A scoping review looked at how comprehensive sexuality education (CSE) and related programs affect adolescents. These programs include topics like consent, empowerment, and bystander action. The review found that these multi-part approaches can improve student knowledge, attitudes, communication, and self-efficacy. They also help students feel more ready to intervene in difficult situations.
While the results for knowledge and confidence are positive, the evidence for lasting changes in behavior is less consistent. Specifically, the review found that improving communication skills does not always lead to a change in behavior. Some studies showed little to no effect on certain behavioral outcomes.
Most of the data came from high-income countries, meaning there is less information from other regions. Because the evidence for long-term behavior change is not consistent, these programs should be seen as one part of a larger strategy. They are most effective when used as a defined, rights-oriented curriculum.