Comprehensive Sexuality Education as a Means of Promoting Sexual Health

ABSTRACT

Various international declarations have called for universal access to comprehensive sexuality education. This article looks at why comprehensive sexuality education is most effective in promoting sexual health and why it should be framed in terms of health, values, development and rights. The lack of recognition of young people as sexual beings and the return of abstinence-only sexuality education are two main challenges for rights-based, comprehensive sexuality education. To address these challenges, stronger international responses are needed to make sexuality education a comprehensive initiative supported by all, both in the community and at the international level. In order to move the agenda forward for better sexuality education, a positive approach that accepts sexual desire and pleasure as essential components of young people's sexuality should be the next step.     

Chinese Parents’ Perspectives on Adolescent Sexuality Education

ABSTRACT

There is growing interest in China to understand how young people learn about sexuality, but there are few existing studies about the role of parents as sex educators of their children. This study surveyed 694 Chinese parents of adolescents in three cities about their knowledge, attitudes, and practices regarding sexuality education for their children. The majority supported sexuality education, yet few parents had provided it. High-income parents had more favorable sexual attitudes and, in turn, were more likely to educate children about sexuality. The findings provide insight into parents’ role in adolescents’ sexual behavior and can be useful to sexuality education professionals.     

The Failure of Sexuality Education

Summary

Even “comprehensive” sexuality education has failed to reach its potential in that it cannot convincingly demonstrate its effectiveness in facilitating behavioral change. Commitment to a comprehensive, sex-positive perspective is proposed as one important component in creating behavioral outcomes that balance the reduction of hurt with the enhancement of pleasure. Until sexuality educators become comfortable and committed to emphasizing the pleasure dimension of sexual experience” the legitimate impact of sexuality education may be compromised in the eyes of students.     

Controversies in Sexuality Courses at Colleges and Universities in the 1990s

Summary

Sexuality educators have always had to face issues not typically encountered by those teaching other subjects. Over the past 25 years, the general social climate at colleges and universities has been supportive of sexuality education and has had a role in shaping sexuality courses. However, contemporary higher education and the sociopolitical climate of North America now present major challenges to sexuality education, greatly complicating the role of the sexuality educator. Among the many changes in climate, the single most significant difference may be a shift away from an emphasis on providing a personally enriching experience to an emphasis on providing a personally safe environment for all students. The implications of this are briefly discussed and illustrated.     

Youth-Adult Partnership in Community Organizing

Abstract

This paper presents a case study of a campaign developed around sexuality education policy by a national youth-focused organization, Advocates for Youth, and its network of youth activists. The paper provides an overview of the national sexuality education debate and the specific strategies youth and adults use in partnership to advocate for a comprehensive approach to the education. The case study of the My Voice Counts!Campaign provides insight into the creation and evolution of a youth-adult partnership approach to community organizing, beginning with an online activism campaign and resulting in local youth-led projects to improve sex education policies and curricula. Following an analysis of the Campaign's accomplishments, the paper lays out recommendations for action and research to demonstrate the positive effects of this form of community practice.     

The Steps of Sexuality—A Developmental,Emotion-Focused,Child-Centered Model of Sexual Development and Sexuality Education from Birth to Adulthood

Abstract

Objective: To review research on emotional, cognitive, and behavioral levels of sexual development in children and adolescents, and, based on that, to propose a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Methods: Literature review. Results: We present a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Conclusion: We posit that to promote “a state of physical, emotional, mental and social well-being in relation to sexuality,” sexuality education needs to focus on emotional needs and positive dimensions/aspects of sexuality.     

Teaching Our Teachers to Teach

Summary

This report reviews the amount and type of sexuality education at a sample of 169 institutions offering undergraduate preparation of teachers. The study was based on a review of course     

Sexuality Education in Seminaries and Theological Schools

Summary

Sexuality education is included in professional career training but has not been comprehensively documented in seminaries and theological schools. This study's purpose was to explore and define sexuality education components in clergy training and to develop auricular implications based on faculty perceptions. The method was constructivistic inquiry authenticated by triangulation using three data sources: interviews, focus groups, and printed archives. Data included 39 semi-structured, narrative interviews with those providing exemplary education representing 9 faiths and denominations in 25 accredited U.S. institutions. Four focus groups     

Chinese parents’ involvement in sexuality education for adolescents

Objectives and Methods: Structural equation modeling was used to examine a model of factors related to the level of involvement of Chinese parents in sexuality education for adolescents. Results: Greater parental education was indirectly related to parental engagement in sexuality education through its relationship with more traditional cultural values, greater perceived knowledge of sexuality, and increased quality of the parent-child relationship. The model was found to be largely consistent regardless of the gender of the parent or child and the residence of the family. Conclusions: Results demonstrate that there are multiple pathways to consider within the topic of Chinese parental involvement in sexuality education.     

