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1.
Kathleen Cash Hashima-E-Nasreen Ayesha Aziz Abbas Bhuiya A. Mushtaque R. Chowdhury Sadia Chowdhury 《Sex education》2013,13(3):219-233
In 1997, two organizations, BRAC (Bangladesh Rural Advancement Committee) and ICDDR,B (International Center for Diarrheal Disease Research), as part of their collaborative research model, developed an HIV/AIDS prevention strategy for rural Bangladeshi youth. Currently, HIV/AIDS is not apparent in rural Bangladesh. Other sexual and reproductive health problems are more pressing. Moreover, there are few inor out-of-school sex education programs for adolescents in Bangladesh. Therefore, preliminary qualitative research was conducted to understand the broad parameters of sexual and reproductive health within the sociocultural context of young people's risks and vulnerabilities. Exploratory research revealed that youth were vulnerable to sexual diseases, late-term abortions, sexual violence, reproductive tract infections, and premarital pregnancies. Adolescents and adults thought that youth today need sex education. Adults said that youth should not be educated about condom use because this would conflict with a girl's prospects for an arranged marriage. Bangladeshi youth today are being exposed to experiences unfamiliar to their parents. Lacking appropriate knowledge, information and awareness about sexual and reproductive health unduly heightens young people's fears, and increases their social and sexual vulnerabilities. 相似文献
2.
Introduction: In the absence of standardised sex education and because schools usually limit their teaching to the ‘health’ aspects of sexuality, young people in Cyprus rely on their peers and the media for information on sexuality. This study examines the sources and adequacy of the information received by young people from various sources on matters related to sexuality and sexual health. Method: Twelve in‐depth interviews were conducted in Cyprus in 2005 with purposively chosen boys and girls aged 15–18 years using a semi‐structured discussion guide. The interviews focused on participants' knowledge of HIV/AIDS and other sexually transmitted infections, safer sex, contraception and abortion. They also explored attitudes and beliefs concerning relationships, homosexuality and mutual consent. Results: Information about sexual health is primarily received from school in classes that interviewees considered dull or irrelevant. Television, and to a lesser degree magazines, were the main sources of information on sexual relationships, the sexual act, homosexuality and abortion. Sexually transmitted infection knowledge was limited and often erroneous, while attitudes towards contraception use, abortion and homosexuality suggest that negative stereotypes are widespread. Conclusions: Because the information young people receive on sexuality appears to be inadequate, there is an urgent need to implement comprehensive, evidence‐based sex education in the public schools. It should also address the nature and content of the sexual and reproductive health messages received from peers and the media. 相似文献
3.
Throughout England, young people in schools are entitled to a comprehensive programme of sex education as part of Personal, Social and Health Education (PSHE). Current debate about the content of such a programme is informed by new government guidance on sex and relationship education as well as pre-existing concerns about homophobic bullying, sexual health and mental health. In an English local authority, an externally funded Young Gay and Bisexual Men's Development Worker provided educational activities to address sexual orientation and identity issues to four schools. An evaluation sought to identify whether successes had been achieved and why. A further aim was to identify useful learning about the role of external professionals in carrying out effective education about sexual orientation with young people in schools. The evaluation was developed within the context of a number of 'real-world' limitations. Nevertheless, a significant number of project successes (and areas for development) were documented. Successes included raising awareness of key issues among pupils and supporting teachers engaged in PSHE. Key factors contributing to success included: adequate preparation of teachers and pupils in schools; an appropriately skilled and experienced project worker; and a considered approach to building partnerships with schools and working with young people. 相似文献
4.
