Abstract
Sexual and reproductive health (SRH) is not merely about physical health, whether one is suffering from a certain medical condition, but it is also about mental and social well-being—the exercise of human rights and respecting the rights of others. SRH is particularly essential for adolescents’ overall well-being, as they are at the age of developing sexual desire and attraction. At this phase of transition from children to adults, confusion might arise regarding sexual identity and SRH needs. Special attention to the needs and the rights of the sexual minority groups, namely lesbian, gay, bisexual and transgender (LGBT) communities, as they are likely to experience stigmatisation, bullying and violence, relating to higher rates of depression and suicidal attempts. Sex education is needed to increase young people’s biological knowledge of human physiology and their rights in society and, importantly, to empower them to make informed decisions regarding sexual behaviours and practice. Without the appropriate sex education and support, they could lead to serious health consequences, including sexually transmitted infections (STIs) and HIV. Unsafe sexual practices and associated unintended pregnancies also pose huge global health burden. Acknowledging and addressing the barriers to accessing contraception at macro- and micro-levels could help meet young people’s need for contraception, reducing the risk of STIs and unplanned pregnancies. Health professionals should make use of their unique position and every opportunity to promote health awareness and educate adolescents over safe sex and contraception. Law and policies would further align beyond the diverse sex education curricula in different countries to promote the rights of an individual.
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References
African Population and Health Research Center, Ipas & Guttmacher Institute. (2013). Incidence and complications of unsafe abortion in Kenya: Key findings of a national study. https://aphrc.org/wp-content/uploads/2019/07/Incidence-and-Complications-of-Unsafe-Abortion-in-Kenya-Key-Findings-of-a-National-Study.pdf
Al Riyami, A., Afifi, M., & Mabry, R. (2004). Women's autonomy, education and employment in Oman and their influence on contraceptive use. Reproductive Health Matters, 12(23). https://doi.org/10.1016/s0968-8080(04)23113-5
Alirol, E., Wi, T., Bala, M., Bazzo, M., Chen, X., Deal, C., Dillon, J.-A. R., Kularatne, R., Heim, J., van Huijsduijnen, R. H., Hook, E. W., Lahra, M. M., Lewis, D. A., Ndowa, F., Shafer, W. M., Tayler, L., Workowski, K., Unemo, M., & Balasegaram, M. (2017). Multidrug-resistant gonorrhea: A research and development roadmap to discover new medicines. PLoS Medicine, 14(7), Article e1002366. https://doi.org/10.1371/journal.pmed.1002366
Allen, L. (2008). They think you shouldn’t be having sex anyway’: Young people’s suggestions for improving sexuality education content. Sexualities, 11(5), 573–594. https://doi.org/10.1177/1363460708089425
Centers for Disease Control and Prevention. (2021a). Adolescents and young adults. https://www.cdc.gov/std/life-stages-populations/adolescents-youngadults.htm
Centers for Disease Control and Prevention. (2021b). Reasons to get HPV vaccine. https://www.cdc.gov/hpv/parents/vaccine/six-reasons.html
Chitneni, P., Beksinska, M., Dietrich, J., Jaggernath, M., Closson, K., Smith, P., Lewis, D. A., Matthews, L. T., Smit, J., Ndung’u, T., Brockman, M., Gray, G., & Kaida, A. (2020). Partner notification and treatment outcomes among South African adolescents and young adults diagnosed with a sexually transmitted infection via laboratory-based screening. International Journal of STD & AIDS, 31(7), 627–636.https://doi.org/10.1177/0956462420915395
Choi, E., Wong, J., Lo, H., Wong, W., Chio, J., & Fong, D. (2016). The impacts of using smartphone dating applications on sexual risk behaviours in college students in Hong Kong. PLoS ONE, 11(11), Article e0165394. https://doi.org/10.1371/journal.pone.0165394
