Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature

Samkange-Zeeb FN, Spallek L, Zeeb H (2011)
BMC public health 11(1): 727.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
Es wurden keine Dateien hochgeladen. Nur Publikationsnachweis!
Samkange-Zeeb, Florence N; Spallek, LenaUniBi; Zeeb, Hajo
Abstract / Bemerkung
BACKGROUND: Sexually transmitted diseases (STDs) are a major health problem affecting mostly young people, not only in developing, but also in developed countries.We conducted this systematic review to determine awareness and knowledge of school-going male and female adolescents in Europe of STDs and if possible, how they perceive their own risk of contracting an STD. Results of this review can help point out areas where STD risk communication for adolescents needs to be improved. METHODS: Using various combinations of the terms "STD", "HIV", "HPV", "Chlamydia", "Syphilis", "Gonorrhoea", "herpes", "hepatitis B", "knowledge", "awareness", and "adolescents", we searched for literature published in the PubMed database from 01.01.1990 up to 31.12.2010. Studies were selected if they reported on the awareness and/or knowledge of one or more STD among school-attending adolescents in a European country and were published in English or German. Reference lists of selected publications were screened for further publications of interest. Information from included studies was systematically extracted and evaluated. RESULTS: A total of 15 studies were included in the review. All were cross-sectional surveys conducted among school-attending adolescents aged 13 to 20 years. Generally, awareness and knowledge varied among the adolescents depending on gender.Six STDs were focussed on in the studies included in the review, with awareness and knowledge being assessed in depth mainly for HIV/AIDS and HPV, and to some extent for chlamydia. For syphilis, gonorrhoea and herpes only awareness was assessed. Awareness was generally high for HIV/AIDS (above 90%) and low for HPV (range 5.4%-66%). Despite knowing that use of condoms helps protect against contracting an STD, some adolescents still regard condoms primarily as an interim method of contraception before using the pill. CONCLUSION: In general, the studies reported low levels of awareness and knowledge of sexually transmitted diseases, with the exception of HIV/AIDS. Although, as shown by some of the findings on condom use, knowledge does not always translate into behaviour change, adolescents' sex education is important for STD prevention, and the school setting plays an important role. Beyond HIV/AIDS, attention should be paid to infections such as chlamydia, gonorrhoea and syphilis.
Students; Sexually Transmitted Diseases/etiology; Male; Humans; Practice; Attitudes; Health Knowledge; Female; Adolescent; Europe
BMC public health
Page URI


Samkange-Zeeb FN, Spallek L, Zeeb H. Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature. BMC public health. 2011;11(1): 727.
Samkange-Zeeb, F. N., Spallek, L., & Zeeb, H. (2011). Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature. BMC public health, 11(1), 727. doi:10.1186/1471-2458-11-727
Samkange-Zeeb, Florence N, Spallek, Lena, and Zeeb, Hajo. 2011. “Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature”. BMC public health 11 (1): 727.
Samkange-Zeeb, F. N., Spallek, L., and Zeeb, H. (2011). Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature. BMC public health 11:727.
Samkange-Zeeb, F.N., Spallek, L., & Zeeb, H., 2011. Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature. BMC public health, 11(1): 727.
F.N. Samkange-Zeeb, L. Spallek, and H. Zeeb, “Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature”, BMC public health, vol. 11, 2011, : 727.
Samkange-Zeeb, F.N., Spallek, L., Zeeb, H.: Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature. BMC public health. 11, : 727 (2011).
Samkange-Zeeb, Florence N, Spallek, Lena, and Zeeb, Hajo. “Awareness and knowledge of sexually transmitted diseases (STDs) among school-going adolescents in Europe: a systematic review of published literature”. BMC public health 11.1 (2011): 727.