While much research has documented unsatisfactory sexual and reproductive health (SRH) awareness among young people in South Africa, understanding of gender differences in access to and evaluation of SRH information is limited. This paper concerned itself with men and women's informal sources and content of SRH, and gendered divergences around accessibility, evaluation, and impact of such information. Fifty sexual history narrative interviews and twenty-five narrative interviews with women were conducted with participants purposively sampled from a range of ages, cultural and racial backgrounds, and in urban and rural sites across five provinces in South Africa. Data were analysed using thematic analysis. While young women were more likely to learn about SRH information from family members, they also reported greater regulation concerning their sexuality. This could enhance stigma surrounding women's sexuality and hinder open communication. Men predominantly learned about sex through pornography and peers, which was reported to encourage sexual prowess to the neglect of practising safer sex. Lack of adequate SRH instruction for young people as revealed through the narratives had significant and often negative implications for men and women's early safer sex behaviours. In response to these insights, recommendations are offered to strengthen informal sources of SRH awareness. 相似文献
5.
Doaa M. Oraby 《Sex education》2013,13(4):470-477
Young people aged 15–24 constitute about one quarter of the population in Egypt. Recent survey findings provide evidence to advocate for the improvement of the number and quality of services targeting young people's needs. This study focused on the role of youth-friendly clinics in addressing young people's sexual and reproductive health. The study methodology included desk review, in-depth interviews with physicians and peer educators, and focus group discussions with young people of both sexes, including clinic beneficiaries and non-beneficiaries. The overall environment for sex education and service provision has improved in recent years. Pilot government and non-government youth-friendly clinics have been established but their coverage and use remain limited, with the majority of service users being married women rather than single men and women. The role of youth-friendly clinics in addressing youth sexual and reproductive health needs remains restricted due to societal reluctance to address these issues and cultural and religious sensitivities. Government commitment is required to scale up pilot clinics into a national programme to improve the welfare of all young people. 相似文献
6.
Young people's need for sex education is evidenced by their typically early initiation of sexual activity, the often involuntary context within which they have sexual intercourse, high‐risk sexual behaviours and the inadequate levels of knowledge of means of protecting their sexual health. The earliness of initiation of sexual intercourse has implications for the age by which sexuality education should be provided. The extent and context of sexual behaviour is a firm indicator of the need for sex education as well as for counselling, information and services related to sexual and reproductive health. Apart from behaviours, information on the extent of knowledge and accuracy of knowledge about risks to sexual health and about means of preventing unhealthy or undesired outcomes are important indicators of young people's need for information to help them make choices and to engage in safe and healthy behaviours. Such measures of behaviour and knowledge can also be relevant and valid indicators of the effectiveness of sex education interventions. The context with which young people live and key characteristics such as school attendance and literacy are important considerations in providing information and in evaluating interventions. 相似文献
7.
Ruzanna Gevorgyan Elena Schmidt Martin Wall Geoffrey Garnett Rifat Atun Svetlana Maksimova 《Sex education》2013,13(2):213-226
Objective To investigate the attitudes of the main stakeholders towards the introduction of sex education in schools in Russia. Design Qualitative semi-structured interview study. Setting Altai Krai, Volgograd Oblast, Moscow, Russian Federation. Participants One hundred and fifty-three interviews with Intersectoral HIV/AIDS Committee members, government officials responsible for HIV policies and interventions, non-governmental organisation and private-sector representatives. Main outcome measures Perception of and attitudes towards the introduction of sex education in schools. Results Ninety-one per cent of stakeholders welcomed the introduction of sex education in schools and emphasised its importance for a child's personal development, public health, sexually transmitted diseases and HIV/AIDS control, and pregnancy planning. The majority of respondents suggested providing different information for each age and grade. Despite the claimed support of interviewed policy-makers and main HIV stakeholders, there has been no action to introduce sex education. The majority of respondents were of the view that wider positive support through propaganda about health, sex and healthy lifestyle should be gained prior to introducing sex education in schools by addressing the stigma surrounding sexual issues. Conclusions There was little opposition to the introduction of sex education in Russian schools expressed in our survey, but there are uncertainties regarding curriculum quality, teaching methods and the starting grade of teaching about sex, and there is a need to cover local sensitivities in the territories. These concerns could and should be addressed during curriculum design, development and programme implementation by the federal and local authorities. Wider involvement of educational specialists, peer-adults, health workers, celebrities and religious representatives in discussion of the curriculum could help prevent opposition to its implementation. Contribution to knowledge Discussion of sex-related topics has been taboo in Russia and there has been little research into opinions on issues related to sex education. The contribution of this research is in gaining theoretical in-depth understanding of the attitudes of the interviewed stakeholders in Russia about the introduction of sex education in schools. 相似文献
8.
