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Multicomponent Comprehensive Sexuality Education improves knowledge and self-efficacy in adolescents regarding sexual violenceComprehensive Sexuality Education May Help Prevent Sexual Violence

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Key Takeaway
Note that multicomponent CSE improves knowledge and self-efficacy, but evidence for reduced perpetration is less consistent.

This scoping review evaluates the efficacy of Comprehensive Sexuality Education (CSE) and adjacent prevention strategies, such as consent, empowerment, bystander action, and gender-transformative programming, in addressing sexual violence among adolescents. The review synthesizes evidence regarding various outcomes including knowledge, attitudes, communication, self-efficacy, and readiness to intervene.

The authors conclude that multicomponent approaches can improve knowledge, attitudes, communication, self-efficacy, and readiness to intervene. However, the evidence for sustained reductions in perpetration or victimization is less consistent across the reviewed literature. Furthermore, the review notes that communication diffusion did not necessarily produce behavioral diffusion. Some behavioral outcomes showed null or limited effects.

Limitations noted include a lack of context-specific evidence from low- and middle-income countries, as most evidence originated from high-income countries. For clinical and educational practice, the authors suggest that CSE should be understood as a defined curriculum-based, rights-oriented approach. It may incorporate adjacent violence-prevention strategies but should not be equated with them.

How this fits prior evidence

This scoping review addresses a gap in the evidence regarding the specific educational components that improve adolescent outcomes. While prior coverage noted that stigma and conscientious objection obstruct reproductive autonomy for sexual violence survivors in the DRC, this review focuses on the efficacy of multicomponent education and prevention strategies to improve knowledge and self-efficacy in adolescents.

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.

What this means for you:
CSE programs can improve student knowledge and confidence, but evidence for lasting behavior changes is less consistent.

Common questions

What does comprehensive sexuality education include?

Comprehensive sexuality education (CSE) is a curriculum-based, rights-oriented approach. It often includes adjacent prevention strategies such as teaching consent, empowerment, bystander action, and gender-transformative programming. It is intended to be a structured educational framework rather than a single topic.

Can these programs change student behavior?

The evidence is mixed regarding behavior. While programs can improve knowledge, attitudes, and self-efficacy, the results for sustained reductions in perpetration or victimization are less consistent. Additionally, improving communication skills did not always lead to a change in behavior.

Who is the target audience for these programs?

The research specifically looked at programs designed for adolescents. These programs aim to improve how young people understand and communicate about sexual health and safety.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedAug 2026
View Original Abstract ↓
IntroductionAdolescent sexual violence is a persistent public-health, educational, and human-rights problem. Comprehensive Sexuality Education (CSE) is frequently proposed as a primary prevention approach, but evidence relevant to sexual violence is distributed across CSE, consent and respectful-relationships education, gender-transformative programming, empowerment, bystander intervention, and whole-school safeguarding. This scoping review mapped how CSE and explicitly related prevention strategies address adolescent sexual violence, which mechanisms and outcomes they emphasize and where evidence gaps remain.MethodsFollowing JBI guidance and PRISMA-ScR, 18 sources were charted and synthesized through a deductive–inductive thematic process.ResultsThe mapped sources comprised intervention evaluations, systematic and narrative reviews, qualitative and systems studies, program or adaptation papers, a protocol, and commentary. Four interconnected domains were identified: consent and relational ethics; empowerment, gender norms, and youth agency; bystander and peer mechanisms; and implementation and school-system conditions. The literature suggests that multicomponent approaches can improve knowledge, attitudes, communication, self-efficacy, and readiness to intervene; evidence for sustained reductions in perpetration or victimization is less consistent. Null or limited effects were reported for some behavioral outcomes, and communication diffusion did not necessarily produce behavioral diffusion. Most evidence came from high-income countries, with limited context-specific evidence from low- and middle-income countries.DiscussionCSE should therefore be understood as a defined curriculum-based, rights-oriented approach that may incorporate adjacent violence-prevention strategies without being equated with them. Future studies should use longitudinal behavioral outcomes, implementation and fidelity measures, intersectional analyses, and culturally grounded whole-school designs.
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