Toward the automation of family semantic grids: a pilot exploration of text mining for evidence-informed systemic-relational psychotherapy.

Universal access to sexual and reproductive healthcare services is explicitly emphasized in two of the United Nations' (UN's) Sustainable Development Goals within Agenda 2030 (). Despite this global commitment, adolescents continue to face substantial challenges related to sexual and reproductive health and rights, and progress in this area remains insufficient (, ). Adolescence represent a transitional phase between childhood and adulthood and is characterized by rapid physical, cognitive, emotional, and sexual development (–). Sexuality is an integral part of human life across the lifespan, beginning at birth, and is a central aspect of public health (). Over the past few decades, societal changes, including shifts in youth culture and broader social conditions, have further influenced adolescents' health-related behaviors, lifestyles, and overall health status (). Sexual and reproductive health has become a key public health issue in this population. Research highlights concern about early sexual debut, inadequate use of contraception, and insufficient information which may lead to unwanted pregnancies, sexually transmitted infections, and mental health challenges (, –). A Norwegian study among high school students who had debuted sexually, found that about half reported their first sexual intercourse before age of 16 (). Scandinavian research indicates a slight decline in the age of sexual debut, from 17 to 16 years (). International findings further show that approximately 20% of young people report their first sexual intercourse as unwanted, with negative experiences more frequently reported among girls (). In addition, condom use among European youth has declined in recent years (), that there is no clearly established culture of condom use (). In a Norwegian high school study, 32% reported not using contraception at first intercourse, with higher use among girls than boys (). As a result of these developmental changes, adolescents have distinct health needs that differ from those of both younger children and adults, and these should be addressed with consideration of their development stage (, ). Therefore, for adolescents to grow and develop in good health, it is essential to have access to information, age-appropriate sexuality education, opportunities to develop life skills, acceptable health services, and safe environments ().