Ethical Framework in Sex Education for Adolescents: A Systematic Review Publisher



Rahimi F ; Pirak A ; Hashemi Z ; Shojaee M ; Ardabili NS ; Rahnemaei FA ; Abdi F
Source: Iranian Journal of Obstetrics, Gynecology and Infertility Published:2025

Abstract

Introduction: Sex education is one of the fundamental issues in promoting adolescent health, which has always faced cultural and social challenges. In such a context, developing a comprehensive ethical framework is an inevitable necessity. Therefore, this study was conducted with aim to examine the ethical framework of sex education for adolescents. Methods: This systematic review was conducted following the PRISMA guidelines through a comprehensive search of PubMed, Scopus, and Web of Science databases, as well as Google Scholar, using appropriate MeSH keywords from January 2013 to 6 March 2025. The methodological quality of the included studies was appraised using the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). In total, 14 high-quality studies were selected and analyzed. Results: The results highlighted that parental consent plays a fundamental role in adolescent sex education, particularly in cases where parental influence might overshadow the identity and independent behavior of adolescents. Furthermore, the findings emphasize the significance of honesty in moral considerations when delivering sex education. Additionally, the educational content should be aligned with society's moral, cultural, and religious norms to enhance its effectiveness. Conclusion: Focusing on the ethical framework in adolescent sex education can positively influence their attitudes, knowledge, and behaviors, ultimately contributing to the well-being of individuals, families, and communities. © 2025 Elsevier B.V., All rights reserved.