Szucs Leigh E, Harper Christopher R, Andrzejewski Jack, Barrios Lisa C, Robin Leah, Hunt Pete
The Centers for Disease Control and Prevention, Division of Adolescent and School Health, Atlanta, Georgia.
The Centers for Disease Control and Prevention, Division of Violence Prevention, Atlanta, Georgia.
J Adolesc Health. 2022 Apr;70(4):598-606. doi: 10.1016/j.jadohealth.2021.05.016.
Surveys suggest that the general public (i.e., adults or parents) supports sexual health education in schools. However, the number of schools providing sex education continues to decline in the United States. The purpose of this study is to conduct a meta-analysis of U.S.-based representative surveys to provide a pooled estimate of public support for sexual health education delivered in schools.
A systematic search of three databases (Medline, PsycInfo, and ERIC) was conducted to identify survey measuring adult and parent attitudes toward sexual health education in school between 2000 and 2016. Meta-analyses were conducted in OpenMetaAnalyst via the metaphor package in R using a DerSimonian-Laird random effect models to account for heterogeneity between surveys.
A total of 23 citations met study inclusion and exclusion criteria, representing 15 unique probability surveys conducted with the public. Among the included surveys, 14 were nationwide and 11 included parents or an overrepresentation of parents. Across all survey findings, 88.7% (95% confidence interval = 86.2-91.2) of respondents supported sexual health education. Among surveys that only included parents or oversampled for parents, 90.0% (95% confidence interval = 86.5-93.4) supported sexual health education, and among nationally representative surveys, 87.7% (95% confidence interval = 85.1-90.6) of respondents supported sexual health education.
These findings demonstrate overwhelming support for sexual health education delivered in schools. Additional research is needed to determine individual differences in support for specific sexual health education topics and skills delivered through classroom-based instruction.
调查显示，普通公众（即成年人或家长）支持学校开展性健康教育。然而，在美国，提供性教育的学校数量却持续减少。本研究旨在对美国具有代表性的调查进行荟萃分析，以汇总估计公众对学校提供的性健康教育的支持情况。
系统检索了三个数据库（医学文献数据库、心理学文摘数据库和教育资源信息中心数据库），以确定2000年至2016年间测量成年人和家长对学校性健康教育态度的调查。通过R语言中的metaphor软件包在OpenMetaAnalyst中进行荟萃分析，使用DerSimonian-Laird随机效应模型来考虑调查之间的异质性。
共有23篇文献符合研究纳入和排除标准，代表了15项针对公众进行的独特概率调查。在所纳入的调查中，14项为全国性调查，11项纳入了家长或家长占比过高。在所有调查结果中，88.7%（95%置信区间 = 86.2 - 91.2）的受访者支持性健康教育。在仅纳入家长或对家长进行过度抽样的调查中，90.0%（95%置信区间 = 86.5 - 93.4）支持性健康教育；在全国代表性调查中，87.7%（95%置信区间 = 85.1 - 90.6）的受访者支持性健康教育。
这些结果表明，公众对学校提供的性健康教育给予了压倒性的支持。需要进一步开展研究，以确定在支持通过课堂教学传授的特定性健康教育主题和技能方面的个体差异。