Objective To assess the sexual health knowledge of teachers who contribute to secondary school sexual health education in order to determine whether teachers are adequately prepared to implement present government education and public health policies. Design Results were obtained from a questionnaire as part of a two‐phase intervention study. Setting Nineteen mixed‐sex, state secondary schools in central England. Participants One hundred and fifty‐five teachers (94 female, 61 male) participated. Main outcome measures The questionnaires were distributed to teachers to assess their knowledge of sexual health, contraception and sexually transmitted infections. In addition, teachers' attitudes on the subject of sex and relationships education were evaluated. Results The results suggest that teachers have insufficient sexual health knowledge to effectively teach sexually transmitted infections or emergency contraception, although their general sexual health knowledge was good. Therefore, at present teachers do not have adequate specialist knowledge in sexual health to contribute to current recommendations for sex and relationships education in secondary schools. There were no statistically significant differences in the results regarding location of school, area of residence, gender or age of the participant. Conclusions Many teachers are being expected to contribute to secondary school sexual health education programmes at a time when they do not have sufficient knowledge to provide young people with adequate sexual health education and when they do not feel prepared to teach, and in many cases would prefer not to teach, these programmes. 相似文献
9.
Introduction: Despite government support of culturally appropriate sex and relationships education (SRE), young people's access to information is limited and sexual health needs are not being met, particularly among youth from black and minority ethnic groups. Joint‐working between health, education, voluntary sectors and parents has been heralded as key in redressing inequalities in sexual health outcomes and access to information. Our study focuses on SRE provision for young Muslim Bangladeshis, highlighting the complexities involved in streamlining SRE messages. Objective: To explore stakeholder views about SRE and ways to improve SRE delivery. Design: Sixteen semi‐structured interviews were conducted in 2005 with stakeholders from schools, National Health Service, and parent and voluntary sector bodies in a London borough. Results: Two key factors enhancing Bangladeshi youth's risk of infection and unwanted pregnancy were identified: inadequate parental understanding about sexual health and limited parent‐delivered SRE; and patchy provision of culturally appropriate, school‐based SRE. Factors affecting SRE provision included culturally rooted perceptions of sex/sexuality and limited participation of stakeholders, (religious leaders, parents), in developing and delivering SRE. Conclusions: This study highlights the importance of widespread community engagement, underlining that joint‐working, and the development and delivery of culturally appropriate and consistent SRE, necessitates communication and collaboration among stakeholders in young people's health and well‐being. 相似文献
10.
This study investigated facilitators and challenges to designing, implementing and evaluating school-based sexual health education in sub-Saharan Africa, using interviews with intervention designers and researchers. At the pre-planning and planning stages, participants reported that facilitating factors included addressing the reproductive health needs of participants, contextual (culture, religion, economic and social) considerations and the adoption of holistic approach to sexuality education. Lack of open communication about sexual health matters between young people and adults; concerns that sexual health education could encourage sexual activity; and inadequate funding, were key barriers. Implementation was facilitated by the involvement of relevant stakeholders, the training of facilitators and adopting strategies to overcome resistance to sexual health education. The provision of structured, detailed lessons plans and monitoring with supportive supervision optimised fidelity of delivery. Barriers to implementation included facilitators’ resistance to teaching safe sex promotion and logistical challenges in school environments. Participants also reported that the validity of self-reported adolescent sexual behaviour (as part of evaluation) may be improved by complementing well-designed self-report surveys with computerised audio devices for data collection, qualitative interviews and participant observation. Study findings generate recommendations to improve future forms of school-based sexual health education in sub-Saharan Africa. 相似文献
11.
