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1.
An inaccurate definition of what constitutes sex can negatively impact the sexual health and wellbeing of patients. This study aimed to determine which behaviors medical students consider to be sex. Survey questions about various sexual behaviors were administered to medical students. All participants agreed that penile-vaginal penetration is sex. More than 25% of participants did not consider genital-genital contact without penetration, oral-genital contact, foreign object in rectum, and forced vaginal/rectal penetration as sex. Nonheterosexuals were more likely to consider genital-genital contact without penetration sex. We determined there was less than complete consensus among future physicians on what activities are considered sex.  相似文献   

2.
How should common schools in a liberal pluralist society approach sex education in the face of deep disagreement about sexual morality? Should they eschew sex education altogether? Should they narrow its focus to facts about biology, reproduction, and disease prevention? Should they, in addition to providing a broad palette of information about sex, attempt to cover a range of alternative views about sexual morality in a “value‐neutral” manner? Should they seek to impart a “thick” conception of sexual morality, which precisely articulates how individuals should lead their sexual lives? In this essay, Josh Corngold cautions against the adoption of each of these various approaches. He argues that schools should instead adopt an “autonomy‐promoting” approach, which will aim to empower students, cognitively and emotionally, to exercise sovereignty over their own sexuality.  相似文献   

3.
Ubiquitous “sex tips” in popular media evidence an unquenchable public interest in learning how to experience “great sex,” and studies confirm that a great sexual relationship correlates to general relationship satisfaction, which in turn correlates to overall happiness. While studies of great sex or “optimal sexuality” are few, enough is known to conclude that the paths to great sex depicted in popular media are largely dead ends. This lesson plan will help educators (a) dispel inaccurate information about optimal sexuality disseminated in the popular media and (b) inform students about the components of optimal sexuality.  相似文献   

4.
This study evaluates a cooperative learning approach for teaching anatomy to health science students incorporating small group and peer instruction based on the jigsaw method first described in the 1970's. Fifty-three volunteers participated in abdominal anatomy workshops. Students were given time to become an “expert” in one of four segments of the topic (sub-topics) by allocating groups to work-stations with learning resources: axial computerized tomography (CT) of abdominal structures, axial CT of abdominal blood vessels, angiograms and venograms of abdominal blood vessels and structures located within abdominal quadrants. In the second part of workshop, students were redistributed into “jigsaw” learning groups with at least one “expert” at each workstation. The “jigsaw” learning groups then circulated between workstations learning all sub-topics with the “expert” teaching others in their group. To assess abdominal anatomy knowledge, students completed a quiz pre- and post- workshop. Students increased their knowledge with significant improvements in quiz scores irrespective of prior exposure to lectures or practical classes related to the workshop topic. The evidence for long-term retention of knowledge, assessed by comparing end-semester examination performance of workshop participants with workshop nonparticipants, was less convincing. Workshop participants rated the jigsaw workshop highly for both educational value and enjoyment and felt the teaching approach would improve their course performance. The jigsaw method improved anatomy knowledge in the short-term by engaging students in group work and peer-led learning, with minimal supervision required. Reported outcomes suggest that cooperative learning approaches can lead to gains in student performance and motivation to learn. Anat Sci Educ 00: 000–000. © 2018 American Association of Anatomists.  相似文献   

5.
College students represent an important population for studying and understanding factors that influence sexual risk given the populations' high risk of sexually transmitted infections and unintended pregnancies. Using a quasi-experimental design, the efficacy of a brief and theory-driven mobile application intervention designed to decrease sexual risk behaviors among young college students (N = 118) was tested. Ninety-six percent (n = 114) of the participants showed an increase in contraceptive use knowledge from pretest to posttest (p = .013). Participants did not show a statistically significant change in intention to reduce sexual risk behaviors or actual risk reduction. This study supports the use of technology to educate college students about sexual health.  相似文献   

6.
This study investigated peer selection and socialization effects on sexual behavior and attitudes using 1,350 15- to 18-year-old students participating in two waves of the National Longitudinal Study of Adolescent Health. Regarding socialization effects, friends' intercourse without condoms predicted later individual intercourse without condoms positively. Friends' attitudes about the costs of sex predicted later individual attitudes positively and intercourse without condoms negatively. The latter relation was stronger for females than for males. Regarding selection effects, individual attitudes predicted later friends' attitudes positively, but the strength of this effect varied by ethnicity. The results suggest that adolescents socialize friends to have similar sexual attitudes and behavior but tend to select friends based on similar attitudes rather than similar behaviors.  相似文献   

