Nicola Döring, Veronika Mikhailova, Matthias Biermann, Yasemin Bresemann, Alexander Daum, Tanita Kistinger, Mareike Wellner, Thomas Zenge Wesendonk
{"title":"[Pornography in everyday life and sexual education among adolescents: survey results from 8th and 9th grade students in North Rhine-Westphalia].","authors":"Nicola Döring, Veronika Mikhailova, Matthias Biermann, Yasemin Bresemann, Alexander Daum, Tanita Kistinger, Mareike Wellner, Thomas Zenge Wesendonk","doi":"10.1007/s00103-025-04073-x","DOIUrl":"10.1007/s00103-025-04073-x","url":null,"abstract":"<p><strong>Background: </strong>In the digital age, minors' exposure to online pornography is increasing. However, current data for Germany are lacking.</p><p><strong>Research aim: </strong>The aim of this study was to examine the prevalence of unwanted and wanted pornography exposure among adolescents (research question 1, RQ1), their attitudes toward pornography (RQ2), their conceptions of what constitutes good sex (RQ3), and their subjective need for education about pornography (RQ4).</p><p><strong>Material and methods: </strong>Between 2023 and 2024, students in the 8th and 9th grades from various secondary schools in North Rhine-Westphalia were surveyed in a classroom setting using questionnaires. Complete datasets are available for N = 903 adolescents (85% aged 14-15 years; 54% male, 85% heterosexual).</p><p><strong>Results: </strong>Both unwanted (48%) and wanted (63%) exposure to pornography were widespread among the surveyed minors (RQ1). Their attitudes toward pornography were ambivalent: they described it as arousing yet harmful, as addictive yet fun (RQ2). In their conceptions of good sex, activities atypical of pornography (e.g., kissing, full-body caressing, declarations of love) played a greater role than those typical of pornography (e.g., hard thrusting, choking, anal intercourse, RQ3). The surveyed minors expressed a need for education about pornography, including its effects (58%) and its realism (55%, RQ4). Differences between boys and girls and between heavy and light pornography users are highlighted.</p><p><strong>Discussion: </strong>To ensure adolescents are not left alone with their experiences of sexually explicit media, it is advisable to address pornography as a topic in sexual education in an age-appropriate and factual manner.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"483-492"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine Watson, Volker Schmidt-Cox, Johanna Marquardt
{"title":"[International findings on sex education: a 15-year review (English version)].","authors":"Katherine Watson, Volker Schmidt-Cox, Johanna Marquardt","doi":"10.1007/s00103-026-04219-5","DOIUrl":"10.1007/s00103-026-04219-5","url":null,"abstract":"<p><strong>Introduction: </strong>Comprehensive sexuality education (CSE) is central to the healthy development of young people and, promoting healthy relationships and gender equality. Since the publication of the WHO Standards in 2010, the evidence base has expanded considerably and new discourses have gained importance. The aims of this study are to provide a systematic overview of the evidence on school-based CSE published since 2010 and to identify emerging thematic developments.</p><p><strong>Methods: </strong>As part of a scoping review, structured literature searches were carried out in PubMed, Google Scholar, and the journal Sex Education. Search terms combined variations of \"comprehensive sexuality education,\" \"sex education,\" \"school-based,\" \"adolescence,\" \"sexual development,\" and \"Europe\" as well as terms related to child and adolescent sexual development. The search period covered 1 January 2010 to 25 February 2025. To strengthen European representation, additional references were solicited from members of the expert group. This was followed by screening, evidence extraction, and validation of the synthesis.</p><p><strong>Results: </strong>The evidence demonstrates positive effects of CSE on social-emotional learning, healthy relationships, gender equality, and violence prevention. Increasing emphasis is placed on rights-based, inclusive, and diversity-sensitive approaches as well as on addressing digital realities. At the same time, growing societal resistance is evident.</p><p><strong>Discussion: </strong>The analysis highlights a substantive evolution of CSE that should be considered in the evidence-based revision of the Standards to ensure their relevance and applicability within the European context.