Gender-Specific Changes in Students' Sexual Behaviors and Attitudes at a Southeastern University between 1973 and 1988

Abstract

This study investigated the gender-specific, self-reported sexual behaviors and attitudes of never-married college students attending a southeastern university in 1973 and 1988. Data were collected by means of a mailed questionnaire that remained essentially unchanged for both years. The authors found that both men and women reported an increase in heterosexual relationships that included sexual intercourse and a decrease in nonsexual relationships with the other gender. The majority of the students perceived themselves as adequately informed about sexuality and satisfied with their relationships, although the proportion of men who reported being satisfied with their relationships declined over the 15 years. The students indicated that sexuality education should focus primarily on information about AIDS and on preparation for marriage.     

The Effect of Education on the Sexual Beliefs of Family Physicians

ABSTRACT

Objectives: The purpose of this study was to determine the effect of education regarding a healthy sex life on family physicians’ ideas concerning sexuality. Methods: A 3-hour interactive education program was prepared for family physicians. Thirty-seven family physicians and 21 students specializing in family medicine volunteered to participate in the program. Results: The level of agreement expressed by participants with 25 of the 31 dysfunctional sexual beliefs in the study decreased after training. Only marital status played a significant role in predicting change percentages in sexual beliefs. Conclusions: We think that programs concerning a healthy sex life should be added to physicians’ training.     

Attitudes and knowledge of social work students towards sexuality in later life

Background: Sexuality in later life may be compromised by restrictive attitudes, and lack of knowledge among professionals. This study examined social work students’ attitudes and knowledge towards sexuality and sexual expression in later life and investigated associated factors.

Method: Undergraduate social work students from Israel (n = 375) completed the Attitudes and Knowledge towards Older Adult’s Sexuality Scale and questionnaires regarding contacts and exposure to older adults, prior sexual education and sociodemographic.

Results: Attitudes and knowledge were correlated. First year students were the most conservative and demonstrated the least knowledge. No differences were found between men and women regarding attitude. However, men and married students had greater knowledge regarding older adults’ sexuality than women or non-married students did. Increased religious observance predicted more conservative attitudes. Age predicted more permissive attitudes and greater knowledge about sexuality in later life. A mediating process examined, suggested knowledge is a mediator variable between age and attitudes towards older adults’ sexuality.

Conclusion: As the population in Israel and in Western countries ages, it is important to examine the knowledge and attitudes of social work students regarding older adults’ sexuality and to develop educational and interventional programs aimed at increasing awareness, knowledge, and positive attitudes in this area.     

Correlates of Sexual Behavior in Young Children

SUMMARY

Sexual behavior in children ages 2–12 is related to a variety of environmental, child-specific, and reporter-related variables. This paper reviews correlational research that has examined the relationship of sexual behavior to the variables of sexual abuse, domestic violence, physical abuse, family sexuality, age and gender of the child, child behavior problems, and reporter characteristics. Sexual behavior is directly related to environmental variables that cause dysregulated behavior in children. It is also associated with child behavior problems and varies with age and gender. There are a number of reporter-specific variables, including education level, abuse history, and openness to sexuality, that are also related to the level of reported sexual behavior. The article concludes with a reminder that correlation does not mean causation.     

Putting the “S” Back into Sexual and Reproductive Health

ABSTRACT

Sexuality is the most fundamental aspect of our lives and yet it has long been the silent partner in sexual and reproductive health (SRH). Growing awareness of the rights-based approach to health, the commitment of governments and international bodies to promote sexual health and well-being, and the failure of many of the interventions to combat the HIV/AIDS epidemic are helping the reproductive health community put the “S” back into SRH even as the Millennium Development Goals fail to address SRH directly. The disconnect is due to the fragmented, non-holistic approach to reproductive health, short-sightedness in neglecting violations like gender-based violence, a lack of training for students and health care professionals in sexuality, a dearth of indicators and sexuality research and discrimination against vulnerable groups like youth and sexually diverse populations. Recommendations include reaching consensus about the nexus between sexuality and reproductive health and strengthening the commitment to gender equity, empowerment, sexuality and sexual rights among policymakers. Ensuring that explicit and positive references to sexuality are universal, especially in comprehensive sexuality education, youth-focused programs and the integration of HIV and other SRH programs, and strengthening the ability of program managers and service providers to work on sexual health issues are key to successful integration and program sustainability. Strengthening understanding, acceptance and competence in serving sexually diverse populations and improving the research and evaluation specific to sexuality are longer processes, but equally important in the paradigm shift to non-stigmatizing, gender-equitable, rights-based, pleasurable sexual health services.     

