Protected or Unprotected Sex: The Conceptions and Attitudes of the Youth in Bolgatanga Municipality,Ghana

The youth in Bolgatanga municipality in Ghana have relatively less knowledge of sexual and reproductive health (SRH) compared to the youth in other parts of Ghana. More fundamental knowledge is needed of the factors that influence young people to have protected and unprotected sex in specific social and cultural contexts, in order to protect them from adverse consequences, such as sexually transmitted diseases (STIs), HIV/AIDS and unintended pregnancies. This study therefore analyzed the conceptions and attitudes of the youth toward protected and unprotected sex, and particularly condom use, in Bolgatanga municipality. Semi-structured and focus group interviews were held with 71 young males and females and 17 adults. The results indicated that many of them lack a comprehensive knowledge of STIs, contraceptives and pregnancy, while a group of them had a negative attitude towards contraceptives. Not all parents, schools and organisations provide young people with a comprehensive education about SRH, and some even discourage such education because they believe it would encourage young people to have sex before marriage. In addition, young people also inform each other about SRH issues, sharing stories and personal experiences with their peers. The information they exchange is not always correct, however; sometimes it merely reflects their own personal preferences. The unequal power in the sexual relationships of young people—related to the traditional value system that gives men, but not women, “sexual freedom, both in and outside marriage”—is another determining factor for unprotected sex.     

School administrators, parents, and sex education: a resolvable paradox?

The emergence of AIDS as an untreatable, lethal disease, responding to educational prevention strategies in high-risk populations, has brought the issues of sex education in the public schools to the forefront. However, administrators, teachers, and parents perceive different barriers to sex education implementation. This study, undertaken in a northeastern, multigenerational, ethnic city, characterized by adolescent pregnancy rates a third higher than the state overall, polled 42 junior and senior high school administrators regarding educational priorities, perceived barriers to expansion of sex education, and preferred methods of introducing sex education. Administrators perceive parents as a major barrier to the introduction of more formalized sex education in their schools. Paradoxically, these same administrators felt that parents were generally uncomfortable in talking to their children about human sexuality. Recommendations are offered from existing models of health education for resolution of administrators' conflicting views on parental roles.     

“It is Good to Know Now…Before it’s Too Late”: Promoting Sexual Health Literacy Amongst Resettled Young People With Refugee Backgrounds

Little is known about access to sexual health information amongst young people with refugee backgrounds living in countries of resettlement. This paper reports on a study of sexual health amongst recently arrived young people from refugee backgrounds in Melbourne, Australia. The study employed qualitative research methods to explore and describe how resettled youth access, interpret and implement sexual health information. Between August and December 2007, data was collected through 23 focus group discussions and 14 in-depth interviews involving 142 young people with refugee backgrounds. Participants were purposively selected to reflect the ethnic composition of humanitarian entrants to Australia over the past 3 years. Their countries of origin included Iraq, Afghanistan, Burma, Sudan, Liberia, and Horn of Africa countries. The findings highlight how young people with refugee backgrounds are disadvantaged in relation to access to sexual health information. Young people had little knowledge of sexual health or STIs apart from HIV/AIDS. While they are aware of potential sources of sexual health information, few of these sources are utilized. Specific barriers to learning about sexual health include concerns about confidentiality, shame and embarrassment when discussing sexual health, and the competing demands of resettlement. The paper argues for sexual health promotion to be an explicit part of early resettlement services for refugee youth, and the implications for the development of appropriate sexual health education programs are discussed.     

Sex and today's youth

Changes in sexual activities and attitudes of today's (1974) youth are reviewed. It is concluded that adolescent sexual behavior is not much different from what it was in the last decade, although young people tend to have their 1st sexual experience earlier than in the past and tend to talk about sex more openly. The percent of women who are not virgins at marriage is not markedly higher than it was in the 1920s, nor has the incidence of school-age unwed mothers increased in the last few years. It has become increasingly popular for young, unmarried men and women to live together in recent years and coed dorms have become more widespread, although little sexual activity occurs among the inhabitants of these dorms. The incidence of premarital sex among engaged couples has increased. Young and middle-aged couples today are more ready to experiment with variations in foreplay and coitus. Homosexuals live more comfortably with their sexual behavior and the rate of transexualism has risen. Drug users are more likely to have coitus earler in life, more regularly, and with a greater number of partners.     