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"465-472"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147509625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Sexual boundary violations and sexualized violence-Where do queer young people find information and support?]","authors":"Jasmin Stehr, Martin Wazlawik","doi":"10.1007/s00103-026-04214-w","DOIUrl":"10.1007/s00103-026-04214-w","url":null,"abstract":"<p><strong>Introduction: </strong>Queer young people are at increased risk of experiencing sexualized violence. In this context, there is a lack of target-group-specific information and counseling services. At the same time, queer young people also have access to key resources such as social support and online spaces. This article examines which contact persons, information sources, and psychosocial support services queer young people seek out regarding the topic of sexualized violence. A particular focus is placed on the role of digital access.</p><p><strong>Methods: </strong>In an online survey (June 2023-January 2024), 146 queer young people aged 16 to 27 were asked about their points of contact and their use of services. The data were evaluated descriptively. In addition, five group discussions (November 2022-December 2023) took place, which were evaluated qualitatively using a participatory and documentary method.</p><p><strong>Results: </strong>Of the 146 respondents, 50.3% use educational or counseling websites provided by organizations, and 35.2% use profiles and posts by organizations or experts in order to search for information. Friends are the main point of contact for 65.8%. The respondents have extensive knowledge of psychosocial support services. The qualitative data highlight the central meaning of peer support and online spaces but reveal barriers and challenges as well.</p><p><strong>Discussion and conclusion: </strong>The results point to the potential of digital information and counseling services on sexualized violence. Integrating peer-based support in professional services appears promising, but requires a resource-oriented and structural anchoring.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"444-453"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147389647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Sexual and reproductive health: data foundations, life-course perspectives, and requirements for prevention and care].","authors":"Sara Scharmanski, Ursula von Rüden","doi":"10.1007/s00103-026-04215-9","DOIUrl":"10.1007/s00103-026-04215-9","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"69 4","pages":"379-380"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathleen Pöge, Michael Brandl, Manuel Ricardo Garcia, Alexander Hahne, Jonas Hamm, Silvia Rentzsch, Christoph Schuler, Chris Spurgat, Uwe Koppe
{"title":"[Sexual refusal competence as a key factor for the sexual health of trans and non-binary people in Germany-quantitative results from a participatory cross-sectional survey].","authors":"Kathleen Pöge, Michael Brandl, Manuel Ricardo Garcia, Alexander Hahne, Jonas Hamm, Silvia Rentzsch, Christoph Schuler, Chris Spurgat, Uwe Koppe","doi":"10.1007/s00103-026-04216-8","DOIUrl":"10.1007/s00103-026-04216-8","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual refusal competence-the ability to refuse unwanted sexual acts-is central to sexual health and self-determination. To date, there has been little quantitative data available on trans and non-binary people in Germany.</p><p><strong>Methods: </strong>The basis for this study is the participatory cross-sectional study \"Sexual Health in Trans and Non-Binary Communities\" (TASG). The online survey was conducted from March to July 2022. The analysis presented here included sexually active individuals living in Germany who were at least 18 years old and identified as trans and/or non-binary. A quantitative analysis was conducted.</p><p><strong>Results: </strong>Of the 1421 participants, 67.7% agreed \"somewhat\" to \"completely\" with the statement that they found it easy to say \"no\" to unwanted sex (high level of refusal competence). These individuals reported higher sexual satisfaction more frequently. In addition, high refusal competence was associated with affirmative living conditions, that is, conditions that confirm and support one's own gender identity, such as living in one's gender identity, satisfaction with one's own body, respect for one's own gender identity, and social inclusion. Negative correlations were found with depressive and anxiety symptoms, internalized transnegativity, experiences of violence, rejection by sexual partners, and the feeling of having to prove one's gender identity.</p><p><strong>Discussion: </strong>Sexual rejection competence is not only individually determined, but also linked to social, physical, and psychological factors. Health promotion and sex education should therefore pursue trans- and non-binary-affirmative as well as participatory approaches.