Adolescents' Need to Talk About Sex and Sexuality in an Urban Mental Health Setting

Summary

For many adults, adolescent sexuality is problematic. For adolescents, it may be problematic, powerfully alluring, or simply a part of becoming an adult. Either way, and irrespective of whether they have ever had sex, young persons seeking mental health counseling in an urban mental health clinic express a strong desire to talk about sex and sexuality. Significant gender and age differences are noted in desire to talk about sexuality and mediated by involvement in sexual risk behaviors. Having experienced forced sex is directly related to desire for counseling about sex and sexuality. The findings presented in this article compel clinicians to engage all adolescents in meaningful dialogue about sex and sexuality.     

Evaluating the Effectiveness of Workshop Interventions on Contraceptive Use Among First-Year College Students

Summary

This study investigated the impact of interventions designed to affect contraceptive knowledge and attitudes on the intent to use and reported use of contraceptives among 362 first year college students. After completing a pretest questionnaire, students were randomly assigned to a nonintervention control group or one of four workshops utilizing different approaches to education about sexuality and contraceptive use. The posttest results indicated that all four treatment groups increased in contraceptive knowledge relative to the control group. In addition, groups receiving an experientially oriented intervention showed significantly more positive changes in their     

Resisting Fragmentation,Living Whole

SUMMARY

This paper presents interviews with four male-to-female transgender students of color under the age of 21 at an alternative school in the Northeast. The interviews expose the need to advocate for education that acknowledges and addresses the ways that race, sexuality, class, ethnicity, and gender together inform life experience and identity, especially within the context of educational institutions. These interviews point to the need to include an activist-oriented curriculum in schools, a curriculum relevant to the lives of gay, lesbian, and transgender students of color.     

Lesbian,Gay, Bisexual,Transgender, Queer,and Questioning Youths' Perspectives of Inclusive School-Based Sexuality Education

Sexuality education is perceived as one way to prevent unhealthy sexual behaviors. However, current sexuality education materials are not tailored to fit the needs of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth, and many have been critiqued for disenfranchising these populations. This study solicited the perspectives of LGBTQ youth on their experiences with school-based sexuality education in order to create a framework of LGBTQ-inclusive sexuality education. Five semistructured focus groups (N = 30 LGBTQ participants) were conducted to investigate the sexuality education experiences of LGBTQ youth and to solicit youth suggestions for improving the inclusiveness of sexuality education curricula. Results indicate that LGBTQ youth perceive current sexuality education as primarily “exclusive,” although examples of “inclusive” sexuality education were provided. In addition, participants provided suggestions for creating a more inclusive experience, such as directly discussing LGBTQ issues, emphasizing sexually transmitted infection (STI) prevention over pregnancy prevention, and addressing healthy relationships. Educators and policymakers can use these ideas to help improve the quality of sexuality education—not only to make it more inclusive for LGBTQ youth but to make sexuality education more inclusive for all young people.     

Identity,Training, and Expertise Among Sexual Health Professionals

ABSTRACT

The current study explores identity, training, and reported areas of expertise among sexual health professionals. Members of sexual health organizations (n = 500) completed an Internet survey. Personal interest in sexuality best predicted a priori planning to enter the field. Few individuals reported advanced training in sexual health, but those who did reported more mentorship, training satisfaction, and current work hours focused on sexual health. Participants reported more work in sex therapy than in sex education or research. Female and male sexual dysfunction received more professional attention at the expense of specialized topics. To nurture sexual health as a field, more training opportunities, more sex research, more sex education, and more attention to marginalized topics are needed.     

Healthy Sexual Development: A Multidisciplinary Framework for Research

ABSTRACT

A group of Australian researchers from a range of disciplines involved in studying children's sexual development developed a framework for researching healthy sexual development that was acceptable to all disciplines involved. The 15 domains identified were: freedom from unwanted activity; an understanding of consent; education about biological aspects; understanding of safety; relationship skills; agency; lifelong learning; resilience; open communication; sexual development should not be “aggressive, coercive or joyless;” self-acceptance; awareness and acceptance that sex is pleasurable; understanding of parental and societal values; awareness of public/private boundaries; and being competent in mediated sexuality.