Auswahl der wissenschaftlichen Literatur zum Thema „Sexual identification as a part of high school health education“

Background Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consuming clinician-administered Home, Education, Eating, Activities, Drugs and Alcohol, Sexuality, Suicide and Depression, Safety (HEEADSSS) interview. The Youth version, Case-finding and Help Assessment Tool (YouthCHAT) is a relatively new, locally developed, electronic tablet–based composite screener for identifying similar psychosocial issues to HEEADSSS Objective This study aimed to compare the performance and acceptability of YouthCHAT with face-to-face HEEADSSS assessment among 13-year-old high school students. Methods A counterbalanced randomized trial of YouthCHAT screening either before or after face-to-face HEEADSSS assessment was undertaken with 129 13-year-old New Zealand high school students of predominantly Māori and Pacific Island ethnicity. Main outcome measures were comparability of YouthCHAT and HEEADSSS completion times, detection rates, and acceptability to students and school nurses. Results YouthCHAT screening was more than twice as fast as HEEADSSS assessment (mean 8.57 min vs mean 17.22 min; mean difference 8 min 25 seconds [range 6 min 20 seconds to 11 min 10 seconds]; P<.01) and detected more issues overall on comparable domains. For substance misuse and problems at home, both instruments were roughly comparable. YouthCHAT detected significantly more problems with eating or body image perception (70/110, 63.6% vs 25/110, 22.7%; P<.01), sexual health (24/110, 21.8% vs 10/110, 9.1%; P=.01), safety (65/110, 59.1% vs 17/110, 15.5%; P<.01), and physical inactivity (43/110, 39.1% vs 21/110, 19.1%; P<.01). HEEADSSS had a greater rate of detection for a broader set of mental health issues (30/110, 27%) than YouthCHAT (11/110, 10%; P=.001), which only assessed clinically relevant anxiety and depression. Assessment order made no significant difference to the duration of assessment or to the rates of YouthCHAT-detected positive screens for anxiety and depression. There were no significant differences in student acceptability survey results between the two assessments. Nurses identified that students found YouthCHAT easy to answer and that it helped students answer face-to-face questions, especially those of a sensitive nature. Difficulties encountered with YouthCHAT included occasional Wi-Fi connectivity and student literacy issues. Conclusions This study provides preliminary evidence regarding the shorter administration time, detection rates, and acceptability of YouthCHAT as a school-based psychosocial screener for young people. Although further research is needed to confirm its effectiveness in other age and ethnic groups, YouthCHAT shows promise for aiding earlier identification and treatment of common psychosocial problems in young people, including possible use as part of an annual, school-based, holistic health check. Trial Registration Australian New Zealand Clinical Trials Network Registry (ACTRN) ACTRN12616001243404p; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371422.

To document knowledge and attitudes regarding sexuality and sexual practices of male adolescent high school students in Lima, Peru, a self-administered, anonymous survey was completed by 991 male adolescents aged 12-19 as part of a School-Based Sex Education Intervention model. Questions concerned sociodemographic information; family characteristics; personal activities; knowledge and attitudes regarding sexuality; sexual experience; and contraceptive use. Knowledge related to sexuality was limited. Males tended to mainly discuss sexuality with their male peers (49.8%). Attitudes towards sexual activity and condom use were largely positive, although some males expressed ambivalent feelings towards the latter. Of the sample, 43% had ever had sex; age at first sexual intercourse was 13 years. While 88% of the sample would use condoms, 74% also gave reasons for not using them. Sexual activity was related to age, ever having repeated a grade, living with only one parent or in a mixed family, activities such as going to parties, use of alcohol, tobacco, and drugs, and viewing pornographic videos or magazines. Many male adolescents were at risk of causing an unintended pregnancy or acquiring an STD.

Background: School nurses are key professionals in the promotion of sexual and reproductive health. Aim: The aim of this study is to explore teenagers' perceptions of their practical parenting skills and their attitudes toward experiential learning through the use of high fidelity baby simulators. Methods: Virtual baby simulator dolls were used as part of sex and relationship education with school students (aged 15–16 years) to look after over a weekend. Students were recruited from a UK academy and completed a diary of their experiences while parenting, received quantitative feedback simulator reports and completed a post-study evaluation questionnaire. Findings: Students saw the virtual baby project as beneficial and important in schools and perceived an improvement in their understanding of practical parenting skills, sexual health and contraception. Conclusion: The implications of this paper are toward involving school nurses more actively in sexual health education in schools via the use of high-fidelity simulators as creative pedagogy in PSHE.