Discussing Adolescent Sexual Health in African-American Churches

This study describes the ways in which two African-American churches discuss adolescent sexual health topics. Six focus groups were conducted in two churches in Flint, Michigan, that reported no formal sexual health programming for their congregants. Three themes emerged to highlight the different perspectives about the role of churches in adolescent sexual decision-making and sexual health education: (1) churches as sources of sexual information, (2) churches as complex communities, and (3) recommendations for sexual education in churches. Participant responses suggest that churches can and should serve a resource for sexual health information. Implications for practice and research are discussed.     

Semen Loss and Sexual Anxiety Among Young Unmarried Men: Being Young and Vulnerable in Rural India

Premarital sex remains stigmatized even as the unmarried period of life is lengthening in India. This paper examines how young unmarried men in rural central India conceptualize and understand their sexual health and vulnerability. The data is qualitative, derived from four focus group discussions (N = 38 persons) of young unmarried males that were carried out in conjunction with a larger study on male involvement in reproductive health in the central Indian state of Madhya Pradesh in 2005. Young, unmarried rural men experience a wide range of functional situations which are culturally defined as health problems, such as “weakness,” thought to be caused by masturbation, nocturnal ejaculations, and the loss of semen. Despite constraints on communication on sexuality with married men, young unmarried men largely share with them the culturally hegemonic notion of semen loss as a health hazard. All four discussions pointed to the negative image of psycho-physiological changes related to maturation and further, to the belief that the reproductive functions of men can render them vulnerable and even harm them. Sexual anxiety in young men may in part reflect young men’s socially dependent and insecure life situation and social suffering. Young, unmarried rural men see marriage as the only release from sexual health problems although temporary relief is sought from private health care providers. In the future, men’s unmarried life stage is bound to lengthen in rural India, and consequently sexual health prior to the commencement of active intercourse should receive more attention in public health services and sex education.     

Breaking the Silence Surrounding Female Adolescent Sexual Desire

Abstract

This review of the literature related to female adolescent sexual desire reveals that, in spite of interest by feminist scholars, actual discourse around sexual desire and bodily pleasure associated with female sexuality appears to be lacking for the majority of adolescent girls. In our culture females are the objects of male desire, hence the focus on attractiveness. Little attention has been paid to their embodiment, the inner sense of their own sexual desire. Sexual desire has traditionally been accepted as part of male sexual development and is associated with positive sexual identity for men. Researchers stress the importance of increasing sex-positive attitudes towards female sexual desire, in order to counter much of the shame and confusion experienced by females, especially during adolescence. The double standard is still being conveyed to young women through popular culture, parents, peers, and schools. Sex education primarily emphasizes the dangers of sex. The media stresses the importance of attractiveness and women as sex objects rather than agents of their own sexual desires. Researchers suggest that a young woman's ability to be conscientious about and fully present in her sexual experiences is correlated with her ability to act as an agent. The ability to make responsible and self-affirming sexual decisions is a crucial act of agency.     

Parent sex education beliefs in a rural South African setting

This study explored beliefs held by African community parents which are important in their children’s sexual health education. The informant parents (n = 30) were predominantly rural dwelling (female = 70%; black = 95%; rural = 80%; age range = 30 to 65 years old) from the Free State, South Africa. They reported on their child sex education beliefs; addressing appropriateness, resources, and content issues. Thematic analysis revealed that parents were more comfortable engaging in sex education with their older or young adult children rather than the younger children. Moreover, the parents considered sex education topics on sexual intercourse and instruments taboo subjects. Resourcing parents regarding sex education would require working around cultural barriers about the age appropriateness of sex education, as well as permissible content.     

Local erotic songs and chants among rural Nigerian adolescent males

This paper investigates local erotic songs and chants circulating among adolescent males in Nigeria. The purpose is to assess the critical themes which these erotic verses evoke and their potentials in the discursive construction of adolescent sexual identities and definition of the (erotic) spaces and meanings on the basis of which young Nigerian males constitute their sexual conducts. Data indicate high level of awareness and knowledge of local erotic songs and chants among adolescent males. The songs and chants were reportedly used to learn about gender and sex roles, the body, and sexuality, and for recreation. Themes in local boys’ erotic songs and chants are primarily male privileging and penis advantaging, and celebrate male sexual activity, desire, violence, ruthlessness, and risk-taking as well as male control and subordination of women and their body. The songs and chants depict feminity and female sexuality as inferior to masculinity and male sexuality and tend to objectify women’s body as a facility for male sexual pleasure. The paper argues that while erotic verses circulating among adolescent Nigerian males help relieve them of the difficulties caused by the cultural relegation of sex and sexuality to the realm of the unspoken, they contain very disturbing and potentially dangerous images that provide little space for male responsibility and respect for women. Local erotic verses circulating among adolescents present an under-explored resource in sexuality education and a critical entry point for current efforts to understand and help young people extricate themselves from the sea of half-truths, myths, and prejudices about sex and sexuality.     