Parents can play an important role in reducing their children's risk for teenage pregnancy and sexually transmitted infections, and in promoting sexual health during adolescence. The purpose of this study was to explore communication between parents, family members and young people and how it influences their romantic and sexual behaviours. Semi-structured interviews were conducted with 28 African American, American Indian, Euro-American and Latina women aged 19–29 years. Findings clustered into five themes. First, mothers were often the primary source of reproductive education. Second, fathers provided valuable guidance, although they were not the first source of information. Third, parental expectations influenced young people's sexual behaviours both positively and negatively. Fourth, aunts, uncles and grandparents were trusted sources of advice for personal discussions. Fifth, over one-third of participants perceived that there was no adult available to them during their teenage years for discussions about romance. Sex educators can encourage and guide parents to discuss romantic and sexual issues with young people as a way to support their young people's healthy sexual and romantic behaviours. Health and sex educators should also identify young people lacking support and encourage stronger relationships with family including fathers and extended family members. 相似文献
12.
Chulanee Thianthai 《Sex education》2019,19(2):180-194
This article explores how Thai culture, gender and age influence sex education in Thailand, and how online sources and social media have emerged as an alternative source of sex education among young people. Qualitative data was gathered by means of in-depth interviews and focus group discussions from 99 young people aged 15–24 years of various genders and sexualities living in Bangkok. Age and gender/sexuality have a powerful influence on how students perceive sex education in Thailand. Younger people of all genders/sexualities were interested in the changes occurring in puberty and defining their gender/sexual identity, while older informants were more interested in sexual health issues including prevention and self-assessment. With respect to sexual relationships, different genders/sexualities showed varying interests, some were interested in the emotional aspects, while others were more interested in the physical dimensions of sex. Overall, Thai culture constrains the success of sex education by limiting learning opportunities and discussion, and by the provision of inauthentic knowledge to students. Online sources and the social media offer possible solutions to these inadequacies in sex education. 相似文献
13.
Mary Jane Kehily 《Sex education》2013,13(3):215-231
This article analyses the relationship between sexual biography and pedagogic practice. It is based on life history interviews with sex education practitioners (teachers and a school nurse) that aimed to explore elements of these individuals' sexual biographies, their experiences of learning about sex and their pedagogic practice. The article considers why the sexuality of sex educators may be important, how this manifests itself in school and, finally, some of the implications for policy and practice. 相似文献
14.
Objective: To assess the sexual health knowledge of secondary school pupils in order to ascertain whether the current government public health and education policies are having any impact on pupils' sexual health. Design: Results obtained from a questionnaire as part of a two‐phase intervention study. Setting: Nineteen mixed‐sex, state secondary schools in central England. Participants: Year 8 pupils (350 male, 345 female), year 9 pupils (300 male, 325 female) and year 10 pupils (310 male, 329 female). Intervention: A questionnaire survey to assess the knowledge of pupils' sexual health education. Main outcome measures: Questionnaires distributed to pupils as baseline to assess their knowledge of sexual health, contraception and sexually transmitted infections. Results: Sexual health knowledge improves with age. A significant difference across all age groups was found, although knowledge regarding sexually transmitted infections and emergency contraception is poor for all age groups. Conclusions: Current sexual health education provision is not providing young people with adequate knowledge regarding sexual health and contraception. 相似文献
15.
