Adolescent Sexual and Reproductive Health Knowledge and Behavior: A Scoping Review of Interventions

Gerraint Gillan, Ahi and Md Mizanur, Rahman and Rafazila, Ramli and Rasitasam @ Razitasham, Safii and Jacey Lynn, Minoi and Stephanie, Chua and Ahmad Sofian, Shminan and Lee, Jun Choi (2025) Adolescent Sexual and Reproductive Health Knowledge and Behavior: A Scoping Review of Interventions. Public Health of Indonesia, 11 (4). pp. 22-32. ISSN 2477-1570

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Abstract

Abstract Background: Adolescent sexual and reproductive health (SRH) education requires accurate knowledge, understanding of risks, and supportive access to well-being. Objectives: This review aims to assess how knowledge about sexual and reproductive health influences adolescent behaviour by identifying barriers, effective strategies, and communication methods. It also evaluates interventions such as school-based programmes and online resources that empower adolescents to make informed decisions regarding SRH. Method: A systematic search from January 2013 yielded 14 articles, mostly quantitative studies involving adolescents aged 14 to 19 years. A narrative analysis identified two main themes: (i) enhancing sexual and reproductive health knowledge, attitudes, and skills for positive outcomes; and (ii) innovative intervention strategies. The findings were organized using EndNote 20. Results: The key findings of the review highlight the effectiveness of interventions in improving adolescents’ knowledge, attitudes, and skills related to sexual and reproductive health. These interventions have shown success in enhancing adolescents’ understanding of SRH issues, fostering positive attitudes toward sexual and reproductive health topics, and building self-efficacy for safe sexual practices. Furthermore, the review highlights the importance of innovative and targeted intervention strategies, such as technology-driven approaches, customized interventions, and the synergistic combination of multiple strategies, to effectively address the diverse SRH needs of adolescents and promote positive sexual and reproductive health outcomes. Conclusions: This review emphasizes the impact of sexual and reproductive health interventions on adolescent well-being. It advocates for tailored and gender-specific approaches, policy integration, and long-term efficacy evaluations to ensure sustained positive outcomes.

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