Purity, Privacy and Procreation: Constructions and Experiences of Sexual and Reproductive Health in Assyrian and Karen Women Living in Australia

It is widely recognised that sexual and reproductive health services are underutilised by culturally and linguistically diverse migrant communities, leading to risk of poor health outcomes. This study examined the constructions and experiences of reproductive and sexual health, and associated services, in Assyrian and Karen women who had arrived in Australia as refugees. Forty two women, across a range of age groups and marital status, participated in five focus groups, with thematic analysis and positioning theory used to analyse the results. Two major themes were identified. The first, the ??Premarital Chastity Imperative?? centres on the cultural prohibition of coital hetero-sex before marriage, and taboos associated with same-sex relationships. This has implications for unmarried women??s access to sexual health services, such as contraception, cervical screening, and abortion; prohibition of sex education and communication about sex; and lack of recognition of non-heterosexual identities. The second theme, ??Marital Sex and Reproductive Imperative??, positioned coital sex and motherhood as mandatory within marriage, and was associated with women??s inability to refuse marital sex, limited knowledge about contraception and sexual pain, acceptance of fertility services, as well as lack of recognition of post-natal depression. It is concluded that health care workers need to be aware of cultural constructions of sex and sexuality, as well as the construction of gendered roles within heterosexual relationships, when designing and offering sexual health services to non English speaking or migrant communities.     

Using Foucault's theory of disciplinary power to critically examine the construction of gender in secondary schools

Schools are typically thought of as important places for young people to learn specific academic skills. This review synthesises research from “western” English‐speaking countries to argue that young people learn more than just academic skills at school. Specifically, the review explores how aspects of classroom teaching and culture contribute to how young people understand gender. Drawing on Foucault's theory of disciplinary power, practices within schools are deconstructed to show how they create certain gendered ways of being. The discourses of gender within schools are critiqued by highlighting how they limit diverse expressions of gender. Section 3 of the review draws on literature to highlight how dominant discourses and the practices that create them can be resisted creating the opportunity for other discourses of gender.     

Adolescent patterns of communication about sexually related topics

For this investigation, a sample survey of 179 black females, representing 53 family units, provided data for examining familial patterns in the amounts of information received about the menstrual cycle, sex, and contraception among adolescent daughters, mothers, and grandmothers, and the major source of information about these three topic areas. Significant relationships were found within the triads in the amount of information received about the three topic areas, suggesting familial patterns in the amount of information transmitted intergenerationally. This sample was more likely to report mothers as the source of information, suggesting their importance as formal agents of sexual socialization. Although this sample received large amounts of information about the menstrual cycle, sex, and contraception from their mothers, much information that is necessary for sexual health and informed decision making was neglected. The very young mean age (12.3 years) at first intercourse and the low proportion (24.2%) of teenagers using a method of birth control at first intercourse suggested that intergenerational communication about sex and contraception may not be meeting adolescents' needs. Consequently, attention should be focused not only on mothers as agents of sexual socialization of teenagers, but also the quality and impact of that information on the sexual health of teenagers.     

Sex and the Right to HIV/AIDS Education in Early Childhood

This study explored how early childhood teachers (n=5) and young children (n=174) (age range 7 to 8 years; males = 81; females = 93) in two primary schools constructed and interpreted the right to HIV/AIDS education. Data were captured using individual interviews with teachers and group interviews with young children. Analysis of the data showed that teachers viewed young children's right to health information positively but did not consider the right to sexual information. Teachers operated within discourses which upheld the image of the child as innocent requiring protection from sexual knowledge. Children's perceptions of their rights to knowledge of sex in HIV/AIDS education showed ambiguity. Some accepted the right to know whilst others felt that knowledge about HIV/AIDS was inconsistent with childhood innocence.     