D’Errico, M. P., Tung, W.-C., Lu, M., & D’Errico, R. (2020). Barriers and recommendations associated with human papillomavirus vaccination among college students. The Journal for Nurse Practitioners, 16(7), 533–537. https://doi.org/10.1016/j.nurpra.2020.04.011
Garga, S., Thomas, M. T., Bhatia, A., Sullivan, A., John-Leader, F., & Pit, S. W. (2021). Motivations, dating app relationships, unintended consequences and change in sexual behaviour in dating app users at an Australian music festival. Harm Reduction Journal, 18, Article 49. https://doi.org/10.1186/s12954-021-00493-5
Hamani, Y., Sciaki-Tamir, Y., Deri-Hasid, R., Miller-Pogrund, T., Milwidsky, A., & Haimov-Kochman, R. (2007). Misconceptions about oral contraception pills among adolescents and physicians. Human Reproduction, 22(12), 3078–3083. https://doi.org/10.1093/humrep/dem259
Institute for Health Metrics and Evaluation. (2022). Unsafe sex—Level 2 risk. https://www.healthdata.org/results/gbd_summaries/2019/unsafe-sex-level-2-risk
Kirby, D. B. (2008). The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sexuality Research and Social Policy, 5(3), 18–27. https://doi.org/10.1525/srsp.2008.5.3.18
Lau, B., Liu, L., Chan, C., Chan, C., Ong, J., Holroyd, E., & Wong, W. (2021). De-sexualizing partner notification: A Qualitative Study on Chinese young adults with chlamydia. International Journal of Environmental Research and Public Health, 18(8), Article 4032. https://doi.org/10.3390/ijerph18084032
Lehmiller, J., & Ioerger, M. (2014). Social networking smartphone applications and sexual health outcomes among men who have sex with men. PLoS ONE, 9(1), Article e86603. https://doi.org/10.1371/journal.pone.0086603
Leung, H., Shek, D., Leung, E., & Shek, E. (2019). Development of contextually-relevant sexuality education: Lessons from a comprehensive review of adolescent sexuality education across cultures. International Journal of Environmental Research and Public Health, 16(4), Article 621. https://doi.org/10.3390/ijerph16040621
Martinez, G. M., & Abma, J. C. (2020). Sexual activity and contraceptive use among teenagers aged 15–19 in the United States, 2015–2017 (NCHS Data Brief No. 366). https://www.cdc.gov/nchs/products/databriefs/db366.htm
Montes-Olivas, S., Ozten, Y., Homer, M., Turner, K., Fairley, C. K., Hocking, J. S., Tse, D., van Rees, N. V., Wong, W. C. W., & Ong, J. J. (2022). Evaluating the impact and cost-effectiveness of chlamydia management strategies in Hong Kong: A modelling study. Frontiers in Public Health, 10, Article 932096. https://doi.org/10.3389/fpubh.2022.932096
O'Dea, S. (2022). Number of smartphone subscriptions worldwide from 2016 to 2021, with forecasts from 2022 to 2027. https://www.statista.com/statistics/330695/number-of-smartphone-users-worldwide/
Ong, J., Fairley, C., Hocking, J., Turner, K., Booton, R., Tse, D., & Wong, W. (2021). Preferences for chlamydia testing and management in Hong Kong: A discrete choice experiment. Sexually Transmitted Infections, 98, 408–413. https://doi.org/10.1136/sextrans-2021-055182
Parish, W., Laumann, E. O., Cohen, M., Zheng, H., Hoffman, I., & Wang, T. (2003). Population-based study of chlamydial infection in China: A hidden epidemic. JAMA, 289(10), 1265–1273. https://doi.org/10.1001/jama.289.10.1265
Paul, S. (1994). Report on the international conference on population and development. Ageing Internation, 21, 49–51. https://doi.org/10.1007/BF02681115
Prue, G., Baker, P., Graham, D., Nutting, C., Greenhouse, P., & Lawler, M. (2018). It is time for universal HPV vaccination. The Lancet, 392(10151), 913–914. https://doi.org/10.1016/S0140-6736(18)31821-X
Raifman, J., Moscoe, E., Austin, S., & McConnell, M. (2017). Difference-in-differences analysis of the association between state same-sex marriage policies and adolescent suicide attempts. JAMA Pediatrics, 171(4), 350–356. https://doi.org/10.1001/jamapediatrics.2016.4529
Ryan, C. A., Kamb, M., & Holmes, K. K. (2008). STI care management. In K. K. Holmes, P. F. Sparling, W. E. Stamm, P. Piot, & J. N. Wasserheit (Eds.), Sexually transmitted diseases (pp. 855–875). McGraw Hill.
