CONFERENCE PROCEEDING
Comprehensive education on sexuality, consent, and relationships: A cross-sectional study of upper secondary school students’ experiences and needs in Sweden
 
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Mid Sweden University, Department of Public Health, Östersund, Sweden
 
 
Eur J Midwifery 2026;10(Supplement 1):A945
 
ABSTRACT
BACKGROUND:
Education on sexuality, consent, and relationships (SCR) in Sweden is a renewed (2022), school-based comprehensive sexuality education initiative that has been incorporated into core subject teaching in both lower and upper secondary schools in Sweden. However, limited knowledge exists on how students perceive SCR-education.

OBJECTIVES:
To investigate experiences and needs related to SCR-education among upper secondary school students.

METHODS:
A cross-sectional study (February-March 2025) using a digital questionnaire completed by 1,378 students (grades 10–12) in a sparsely populated county in Sweden. Bivariate and multivariate analyses were performed using odds ratios (OR), 95% confidence intervals (CI), and p-values <.05.

RESULTS:
Sixty-one percent (n=835) of students reported having received adequate school-based knowledge to support their sexual health. However, girls were significantly more likely than boys to report that the SCR-education provided was insufficient or lacking (OR 1.96, CI: 1.56–2.45), as were non-heterosexual boys compared to heterosexual boys (OR 1.91, CI: 1.09–3.34). Twenty-five percent (n=349) expressed a desire for additional SCR-education, with girls more likely than boys to do so (OR 3.13, CI: 2.38–4.12), as were non-heterosexual girls (OR 1.71, CI: 1.15–2.55) and boys (OR 2.17, CI: 1.11–4.23), compared to their heterosexual peers. The topic rated very important by most participants (72.2%; n=995) was intimate partner violence.

CONCLUSIONS:
Most students reported receiving adequate SCR-education, but girls and non-heterosexual students were less likely to do so—highlighting inequalities, and the need for greater emphasis on topics such as abusive relationships, which many students considered especially important.

KEY MESSAGE:
1. Most students reported receiving adequate school-based SCR-education, but notable gaps remains. 2. Girls and non-heterosexual students more often reported not receiving sufficient SCR-education, underscore the need for inclusive, comprehensive SCR-education. 3. Students highlighted the importance of addressing intimate partner violence within SCR-education. Poster session 4 (Group B)
eISSN:2585-2906
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