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"454-464"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147455462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Sexual and contraceptive behavior of adolescents and young adults in Germany: current results of the representative survey \"Youth Sexuality\"].","authors":"Sara Scharmanski, Luise Dinger","doi":"10.1007/s00103-026-04203-z","DOIUrl":"10.1007/s00103-026-04203-z","url":null,"abstract":"<p><strong>Background: </strong>Since 1980, the Federal Institute of Public Health (BIÖG; formerly Federal Centre for Health Education, BZgA) has regularly conducted the representative survey \"Youth Sexuality.\" It provides empirical data on the sexual and reproductive health of young people in Germany and serves as a basis for target-group-specific sex education and family planning interventions.</p><p><strong>Aim: </strong>Based on initial descriptive findings from the 10th trend wave in 2025, a summary of adolescents' and young adults' sexual and contraceptive behaviors is presented.</p><p><strong>Methods: </strong>A total of N = 5855 adolescents and young adults participated in the survey. Data collection took place in the first half of 2025 on behalf of BIÖG using a combination of oral and written interviews conducted via computer-assisted personal interviewing (CAPI).</p><p><strong>Results: </strong>Compared to previous survey waves, the age at first heterosexual intercourse among young people has increased. First sexual experiences predominantly occur within steady relationships and with contraceptive use. As in earlier surveys, a growing critical attitude toward hormonal contraceptive methods is evident; however, the decline in pill use does not appear to be continuing among adolescents. The pill and the condom remain the most commonly used contraceptive methods.</p><p><strong>Discussion: </strong>The later onset of heterosexual activity aligns with national and international findings. Current trends indicate that young people in Germany predominantly practice safe and responsible contraception. Nonetheless, the continued development of target-group-specific prevention services remains a key priority in sexual health promotion.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"391-399"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Male contraception-scientific foundations and contemporary progress].","authors":"Michael Zitzmann","doi":"10.1007/s00103-026-04208-8","DOIUrl":"10.1007/s00103-026-04208-8","url":null,"abstract":"<p><p>Despite decades of assiduous inquiry and burgeoning societal demand, contraceptive options for men remain circumscribed. Women have benefitted from highly efficacious hormonal modalities, but the burden of contraceptive responsibility continues to rest almost exclusively upon them. In light of the potential sequelae of female hormonal agents and the inviolable right to bodily autonomy, the quest for safe, reversible male methods is assuming urgency.Hormonal contraception for men relies on suppression of spermatogenesis through exogenous testosterone combined with progestins. Multicenter trials employing testosterone undecanoate with norethisterone enanthate demonstrated contraceptive efficacy commensurate with oral contraceptives in women. Nonetheless, adverse sequelae-including diminished libido, dysphoric mood, and weight accrual-precipitated discontinuation of the WHO-led trial. Recent transdermal combinations (testosterone with nestorone) and novel oral androgens have exhibited encouraging tolerability.Concurrently, non-hormonal paradigms are garnering momentum. Retinoic acid receptor‑α antagonists such as YCT-529 disrupt spermatogenic differentiation, while inhibitors of soluble adenylyl cyclase transiently impair sperm motility, enabling on-demand, pharmacological fertility control. Both strategies have proven efficacious, reversible, and well tolerated in preclinical investigations; notably, YCT-529 has advanced into human trials.At present, the vanguard of innovation lies with academic consortia and philanthropic institutions rather than industry. Although a market-ready preparation remains elusive, the progress in both hormonal and non-hormonal avenues underscores the profound potential for a more equitable apportionment of contraceptive responsibility.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"410-416"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147289424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sven Schneider, Susanna Sophie Hinn, Juliane Mirow, Andrea Nakoinz
