Chapter 2 R
Chapter 2 R
Chapter 2 R
the art, theoretical and conceptual framework with corresponding paradigm. Those that
were included in this chapter helps in familiarizing information that are similar and
This section is the presentation and discussion of the reference studies related t
o the present work. Some studies that have bearings on the present study were present
The following reviews of literature and studies are cited because of their relevan
ce to the study, which is about the Impact of Sexuality Education. It has also provided th
e researchers with the data and information that has given much aid in selecting variabl
es of the study and in giving support to some of the findings or disputes the results. Furt
hermore, it also contains the synthesis of the state-of-the-art and theoretical, as well as t
he conceptual framework, which assisted the researchers in the presentation of the data
Sex Education
Sex education, covers knowledge about all facets of sexuality, such as family pl
anning, fertility fertilization, and information on all aspects of one's sexuality, such as bo
According to the study of Ramiro, L. and Guarnez, P. (2011), entitled The effects
students, the goal of their research was to analyze the significance of sex education in
schools and what are its effects in promoting healthy sexual behaviour among university
students. There were 3278 students in the study. Students who obtained sex education
in school indicated having participated in less sexual risk behaviors (less occasional
partners, less sex associated to alcohol and drugs, less STIs, less unwanted
pregnancies and abortions). The majority of young people have enough understanding,
supportive attitudes about abortion and sexually transmitted infections, and condom-use
skills. Their study demonstrates positive associations between receiving sex education
Education: Gender, Information and Knowledge , the aim of this study is to learn more
about teenagers' perspectives on sex education and teenage sexuality. The information
comes from three independent studies completed in 1984, 1998, and 2003. This paper
presents data on gender, sexuality-related facts, and awareness. It aims to show that
The data suggest that many adolescents we studied were offered different access to
information about sex and sexuality in their families. The argument is that this has
impact on the sources of information that they rely upon and prefer. We investigate the
underlying issues about the ways, boys obtain not only information about sex, but also
their attitudes to sexual encounters. Sources of information and counselling about
sexuality varied with gender. Boys and girls were subjected to a variety of experiences,
each with its own set of sexuality-related details and messages about desire. In a way
that boys do not, many, if not all, girls value their home and intimacy with their parents,
especially mothers. This indicates a picture of boys learning about sex and sexuality in
ways that by and large do not include adults, or more especially trusted adults, and
where there appears to be some elements of exclusion from the family. This has
important implications for sex education programs and may offer us insights into why
The study of Jon Martin Sundet and Lara E. Gibson (2017) entitled The Effect of
learning theory and social influence theory. The main goal of the intervention was to
increase use of condoms. A stratified sample of 124 classes (2,411 students) was
drawn at random from all the upper secondary schools (high schools/colleges) in one
county in Norway. The results indicate a consistent interaction between pretest and
intervention, which seems to have effect on condom use. Pretest or intervention alone
did not contribute to this effect. The interaction effect appeared among the students with
few sexual partners. Several possible explanations to the observed interaction effect
population.
American teenagers, the findings describes that about sixty percent of women and 52
percent of men now in their 20s took a sex education course by age 19, according to
the 1984 National Longitudinal Survey of Work Experience of Youth. Whites are more
likely than either blacks or Hispanics to have had a course by that age--57 percent
compared with 53 percent and 48 percent, respectively. The survey also shows that
large proportions of teenagers initiate coitus before they have taken a sex education
course. Among young women who first have sex at age 15, for example, only 48
percent have already taken a course (i.e., have taken it at a younger age or at the same
age); and among young women who first have intercourse at age 18, the proportion is
61 percent. Young men are even less likely than young women to take a course before
they begin coitus--at age 15, the figure is 26 percent, and at age 18, 52 percent.