31 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Sociodemographic and behavioural correlates of lifetime number of sexual partners: findings from the English Longitudinal Study of Ageing.
Jackson SE, Yang L, Veronese N, Koyanagi A, López Sánchez GF, Grabovac I, Soysal P, Smith L., BMJ Sex Reprod Health (), 2019
PMID: 30833293
Lack of Knowledge about Sexually Transmitted Diseases (STDs): Implications for STDs Prevention and Care among Dermatology Patients in an Urban City in Vietnam.
Nguyen SH, Dang AK, Vu GT, Nguyen CT, Le THT, Truong NT, Hoang CL, Tran TT, Tran TH, Pham HQ, Dao NG, Tran BX, Latkin CA, Ho CSH, Ho RCM., Int J Environ Res Public Health 16(6), 2019
PMID: 30917565
Impact of training conferences on high-school students' knowledge of sexually transmitted infections (STIs).
Orlando G, Campaniello M, Iatosti S, Grisdale PJ., J Prev Med Hyg 60(2), 2019
PMID: 31312736
Theory-Based Analysis of Interest in an HIV Vaccine for Reasons Indicative of Risk Compensation Among African American Women.
Painter JE, Temple BS, Woods LA, Cwiak C, Haddad LB, Mulligan MJ, DiClemente RJ., Health Educ Behav 45(3), 2018
PMID: 29073834
Experiences of living with a sexually transmitted disease: an integrative review.
Haapa T, Suominen T, Paavilainen E, Kylmä J., Scand J Caring Sci 32(3), 2018
PMID: 29193238
Gonorrhea and syphilis co-infection and related risk factors in HIV patients from Shiraz, South of Iran.
Ghassabi F, Malekzadegan Y, Sedigh Ebrahim-Saraie H, Heidari H, Sabet M, Bagheri A, Bagheri N, Raeisi Shahraki H, Hasanabadi A, Motamedifar M., Caspian J Intern Med 9(4), 2018
PMID: 30510656
Awareness of cervical cancer among women in Malaysia.
Seng LM, Rosman AN, Khan A, Haris NM, Mustapha NAS, Husaini NSM, Zahari NF., Int J Health Sci (Qassim) 12(4), 2018
PMID: 30022903
Low coverage of HPV vaccination in the national immunization programme in Brazil: Parental vaccine refusal or barriers in health-service based vaccine delivery?
Mendes Lobão W, Duarte FG, Burns JD, de Souza Teles Santos CA, Chagas de Almeida MC, Reingold A, Duarte Moreira E., PLoS One 13(11), 2018
PMID: 30418980
Awareness of HPV infection and attitudes toward HPV vaccination among Latvian adolescents.
Patel H, Pčolkina K, Strazdina K, Viberga I, Sherman SM, Tincello DG, Redman CW, Rezeberga D, Moss EL., Int J Gynaecol Obstet 137(2), 2017
PMID: 28171702
Effects of an internet-based educational intervention to prevent high-risk sexual behavior in Mexican adolescents.
Doubova SV, Martinez-Vega IP, Infante-Castañeda C, Pérez-Cuevas R., Health Educ Res 32(6), 2017
PMID: 29177452
Prevalence of Syphilis among Blood and Stem Cell Donors in Saudi Arabia: An Institutional Experience.
Elyamany G, Al Amro M, Pereira WC, Alsuhaibani O., Electron Physician 8(8), 2016
PMID: 27757184
Awareness and knowledge of human papillomavirus-related diseases are still dramatically insufficient in the era of high-coverage vaccination programs.
Capogrosso P, Ventimiglia E, Matloob R, Colicchia M, Serino A, Castagna G, Clementi MC, La Croce G, Capitanio U, Gandaglia G, Damiano R, Mirone V, Montorsi F, Salonia A., World J Urol 33(6), 2015
PMID: 25179010
Impact of school-based educational programs on sexual behaviors among adolescents in northern Italy.
Bogani G, Cromi A, Serati M, Monti Z, Apolloni C, Nardelli F, Di Naro E, Ghezzi F., J Sex Marital Ther 41(2), 2015
PMID: 25189401
Knowledge of sexually transmitted infections among younger subjects of the city of Messina (Sicily).
Visalli G, Picerno I, Vita G, Spataro P, Bertuccio MP., J Prev Med Hyg 55(1), 2014
PMID: 25916027
Experiencing sexuality in youth living in Greece: contraceptive practices, risk taking, and psychosocial status.
Tsitsika A, Andrie E, Deligeoroglou E, Tzavara C, Sakou I, Greydanus D, Papaevangelou V, Tsolia M, Creatsas G, Bakoula C., J Pediatr Adolesc Gynecol 27(4), 2014
PMID: 25016561
Behavioral prevention regarding sexually transmitted infections and its predictors in women.
Farshbaf-Khalili A, Shahnazi M, Salehi-Pourmehr H, Faridvand F, Asgarloo Z., Iran Red Crescent Med J 16(8), 2014
PMID: 25389485
Awareness and knowledge of sexually transmitted diseases among secondary school students in two German cities.
Samkange-Zeeb F, Mikolajczyk RT, Zeeb H., J Community Health 38(2), 2013
PMID: 23001541
Using intervention mapping for the development of a targeted secure web-based outreach strategy named SafeFriend, for Chlamydia trachomatis testing in young people at risk.
Theunissen KA, Hoebe CJ, Crutzen R, Kara-Zaïtri C, de Vries NK, van Bergen JE, van der Sande MA, Dukers-Muijrers NH., BMC Public Health 13(), 2013
PMID: 24148656
Chlamydia prevalence in the general population: is there a sex difference? a systematic review.
Dielissen PW, Teunissen DA, Lagro-Janssen AL., BMC Infect Dis 13(), 2013
PMID: 24215287
Interest in having HPV vaccination among adolescent boys in England.
Forster AS, Marlow LA, Wardle J, Stephenson J, Waller J., Vaccine 30(30), 2012
PMID: 22561487