Sex Education and Intellectual Disability: Practices and Insight from Pediatric Genetic Counselors

Intellectual disability (ID) with or without other anomalies is a common referral for genetic counseling. Sessions may include discussions of reproductive implications and other issues related to sex education. Patients with ID regularly meet barriers when trying to obtain sex education due to the misperceptions of others as being either asexual or that such education would promote inappropriate sexual behavior. In this pilot study, we surveyed genetic counselors to explore their experiences with being asked to provide sex education counseling and their comfort in doing so for patients with ID ages 9–17. Results were analyzed from 38 respondents. Caregivers and patients most frequently requested information on puberty, sex abuse prevention, and reproductive health. Genetic counselors were most comfortable when they could provide sex education counseling within the context of a particular condition or constellation of features. They were least comfortable when they lacked familiarity with the patient, caregiver, or the family’s culture. The most frequently cited barriers that prevented genetic counselors from providing sex education counseling were lack of time, lack of training, the patient’s ID being too profound, and a belief that genetic counselors should not be responsible for providing sex education counseling. While many respondents reported that providing sex education counseling is not considered within the scope of a genetic counselor’s practice, they also noted that patients’ families initiate discussions for which counselors should be prepared. Respondents indicated that resource guides specifically designed for use by genetic counselors would be beneficial to their practice. Genetic counselors have the opportunity to embrace the role of advocate and broach the issue of sexual health with caregivers and patients by directing them toward educational resources, if not providing sex education directly to effectively serve the needs of patients and caregivers.     

Educational needs relative to human sexuality and AIDS among secondary school students and teachers in Lima

Between November 1989 and January 1990, a pilot study was conducted among state secondary school students and teachers in Lima Peru by questionnaires with the objective of determining their knowledge about human sexuality, sexual behavior, pregnancy, sexually transmitted diseases (STDs), AIDS, drug abuse, and sexual activity. 110 students (64 boys and 46 women) aged 13-18 of low and medium-low socioeconomic background from metropolitan Lima participated. 40 teachers (70% females) aged 40.1 + or - 9.3 years also took part. THe adolescent focus groups were anxious to talk openly about sexuality to dispel their doubts. The levels of knowledge reached 46% for human sexuality, 50% for physiology and pregnancy, 35% for STDs and preventive sexual behavior, 50-60% for AIDS (transmission and risk groups), and only 35% for prevention. 21 had heterosexual experiences: 19 males and 2 females. 6 youngsters had homosexual experiences: 4 males and 2 females, 3 of these also had heterosexual sex. 20 of students without sexual experience expressed on interest, in engaging in sexual behavior if they fell in love. 33 adolescents reported using alcohol, 1/4 of these had consumed more than 6 bottles the previous week. The report on drug use was low, because 32% failed to answer this question. 60-70% of the teachers knew about human sexuality, while 72% knew about AIDS. 76.5% of them considered sex education in schools inadequate. 88.2% thought that adolescents need an explicit preventive program which should start in primary school and continue through all grades. This would require additional school resources. The teachers deemed daily life more educational about sexuality than information from schools and universities. 52% said that AIDS education messages had to be clear about preventive sexual behavior. 32% believed that correct use of the condom had to be demonstrated in class. 78% identified the mass media for dissemination of AIDS information, and only 15% judged their knowledge about AIDS sufficient for imparting it to students.     

Faith, Premarital Sex and Relationships: Are Church Messages in Accordance with the Perceived Realities of the Youth? A Qualitative Study in KwaZulu–Natal, South Africa

Since religious messages on life style have a strong impact in South Africa, it is important to assess how they relate to the situation for young people at risk of HIV infection. Nine focus group discussions were conducted with youth (n = 62), aged 13–20 years, from the Roman Catholic Church, the Lutheran Church, and the Assemblies of God. Young people were ambivalent toward sexual contacts since these generally were expected to be part of a relationship even though the church condemns premarital sex. Girls perceived the moral norms to concern them more than the boys for whom sexual needs were more accepted. These moral barriers lead to lack of information about protection and may increase the risk of HIV. The realities young people facing should be a major concern for the faith communities.     

