Sexual Health: sexual knowledge, behavior and social determinants in the students of the University of Porto –a cross sectional study [post]

2019 unpublished
KEYWORDS sexual health, sex education, sexual behavior, social determinants of health 2 Abstract Background: When considering sexual health, the youth is a particularly susceptible group. In Portugal, structured sexual education is available, however, 23.5% of new HIV cases in 2017 occurred in a population aged 15-29 years old. We attempt to understand the range of sexual health knowledge in youth, along with sexual behaviors and their influencing characteristics. Our main aim is to describe
more » ... m is to describe the relation between knowledge and sexual health-related behavior. Methods: This observational cross-sectional study involved an online questionnaire covering different areas of sexual health applied to students from the University of Porto, Portugal. This was used to create a knowledge and behavior score. Socio-demographic characteristics were used to examine associations with the scores. The relationship between the scores was assessed with Pearson's bivariate correlation. Results: Out of 1815 questionnaires, 988 (54%) were validated. The mean score for knowledge was 3.74 out of 5 (95% confidence intervals CI: 3.69-3.77) and 3.4 out of 5 (95% CI: 3.38-3.44) for the behavior score. The knowledge score was influenced significantly by age and whether students frequented degrees in health-related studies. Only gender influenced sexual behavior. The correlation between knowledge and behavior was statistically significant with p<0.01 and a coefficient of +0.127. Conclusion/Discussion: Knowledge is an essential but insufficient determinant for health literacy. We urge the development of a sexual health prevention/education program which considers the interacting factors and motivates participants to integrate the assimilated information on a daily basis. Background Sexual health is defined as a state of physical, emotional, mental and social well-being concerning sexuality, not merely the absence of disease, dysfunction or infirmity. This is a broad topic which includes sexuality and relationships, the respect for sexual rights, pleasure and safeness of sexual experiences, and the freedom to choose without coercion, discrimination or violence. Sexuality is intrinsic to human beings, encompassing not only the reproductive processes, but also sex and relationship roles, sexual orientation and gender identities, eroticism, pleasure and intimacy. The interaction of biological, psychological, social, economic, political, cultural, legal, historical, religious Nutbeam D: Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International 2000, 15(3):259-267. 15(8):1093-1102. 26. Rodriguez M: Teaching Our Teachers To Teach: A SIECUS Study On Training and Preparation for HIV/AIDS Prevention and Sexuality Education. SIECUS behavioral factors associated with high-risk sexual behavior among adolescents. Journal of Behavioral Medicine 1990, 13(3):245-261. 32. Kirby DB, Baumler E, Coyle KK, Basen-Engquist K, Parcel GS, Harrist R, Banspach SW: The "Safer Choices" Intervention: Its Impact on the Sexual Behaviors of Different Subgroups of High School Students. Journal of Adolescent Health 2004, 35(6):442-452. 33. Aggleton P, Campbell C: Working with young people -towards an agenda for sexual health. Sexual and Relationship Therapy 2000, 15(3):283-296. 34. De Meyer S, Jaruseviciene L, Zaborskis A, Decat P, Vega B, Cordova K, Temmerman M, Degomme O, Michielsen K: A cross-sectional study on attitudes toward gender equality, sexual behavior, positive sexual experiences, and communication about sex among sexually active and non-sexually active
doi:10.21203/rs.2.11037/v1 fatcat:nzfaopbvrbgq7joo2plnktp65u