Researching youth voices on Comprehensive Sexuality Education: A literature review of qualitative studies
DOI:
https://doi.org/10.6092/issn.1825-8670/18974Keywords:
Comprehensive sexuality education, Youth voices, Critical pedagogy, Qualitative methods, Inclusive educationAbstract
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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