Feasibility and Impact of School-Based Online Comprehensive Sexuality Education on Vocational High School Students: A Cluster-Randomized Controlled Trial.
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| Title: | Feasibility and Impact of School-Based Online Comprehensive Sexuality Education on Vocational High School Students: A Cluster-Randomized Controlled Trial. |
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| Authors: | Sun, Haocan (AUTHOR), Zhao, Shuangyu (AUTHOR), Zhang, Hanxiyue (AUTHOR), Tang, Kun (AUTHOR) |
| Source: | Journal of Sex Research. Jul2026, Vol. 63 Issue 6, p990-1003. 14p. |
| Subjects: | Sex education, Vocational school students, Online education, Randomized controlled trials, Human sexuality |
| Geographic Terms: | China |
| Abstract: | To assess the effect of an online comprehensive sexuality education (CSE) package for vocational high school students in China's developed and less-developed regions, a parallel, unblinded, cluster, randomized controlled trial was conducted. The study included 3,415 tenth-grade students from 29 mixed-gender vocational high schools who had not previously received CSE. The intervention group participated in weekly classes over two months, totaling 360 minutes of online CSE. For the primary outcomes, the intervention group exhibited improvements in sexuality knowledge and attitude post-intervention and one year later. However, after one year, the positive effects were less than post-intervention. In addition, the intervention group's growth rate of sexuality knowledge and attitude was not limited by the initial baseline level. In the secondary outcomes, compared with the control group, the online CSE resulted in a higher frequency of penetrative sexual events, harassment coping self-efficacy in both post-intervention and one year later, and school bully perception only in post-intervention. No significant between-group differences were observed in the trajectory of STD symptom changes, contraceptive usage, unintended pregnancy rates, or self-efficacy. Finally, curriculum progress positively impacted the slope of sexuality knowledge and attitude. Results suggest that more sustained CSE is necessary for vocational high school students in China. Online CSE presents a feasible solution to enhance sexuality knowledge and attitude and bridge the gap in developmental and sexuality education levels. However, behaviors and well-being outcomes did not yield consistent positive results. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 194783150 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Feasibility and Impact of School-Based Online Comprehensive Sexuality Education on Vocational High School Students: A Cluster-Randomized Controlled Trial. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sun%2C+Haocan%22">Sun, Haocan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhao%2C+Shuangyu%22">Zhao, Shuangyu</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhang%2C+Hanxiyue%22">Zhang, Hanxiyue</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tang%2C+Kun%22">Tang, Kun</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Sex+Research%22">Journal of Sex Research</searchLink>. Jul2026, Vol. 63 Issue 6, p990-1003. 14p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Sex+education%22">Sex education</searchLink><br /><searchLink fieldCode="DE" term="%22Vocational+school+students%22">Vocational school students</searchLink><br /><searchLink fieldCode="DE" term="%22Online+education%22">Online education</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22China%22">China</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: To assess the effect of an online comprehensive sexuality education (CSE) package for vocational high school students in China's developed and less-developed regions, a parallel, unblinded, cluster, randomized controlled trial was conducted. The study included 3,415 tenth-grade students from 29 mixed-gender vocational high schools who had not previously received CSE. The intervention group participated in weekly classes over two months, totaling 360 minutes of online CSE. For the primary outcomes, the intervention group exhibited improvements in sexuality knowledge and attitude post-intervention and one year later. However, after one year, the positive effects were less than post-intervention. In addition, the intervention group's growth rate of sexuality knowledge and attitude was not limited by the initial baseline level. In the secondary outcomes, compared with the control group, the online CSE resulted in a higher frequency of penetrative sexual events, harassment coping self-efficacy in both post-intervention and one year later, and school bully perception only in post-intervention. No significant between-group differences were observed in the trajectory of STD symptom changes, contraceptive usage, unintended pregnancy rates, or self-efficacy. Finally, curriculum progress positively impacted the slope of sexuality knowledge and attitude. Results suggest that more sustained CSE is necessary for vocational high school students in China. Online CSE presents a feasible solution to enhance sexuality knowledge and attitude and bridge the gap in developmental and sexuality education levels. However, behaviors and well-being outcomes did not yield consistent positive results. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Sex Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194783150 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/00224499.2025.2470844 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 990 Subjects: – SubjectFull: Sex education Type: general – SubjectFull: Vocational school students Type: general – SubjectFull: Online education Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Human sexuality Type: general – SubjectFull: China Type: general Titles: – TitleFull: Feasibility and Impact of School-Based Online Comprehensive Sexuality Education on Vocational High School Students: A Cluster-Randomized Controlled Trial. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sun, Haocan – PersonEntity: Name: NameFull: Zhao, Shuangyu – PersonEntity: Name: NameFull: Zhang, Hanxiyue – PersonEntity: Name: NameFull: Tang, Kun IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 00224499 Numbering: – Type: volume Value: 63 – Type: issue Value: 6 Titles: – TitleFull: Journal of Sex Research Type: main |
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