The Case for Addressing Gender and Power in Sexuality And HIV Education: A Comprehensive Review Of Evaluation Studies
The Case for Addressing Gender and Power in Sexuality And HIV Education: A Comprehensive Review Of Evaluation Studies
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DOI：
10.1363/4103115
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发表时间：
2015-03-01
影响因子：
4.4
通讯作者：
Haberland, Nicole A.
中科院分区：
文献类型：
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作者：
Haberland, Nicole A.
背景：以课程为基础的性行为和艾滋病毒教育是预防年轻人性传播感染、艾滋病毒和意外怀孕的干预措施的支柱。有证据表明，传统的性别规范、性关系中的不平等权力和亲密伴侣的暴力行为与性健康和生殖健康的负面结果有关。然而，很少有人注意到分析是否解决性别和权力在性教育课程与更好的outcome.METHODS：探讨是否包括内容的性别和权力事项的程序的效力，电子和手搜索进行了识别严格的性和艾滋病教育评估从发达国家和发展中国家之间出版的1990年和2012年。包括干预措施的干预和研究设计的特点进行了分类，他们是否解决问题的性别和权力。结果：22项干预措施，符合纳入标准，10个解决性别或权力，12个没有。涉及性别或权力的项目的有效性是不涉及性别或权力的项目的五倍;其中整整80%的项目与显著较低的性传播感染或意外怀孕率相关。相比之下，没有解决性别或权力的方案中，只有17%有这样的association.CONCLUSIONS：解决性别和权力应被视为有效的性和艾滋病教育计划的一个关键特征。
CONTEXT: Curriculum-based sexuality and HIV education is a mainstay of interventions to prevent STIs, HIV and unintended pregnancy among young people. Evidence links traditional gender norms, unequal power in sexual relationships and intimate partner violence with negative sexual and reproductive health outcomes. However, little attention has been paid to analyzing whether addressing gender and power in sexuality education curricula is associated with better outcomes.METHODS: To explore whether the inclusion of content on gender and power matters for program efficacy, electronic and hand searches were conducted to identify rigorous sexuality and HIV education evaluations from developed and developing countries published between 1990 and 2012. Intervention and study design characteristics of the included interventions were disaggregated by whether they addressed issues of gender and power.RESULTS: Of the 22 interventions that met the inclusion criteria,10 addressed gender or power, and 12 did not. The programs that addressed gender or power were five times as likely to be effective as those that did not; fully 80% of them were associated with a significantly lower rate of STIs or unintended pregnancy. In contrast, among the programs that did not address gender or power, only 17% had such an association.CONCLUSIONS: Addressing gender and power should be considered a key characteristic of effective sexuality and HIV education programs.