title: Outcomes of three different models for sex education and citizenship programs concerning knowledge, attitudes, and behavior of Brazilian adolescents.
abstract: Three different school-based sex education and citizenship programs in public schools in Rio de Janeiro, Belo Horizonte, and Salvador, Brazil, were evaluated in a cross-sectional study comparing knowledge, attitudes, and practices in sexuality, citizenship, and gender issues among adolescents participating in the programs' activities as compared to adolescents enrolled in schools without such programs (controls). Results showed that Salvador's program achieved good results, with significant changes in knowledge on sexuality and reproductive physiology, attitudes regarding citizenship, and current use of modern contraceptives; Rio de Janeiro's program succeeded in improving students' knowledge of reproductive physiology and attitudes towards sexuality; Belo Horizonte's participants showed greater knowledge of reproductive physiology and STI/HIV prevention but had less positive attitudes towards gender issues, while reporting greater sexual activity. The main difference between Salvador's program and the others was the focus on creative and cultural activities; Belo Horizonte's main difference was its lack of interaction with health services and professionals. However, after the evaluation Belo Horizonte reframed its educational strategies and launched a scaling-up process in a joint effort with the health and school systems.
authors.affiliation: Reprolatina: Soluções Inovadoras em Saúde Reprodutiva, Campinas, Brazil. mdiaz@reprolatina.org.br
authors.forename: Margarita
authors.initials: M
authors.lastname: Díaz
authors.forename: Maeve Brito de
authors.initials: MB
authors.lastname: Mello
authors.forename: Maria Helena de
authors.initials: MH
authors.lastname: Sousa
authors.forename: Francisco
authors.initials: F
authors.lastname: Cabral
authors.forename: Ricardo de
authors.initials: Rd
authors.lastname: Castro e Silva
authors.forename: Márcia
authors.initials: M
authors.lastname: Campos
authors.forename: Anibal
authors.initials: A
authors.lastname: Faúndes
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D001938:Brazil; D002648:Child; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015397:Program Evaluation; D012736:Sex Education / Q000379:methods* / Q000592:standards; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D012919:Social Behavior; D012959:Socioeconomic Factors