{"title":"[The Federal Ministry of Health's \"Model Heat Protection Plan for Organized Sport\"-background, structure, and content].","authors":"Sven Schneider, Susanna Sophie Hinn, Juliane Mirow, Andrea Nakoinz","doi":"10.1007/s00103-026-04222-w","DOIUrl":"10.1007/s00103-026-04222-w","url":null,"abstract":"<p><p>Both in competitive sports and in recreational and school sports, exposure to high outdoor temperatures often cannot be avoided. In 2025, the Federal Ministry of Health published the \"Model Heat Protection Plan for Organized Sport\", which aims to protect athletes from heat-related health risks. The plan is aimed at sports clubs, sports associations, and sports facility operators, and is intended to help them use structural preventive measures not only to protect athletes, but also coaches, referees, officials, service staff, and spectators from the health hazards caused by heat. It is designed to ensure that not every club has to develop its own heat protection concept from scratch. This article reports on the development process of the plan and discusses its structure, content, and its place within the existing prevention landscape.Based on recommendations from the World Health Organization and the Federal Ministry for the Environment, Climate Action, Nature Conservation and Nuclear Safety, the heat protection plan includes measures 1) to prepare for summer, 2) to protect during summer, 3) for acute heat waves, and 4) for medium- and long-term adaptation. Preparation should include drawing up process plans and designating responsible persons. Technical and structural measures include installing sunshades and shading substitute benches. During acute heat waves, misting systems can provide cooling. In addition, training and match times can be rescheduled, and extra substitutions and drink breaks may be allowed during competitions. Long-term measures include reorganizing competitions and league operations, and establishing clear cancellation and rescheduling regimes.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Halbach, Catherin Bosle, Miriam Gerlich, Ursula von Rüden
{"title":"[Awareness of human papillomavirus (HPV) vaccination for girls and boys in Germany-results of the LIEBESLEBEN study].","authors":"Sarah Halbach, Catherin Bosle, Miriam Gerlich, Ursula von Rüden","doi":"10.1007/s00103-026-04207-9","DOIUrl":"10.1007/s00103-026-04207-9","url":null,"abstract":"<p><strong>Background: </strong>Despite the current recommendation of human papillomavirus (HPV) vaccination for girls and boys, vaccination rates in Germany remain low. Vaccination awareness is essential for vaccination behaviour and thus for an increase in vaccination rates. The aims of the present work were to investigate HPV vaccination awareness among the general population in Germany and to identify potential factors (sociodemographic, family and relationship characteristics, regional context) associated with HPV vaccination awareness. The results will help to conceptualize, manage, optimize and evaluate measures of public health.</p><p><strong>Methods: </strong>As part of the LIEBESLEBEN study, population-wide data were collected via an online survey (n = 4640). Data were weighted according to criteria representative for Germany. Bivariate analyses and multivariate logistic regression models were calculated.</p><p><strong>Results: </strong>In total, 61.5% of respondents are aware of HPV vaccination for girls and 32.6% are aware of HPV vaccination for boys. The results of regression analyses show that the awareness of HPV vaccination for girls and boys is significantly associated with gender, formal education level, sexual orientation and living with children. The awareness of HPV vaccination for girls is additionally associated with relationship status and the degree of regional deprivation. In addition, HPV vaccination awareness for boys is associated with age.</p><p><strong>Discussion: </strong>In Germany, HPV vaccination awareness is still modest. This is particularly true in terms of vaccination for boys. Measures to raise awareness should be intensified. These include communication and informational offerings, settings-based approaches to address target groups as well as involving (medical) professionals, and supporting a healthcare structure that promotes vaccination.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"381-390"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Franka Metzner-Guczka, Susanne Heumann-Schoop, Daniel Mays, Silke Pawils
{"title":"Erratum zu: Schulgesundheitsfachkräfte in Deutschland – Modellprojekte und Verstetigungen.","authors":"Franka Metzner-Guczka, Susanne Heumann-Schoop, Daniel Mays, Silke Pawils","doi":"10.1007/s00103-026-04221-x","DOIUrl":"https://doi.org/10.1007/s00103-026-04221-x","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147466933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}