Adolescent women who have previously taken a sex education course are somewhat
more likely than those who have not to initiate sexual activity at ages 15 and 16 (though
they are no more likely to do so at ages 17 and 18). However, the effect of prior sex
education is small, and is weaker than that of virtually every other variable found to
have a significant relationship with first intercourse at ages 15-16. Among the strongest
determinants of first coitus at those ages are infrequent church attendance, parental
education of fewer than 12 years and black race. Older sexually active girls who have
previously had a course are significantly more likely to use an effective contraceptive
method (73 percent) than are those who have never taken a course (64 percent). This
relationship may offset any effect that a sex education course may have in raising the
likelihood of early first coitus, since no significant association can be found between
taking a sex education course and subsequently becoming premarital pregnant before
age 20.
Knowledge and Its Effects on the Sexual Behavior and Opinions Among the
Government Senior High School Students of Vigan City SY 2018-2019, The Philippines,
being a Christian country, finds Sex Education a sensitive topic to discuss with. But,
with the increasing cases of pregnancies, sexually-transmitted diseases and other forms
of sexually-related violence, the Philippine government raised their vote to integrate and
teach sex education in the curriculum. After recognizing the vital role of education on
the rising incidences of early pregnancy, sexual violence and human immunodeficiency
virus (HIV) infection among youth, a DepEd Order was passed to include sexuality
education for adolescents. The main objective is to elicit the baseline information of
students on Sex Education and to give a background on their current sexual knowledge,
behaviors and opinions. This study used quantitative method specifically, non-
validation and reliability testing was utilized as a form of instrumentation. Out of the 846
respondents, 19.15% already tried engaging in sexual intercourse, most of which having
1-2 sexual partners (10.99%), with the usual age of 16 years old (6.74%). Respondents
prefer masturbation over vaginal, oral or anal sex and those who had sexual experience
information gained by the students is generally “low” and their Sexual Knowledge and
Sexual Opinion are at “average” level. The extent of Sexual Behaviors of those who
don’t have sexual experience is “low” but “average” among those who already had
behavior.
Filipino Teenagers, the results are divided into four sections: characteristics of the studi
es reviewed, impact of programs on sexual risk behaviors and pregnancy and STI rates,
impact of programs on mediating factors for sexual risk behaviors, and characteristics of
the curricula-based programs that positively affected behaviors. More than 80 percent of
the evaluations identified one or more theories that formed the basis for the program an
g theory and its sequel, social cognitive theory, formed the basis for more than half of th
e programs evaluated. About half of the studies employed an experimental design with r
nities, while the remaining half used a quasi-experimental design. Only 23 studies meas
ured impact on pregnancy or STI rates, and of these, only nine used laboratory tests to
measure these health outcomes. More than half (59 percent) of the studies measured i
mpact for a year or longer, while 22 percent measured impact for two years or longer. M
any of these studies or their published articles had significant limitations such as limited
A study conducted by Patricia Reyes and Wilmor Catuingco (2017) entitled The i
mpact of schools and school programs upon adolescent sexual behaviour, first, involve
ment in and attachment to school and plans to attend higher education are all related to
less sexual risk‐taking and lower pregnancy rates. Second, students in schools with ma
nifestations of poverty and disorganization are more likely to become pregnant. Third, s
school dropout effectively delayed sex or reduced pregnancy rate, even when they may
not address sexuality. Fourth, sex and HIV education programs do not increase sexual
behavior, and some programs decrease sexual activity and increase condom or contrac
eptive use. Fifth, school‐based clinics and school condom‐availability programs do not i
ncrease sexual activity, and either may or may not increase condom or contraceptive us
e. Other studies reveal that there is very broad support for comprehensive sex‐and HIV‐
education programs, and accordingly, most youth receive some amount of sex or HIV e
entitled, The Impact of Sex Education on Teenage Pregnancy in Basic Schools of Baao.
Municipality, the incidence of teenage pregnancy has been on the rise in Baao. Adults
rarely discussed sexual matters with the youth. Thus, the youth have little or no
information about the biological changes that take place in their bodies during the
transitional period from youth to adulthood. This has resulted in unplanned pregnancies
for the vast majority of teenagers, which have serious developmental and
socioeconomic implications. The study was to explore how sex education could mitigate
teenage pregnancy in the Baao Municipality. A total sample size of one hundred and
twenty-five (125) respondents was used for the study. Questionnaires, in-depth
interviews, focus group discussions and observation were used to collect data for the
study. The study revealed that poor parenting, poverty and peer influence were the
major causes of teenage pregnancy in the study area. In addition, concealing sex
education and sex-knowledge from the youth made them more curious and vulnerable.
