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Sexual health problems cause negative externalities from contagious diseases and public expenditure burdens from teenage pregnancies. In a randomized evaluation, we find that an online sexual-health education course in Colombia leads to significant impacts on knowledge and attitudes and, for those already sexually active, fewer STIs. To go beyond self-reported measures, we provide condom vouchers six months after the course, and find a 9 percentage point increase in redemption. We find no evidence of spillovers to untreated classrooms, but we do observe a social reinforcement effect: the impact intensifies when a larger fraction of a student's friends is also treated.
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This study reports results from a randomized evaluation of a mandatory six-month Internet-based sexual education course implemented across public junior high schools in 21 Colombian cities. Six months after finishing the course, the study finds a 0.4 standard deviation improvement in knowledge, a 0.2 standard deviation improvement in attitudes, and a 55 percent increase in the likelihood of redeeming vouchers for condoms as a result of taking the course. The data provide no evidence of spillovers to control classrooms within treatment schools, and it finds that treatment effects are enhanced when a larger share of a student's friends also takes the course. The low cost of the online course along with the effectiveness the study documents suggests this technology is a viable alternative for improving sexual education in middle-income countries.
Field Experiment --- Health, Nutrition and Population --- Information Technologies --- Internet --- Reproductive Health --- Sex Education --- Teenagers
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Across public junior high schools in 21 Colombian cities, we conducted a randomized evaluation of a mandatory six-month internet-based sexual education course. Six months after finishing the course, we find a 0.4 standard deviation improvement in knowledge, a 0.2 standard deviation improvement in attitudes, and a 55% increase in the likelihood of redeeming vouchers for condoms as a result of taking the course. We find no evidence of spillovers to control classrooms within treatment schools, and we find treatment effects are enhanced when a larger share of a student's friends also takes the course. The low cost of the online course along with the effectiveness we document suggests this technology is a viable alternative for improving sexual education in middle income countries.
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