Neoliberal Beliefs and Perceptions of Unintended Adolescent Pregnancy after Consensual or Forced Sex

From a neoliberal perspective, young women are free to make autonomous choices and are personally responsible for the outcomes of these choices. Neoliberal ideals may appear to empower women as free sexual agents; however, an individualistic focus on self-sufficiency and personal responsibility may lead to harsh, decontextualized responses to those who experience unintended outcomes. We hypothesized that observers with stronger neoliberal beliefs would show more stigmatizing responses to an unintentionally pregnant adolescent. We also explored whether these expected associations would be moderated by whether or not the young woman chose to consent to sex. U.S. undergraduate students (n = 200) completed a measure of neoliberal beliefs and were randomly assigned to read one of two scenarios in which an adolescent became pregnant after either consensual or forced sex. As expected, participants with stronger neoliberal beliefs were more blaming toward the adolescent for becoming pregnant, felt less sympathy toward her, and had less positive attitudes about her receiving help. These associations remained after controlling for general political ideology and regardless of whether the pregnancy was due to consensual or forced sex. Our results suggest that, for the neoliberal observer, young women are held personally responsible for even uncontrollable sexual and reproductive outcomes.     

Online "predators" and their victims: myths, realities, and implications for prevention and treatment

The publicity about online "predators" who prey on naive children using trickery and violence is largely inaccurate. Internet sex crimes involving adults and juveniles more often fit a model of statutory rape--adult offenders who meet, develop relationships with, and openly seduce underage teenagers--than a model of forcible sexual assault or pedophilic child molesting. This is a serious problem, but one that requires approaches different from those in current prevention messages emphasizing parental control and the dangers of divulging personal information. Developmentally appropriate prevention strategies that target youths directly and acknowledge normal adolescent interests in romance and sex are needed. These should provide younger adolescents with awareness and avoidance skills while educating older youths about the pitfalls of sexual relationships with adults and their criminal nature. Particular attention should be paid to higher risk youths, including those with histories of sexual abuse, sexual orientation concerns, and patterns of off- and online risk taking. Mental health practitioners need information about the dynamics of this problem and the characteristics of victims and offenders because they are likely to encounter related issues in a variety of contexts.     

Sexual behaviors and attitudes of high school students in the kingdom of Swaziland

The author examined the sex behaviors and attitudes of 111 high school students with a steady partner in the Kingdom of Swaziland. Data were collected through participant observation during 1987-88, discussions with key informants during 1987-88 and 1990-91, and in-depth structured interviews with the adolescents from rural and urban government high schools. 78 of the students were coitally active, with 57.5% of boys and 68.4% of girls reporting first coitus at 16 years of age or younger. 15.0% of males and no females reported beginning coitus after 18 years of age. 45.0% of the boys and 68.4% of the girls reported never using contraception; 50% of males said they used condoms. Swaziland is largely polygynous. There were, however, modest gender differences on attitudes about multiple partners and demonstrating affection. The young women mainly expected financial support from a sex partner. Since many adolescent men cannot provide such support, many of the adolescent women pursue sexual relations with older, more financially capable men. The author notes that the parents of young Swazi women do not condone such relationships, especially if the man does not seem interested in marriage. No school policy exists on teaching family life education and both unplanned pregnancy and septic abortions are real problems. School policy demands the expulsion of pregnant girls for the duration of their pregnancy. Once delivered, the young mothers may attend a another school. Finally, although parental guidance is less influential than in the past, traditional values attached to gender roles remain intact among the adolescents interviewed for this study.     

An investigation of verbal interaction, knowledge of sexual behavior and self-concept in adolescent mothers

Variables commonly considered to be major factors in contributing to the incidence of adolescent pregnancy may be only part of the total pattern. This study sought to examine the adolescent mothers' communication with significant others and their knowledge about sex, pregnancy, and birth control methods. Self-concepts of the adolescent mothers were compared with those of the published norms of the Tennessee Self-Concept Scale. The study included 23 adolescent mothers between the ages of 13 and 19 who were gravida 1 as indicated by their medical records. They were given a questionnaire constructed from previous research. They also completed a communication scale and the Tennessee Self-Concept Scale. The findings of the present study indicated that most adolescent mothers considered their communication with their parent mothers to be one of mutual understanding. However, it appears that most adolescent mothers obtain much of their information about sex, pregnancy, and birth control methods from significant others. The self-concepts of these adolescent mothers were lower in comparison to the norm. The results indicate a need for further research in the area of adolescent sexual development, sex education in the school, and increased involvement of parents in the communication of sexual mores.