Introduction: Sexual health problems in adolescents are increasing every year. Sexual aspects of adolescence such as free sex, unwanted pregnancy, abortions, high rape, sexual harassment, circulation of pornographic contents are today. SEM is a short film that contains a learning process with a duration of less than 50 minutes. Health education with media SEM (Short Educaation Movie) the aims of this research was to analyze the effect of health education on adolescent knowledge and attitudes about free sex.Methods: Design of this research used the Quasy Experiment. The population in this study were all students of Darma Siswa Vocational High School amounted to 182 students. The sample size in this study was 124 samples consisted of students of Darma Siswa Vocational High School class X. The independent variable in this research was health education with the media Short Education Movie (SEM). The dependent variable in this study is adolescent knowledge and attitudes about free sex. The inclusion criteria are students of class X, aged 15-16 years. Exclusion criteria are students who do not enter school and students who follow the practice outside of school, students who are taking part in the national exam preparation. Data were collected using a questionnaire, then analyzed data with the Wilcoxon Sign Rank Test and Mann Whitney U Test.Results: The results of this study found that knowledge and attitudes of students of Darma Siswa Vocational High School increased after being given health education with the media Short Education Movie (SEM) with a significance value of p=0,000.Conclusion: Short Education Movie (SEM) is a health education media that can improve adolescent knowledge and attitudes about free sex and provide appropriate information through health education.

Common diseases mostly occur due to lack of basic health information and knowledge to public at large. Therefore, basic health information and knowledge is very much important to reduce the outbreaks of different diseases especially in rural communities which is possible through proper education. Education is a natural and an inborn part of any community or society. High quality and healthy volunteers can be generated in a society by right education with full support of any kind of facility.The objective of this paper is to gather and identify information and knowledge about basic health from students and teachers. In this paper, first we study current basic health (information & knowledge) situation of teachers and students in high schools of District Swat (70% mountain rural areas and 30% urban areas), Khyber Pakhtunkhwa Pakistan. Secondly, find out the willingness of high school teachers and students for basic health information and knowledge using information communication technology (ICT) i.e. through a proposed “Virtual Education for Basic Health (VEBH)” model at high school level. For this purpose a pilot research survey was conducted in seven tehsils of district Swat which contained 119 high schools, including 77 male high schools and 42 female high schools.The respondents are willing to learn basic health information and knowledge through virtual and commented that it will be better for rural mountainous areas of Swat especially for female health. VEBH model will make the students aware about common diseases and ensure future healthy society.

AbstractThis article describes some key lessons from the MindMatters Plus (MM+) initiative, as a best practice approach to improving the mental health outcomes of secondary school students with high support mental health needs. The MindMatters Plus initiative focuses on early identification of students with mental health needs, implementation of preventative and other interventions, refining processes, policies and strategies to support students at risk, and encouraging the development of community partnerships to enhance the support of student wellbeing. Specifically, this article will examine the key factors that enabled the MindMatters Plus demonstration schools to achieve these outcomes. As part of the initiative, an interview was conducted with staff from each of the 17 MindMatters Plus demonstration schools. Staff members were asked to describe what they had learned as a result of their participation in the initiative and to identify factors that they believed were significant in their ability to improve the support they provided for students at risk. The responses to these interviews, as outlined in the present article, will serve as invaluable guidelines for other schools that want to improve the support they provide for students with high mental health needs.

