Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized Trial

Background: This study aimed to evaluate the effects of an internet-based and teacher-facilitated sexuality education package on the sexual knowledge and attitudes of Chinese adolescents. Methods: Six middle schools where no sexuality education had been performed with a total of 501 adolescent stude...

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Main Authors: Zhao Jin, Fuyu Guo, Kai Wang, Hanxiyue Zhang, Wenzhen Cao, Jiayi Hee, Yuan Yuan, Minne Chen, Kun Tang
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/8/10/885
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author Zhao Jin
Fuyu Guo
Kai Wang
Hanxiyue Zhang
Wenzhen Cao
Jiayi Hee
Yuan Yuan
Minne Chen
Kun Tang
author_facet Zhao Jin
Fuyu Guo
Kai Wang
Hanxiyue Zhang
Wenzhen Cao
Jiayi Hee
Yuan Yuan
Minne Chen
Kun Tang
author_sort Zhao Jin
collection DOAJ
description Background: This study aimed to evaluate the effects of an internet-based and teacher-facilitated sexuality education package on the sexual knowledge and attitudes of Chinese adolescents. Methods: Six middle schools where no sexuality education had been performed with a total of 501 adolescent students (245 males and 256 females) were included in the trial. In total, 14 classes were randomly assigned to the intervention (internet-based sexuality education package) or the control group (classes were conducted as per normal). Students’ sexual knowledge and attitudes were assessed at the baseline, at the end of the intervention, and 12 months after the intervention. Generalized linear models were employed to assess the effects of the intervention. Results: Positive effects of the intervention were observed on sexual knowledge (β = 4.65, 95% CI: 4.12—5.17) and attitudes (β = 1.25, 95% CI: 1.00—1.50) at the end of the intervention. After 12 months, the effects sustained but the magnitude declined for sexual knowledge (β = 2.39, 95% CI: 1.85—2.93) and attitudes (β = 0.49, 95% CI: 0.23—0.75). There were no significant differences between male and female students. Conclusions: Although further modifications are required, the sexuality education package can increase the accessibility of comprehensive sexuality education to adolescents in rural areas in China.
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spelling doaj.art-5f8cd0bf2de2472ca93f67cd32563c1b2023-11-22T17:50:40ZengMDPI AGChildren2227-90672021-10-0181088510.3390/children8100885Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized TrialZhao Jin0Fuyu Guo1Kai Wang2Hanxiyue Zhang3Wenzhen Cao4Jiayi Hee5Yuan Yuan6Minne Chen7Kun Tang8Vanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing 100084, ChinaVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing 100084, ChinaShantou University Medical College, No. 22 Xinling Road, Shantou 515041, ChinaVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing 100084, ChinaSchool of Public Health, Peking University, No. 38 Xueyuan Road, Beijing 100191, ChinaDepartment of Sociology, University of North Carolina at Chapel Hill, 103 S Bldg Cb 9100, Chapel Hill, NC 27599, USAVanke School of Public Health, Tsinghua University, No. 30 Shuangqing Road, Beijing 100084, ChinaBackground: This study aimed to evaluate the effects of an internet-based and teacher-facilitated sexuality education package on the sexual knowledge and attitudes of Chinese adolescents. Methods: Six middle schools where no sexuality education had been performed with a total of 501 adolescent students (245 males and 256 females) were included in the trial. In total, 14 classes were randomly assigned to the intervention (internet-based sexuality education package) or the control group (classes were conducted as per normal). Students’ sexual knowledge and attitudes were assessed at the baseline, at the end of the intervention, and 12 months after the intervention. Generalized linear models were employed to assess the effects of the intervention. Results: Positive effects of the intervention were observed on sexual knowledge (β = 4.65, 95% CI: 4.12—5.17) and attitudes (β = 1.25, 95% CI: 1.00—1.50) at the end of the intervention. After 12 months, the effects sustained but the magnitude declined for sexual knowledge (β = 2.39, 95% CI: 1.85—2.93) and attitudes (β = 0.49, 95% CI: 0.23—0.75). There were no significant differences between male and female students. Conclusions: Although further modifications are required, the sexuality education package can increase the accessibility of comprehensive sexuality education to adolescents in rural areas in China.https://www.mdpi.com/2227-9067/8/10/885sexuality educationinternet-based educationsexual knowledgesexual attitudes
spellingShingle Zhao Jin
Fuyu Guo
Kai Wang
Hanxiyue Zhang
Wenzhen Cao
Jiayi Hee
Yuan Yuan
Minne Chen
Kun Tang
Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized Trial
Children
sexuality education
internet-based education
sexual knowledge
sexual attitudes
title Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized Trial
title_full Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized Trial
title_fullStr Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized Trial
title_full_unstemmed Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized Trial
title_short Effects of an Internet-Based and Teacher-Facilitated Sexuality Education Package: A Cluster-Randomized Trial
title_sort effects of an internet based and teacher facilitated sexuality education package a cluster randomized trial
topic sexuality education
internet-based education
sexual knowledge
sexual attitudes
url https://www.mdpi.com/2227-9067/8/10/885
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