The effect of the national demonstration project Healthy Respect on teenage sexual health behaviour

Hdl Handle:
http://hdl.handle.net/10149/58283
Title:
The effect of the national demonstration project Healthy Respect on teenage sexual health behaviour
Authors:
Tucker, J. S. (Janet); Fitzmaurice, A. E. (Ann); Imamura, M. (Mari); Penfold, S. (Suzanne); Penney, G. C. (Gillian); van Teijlingen, E. (Edwin); Shucksmith, J. (Janet) ( 0000-0003-3825-413X ) ; Philip, K. L. (Kate)
Affiliation:
University of Aberdeen. Department of Obstetrics and Gynaecology. Dugald Baird Centre for Research on Women's Health; University of Edinburgh. Scottish Programme for Clinical Effectiveness in Reproductive Health; University of Aberdeen. Department of Public Health; University of Teesside. School of Health and Social Care; University of Aberdeen. School of Education.
Citation:
Tucker, J. S. et al. (2007) 'The effect of the national demonstration project Healthy Respect on teenage sexual health behaviour', The European Journal of Public Health, 17 (1), pp.33-41.
Publisher:
Oxford University Press
Journal:
The European Journal of Public Health
Issue Date:
Feb-2007
URI:
http://hdl.handle.net/10149/58283
DOI:
10.1093/eurpub/ckl044
Abstract:
Background: As part of the independent evaluation of Healthy Respect (a national demonstration project to improve teenage sexual health in Scotland) this study examined the effect of the school-based sexual health education intervention comprising multiprofessional classroom delivery and alongside drop-in clinics on teenage sexual behaviour outcomes. Methods: Before-and-after cross-sectional surveys of secondary school pupils (average age 14 years and 6 months) were used in 10 Healthy Respect intervention schools in Lothian region and 5 comparison schools without intervention in Grampian region (2001 and 2003). Results: By 2003, the proportion of pupils in Lothian feeling confident about getting condoms and using condoms properly significantly increased, more Lothian pupils (particularly boys) showed improved knowledge about condoms being protective against sexually transmitted infections. No further evidence of improved knowledge, attitudes, or intentions was evident after the intervention. Pupils in Lothian remained more likely to think using a condom would be embarrassing (especially girls), would reduce sexual enjoyment (especially boys), and intentions about condom use (as closer predictors of actual behaviour change) showed no significant improvement. More Lothian (24%) than Grampian (19%) pupils report having had sexual intercourse at age <16 years, both before and after the intervention, with no evidence of a significant reduction in Lothian by 2003. Overall differences in attitudes to condom use by gender were noted. Findings remain consistent in both unadjusted and adjusted comparisons. Conclusion: These findings demonstrate limited impact on sexual health behaviour outcomes, and raise questions about the likely and achievable sexual health gains for teenagers from school-based interventions.
Type:
Article
Keywords:
health promotion; sexual behaviour; teenage; sexual health; Scotland
ISSN:
1464-360X
Rights:
Subject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 12/01/2010]
Citation Count:
0 [Web of Science and Scopus, 12/01/2010]

Full metadata record

DC FieldValue Language
dc.contributor.authorTucker, J. S. (Janet)-
dc.contributor.authorFitzmaurice, A. E. (Ann)-
dc.contributor.authorImamura, M. (Mari)-
dc.contributor.authorPenfold, S. (Suzanne)-
dc.contributor.authorPenney, G. C. (Gillian)-
dc.contributor.authorvan Teijlingen, E. (Edwin)-
dc.contributor.authorShucksmith, J. (Janet)-
dc.contributor.authorPhilip, K. L. (Kate)-
dc.date.accessioned2009-04-01T10:47:59Z-
dc.date.available2009-04-01T10:47:59Z-
dc.date.issued2007-02-
dc.identifier.citationThe European Journal of Public Health; 17 (1): 33-41-
dc.identifier.issn1464-360X-
dc.identifier.doi10.1093/eurpub/ckl044-
dc.identifier.urihttp://hdl.handle.net/10149/58283-
dc.description.abstractBackground: As part of the independent evaluation of Healthy Respect (a national demonstration project to improve teenage sexual health in Scotland) this study examined the effect of the school-based sexual health education intervention comprising multiprofessional classroom delivery and alongside drop-in clinics on teenage sexual behaviour outcomes. Methods: Before-and-after cross-sectional surveys of secondary school pupils (average age 14 years and 6 months) were used in 10 Healthy Respect intervention schools in Lothian region and 5 comparison schools without intervention in Grampian region (2001 and 2003). Results: By 2003, the proportion of pupils in Lothian feeling confident about getting condoms and using condoms properly significantly increased, more Lothian pupils (particularly boys) showed improved knowledge about condoms being protective against sexually transmitted infections. No further evidence of improved knowledge, attitudes, or intentions was evident after the intervention. Pupils in Lothian remained more likely to think using a condom would be embarrassing (especially girls), would reduce sexual enjoyment (especially boys), and intentions about condom use (as closer predictors of actual behaviour change) showed no significant improvement. More Lothian (24%) than Grampian (19%) pupils report having had sexual intercourse at age <16 years, both before and after the intervention, with no evidence of a significant reduction in Lothian by 2003. Overall differences in attitudes to condom use by gender were noted. Findings remain consistent in both unadjusted and adjusted comparisons. Conclusion: These findings demonstrate limited impact on sexual health behaviour outcomes, and raise questions about the likely and achievable sexual health gains for teenagers from school-based interventions.-
dc.publisherOxford University Press-
dc.rightsSubject to restrictions, author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 12/01/2010]-
dc.subjecthealth promotion-
dc.subjectsexual behaviour-
dc.subjectteenage-
dc.subjectsexual health-
dc.subjectScotland-
dc.titleThe effect of the national demonstration project Healthy Respect on teenage sexual health behaviour-
dc.typeArticle-
dc.contributor.departmentUniversity of Aberdeen. Department of Obstetrics and Gynaecology. Dugald Baird Centre for Research on Women's Health; University of Edinburgh. Scottish Programme for Clinical Effectiveness in Reproductive Health; University of Aberdeen. Department of Public Health; University of Teesside. School of Health and Social Care; University of Aberdeen. School of Education.-
dc.identifier.journalThe European Journal of Public Health-
ref.assessmentRAE 2008-
ref.citationcount0 [Web of Science and Scopus, 12/01/2010]-
or.citation.harvardTucker, J. S. et al. (2007) 'The effect of the national demonstration project Healthy Respect on teenage sexual health behaviour', The European Journal of Public Health, 17 (1), pp.33-41.-
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