7.
Developments in biology and genetics in recent decades have caused significant shifts in the understanding and conceptualization of human biological variation. Humans vary biologically in different ways, including individually, due to age, ancestry, and sex. An understanding of the complexities of all levels of biological variation is necessary for efficient health care delivery. Important steps in teaching medical students about human variation could be carried out in anatomy classes, and thus, it is important that anatomical education absorbs new developments in how biological variation is comprehended. Since the early 1990s biological sex in humans has been vigorously investigated by scientists, social scientists, and interest groups. Consequently, the binary division in male and female sex has been called into question and a more fluid understanding of sex has been proposed. Some of the major textbooks teach anatomy, particularly of the urogenital system, as a male-female binary. Anatomical sciences curricula need to adopt a more current approach to sex including the introduction of the category of “intersex”/“differences in sexual development” and present sex as a continuum rather than two sharply divided sets of characteristics. This approach offers a better understanding of the complexity of sex differences and, at the same time, provides students with an improved theoretical framework for understanding human variation in general, transcending the limitations of biological typology. When well delivered, the non-binary approach could play a significant contribution to the formation of competent and responsible medical practitioners and avoidance of problematic practices such as non-consensual “normalizing” surgeries.  相似文献   

8.
The article discusses a counselor renewal workshop in sex equity that used a variety of experiential activities including material from the ACES Commission on Sex Equality Concerns. Evaluation of the workshop was done in an unique manner through the use of a questionnaire from the handbook prepared by the ACES Commission and through a pretest/posttest consisting of a worksheet and audiotaped vignettes demonstrating sex bias in counseling situations. The workshop appeared to heighten the awareness of the subtlety of sex-biased communication on the part of the counselors and to stimulate their intentions to monitor and to change appropriately their own counseling behaviors in the future.  相似文献   

9.
The objective of this study was to describe prevalent informal sources of information about sex and examine associations between informal sources of information about sex and sexual risk outcomes among sexually experienced adolescents. Work involved the secondary analysis of data from the Minnesota Student Survey, a statewide survey to monitor priority risk and protective health behaviors. The study sample included 22,828 sexually experienced adolescents aged 13–20 years. Multivariate logistic regression analyses examined associations between adolescents' informal sources of information about sex and three sexual risk outcomes. Peers and siblings were the most commonly reported source of information about sex. Ninth-graders who reported parents or parents plus peers/siblings as a source of information about sex had significantly lower odds of having multiple sex partners in the past year. Ninth-graders who reported any informal source of information about sex had significantly lower odds of unprotected intercourse at last sex. Ninth-graders and 12th-graders who reported any informal source of information about sex had significantly lower odds of lifetime pregnancy involvement. Findings suggest information about sex from people in adolescents' everyday lives has the potential to diminish the likelihood of involvement in sexual risk behaviors. To maximize effectiveness, formal sex education programs should engage informal sources of information about sex in adolescents' everyday lives.  相似文献   

10.
Ubiquitous “sex tips” in popular media evidence an unquenchable public interest in learning how to experience “great sex,” and studies confirm that a great sexual relationship correlates to general relationship satisfaction, which in turn correlates to overall happiness. However, sexologists have paid scant attention to “optimal sexuality” and have focused instead on sexual dysfunction. While studies of optimal sexuality are few, we know enough to conclude that the paths to great sex depicted in popular media are largely dead ends. This article provides a framework for giving professional guidance to seekers of optimal sexuality.  相似文献   

11.
The perceived costs and benefits of condom use within the context of commercial sex were examined in interviews with 87 clients of female Dutch prostitutes. 8 types of condom users were identified: convinced (46% of the study group), guilty conscience (11%), anti-ridden (13%), defaulting (6%), maximum selective (8%), minimum selective (3%), indifferent (8%), and recalcitrant (5%). Clients who consistently used condoms take responsibility for both the pleasure and safety of their sexual encounter; their attitude toward prostitution is positive and straightforward. Guilty conscience users are motivated to use condoms by feelings of guilt toward their wife and are ambivalent about their participation in commercial sex. Angst-ridden users are motivated to seek out prostitutes more by loneliness than the pursuit of sexual pleasure; they view their personal risk of acquired immunodeficiency syndrome (AIDS) as higher than that reported by consistent users and thus are motivated by fear to use condoms. Defaulting users perceive themselves as the victims of temptation and express a lack of control over the sexual encounter that places them at risk of unprotected sex. Maximum selective users are consistent in using condoms in sex with prostitutes, except when it involves a prostitute whom they see regularly and frequently. Minimum selective users seek frequent contact with prostitutes and base condom use on a subjective assessment of whether the woman is healthy or not. Indifferent users, often disabled and lonely men with no other source of sexual contact, base their condom use or nonuse solely on the wishes of the prostitute. Finally, recalcitrant users are characterized by a desire for power and protest condom use. In general, consistent condom use was related to a positive evaluation of prostitutes, positive attitudes toward the advantages of condom use, an internal locus of control with regard to health, and a higher level of education.  相似文献   

