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.     

A six-month follow-up of adolescents' sexual risk-taking,HIV/AIDS knowledge,and attitudes to condoms

A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.     

Romantic Contexts, Sexual Behavior, and Depressive Symptoms among Adolescent Males and Females

In order to examine the association between sexual behavior and depressive affect among adolescents, 122 and 219 Israeli adolescents, in two separate studies, reported their romantic and sexual history, the quality of their relationships and level of depressive symptoms. Findings show that a higher level of sexual activity in short-term romantic relationships, which were low in intimacy and authenticity, was related to increased levels of depressive symptoms among females but not among males. In contrast, involvement in stable romantic relationships was not associated with increased depressive affect for either gender. Findings from a 3 month follow-up suggested that it may be that an increased level of depressive symptoms leads adolescent females to become more sexually involved in short romantic encounters.     

An exploratory study of parent-child communication about sex and the sexual attitudes of early, middle, and late adolescents

In an attempt to examine the relationship between parent-child communication about sex and parent-adolescent attitudes about sex, 12- to 20-year-olds (N = 141) and their parents completed sexual communication and attitude questionnaires. The correlation between parents' and children's attitudes were high for all the early adolescents and low for all the middle adolescents. Only among the late adolescents was there a significant difference in the correlations between the sexual attitudes of parents and their children as a function of family communication level, with the attitudes of adolescents and parents in the high communication group being highly correlated and the attitudes of adolescents and parents in the low communication group not being significantly correlated. Middle adolescents had significantly more permissive sexual attitudes than early and late adolescents. Gender variables were also studied, but conclusions were limited due to the small number of participating fathers. All findings must be tempered with the recognition of the possible sampling bias introduced by the use of a convenience sample. It is suggested that the more responsible sexuality seen in adolescents who can talk to their parents about sex may be a function of the similarity in sexual attitudes between these late adolescents and their parents.     

An Exploration of Counselor Experiences of Adolescents With Sexual Behavior Problems

This grounded theory study of 18 American and Australian counselors explores the impact of working with adolescents with sexual behavior problems. Findings are reported reflecting the counselors' own histories of abuse, their feelings regarding sexual information, their sexual and emotional responses to clients, and the importance of self‐care and self‐monitoring. Implications are discussed regarding management of such reactions.     

Information and attitudes about HIV/AIDS in Portuguese adolescents: state of art and changes in a four year period

The incidence of infection with HIV/AIDS among the heterosexual population has been increasing in young adults. The goal of this research was to deepen knowledge of preventive sexual behavior in Portuguese adolescents, including knowledge and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2006. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behavior in School-aged Children (HBSC), a collaborative WHO study. The study provides national representative data of 7093 Portuguese adolescents, randomly chosen from those attending 8th and 10th grade of high school. Results showed there was an increase in the age of first sexual intercourse and a decrease in the number of teenagers who reported having had sexual intercourse, also in the level of information regarding HIV/AIDS transmission/prevention and in positive attitudes towards people with HIV/AIDS. In general, adolescents have good knowledge about how to protect themselves from becoming infected. However, comparing to 2002, there was a reduction of knowledge and consequent increase in the doubts regarding HIV/AIDS. Given the incipient state of sex education in 2006, the results cannot be attributed to sex education, but they will be relevant for comparison with the 2010 HBSC results.     

An Exploratory Study of Parent-Child Communication About Sex and the Sexual Attitudes of Early,Middle, and Late Adolescents

In an attempt to examine the relationship between parent-child communication about sex and parent-adolescent attitudes about sex, 12- to 20-year-olds (N = 141) and their parents completed sexual communication and attitude questionnaires. The correlation between parents' and children's attitudes were high for all the early adolescents and low for all the middle adolescents. Only among the late adolescents was there a significant difference in the correlations between the sexual attitudes of parents and their children as a function of family communication level, with the attitudes of adolescents and parents in the high communication group being highly correlated and the attitudes of adolescents and parents in the low communication group not being significantly correlated. Middle adolescents had significantly more permissive sexual attitudes than early and late adolescents. Gender variables were also studied, but conclusions were limited due to the small number of participating fathers. All findings must be tempered with the recognition of the possible sampling bias introduced by the use of a convenience sample. It is suggested that the more responsible sexuality seen in adolescents who can talk to their parents about sex may be a function of the similarity in sexual attitudes between these late adolescents and their parents.     

School adjustment of adolescents affected by HIV and AIDS: A case study

The study examined the school adjustment of South African adolescents affected by HIV and AIDS . Participants were a convenient sample of 60 adolescents from a secondary school in a major South African city (females = 73 .33%, 50% affected by HIV and AIDS, grade 8 = 40%, grade 9 = 30%, grade 10 = 30%, age range = 16–18 years) . Data on their personal functioning were gathered using the Beck Youth Inventory^TM and the Enhanced School Support Inventory (ESSI) . The data analysis comprised between-group and within-group comparisons, using the t-test statistic . Findings suggest that adolescents affected by HIV and AIDS had significantly lower psychological and behavioural functioning than their typical other peers . Results also show that these affected learners had lower school adjustment than their typical peers . The schools environment can support comprehensive interventions to addresses psychosocial vulnerability among adolescents affected by HIV and AIDS .     

