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REV CHIL OBSTET GINECOL 2019; 84(1): 28 40 29 Background: In 2001 and 2012, contents on sexuality were added to the curriculum of the 6th and 7th grades of primary school, and to the 2nd and 3rd grades of secondary school. In 2010, sex education became compulsory for adolescents. There are seven sex education programs for schools, but their implementation and results have not been evaluated. Objective: To evaluate the impact of Chilean sex education policies on the sexual and reproductive health of teenagers from the commune of Concepción between 2010 and 2017. Material and methods: Ecological study, using schools and teenagers’ sexual and reproductive health indicators. 51 schools were included in this study, and the indicators used were pregnancy statistics, use of contraceptives, cases of sexually-transmitted diseases (STDs), and sexual violence. Results: 43% of schools have implemented a sex education program. 80% have included the curriculum content. The same percentage of schools has implemented their own initiatives on the topic, while an 84% has asked for external counsel. Teenage pregnancy rates have decreased and the use of contraceptives has increased, but we also observed a decrease in the use of male condom and a higher rate of gonorrhea and HIV cases. The cases of sexual violence against adolescents have increased as well. Conclusions: Despite the decrease seen in some indicators, the higher rate of STDs and the lower use of methods to prevent them are alarming. The higher rate of sexual violence is worrying as well, as it is associated with STDs.

Impacto de las políticas de educación sexual en la salud sexual y reproductiva adolescente en el sur de chile, período 2010 - 2017