12.
Entropy is often introduced to students through the use of the disorder metaphor. However, many weaknesses and limitations of this metaphor have been identified, and it has therefore been argued that it is more harmful than useful in teaching. For instance, under the influence of the disorder metaphor, students tend to focus on spatial configuration with regard to entropy but disregard the role of energy, which may lead their intuition astray in problem solving. Albeit so, a review of research of students’ ideas about entropy in relation to the disorder metaphor shows that students can use the metaphor in developing a more nuanced, complex view of the concept, by connecting entropy as disorder to other concepts such as microstates and spreading. The disorder metaphor—in combination with other explanatory approaches—can be used as a resource for learning, in giving students an early flavour of what entropy means, so long as we acknowledge its limitations; we can put this “bad” metaphor to good use in teaching.  相似文献   

13.
Behavior change is the only available means of curtailing new HIV infections in South Africa. This study investigated the relationship between sexual risk taking and attitudes to AIDS precautions. The participants were about 25% white, about 30% colored/mixed blood and 45% black in their second year in polytechnics (413 females and 402 males). Participants responded to the 40-item HIV-related knowledge, attitudes and behaviors. Data indicated that young women showed more positive attitudes to AIDS precautions than young men (reflecting in part the stereotypic negative attitudes of young men toward condoms). In general, most males and females were found to have less knowledge about HIV transmission and less favorable attitudes toward safe sex behavior than their counterparts in the west. Also young men with more partners expressed more fatalistic attitudes toward AIDS. The possibility that a finergrained multivariate analysis of attitudes to AIDS and safe-sex behaviour is something that needs to be taken seriously in future research, however.  相似文献   

14.
The opportunities for outreach activities for professionals and academics in food science are extensive, as too are the range of participants’ experience levels and platforms for delivery. Here, we present a set of activities that are readily adaptable for a range of students (ages 10 to 18) in multiple platforms (demonstration table and hands‐on workshop). Our activity, collectively called “The Science of a Sundae,” has three units, one for each of the three parts of a sundae: the caramel sauce, the cherry, and the ice cream. In each unit we use these familiar food items to illustrate how colligative properties (or, simply, “solutions” for younger students) impact the chemical, microbiological, and sensorial properties of food. We have used these activities to present to over 1000 students and their parents/chaperones. Grade levels of student participants have ranged from 5th grade through high school, and these activities have been presented in the form of a demonstration table at science events as well as a set of three 45‐minute workshops in a classroom setting. Educational impact of these activities was evaluated with 7th grade students (n = 77) who participated in the 3‐phase workshop. On average, students who took the posttest (after participation in the workshop) scored 36% higher than students who took the pretest (prior to participation in the workshop). These results and instructor observations suggest the merit of this lesson and its adaptability among ages and platforms.  相似文献   

15.
The goal of this study was to examine the impact of a culturally appropriate HIV prevention and sexual empowerment curriculum workshop on female college students at a Hispanic-serving institution in the USA. Female participants in the Somos Fuertes: Strong Women Making Healthy Choices curriculum (n = 175) from a variety of ethnicities completed pre- and post-surveys during the academic years 2007–2008, 2008–2009, and 2009–2010. Paired t-tests were conducted to examine pre- and post-results on five scales: perceived sexually transmitted infection (STI) risk, perceived HIV risk, intended use of barriers during sex, effective communication skills, and behavioural self-efficacy. The analyses showed significant differences with at least medium effect sizes for all variables except perceived STI risk. The evaluation results demonstrate that the workshop offers a viable curriculum to implement on college campuses interested in affecting change related to HIV prevention strategies in a multicultural female population.  相似文献   