Sexual behavior in Spanish adolescents of divorced parents

Marital breakup has been associated with numerous behavioral problems in children, such as sexual risk behaviors. This research is the first to examine sexual behaviors of Spanish adolescents related to whether their parents were married or divorced. Participants were 342 boys and girls aged between 14 and 18 years. The sample provided confidential information about their sexual behavior and birth control methods. Significant differences were only found in percentages of adolescents who had engaged in mutual masturbation, intercourse, or oral sex, and who had practiced these sexual relations in the last six months, in both cases, they were higher when the parents had broken their marital relationship. Regarding adolescents of divorced parents, engaging in intercourse is more likely in older teenagers who live with a stepparent. Moreover, older adolescents who were younger when parents divorced and who live in a reconstituted family, have more sexual partners. These and other findings are discussed.     

Adolescents' perceptions of friends' and parents' attitudes to sex and sexual risk-taking

This study investigated the association between adolescents' perceptions of parental and peer attitudes towards sexuality and AIDS precautions, and the risky sexual behaviours of 1008 sexually active, heterosexual undergraduate students aged 17-20 years. Students were asked to rate the extent to which their mothers, fathers and friends would agree or disagree with 16 statements reflecting support of the adolescent engaging in sexual behaviour and using sexual precautions, including precautions against AIDS. The adolescents also indicated whether they were sexually active and their level of condom use in both ‘regular’ (or steady) and ‘casual’ relationships. Results indicated that adolescents perceived their parents as non-liberal in their sexual attitudes and relatively unlikely to discuss sex or precautions with them. Parents were viewed as more accepting of their sons' sexual behaviours than of their daughters'. Adolescents believed that peers were more likely to discuss sexuality and precautions than parents, and were more liberal in their sexual attitudes. Adolescent sexual risk-taking was related to the perceived attitudes of significant others in ways which varied across gender and type of relationship. Implications for interventions are discussed.     

Adolescents’ and their friends’ sexual behavior and intention: Selection effects of personality dimensions

Using simulation investigation for empirical network analyses (in RSiena) we examined how personality and sexual behavior and intention were related to peer processes in Dutch adolescents. Our main research questions were: (a) do adolescents cluster together in friendship networks based on personality, sexual behavior, and/or sexual intention? And (b), do adolescents influence each other in their sexual behavior and intention? Results showed that adolescents clustered together based on dissimilarity in agreeableness, and similarity in gender and sexual intention. Further, we found that adolescents with lower levels of emotional stability had friends with more similar levels of sexual intention. The limited variance and low base rates of sexual behavior and intention did not allow us to explicitly test socialization effects.     

How Latino American and European American adolescents discuss conflicts, sexuality, and AIDS with their mothers

The authors examined how the structure of mother-adolescent conversations differs by ethnic group, age, and dyadic and individual factors. Mother-adolescent dyads of European or Latino descent participated in conversations and reported on their relationship and AIDS knowledge. Latina American mothers dominated conversations more than European American mothers, independent of socioeconomic status. Mothers dominated conversations about sexuality and AIDS more than conversations about conflicts. Mothers of older adolescents reacted more negatively, and older adolescents reported less satisfaction, less openness, and more sexual discussions with persons other than their mothers. Latino American adolescents whose mothers dominated conversations more reported fewer sexual discussions. Latina American mothers who dominated conversations more reported more openness and satisfaction. When mothers dominated conversations more, adolescents had lower AIDS knowledge.     

AIDS-related knowledge, attitudes, and behavior: a comparison of Dutch students and dropouts.

School dropouts are considered an important target group for AIDS prevention. They are expected to be less knowledgeable about AIDS and to show a higher degree of risky behavior as compared with their school-attending peers. Several small-scale studies among specific groups of dropouts seem to confirm such expectations. However, due to differences in methodology, it is often difficult to compare the results of such studies with findings for youths who have not dropped out of school. The present study sought to remedy this by examining AIDS-related knowledge, attitudes, and behavior among comparable samples of Dutch secondary school students and dropouts (excluding homeless and drug-addicted adolescents). The two groups were compared with regard to knowledge about AIDS prevention, attitude toward condom use, intention to use condoms, sexual history, and condom use. Contrary to expectations, few differences were found. It was concluded that, in most respects, dropouts are similar to those who have remained in school.     

HIV/AIDS communication among adolescents in psychiatric care and their parents.