57 References

Daten bereitgestellt von Europe PubMed Central.

Sexually transmitted diseases among adolescents in developed countries.
Panchaud C, Singh S, Feivelson D, Darroch JE., Fam Plann Perspect 32(1), 2000
PMID: 10710703
Epidemiology of the re-emergence of gonorrhoea in Sweden
Surveillance of STI
Rising trends of HIV, gonorrhoea, and syphilis in Europe make case for introducing European surveillance systems
Sexually transmitted infections in Europe

Effect of treatment regimens for Neisseria gonorrhoeae on simultaneous infection with Chlamydia trachomatis.
Stamm WE, Guinan ME, Johnson C, Starcher T, Holmes KK, McCormack WM., N. Engl. J. Med. 310(9), 1984
PMID: 6363935
The Effects of Undetected and Untreated Sexually Transmitted Diseases: Pelvic Inflammatory Disease and Ectopic Pregnancy in Canada
Pelvic inflammatory disease epidemiology: what do we know and what do we need to know?
Simms I, Stephenson JM., Sex Transm Infect 76(2), 2000
PMID: 10858707
Sexual initiation and gender in Europe
A comparison of sexual behaviour and attitudes of healthy adolescents in a Danish high school in 1982, 1996 and 2001

The effect of the national demonstration project Healthy Respect on teenage sexual health behaviour.
Tucker JS, Fitzmaurice AE, Imamura M, Penfold S, Penney GC, Teijlingen Ev, Shucksmith J, Philip KL., Eur J Public Health 17(1), 2006
PMID: 16601108
Contraceptive use by 15-year-old students at their last sexual intercourse: results from 24 countries.
Godeau E, Nic Gabhainn S, Vignes C, Ross J, Boyce W, Todd J., Arch Pediatr Adolesc Med 162(1), 2008
PMID: 18180415


Comparison of risk factors for squamous cell and adenocarcinomas of the cervix: a meta-analysis.
Berrington de Gonzalez A, Sweetland S, Green J., Br. J. Cancer 90(9), 2004
PMID: 15150591
[Is early first intercourse a risk factor for cervical cancer?]
Reich O., Gynakol Geburtshilfliche Rundsch 45(4), 2005
PMID: 16205092
[Chlamydia trachomatis infections in teenagers].
Gille G, Klapp C., Hautarzt 58(1), 2007
PMID: 17165068
Factors that influence the rate of epithelial maturation in the cervix in healthy young women.
Hwang LY, Ma Y, Benningfield SM, Clayton L, Hanson EN, Jay J, Jonte J, Godwin de Medina C, Moscicki AB., J Adolesc Health 44(2), 2009
PMID: 19167657
Adolescents and condoms. Associations of beliefs with intentions to use.
Kegeles SM, Adler NE, Irwin CE Jr., Am. J. Dis. Child. 143(8), 1989
PMID: 2756965
Young people's knowledge of sexually transmitted infections and condom use surveyed in England
Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee.
Lord J, Victor C, Littlejohns P, Ross FM, Axford JS., Health Technol Assess 3(23), 1999
PMID: 10683594
Income inequality and population health.
Mackenbach JP., BMJ 324(7328), 2002
PMID: 11777781
Pupil-led sex education in England (RIPPLE study): cluster-randomised intervention trial.
Stephenson JM, Strange V, Forrest S, Oakley A, Copas A, Allen E, Babiker A, Black S, Ali M, Monteiro H, Johnson AM; RIPPLE study team., Lancet 364(9431), 2004
PMID: 15276393
Who Regional Strategy on Sexual and Reproductive Health