16.
This study aimed to assess associations between school HIV education and protective sexual behaviors and sexually transmitted disease (STD)/HIV diagnosis with a representative sample of male and female high school students. Data from male and female adolescent participants in the 1999, 2001 and 2003 Massachusetts Youth Risk Behavior Survey (n = 12,243) were analyzed. Adjusted regression analyses stratified by gender were conducted to assess relationships between school HIV education exposure and the following outcomes: no sexual initiation, condom use at last sex, no multiple sex partners in the past three months and no history of STD/HIV diagnosis. Participants were mostly White (75%) and were 51% male; the subsample of sexually active students was younger than the total sample but was otherwise similar in demographics. School HIV education was reported by 93% of our sample and was significantly related to sexual initiation among boys (odds ratio = 1.9, 95% confidence interval = 1.4–2.7) but not girls. Among sexually experienced students (n = 4752), boys reporting exposure to school HIV education were significantly more likely to report condom use (odds ratio = 2.2, 95% confidence interval = 1.6–3.1), no multiple sex partners (odds ratio = 3.2, 95% confidence interval = 2.3–4.4) and no STD/HIV diagnosis (odds ratio = 3.2, 95% confidence interval = 2.0–5.0); girls reporting such exposure were significantly more likely to report no multiple sex partners (odds ratio = 2.2, 95% confidence interval = 1.3–3.6). In conclusion, exposure to school HIV education is associated with sexual protective behaviors and reduced likelihood of STD/HIV diagnosis for boys but less so for girls, suggesting the need for more gender‐tailored approaches to school HIV education.  相似文献   

17.
Abstract

A greater understanding of how sexual consent is learned may be important in informing interventions to decrease sexual assault and ensure pleasurable sexual experiences. This study explored the role of quality and quantity of perceived sex education in relation to sexual consent attitudes, intentions, and behavior. Greater perceived sex education was associated with positive attitudes toward consent for all participants and with intentions to obtain consent only for those with fewer years of general education. Interestingly, perceived sex education was unrelated to a test of sexual knowledge. However, objective sexual knowledge was associated with consent attitudes and behaviors.  相似文献   

18.
Young people who engage in unprotected sex are at risk of negative consequences. The current study explored pre-post assessment data from 124, mostly Black, young people (M age = 19.6, SD = 2.8) attending an educational and vocational training programme who participated in the Condom Carnival, a novel, brief, interactive, peer-led, culturally tailored, sexual risk reduction group intervention. Condom Carnival activities provided practice negotiating condom use and using condoms correctly, instruction on safe lubricant use, and opportunities to dispel myths regarding condom size and breakage. We examined the preliminary impact of the Condom Carnival in increasing participants’ condom-related self-efficacy, lubricant safety awareness, and condom-related behavioural intentions and behaviour likelihood. Despite previous exposure to prevention efforts, participants reported significant increases in lubricant safety awareness (p < 0.001) and intentions to carry a condom in the next year (Z = ?2.05, p = 0.04). Although participants reported high condom-related self-efficacy and intentions to use a condom, only three-quarters of young people endorsed intentions to always carry a condom. Findings indicate the need to explore the gap between intentions to use and carry condoms and to develop effective strategies to increase condom carrying among young people. Further assessment of the Condom Carnival as an add-on intervention to enhance sexual risk reduction efforts among youth is warranted.  相似文献   

19.
In sub-Saharan Africa, young women are at the highest risk of HIV infection. Comprehensive sexuality education and open parent–child communication about sex have been shown to mitigate risky sexual practices associated with HIV. This study aimed to identify sources of HIV prevention knowledge among young women aged 10–14 years and community-based strategies to enhance HIV prevention in Zambia. Focus group discussions were conducted with 114 young women in Zambian provinces with the highest rates (~20%) of HIV. Discussions were recorded, transcribed and coded, and addressed perceived HIV risk, knowledge and access to information. Participants reported that limited school-based sexuality education reduced opportunities to gain HIV prevention knowledge, and that cultural and traditional practices promoted negative attitudes regarding condom use. Parent–child communication about sex was perceived to be limited; parents were described as feeling it improper to discuss sex with their children. Initiatives to increase comprehensive sexuality education and stimulate parental communication about sexual behaviour were suggested by participants. Culturally tailored programmes to increase parent–child communication appear warranted. Community-based strategies aimed at enhancing protective sexual behaviour among those most at risk are essential.  相似文献   

20.
We examined whether sexual attitudes of adolescents were related to their self-reported sexual risk behavior by analyzing survey data from 1,052 boys and girls aged 14 to 17 years from a low income, urban community. Sexual behavior norms that may increase sexually transmitted infection/HIV risks in youth were sanctioned more by males and by sexually experienced youth, but their attitudes were unassociated with either their age or race/ethnicity. Endorsement was correlated with greater intention to have sexual intercourse among all youth. Among sexually experienced participants, it was associated with earlier sexual debut, more partners, and less intention to use condoms but not with the number of unprotected sexual episodes in the prior six months. Sexual attitudes of youth may conflict with initiation and maintenance of safer sex practices, making them vulnerable to HIV and other sexually transmitted infections. Risk reduction interventions for adolescents should address this.  相似文献   

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