Singh, C. (2022). Increasing knowledge of human papillomavirus among young adults. The Journal for Nurse Practitioners, 18(6), 618–621. https://doi.org/10.1016/j.nurpra.2022.03.006
Sully, E., Dibaba, Y., Fetters, T., Blades, N., & Bankole, A. (2018). Playing it safe: Legal and clandestine abortions among adolescents in Ethiopia. Journal of Adolescent Health, 62(6), 729–736. https://doi.org/10.1016/j.jadohealth.2017.12.015
Toomey, R., & Russell, S. (2016). The role of sexual orientation in school-based victimization: A meta-analysis. Youth & Society, 48(2), 176–201. https://doi.org/10.1177/0044118X13483778
The Genderbread Person. (2017). Genderbread person v4.0. https://www.genderbread.org/resource/genderbread-person-v4-0
The United Nations Children's Fund. (n.d.). UNICEF data: Monitoring the situation of children and women. https://data.unicef.org/
The United Nations Population Fund. (n.d.). World population dashboard. UNFPA. https://www.unfpa.org/data/world-population-dashboard
The United Nations Population Fund. (2018). International technical guidance on sexuality education. An evidence-informed approach. https://www.unfpa.org/publications/international-technical-guidance-sexuality-education
The United Nations Population Fund China. (2018). Ending unintended pregnancies among Chinese youth by 2030. https://china.unfpa.org/en/publications/unfpa-china-policy-brief-ending-unintended-pregnancies-among-chinese-youth-2030
The United Nations Population Fund East and Southern Africa Regional Office. (2017). Harmonizing the legal environment for adolescent sexual and reproductive health and rights: A review of 23 countries in East and Southern Africa. https://esaro.unfpa.org/en/publications/harmonizing-legal-environment-adolescent-sexual-and-reproductive-health-and-rights-0
United Nations. (2019). Contraceptive use by method 2019: Data booklet. https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2019_contraceptiveusebymethod_databooklet.pdf
Wiesenfeld, H. (2017). Screening for chlamydia trachomatis infections in women. The New England Journal of Medicine, 376(8), 765–773. https://doi.org/10.1056/NEJMcp1412935
World Health Organization. (n.d.). Adolescent health. https://www.who.int/southeastasia/health-topics/adolescent-health
World Health Organization. (1975). Education and treatment in human sexuality: The training of health professionals, report of a WHO meeting [held in Geneva from 6 to 12 February 1974]. https://apps.who.int/iris/handle/10665/38247
World Health Organization. (2014). DALYs and health-related behaviours. https://apps.who.int/adolescent/second-decade/section3/page6/dalys-&-behaviours.html
World Health Organization. (2022a). Adolescent and young adult health. https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions
World Health Organization. (2022b). Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
World Health Organization. (2022c). Cervical cancer. https://www.who.int/news-room/fact-sheets/detail/cervical-cancer
World Health Organization. (2022d). Sexually transmitted infections (STIs). https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)
Wong, W., Lau, S., Choi, E., Tucker, J., Fairley, C., & Saunders, J. (2019). A systematic literature review of reviews on the effectiveness of chlamydia testing. Epidemiologic Reviews, 41(1), 168–175. https://doi.org/10.1093/epirev/mxz007
Wong, W., Lee, A., Tsang, K., & Lynn, H. (2006). The impact of AIDS/sex education by schools or family doctors on Hong Kong Chinese adolescents. Psychology, Health & Medicine, 11(1), 108–116. https://doi.org/10.1080/13548500500156105
Wong, W. C., Zhao, Y., Wong, N. S., Parish, W. L., Miu, H. Y., Yang, L. G., Emch, M., Man Ho, K., Yeung Fong, F., & Tucker, J. D. (2017). Prevalence and risk factors of chlamydia infection in Hong Kong: A population-based geospatial household survey and testing. PLoS ONE, 12(2), Article e0172561. https://doi.org/10.1371/journal.pone.0172561
Workowski, K., Bachmann, L., Chan, P., Johnston, C., Muzny, C., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. (2021). Sexually transmitted infections treatment guidelines, 2021. Morbidity and Mortality Weekly Report Recommendations and Reports, 70(4), 1–187. https://doi.org/10.15585/mmwr.rr7004a1
Ybarra, M., Mitchell, K., Kosciw, J., & Korchmaros, J. (2015). Understanding linkages between bullying and suicidal ideation in a national sample of LGB and heterosexual youth in the United States. Prevention Science, 16(3), 451–462. https://doi.org/10.1007/s11121-014-0510-2
Yin, Y., Han, Y., Dai, X., Zheng, H., Chen, S., Zhu, B., Yong, G., Zhong, N., Hu, L.-H., Cao, W.-L., Zheng, Z.-J., Wang, F., Zhi, Q., Zhu, X.-Y., & Chen, X. (2018). Susceptibility of Neisseria gonorrhoeae to azithromycin and ceftriaxone in China: A retrospective study of national surveillance data from 2013 to 2016. PLoS Medicine, 15(2), Article e1002499. https://doi.org/10.1371/journal.pmed.1002499
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Wong, W.C.W. (2023). Gaps in Sexual and Reproductive Health in Young People. In: Fong, B.Y.F., Wong, W.C.W. (eds) Gaps and Actions in Health Improvement from Hong Kong and Beyond. Springer, Singapore. https://doi.org/10.1007/978-981-99-4491-0_16
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