Indirect Sexuality Education to Adolescent Girls Through Empowering Their Mothers


Masoumeh Majdpour 1 , Mohsen Shams ORCID 2 , * , Saadat Parhizkar 2 , Ali Mousavizadeh 2 , Zahra Rahimi 3 , Mostafa Maleki 4 , Sedigheh Shariatinia 5

1 Department of Health Education and Promotion, School of Health, Yasuj University of Medical Sciences, Yasuj, Iran

2 Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran

3 Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

4 Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

5 Department of Health Education and Promotion, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

How to Cite: Majdpour M , Shams M , Parhizkar S , Mousavizadeh A , Rahimi Z , et al. Indirect Sexuality Education to Adolescent Girls Through Empowering Their Mothers, Int J High Risk Behav Addict.2021 In Press(In Press): e108767. doi: 10.5812/ijhrba.108767.


International Journal of High Risk Behaviors and Addiction: In Press (In Press); e108767
Published Online: June 05, 2021
Article Type: Research Article
Received: September 05, 2020
Revised: March 24, 2021
Accepted: April 04, 2021
Primary Published scheduled for 10 (2)


Background: Sexuality education is one of the most important educational needs for adolescents. Parents play a significant role in shaping healthy sexuality in adolescents. But in Iran, there is little evidence about sexuality education for empowering adolescences.

Objective: This study aimed at developing, implementing, and evaluating a training program for mothers to educate sexuality matters to their adolescent girls in Mahshahr, Iran.

Methods: This field trial was conducted among 140 mothers with 12 to 18-year-old adolescent girls in Mahshahr during the second half of 2014. The multi-stratified sampling method was performed for determining the study participants. Data was collected by using “Parent-Child Relationship: Mother" and "Knowledge and attitude about sexuality education to adolescents" questionnaires. Based on the baseline results, an educational intervention for mothers was designed and implemented. Before and three-month after the intervention implementation data were collected, analyzed, and compared. Means and standard deviations were calculated, and statistical analysis was performed using a paired t-test. A confidence interval of 95% was used, with significance at p<0.05.

Results: Compared with the pre-intervention phase, mothers’ awareness of sexual issues significantly increased from 30.00 to 36.50 (p<0.001). The mean score of attitudes towards sexuality education also significantly increased from 46.65 before the intervention to 48.57 after the intervention (p<0.001); however, no significant difference was observed between mothers' communication skills before and after the educational intervention (p=0.98).

Conclusions: The designed educational program was an effective tool to improve the knowledge and attitudes toward sexuality matters in mothers, but improving communication skills need to continuous and regular programs.


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