(1), 32–44. https://doi.org/10.3138/cjhs.2019-0049

Ngabaza, S., & Shefer, T. (2019). Sexuality education in South African schools: Deconstructing the dominant response to young people’s sexualities in contemporary schooling contexts. Sex Education, 19(4), 422–435. https://doi.org/10.1080/14681811.2019.1602033

Paechter, C., Toft, A., & Carlile, A. (2021). Non-binary young people and schools: Pedagogical insights from a small-scale interview study. Pedagogy, Culture & Society, 29(5), 695–713. https://doi.org/10.1080/14681366.2021.1912160

Patterson, S., McDaid, L., Hunt, K., Hilton, S., Flowers, P., McMillan, L., Milne, D., & Lorimer, K. (2020). How men and women learn about sex: Multi-generational perspectives on insufficient preparedness and prevailing gender norms in Scotland. Sex Education, 20(4), 441–456. https://doi.org/10.1080/14681811.2019.1683534

Renold, E., Ashton, M. R., & McGeeney, E. (2021). What if?: Becoming response-able with the making and mattering of a new relationships and sexuality education curriculum. Professional Development in Education, 47(2-3), 538–555. https://doi.org/10.1080/19415257.2021.1891956

Ritchwood, T. D., Luque, J. S., Coakley, T. M., Wynn, M., & Corbie-Smith, G. (2020). Understanding African American youth and adult perspectives on sex education in rural North Carolina. Sex Education, 20(6), 612–626. https://doi.org/10.1080/14681811.2019.1708715

Roberts, C., Shiman, L. J., Dowling, E. A., Tantay, L., Masdea, J., Pierre, J., Lomax, D., & Bedell, J. (2020). LGBTQ+ students of colour and their experiences and needs in sexual health education: ‘You belong here just as everybody else’. Sex Education, 20(3), 267–282. https://doi.org/10.1080/14681811.2019.1648248

Rose, I. D., Boyce, L., Murray, C. C., Lesesne, C. A., Szucs, L. E., Rasberry, C. N., Parker, J. T., & Roberts, G. (2019). Key factors influencing comfort in delivering and receiving sexual health education: Middle school student and teacher perspectives. American Journal of Sexuality Education, 14(4), 466–489. https://doi.org/10.1080/15546128.2019.1626311

Sanjakdar, F., Allen, L., Rasmussen, M. L., Quinlivan, K., Brömdal, A., & Aspin, C. (2015). In search of critical pedagogy in sexuality education: Visions, imaginations, and paradoxes. Review of Education, Pedagogy, and Cultural Studies, 37(1), 53–70. https://doi.org/10.1080/10714413.2015.988537

Santos, H. M., Marques da Silva, S., & Menezes, I. (2018). From liberal acceptance to intolerance: Discourses on sexual diversity in schools by Portuguese young people. Journal of Social Science Education, 17(1), 55–65. https://doi.org/10.4119/UNIBI/jsse-v17-i1-1655

Seiler-Ramadas, R., Mosor, E., Omara, M., Grabovac, I., Schindler, K., Niederkrotenthaler, T., & Dorner, T. E. (2021). ‘We’re going around the subject’. Improving sex education and adolescents’ awareness of sexually transmitted infections: A qualitative study. Sex Education, 21(1), 119–132. https://doi.org/10.1080/14681811.2019.1668761

Sell, J., & Reiss, M. J. (2022). Faith-sensitive RSE in areas of low religious observance: Really?. Sex Education, 22(1), 52–67. https://doi.org/10.1080/14681811.2020.1835634

Setty, E. (2021). Sex and consent in contemporary youth sexual culture: The ‘ideals’ and the ‘realities’. Sex Education, 21(3), 331–346. https://doi.org/10.1080/14681811.2020.1802242

Thianthai, C. (2019). Young people’s views of the constraints on sex education in Bangkok, Thailand. Sex Education, 19(2), 180–194. https://doi.org/10.1080/14681811.2018.1526066

Thin Zaw, P. P., McNeil, E., Oo, K., Liabsuetrakul, T., & Htay, T. T. (2021). Abstinence-only or comprehensive sex education at Myanmar schools: Preferences and knowledge among students, teachers, parents and policy makers. Sex Education, 21(1), 75–90. https://doi.org/10.1080/14681811.2020.1749043

UNESCO (2014). Comprehensive Sexuality Education: The Challenges and Opportunities of Scaling-Up. Paris: Author. Retrieved February 9, 2022 from https://healtheducationresources.unesco.org/sites/default/files/resources/CSE_scaling_up_conference_ready_version.pdf

UNESCO (2018). International Technical Guidance on Sexuality Education: An Evidence-Informed Approach. Paris: Author. Retrieved February 9, 2022 from: http://www.unwomen.org/-/media/headquarters/attachments/sections/library/publications/2018/international-technical-guidance-on-sexuality-education-2018-en.pdf?la=en&vs=3451

UNESCO, United Nations Children’s Fund, Joint United Nations Programme on HIV/AIDS, United Nations Population Fund, World Health Organization, & United Nations Entity for Gender Equality and the Empowerment of Women (2021). The Journey Towards Comprehensive Sexuality Education: Global Status Report. Paris: UNESCO. https://doi.org/10.54675/NFEK1277

UNFPA, & BZgA (2017). Why Should Sexuality Education Be Delivered in School-based Settings? Sexuality Education. Policy Brief Number 4. Cologne (Germany): Author. Retrieved February 9, 2022 from https://eeca.unfpa.org/en/publications/why-should-sexuality-education-be-delivered-school-based-settings

UNFPA (2019). 165 Million Reasons: A call for Investment in Adolescents and Youth in Latin America and the Caribbean. Retrieved May 13, 2024 from https://caribbean.unfpa.org/en/publications/165-million-reasons

Unis, B. D., & Sällström, C. (2020). Adolescents’ conceptions of learning and education about sex and relationships. American Journal of Sexuality Education, 15(1), 25–52. https://doi.org/10.1080/15546128.2019.1617816

Vanwesenbeeck, I., Westeneng, J., De Boer, T., Reinders, J., & Van Zorge, R. (2016). Lessons learned from a decade implementing Comprehensive Sexuality Education in resource poor settings: The World Starts With Me. Sex Education, 16(5), 471–486. https://doi.org/10.1080/14681811.2015.1111203

Villa-Torres, L., & Svanemyr, J. (2015). Ensuring youth’s right to participation and promotion of youth leadership in the development of sexual and reproductive health policies and programs. Journal of Adolescent Health, 56(1), S51-S57. https://doi.org/10.1016/j.jadohealth.2014.07.022

Waling, A., Bellamy, R., Ezer, P., Kerr, L., Lucke, J., & Fisher, C. (2020). ‘It’s kinda bad, honestly’: Australian students’ experiences of relationships and sexuality education. Health Education Research, 35(6), 538–552. https://doi.org/10.1093/her/cyaa032

WHO (1996). Promoting Health through Schools. The World Health Organization’s Global School Health Initiative. Geneva: Author.

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2024-12-30

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Trivelli Diaz, C. (2024). Researching youth voices on Comprehensive Sexuality Education: A literature review of qualitative studies. Encyclopaideia, 28(70), 19–33. https://doi.org/10.6092/issn.1825-8670/18974

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