Analysis of contents about sexuality and human reproduction in school textbooks in Spain

Abstract

Objectives: The spread of sexually transmitted infections (STI) in adolescents and teenage pregnancy rates are increasing. A decrease in the average age of youth’s first sexual experience is also being noted. Sexual education programs in schools have an important role to play in addressing these issues. The objective of this study is to analyze the content of textbooks in the area of sexuality and human reproduction in order to evaluate the extent to which these textbooks promote healthy reproductive life styles, as well as risk behavior avoidance among the adolescent students. Study design: Descriptive study of school textbooks content. Methods: The study sample consisted of 12 textbooks (about 80% of all the textbooks) used in Spanish secondary school and edited in 2002. A content analysis evaluated the extent to which these books demonstrated reliable scientific information about: a) condom effectiveness; b) consequences, prevention, and treatment of STI; c) family planning methods; d) Assisted reproductive technologies and e) the promotion of healthy reproductive lifestyles. Results: All textbooks presented inaccurate information in the areas studied. Two hundred and eighty one quotes were identified that facilitated an incomplete perception of sexuality or enabled risky behavior. An average of 12.6 incorrect messages was identified in each textbook. Conclusions: The textbooks examined are neither appropriate nor comprehensive enough for adolescent education on issues of sexuality. Results suggest a need for alternative textbooks based on better scientific evidence. It is essential that textbooks empower adolescents to make healthy decisions through the promotion of useful life skills that provide a more integrated concept of sexuality. In any case, there is a need for approaches to sexual education to integrate values commonly held by parents of the youth that use such texts.