There is the need for parents and schools to empower the youth through sex education
to equip them with knowledge in order to overcome the potentially corrupt information
through the social media and friends. The study will be useful to students, parents,
sex education program in terms of knowledge, attitudes and sexual behaviour among
adolescents, states that sex education in schools is an adolescents’ right, and can have
health benefits, such as improved knowledge or increased condom use. This study exa
mined whether this programme (a) improved adolescents’ sexuality knowledge, attitude
s and skills, and (b) increased condoms use. There was a greater increase of knowledg
e in the intervention arm in both post-tests, and an increase in skills in the first post-test.
Girls in the intervention arm reported less practices with penetration and greater condo
m use the first time, this also among boys. However, the impact was limited in time. Inte
rventions that aim to increase sex education in curricula with quality and fidelity are a pri
comprehensive sexuality education is one of the most important tools for ensuring that
young people have the support they need to make positive and informed choices. There
are 2 aims in this article, first provide a general overview of sexuality education in
sexuality education. Second, the current state of sexuality education in most European
Union member states and Norway is defined, allowing for a cross-national comparison
of country experiences. This reveals a wide range of didactic approaches and strategies
that have influenced sexuality education access, as well as the simplicity and difficulty
with which the subject can be applied, as well as the age and manner in which it is
accessible.
In addition, an article from Avocates for Youth Organization (2019), provides that
sex education is most effective in promoting sexual health and why it should be framed
in terms of health, values, development and rights. The two major obstacles for rights-
based, inclusive sexuality education are a lack of acceptance of young people as sexual
comprehensive initiative supported by all, both in the community and at the international
level. In order to move the agenda forward for better sexuality education, a positive
approach that accepts sexual desire and pleasure as essential components of young
In the same humor, American Academy of Pediatrics; Sex Education for Children
and Adolescents (2015), provides that the objective of this article is to determine
whether Sex Education Intervention Program would reduce at-risk sexual behaviors of
school-going adolescents. According to the study adolescents exhibit sexual habits and
developmental patterns that placed them at risk for Sexually Transmitted Diseases
mount sex education program that are geared towards enlightenment and appropriate
An article from VeryWell Health Organization (2019), unveiled that the role that
sex education plays in the initiation of sexual activity and risk of teen pregnancy and
sexually transmitted disease (STD) is controversial in the United States. Despite several
was not associated with increased risk of adolescent sexual activity or STD.
Adolescents who received comprehensive sex education had a lower risk of pregnancy
An article from the Philippine Journal of Sexual Health among teenagers (2017)
provide reports that presents national estimates of sexual activity and contraceptive use
among males and females aged 15-19 in the United States in 2011-2015, based on
data from the National Survey of Family Growth (NSFG). For selected indicators, data
are also presented from the 1988, 1995, 2002, and 2006-2010 NSFGs, and from the
1988 and 1995 National Survey of Adolescent Males, which was conducted by the
Urban Institute. Methods-NSFG data were collected through in-person interviews with
nationally representative samples of men and women aged 15-44 in the household
September 2011 and September 2015 with 20,621 men and women, including 4,134
teenagers (2,047 females and 2,087 males). The response rate was 72.5% for male
teenagers and 73.0% for female teenagers. Results-In 2011-2015, 42.4% of never-
married female teenagers (4.0 million) and 44.2% of never-married male teenagers (4.4
million) had had sexual intercourse at least once by the time of the interview (were
sexually experienced). These levels of sexual experience among teenagers are similar
those seen in 2002 and 2006-2010 data. Longer-term trends, from 1988 to 2011-2015,
show declines in the percentage of teenagers who were sexually experienced. Female
teenagers' use of a method of contraception at first sex increased from 74.5% in 2002 to
81.0% in 2011-2015. Male teenagers' use of a condom at first sex increased from
teaching and learning about a broad variety of topics related to sex and sexuality,
exploring values and beliefs about those topics and gaining the skills that are needed to
navigate relationships and manage one’s own sexual health. Sex education may take
place in schools, in community settings, or online. Planned Parenthood believes that
In addition, Philippine Star (2014) attempts to provide that the article raises the is
sue of the urgent need to articulate a relevant policy framework in order to begin approa
ching the issue of establishing Sex Education policy in the Philippines. It highlights som
e important changes within the last decade, among others, emerging articulation of sexu
al and reproductive rights frameworks in the context of human rights discourse. Given th
is context the paper also reviews past and present Philippine initiatives and programs re
lated to Sex Education, particularly under the Population Education program and makes
some key recommendations for future policy directions. Keywords: International Confer
rights.