Background Adverse effects from young people’s alcohol consumption manifest in a range of physical and psychosocial factors, including neurological issues, cognitive impairment and risk-taking behaviours. The SIPS JR-HIGH pilot trial showed alcohol screening and brief intervention (ASBI) to be acceptable to young people and schools in the north-east of England. Objectives To conduct a two-arm, individually randomised controlled trial to evaluate the effectiveness and cost-effectiveness of ASBI for risky drinking in young people aged 14–15 years in the school setting, to monitor the fidelity of ASBI and to explore the barriers to, and facilitators of, implementation with staff, young people and parents. Design A baseline survey with a 12-month follow-up. Interviews with 30 school staff, 21 learning mentors and nine teachers, and 33 young people and two parents. Setting Thirty state schools in four areas of England: north-east, north-west, Kent and London. Participants Year 10 school pupils who consented to the study (aged 14–15 years, recruited between November 2015 and June 2016), school-based staff and parents of the young people who took part in the study. Interventions Young people who screened positively on a single alcohol screening question and consented were randomised to the intervention or control arm (blinded). The intervention was a 30-minute one-to-one structured brief intervention with a trained learning mentor and an alcohol leaflet. The control group received a healthy lifestyle leaflet (no alcohol information). Main outcome measures The primary outcome measure was total alcohol consumed in the last 28 days. Secondary outcomes related to risky drinking, general psychological health, sexual risk-taking, energy drink consumption, age of first smoking, quality of life, quality-adjusted life-years, service utilisation and demographic information. Results A total of 4523 young people completed the baseline survey, with 1064 screening positively (24%) and 443 being eligible to take part in the trial. Of those 443, 233 (53%) were randomised to the control arm and 210 were randomised to the intervention arm. Of the 443, 374 (84%) were successfully followed up at 12 months (intervention, n = 178; control, n = 196). The results were that the intervention showed no evidence of benefit for any alcohol-related measure when compared with the control arm. At 12 months we found a reduction from 61.9% to 43.3% using the Alcohol Use Disorders Identification Test cut-off point of 8 and cut-off point of 4 (69.0% to 60.7%). These results were not significant. A cost-effectiveness analysis showed that the average net cost saving of the brief intervention was £2865 (95% confidence interval –£11,272 to £2707) per year compared with usual practice, with the intervention showing a 76% probability of being cost saving compared with usual practice. The interview findings showed that school was an acceptable setting to carry out ASBI among staff and young people. Limitations Recruitment of parents to take part in interviews was poor. Only 18 ASBI sessions were recorded, making it difficult to assess internal validity. Conclusions Although the intervention was ineffective in reducing risky drinking in young people aged 14–15 years, it was well received by the young people and school staff who participated. Future work Uniform reporting of the outcomes used for ASBI would generate more robust conclusions on the effectiveness of ASBI in the future. Pilot feasibility studies should include more than one geographical area. Future work on involving parents is needed. Trial registration Current Controlled Trials ISRCTN45691494. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 7, No. 9. See the NIHR Journals Library website for further project information.

Background Ultrasound is ubiquitous across all disciplines of medicine; it is one of the most commonly used noninvasive, painless diagnostic tools. However, not many are educated and trained well enough in its use. Ultrasound requires not only theoretical knowledge but also extensive practical experience. The simulated setting offers the safest environment for health care professionals to learn and practice using ultrasound. Objective This study aimed to (1) assess health care professionals’ need for and enthusiasm toward practicing using ultrasound via simulation and (2) gauge their perception and acceptance of simulation as an integral element of ultrasound education in medical curricula. Methods A day-long intervention was organized at the American University of Beirut Medical Center (AUBMC) to provide a free-of-charge interactive ultrasound simulation workshop—using CAE Vimedix high-fidelity simulator—for health care providers, including physicians, nurses, ultrasound technicians, residents, and medical students. Following the intervention, attendees completed an evaluation, which included 4 demographic questions and 16 close-ended questions based on a Likert scale agree-neutral-disagree. The results presented are based on this evaluation form. Results A total of 41 participants attended the workshop (46% [19/41] physicians, 30% [12/41] residents, 19% [8/41] sonographers, and 5% [2/41] medical students), mostly from AUBMC (88%, 36/41), with an average experience of 2.27 (SD 3.45) years and 30 (SD 46) scans per attendee. Moreover, 15 out of 41 (36%) participants were from obstetrics and gynecology, 11 (27%) from internal medicine, 4 (10%) from pediatrics, 4 (10%) from emergency medicine, 2 (5%) from surgery and family medicine, and 5 (12%) were technicians. The majority of participants agreed that ultrasound provided a realistic setting (98%, 40/41) and that it allowed for training and identification of pathologies (88%, 36/41). Furthermore, 100% (41/41) of the participants agreed that it should be part of the curriculum either in medical school or residency, and most of the participants approved it for training (98%, 40/41) and teaching (98%, 40/41). Conclusions All attendees were satisfied with the intervention. There was a positive perception toward the use of simulation for training and teaching medical students and residents in using ultrasound, and there was a definite need and enthusiasm for its integration into curricula. Simulation offers an avenue not only for teaching but also for practicing the ultrasound technology by both medical students and health care providers.

