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Social Determinants of Adolescent Sexual and Reproductive Health: A Global Perspective

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Reproductive Health".

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 4081

Special Issue Editor


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Guest Editor
Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA 02115, USA
Interests: adolescent sexual and reproductive health and rights; social determinants; life course research; humanitarian settings; equity

Special Issue Information

Dear Colleagues,

Adolescents in low- and middle-income countries globally face tremendous sexual and reproductive health and rights challenges (ASRHR). The combination of biological change with new vulnerabilities related to changing social expectations based on sex and gender put young people at greater risk of poor SRHR outcomes, including sexual and gender-based violence, child marriage, early pregnancy, unsafe abortions, STIs, unhealthy relationships, etc. Adolescent boys are at risk, but they are often overlooked as both individuals who have health needs in this domain, but also as partners.

The factors that influence ASRHR operate across the social-ecological system. Individual biology, personal history, and behavior interact with powerful social forces, including norms and expectations within peer groups, families, and communities.  Inequitable access to resources and institutions compound youth’s vulnerability and further shape ARHR outcomes through differential access to health services, educational and economic opportunities, as well as laws and policies that may empower youth or discriminate against them.

The consequences associated with these challenges often have far-reaching effects on an individual’s overall health, social, and economic wellbeing throughout the life course. The consequences of poor reproductive health during adolescence include social isolation and stigmatization, poor physical and mental health, and limited educational and economic potential later in life.

This special issue invites articles that focus on the social determinants of ARSRH in low- and middle-income countries, as well as their influence across the life course. Articles are welcomed across a range of topics, including but not limited to:

  • Social and contextual drivers of inequitable ASRH outcomes
  • Fragile and conflict-affected settings
  • Comprehensive sexuality education
  • Harmful traditional practices and child marriage
  • Sexual and gender minorities
  • Engagement of young men and boys

Dr. Jewel M. Gausman
Guest Editor

Manuscript Submission Information

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • sexual and reproductive health
  • social determinants
  • equity
  • adolescents
  • youth
  • conflict
  • humanitarian
  • low and middle income countries
  • sexual minorities
  • sexual education

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Published Papers (1 paper)

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Research

19 pages, 379 KiB  
Article
Conflicting HIV/AIDS Sex Education Policies and Mixed Messaging among Educators and Students in the Lower Manya Krobo Municipality, Ghana
by Benedict Ocran, Sharon Talboys and Kimberley Shoaf
Int. J. Environ. Res. Public Health 2022, 19(23), 15487; https://doi.org/10.3390/ijerph192315487 - 22 Nov 2022
Cited by 8 | Viewed by 3429
Abstract
While school-based comprehensive sex education (CSE) is effective in HIV prevention among young people ages 10–24 years, Ghana’s national sexual and reproductive health education policy promotes abstinence. Meanwhile, the Ministry of Health’s HIV prevention programs provide more comprehensive school-based education. This qualitative study [...] Read more.
While school-based comprehensive sex education (CSE) is effective in HIV prevention among young people ages 10–24 years, Ghana’s national sexual and reproductive health education policy promotes abstinence. Meanwhile, the Ministry of Health’s HIV prevention programs provide more comprehensive school-based education. This qualitative study evaluated the HIV/AIDS education program in the Lower Manya Krobo Municipality to assess the perspectives of students and educators in 10 schools on school-based sexual and reproductive health programs, including HIV/AIDS education and conflicting HIV/AIDS sex education policies. HIV prevalence in the Lower Manya Krobo Municipality of Ghana was more than twice the national average at 5.64% in 2018, and prevalence among youth in the municipality aged 15–24 was the highest in the nation at 0.8%. Educators have mixed feelings regarding abstinence-based and CSE approaches. However, students generally endorse abstinence and describe the limitations of condom use. Ambiguity in overarching policies is identified as a factor that could influence the orientation of school-based health educators, create disharmony in sex education interventions, introduce confusing sex education messages to young people, and create a potentially narrow curriculum that limits the gamut of HIV/AIDS sex education to exclude young people’s risky sexual behaviours and diverse teaching and implementation strategies. Policies and the scope of sex education should be realigned to ensure the transparent implementation of HIV/AIDS sex education programs in Ghana. Full article
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