The authors examined HIV/AIDS communication among 207 parent-adolescent dyads in psychiatric care to better understand the relationship between family communication and sexual risk behavior in an at-risk population. Dyads reported content and rated quality of family HIV/AIDS discussions, and adolescent sexual risk was assessed. Families discussed transmission, prevention, consequences, myths, and compassion. Parent-reported discussion of consequences was associated with greater sexual risk behavior, but only for girls. Higher quality communication reported by adolescents was associated with less sexual risk. Parents may send different messages about HIV/AIDS to sons versus daughters, and messages related to consequences may not effectively reduce risk among daughters. However, for boys and girls in psychiatric care, teaching parents how to discuss HIV/AIDS may promote safer sexual behavior.     

Sexual behavior of Colombian high school students

This paper presents the results of a survey on the sexual behavior of Colombian high school students. It documents significant gender differences in the sexual behavior of Colombian adolescents as compared with the more egalitarian sexual behavior of their American and European counterparts. The study indicates that prostitutes are playing a decreasing role in the sexual lives of Colombian males as a result of a trend toward premarital coital permissiveness among Colombian females. The findings also support previous studies which indicate that there are intrinsic gender differences in the intensity and frequency of sexual desire.     

Sexuality in youth culture: identity and change.

The sexual decisions of adolescents are, as Brooks-Gunn and Furstenberg have suggested, filtered through at least three culturally determined screens: the meaning of sexuality, the process of male-female negotiations, and adolescents' perception of danger. In making sexual choices today, young people must consider not only issues of identity, personal growth, and relationships, but also the growing danger of AIDS. A ten-year study of the sexual behavior of college students in Kelowna, British Columbia, Canada, shows that students choose among three sexual subcultures: celibacy, monogamy, and free experimentation. Since 1980, there has been some shift away from casual sex toward committed partnerships, but the basic outlines of this sexual "plural society" have remained unchanged. Despite AIDS, most students have not adopted careful sexual practices, either in number of partners or use of condoms. North American data suggest that this pattern is typical of most colleges and universities throughout Canada, although students on many U.S. campuses have become more careful. This study explored the reasons behind sexual choices, and investigated whether the possibility of contracting AIDS will eventually lead adolescents to better balance their needs for sex, love, freedom, and self-preservation. Working against the choice of caution is the fact that, in our culture, sexual expression is an important element of becoming an adult.     

African American mother-daughter communication about sex and daughters' sexual behavior: does college racial composition make a difference?

This study examined the influence of African American mothers' communication about sexual topics on the sexual attitudes and behavior of their college-enrolled daughters. Daughters were enrolled at a historically Black college/university (HBCU) or a predominantly White institution (PWI) to assess whether and how college racial context might affect daughters' sexual attitudes and behavior. Findings indicated that daughters at the HBCU had less permissive attitudes about premarital sex than their counterparts at the PWI. This result was especially true for daughters of mothers with more conservative attitudes about premarital sex and who discussed such topics infrequently. Last, the combination of positive mother-daughter communication and fewer discussions about sexual topics resulted in lower levels of sexual experience among the daughters.     

Direct and Nondirect Communication of Maternal Beliefs to Adolescents: Adolescent Motivations for Premarital Sexual Activity1

Communication between mothers and adolescents about premarital sexual intercourse was studied in the context of a model of maternal influence on the formation of adolescent beliefs about sexual behavior. Two different forms of maternal influence were explored: (a) direct communication, and (b) indirect transmission of maternal orientations. Respondents were 751 inner-city, African American adolescents (ages 14 to 17) and their mothers. Results indicated that adolescent motivations were related to their sexual behavior, and that maternal beliefs about sex were predictive of those motivations, independent of reports of the amount of communication that had taken place. These data are consistent with a model that underscores multiple mechanisms by which parents influence adolescent sexual behavior over and above direct communication.     

亲子性话题沟通风格对青少年性行为和性态度的预测： 依恋的调节效应

采用问卷法探讨了亲子间性话题沟通风格与青少年性行为、性态度的关系,并考查了亲子依恋的调节效应。结果发现：（1）两个关于性别、父母职业和受教育程度的多元方差分析表明：男生与女生在与父亲和母亲的性话题沟通开放性上均没有显著差异,与父亲和母亲性话题沟通的舒适感上有显著差异。男生与父亲的性话题沟通风格好于与母亲的,而女生与母亲的性话题沟通风格好于与父亲的。父母的职业和受教育程度以及青少年性别、父母职业、受教育程度的交互作用不显著;（2）进一步的结构方程模型分析表明：青少年与父母性话题沟通开放性对性行为具有显著的负向预测作用,对不赞同同伴性行为的态度具有显著的正向预测作用;而青少年与父母性话题沟通舒适感对不赞同同伴性行为的态度具有显著的负向预测作用;（3）依恋对性话题沟通和青少年的性行为的关系有显著的调节作用,与完全安全依恋的家庭相比,在与父母依恋都不安全的家庭中,青少年与父母性话题沟通的开放性对青少年的性行为有更强的预测力