Purpose The purpose of this paper is to examine the extent to which self-reported resilience was associated with mental health outcomes four years after the Deepwater Horizon oil spill (DWHOS). Design/methodology/approach Participants included 179 men and women randomly selected from two Northeast Gulf Coast communities as part of a larger, prospective study of behavioral health post oil spill. The majority of the participants were Caucasian (70.8 percent), female (61.5 percent), had a high school education or lower (75.3 percent), and ranged in age from 18 to greater than 60 years old. Participants completed a measure of resilience (Connor-Davidson Resilience Scale, CD-RISC) 2.5 years post oil spill and measures of overall mood disturbance (Profile of Mood States), depression (Beck Depression Inventory), quality of life (World Health Organization Quality of Life-BREF Scale) 4.5 years post oil spill. Findings Based upon linear regression analyses, elevated self-reported resilience significantly predicted lower scores on mood disturbance (b=−0.63, p<0.01) and depressive symptoms (b=−0.14, p<0.05) and higher scores on psychological (b=0.08, p<0.01) and overall health quality of life (b=0.08, p<0.01). Factor analysis of the CD-RISC identified three factors (hardiness, adaptability, optimism). Each factor predicted some, but not all, of the outcomes with optimism being the least predictive of mental health. Originality/value Self-reported resilience two years after the DWHOS was a useful predictor of mental health outcome four years post-spill. Early assessment may facilitate the identification of individuals at risk of longer-term mental health problems for public health prevention or mental health intervention efforts.

The article examines Latvia's compliance with the EU's institutional and value strategy for promoting the principle of tolerance. The main manifestations of intolerance in the social and political life of Latvia as a "young" democracy are investigated. The legal gaps, the peculiarities of the political and legal culture of the population and other factors that cause intolerance in Latvia, despite this country's 2004 membership in the EU, have been emphasized. Institutional reforms aimed at strengthening the value of tolerance and preventing destructive intolerant practices are analysed. Providing tolerance for Latvia is called a challenge for this country. It was stressed that countering intolerance remains an important component of the country's still unfinished post- socialist democratization. Attention is paid to maintaining a high percentage of non-citizens in the population structure of Latvia. It is emphasized that in Latvia there is the highest level of sexual minority intolerance in the Baltic countries group, especially the expressed intolerance towards transgender and intersex people. It is noted that the legislation of Latvia is not yet fully consistent with the European Commission's General Policy Recommendation against Racism and Intolerance No. 7 in the fight against racism and racial discrimination. Attention is drawn to the lack of special services in law enforcement agencies to assist victims of hate speech. It has been stated that there is a lack of promotion of counter-speech in response to racist, homo- / transphobic hate speech on the part of high-ranking officials and public activists. This contributes to the fact that those who resort to hate speech do not feel public condemnation and increase their destructive presence in Latvia. Attention was drawn to the problem of preserving the marginalization of Roma, especially in the area of employment, provision of public health and education services. The article states that there are manifestations of anti-Semitism in Latvia, especially in Internet discourse. It is noted that despite the small number of refugees received in recent years by Latvia, there is a high level of intolerance of asylum seekers. At the same time, public opinion is often formed precisely because of the destructive public rhetoric of Latvian politicians. The general problem of Latvia is the high tolerance for violence in general – at home, at school, against certain social groups, etc. It is indicated that in this country there is a high tolerance for various destructive unlawful practices, such as involvement in the shadow economy, the purchase of smuggled goods, and so on. The author of the article argues that the reasons for the mentioned problems of Latvia are not least in the plane of the political and legal culture of the Latvians, in which the intolerance to diversity and the neoliberal-democratic values, on which the EU is oriented, are still quite strong.

This diploma thesis deals with the issue of homosexuality in the context of its current situation in Czech society and in connection with the education of secondary school students. The theoretical part of the thesis is mainly focused on a thorough mapping of the Czech Republic homosexual environment, from explaining the basic terminology related to the topic, explaining the essence of homosexuality in connection with related circumstances, to analyzing the human-rights aspect and placing the issue of homosexuality into a secondary school education program. The aim of the practical part is to find out what students are aware of the topic also in the context with secondary (or primary) education or preventive activities at school. This as described is implemented on the basis of quantitative research, and as a method of data collection a questionnaire was chosen. The analysis of the data shows that high school students have a good knowledge of the issue, however it is probably not based on a secondary or primary education due to the fact, that the topic of homosexuality wasn't discussed in the curriculum or prevention programs, as a one-fifth of the respondents said. Research also reveals, that students' attitudes toward homosexuality are rather positive. In the end of the work, there is an output...