Marielle L. J. Le Mat 《Sex education》2017,17(4):413-424
Comprehensive sexuality education which includes discussion about gender and power is increasingly seen as an effective way of promoting sexual and reproductive health and rights. Yet all too often the potential of good quality sexuality education is not realised. This study engages with young peoples’ evaluation of a sexuality education programme in Ethiopia. Using data from ethnographic field notes, focus group discussions and interviews with students, teachers and sexual and reproductive health workers in Oromia region, it reveals the existence of gendered practices in sexuality education. Three forms of exclusion were evident: first, exclusion through selection to participate in the programme; second, exclusion of the views of young people through gendered interpretations and practices; third, exclusion of the views of young people through the omission of discussion on topics that are relevant to them, such as love, relationships and sexual intercourse. As a result, the programme’s potential to contribute to questioning gender relations and improving the emotional and sexual health of young people is undermined. The programme reproduces a gender order in school and arguably broader society, which is a source of frustration and alienation for young people. 相似文献
16.
文章以贵州五个少数民族男性为对象,进行男性人口性行为现状进行研究。通过分层整群抽样法抽取苗族、侗族、布依族、仡佬族和水族男性人口,认为少数民族地区学生性观念相对保守;青少年性与生殖健康教育仍然是空白;而已婚人群性与生殖健康水平也有待提高。 相似文献
17.
Programme guidelines: effective and ineffective school-based sex and HIV / AIDS education programmes
《Adolescence education newsletter》1998,1(2):20-22
In several countries, despite considerable opposition to sex and HIV/AIDS education programs, school-based reproductive and sexual health education is gradually gaining ground. It has expanded to include adolescent and sexual health. There exist positive trends and evident changes in the delivery of school-based reproductive and sexual health education. Among these are the following: 1) systemic and deliberate incorporation of adolescent reproductive and sexual health issues in the school curriculum in countries that have UN Population Fund population programs; 2) inclusion of reproductive and sexual health issues in different subjects, which paves the way for their incorporation into the curriculum; 3) continuous improvement in the delivery, content, methodologies and activities of population education, particularly the inclusion of topics concerned with reproductive and sexual health and greater emphasis on the behavioral and skills development; and 4) the growing nongovernmental organization involvement in the provision of reproductive and sexual health education and training. Numerous factors ensure the success of the programs; they are the use of social learning and cognitive behavioral theory and clear mission statements, communication and negotiation practical exercises, values formation, interactive strategy development, effective training, behavior change--particularly with regard to risk-taking behavior, and provision of a supportive environment. 相似文献
18.
Christina L. Jones Robin E. Jensen Abigail Selzer King 《American journal of sexuality education》2014,9(4):464-484
Instructors of sexual health courses in rural areas face unique challenges as they are often forced to use school-based prevention curricula field-tested in urban areas. Research has yet to consider what future sex educators’ regional expectations are for their profession and how those expectations might have an impact on the classroom. Drawing from interviews with 26 sex-educators-in-training, we find that future educators tended to expect that rural communities would be less diverse, more conservative, and less informed about sexual health matters, even though research demonstrates that today's rural communities inconsistently align with those perceptions. 相似文献
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20.
African-American youth suffer disproportionately from sexual risk consequences including unintended pregnancy and sexually transmitted infections. Parents educating young people about sex may be one approach to reduce sexual risk behaviour among this population. The purpose of this study was to determine young people's perceptions of parents' attitudes about sex and assess whether these perceptions affect sexual risk. Data were collected from 560 African-Americans, aged 9–19 years. Most (73.4%) thought their parents would be unhappy if they got someone pregnant/got pregnant, with more girls feeling this way than boys (p = 0.013). Sexually active boys who thought their parents would be unhappy if they got someone pregnant reported fewer sexual partners within the past year (p < 0.01) and fewer sexual encounters in the past 3 months (p = 0.01) compared to those whose parents would think otherwise. Our research illustrates that parents' explicit and unstated attitudes are apparent to their offspring, and young people's perceptions can impact their risk behaviour. As such, early and often sex education communication between parents and young people should be encouraged. Sexual health interventions encouraging parents to educate about sex and its consequences could enhance the health of young African-Americans. 相似文献