Knowledge, attitudes, and practices on comprehensive sexuality education among adolescent males and influential factors: A Cross-sectional study

Abstract

Abstract Introduction: Information and services relating to Sexual and Reproductive Health (SRH) are limited particularly to unmarried adolescents who often turn to friends and family for guidance. The purpose of this study was to analyze adolescent males' knowledge, attitude, and practice (KAP) on Comprehensive Sexuality Education (CSE) and the influencing factors in Bangladesh. Methods A cross-sectional study was undertaken. Quantitative data were collected from July to November 2021 using a pre-tested semi-structured questionnaire. Participants (n = 192) were adolescent males studying at secondary and higher secondary levels. Results Data analysis revealed a significant gap in KAP among adolescent males with regard to CSE. Factors such as age, education level, socioeconomic status, the primary source of knowledge, use of Facebook and watching TV were influential. Most of the respondents relied on their mothers to be their key informants of SRH while 61% of adolescent males said teachers were not interested in teaching sexuality education in the classroom. A majority had poor knowledge (84.4%); over half had negative attitudes (58.3%) and improper practices (58.9%) on CSE. Respondents who completed Secondary School or above level of education, had more correct knowledge, positive attitude, and appropriate practice. Family monthly income was another significant factor that had an association with respondents’ KAP on CSE (p < 0.001). More access to the use of Facebook and watching television were the preeminent factors affecting positive attitude and appropriate SRH practices (p < 0.01). Conclusion To promote curriculum-based CSE, all key stakeholders including government authorities need to realize the value and influence of CSE on adolescent development.