An article from k12 Academics (2017) states that there's nothing simple about tea
ching kids about sex. In these times of precocious pre-teens, pregnancy among teenag
ers, and sexually transmitted diseases (STDs), children and adolescents need much mo
re than a one-time chat about the birds and the bees. Pregnancy prevention and safe se
x really should be ongoing, age-appropriate topics. Ideally, children will get all of the info
rmation they need at home from their parents, but school should also be an important s
ource of information. Research has shown time and time again that abstinence-only edu
succeeding discussion. The related studies provided needed information to conduct this
study, The Impact of Sex Education in La Purisima High School. The Impact of Sex
Education must be studied to give knowledge to understand their own self, reduce
teenage pregnancy and sexually transmitted diseases. The similarities and differences
It has proved some similarities and differences with the present study. The revie
w of related studies that was gathered had given the researchers a deep understanding
about the impact of sex education on students. The information that was gathered from t
he different reading materials, dissertations and thesis were used as the basis of identif
The study of Ramiro, L. and Guarnez, P. (2011), entitled The effects of sex educ
s to analyze the significance of sex education in schools and what are its effects in prom
oting healthy sexual behaviour among university students and the goal of this research
is to identify the underlying factors and impacts that affects the students in their
knowledge and behavior towards sex education. The goals of the studies were to
analyze sex education among students and promote healthy sexual behavior and
Education: Gender, Information and Knowledge aims to learn more about teenagers'
perspectives on sex education and teenage sexuality and this research is conducted to
identify and assess the knowledge and practices of the high school students with
regards to sex education. Both studies aim to analyze the knowledge of students and
The study of Jon Martin Sundet and Lara E. Gibson (2017) entitled The Effect of
unwanted pregnancies and this research aims to identify the knowledge and skills
practices of the students regarding different birth control methods to prevent unwanted
pregnancies. Both studies aim to identify methods for students to prevent sexually-
comprehensive sex education program among secondary school students, that there is
increasing number of adolescents have been engaging in premarital sex and the goal of
this study is to identify the underlying factors and practices of the students that affect
their sexual health life. Both of these studies shows that adolescents mainly engage in
sex and that there are factors that has an impact to them and affect behavior.
The study conducted by Marsiglio Mott (2014) entitled, The impact of sex
American teenagers, shows that adolescent women who have previously taken a sex
education course are somewhat more likely than those who have not to initiate sexual
activity at ages 15 and 16 (though they are no more likely to do so at ages 17 and 18),
while this study is focused on the impact of sex education to the students. Both studies
aim to identify the number of adolescents who engage in contraceptive use and its
Knowledge and Its Effects on the Sexual Behavior and Opinions Among the
Government Senior High School Students of Vigan City SY 2018-2019 has an objective
to elicit the baseline information of students on Sex Education and to give a background
on their current sexual knowledge, behaviors and opinions. While this study is
conducted to identify the impacts that affects student’s knowledge and behavior towards
sexual health. Both these studies has a main objective of identifying the student’s
A study conducted by Patricia Reyes and Wilmor Catuingco (2017) entitled The
impact of schools and school programs upon adolescent sexual behaviour, first,
involvement in and attachment to school and plans to attend higher education are all
related to less sexual risk‐taking and lower pregnancy rates. This study is conducted to
identify the factors that affects the student’s behavior when it comes to sexual health.
