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European Journal of Public Health, Vol. 17, No. 1, 33–41 Ó The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.doi:10.1093/eurpub/ckl044 Advance Access published on April 6, 2006

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The effect of the nationaldemonstration project Healthy Respect on teenage sexual health behaviour
Janet S. Tucker1, Ann E. Fitzmaurice1, Mari Imamura1, Suzanne Penfold1, Gillian C. Penney2, Edwin van Teijlingen1,3, JanetShucksmith4, Kate L. Philip5
Background: As part of the independent evaluation of Healthy Respect (a national demonstration project to improve teenage sexual health in Scotland) this study examined theeffect of the school-based sexual health education intervention comprising multiprofessional classroom delivery and alongside drop-in clinics on teenage sexual behaviour outcomes. Methods:Before-and-after cross-sectional surveys of secondary school pupils (average age 14 years and 6 months) were used in 10 Healthy Respect intervention schools in Lothian region and 5 comparison schools withoutintervention in Grampian region (2001 and 2003). Results: By 2003, the proportion of pupils in Lothian feeling confident about getting condoms and using condoms properly significantly increased, moreLothian pupils (particularly boys) showed improved knowledge about condoms being protective against sexually transmitted infections. No further evidence of improved knowledge, attitudes, or intentions wasevident after the intervention. Pupils in Lothian remained more likely to think using a condom would be embarrassing (especially girls), would reduce sexual enjoyment (especially boys), and intentionsabout condom use (as closer predictors of actual behaviour change) showed no significant improvement. More Lothian ($24%) than Grampian ($19%) pupils report having had sexual intercourse at age
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