Social-cognitive predictors of consistent condom use among young people in Moscow.
Bobrova N, Sergeev O, Grechukhina T, Kapiga S., Perspect Sex Reprod Health 37(4), 2005
PMID: 16380362
Compulsory education in Europe 2010/2011
Assessing scientific admissibility and merit of published articles: Critical appraisal form
Knowledge about AIDS among leaving certificate students
Adolescent sexuality in Saint Petersburg, Russia.
Lunin I, Hall TL, Mandel JS, Kay J, Hearst N., AIDS 9 Suppl 1(), 1995
PMID: 8562001
HIV/AIDS--information and knowledge: a comparative study of Kenyan and Swedish teenagers.
Eriksson T, Sonesson A, Isacsson A., Scand J Soc Med 25(2), 1997
PMID: 9232721
"They never tell you about the consequences": young people's awareness of sexually transmitted infections.
Garside R, Ayres R, Owen M, Pearson VA, Roizen J., Int J STD AIDS 12(9), 2001
PMID: 11516367
HIV/AIDS among adolescents in Eastern Euorpe: knowledge of HIV/AIDS, social representations of risk and sexual activity among school children and homeless adolescents in Russia, Georgia and the Ukraine
Attitudes of school environment towards integration of HIV-positive pupils into regular classes and knowledge about HIV/AIDS: cross-sectional study
Anticipated acceptance of HPV vaccination at the baseline of implementation: a survey of parental and adolescent knowledge and attitudes in Finland.
Woodhall SC, Lehtinen M, Verho T, Huhtala H, Hokkanen M, Kosunen E., J Adolesc Health 40(5), 2007
PMID: 17448408
High HPV vaccine acceptance despite low awareness among Swedish upper secondary school students.
Gottvall M, Larsson M, Hoglund AT, Tyden T., Eur J Contracept Reprod Health Care 14(6), 2009
PMID: 19929642
Knowledge of human papillomavirus and attitudes to vaccination among Swedish high school students.
Hoglund AT, Tyden T, Hannerfors AK, Larsson M., Int J STD AIDS 20(2), 2009
PMID: 19182055
Knowledge of human papillomavirus infection and its prevention among adolescents and parents in the greater Milan area, Northern Italy.
Pelucchi C, Esposito S, Galeone C, Semino M, Sabatini C, Picciolli I, Consolo S, Milani G, Principi N., BMC Public Health 10(), 2010
PMID: 20584324
Knowledge of school pupils about the HIV/AIDS topic at selected schools in Mecklenburg-Pomerania: Results of a survey of school pupils
Open versus closed questions - an open issue?
Question and Questionnaire Design
Trends in contraceptive use in the United States: 1982-1995.
Piccinino LJ, Mosher WD., Fam Plann Perspect 30(1), 1998
PMID: 9494809
Measuring contraceptive use patterns among teenage and adult women.
Glei DA., Fam Plann Perspect 31(2), 1999
PMID: 10224545
Use of birth control pills, condoms, and withdrawal among U.S. high school students.
Everett SA, Warren CW, Santelli JS, Kann L, Collins JL, Kolbe LJ., J Adolesc Health 27(2), 2000
PMID: 10899471
A review of studies of sexual behaviour of school students in sub-Saharan Africa.
Kaaya SF, Flisher AJ, Mbwambo JK, Schaalma H, Aaro LE, Klepp KI., Scand J Public Health 30(2), 2002
PMID: 12028864
Developing HIV-preventive behavioural interventions for young people in Scotland


Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

PMID: 21943100
PubMed | Europe PMC

Suchen in

Google Scholar