Both studies aim to identify mainly the impacts of school and its education to student’s
Filipino Teenagers has an objective of identifying and analyzing the contraceptive use
and premarital pregnancy impacts to Filipino teenagers. While this study aims to identify
the factors behind every student’s sexual behaviors and practices. Both studies had an
objective of identifying wide range of factors that affect student’s sex practices.
Another study conducted by Anthony de Villa and Johnny Laurel in 2019 entitled,
Municipality, the incidence of teenage pregnancy has been on the rise in Baao aim to
identify the factors and the impact of sex education on teenage pregnancy, while this
study also aims to identify the impact of sex education but not just on teenage
pregnancy but also on different topics of sex education that may affect student’s sexual
behaviors.
sex education program in terms of knowledge, attitudes and sexual behaviour among
adolescents, states that sex education in schools is an adolescents’ right, and can have
health benefits, such as improved knowledge or increased condom use. While this
study is also similar to the mentioned study because of its similarity in the objectives
that is to have improved knowledge or increased condom use to promote safe sex and
prevent certain kinds of diseases. The only difference of both studies is that this study
aims to identify the impacts of sex education to sexual behaviors of the students.
Theoretical Framework
framework of the study. The model was a conceptual model that viewed a person as
behavioral system. The behavioral system is made up of all patterned, repetitive and
purposeful ways of behaviour that characterize each person’s life. Dorothy’s nursing
model states that “each individual has patterned, purposeful, repetitive ways of acting
that comprises a behavioral system specific to that individual.” Each subsystem also
has 3 functional requirements which include (1) protection from noxious influences, (2)
provision for nurturing environment, (3) stimulation for growth. An imbalance in each
system results in disequilibrium. The nurse’s role is to help the patient maintain his or
her equilibrium. Behavioral theory seeks to explain human behaviour by analyzing the
antecedents and consequences present in the individual's environment and the learned
fostering of efficient and effective behavioral functioning in the patient to prevent illness.
achievement. The concept of human being was defined as a behavioral system that
steady-state that is adaptation. The Health Promotion Model was designed by Nola J.
health as a positive dynamic state rather than simply the absence of disease. Health
model describes the multidimensional nature of persons as they interact within their
outcomes. The theory notes that each person has unique personal characteristics and
experiences that affect subsequent actions. The set of variables for behavior specific
knowledge and affect have important motivational significance. The variables can be
modified through nursing actions. Health promoting behavior is the desired behavioral
outcome, which makes it the end point in the Health Promotion Model. These behaviors
should result in improved health, enhanced functional ability and better quality of life at
all stages of development. The final behavioral demand is also influenced by the
immediate competing demand and preferences, which can derail intended actions for
promoting health.
Figure 1. Theoretical Paradigm
Modified from Behavioral and Adaptation Model
Conceptual Framework
On the basis of the foregoing theories and having picked out their angles a
nd points most appropriate to the study, the researchers conceptualized the study to pro
The Input consists of the profile of the respondents in terms of age, sex, a
nd types of family structure of the students, the level of knowledge concerning Sex educ
ody image, sexually transmitted diseases and the subjects that teaches sexuality educa
The Process identifies the steps undertaken by the researchers which include th
data gathered, test for significant relationship and formulation of plan to further improve
The Output of this study consists of the proposed policy recommendations to furt
her improve the knowledge of the grade 10 students in sexuality education, to understa
nd the behavior of grade 10 school students with regards to their knowledge in sexuality
education and the conclusion for the subject matter of this study know how it affects sex
uality education and improve the knowledge of the Grade 10 students. A feedback mec
hanism was adopted to evaluate the implementation of the proposed measures. Lastly, t
he success of the study was not apparent without the feedback loop as it pertained to t
FEEDBACK
F igur
e 2. Co nce
ptual P ara
digm
REFERENCES