Lorena M Estrada-Martínez, Jennifer M Grossman, Amanda M Richer
{"title":"Sex behaviours and family sexuality communication among Hispanic adolescents.","authors":"Lorena M Estrada-Martínez, Jennifer M Grossman, Amanda M Richer","doi":"10.1080/14681811.2020.1749042","DOIUrl":"https://doi.org/10.1080/14681811.2020.1749042","url":null,"abstract":"<p><p>This study compared the extent to which Hispanic teenagers talk with mothers, fathers and extended family members about risks of sex, protection and relational sex, as well as the moderating role of teenagers' gender on the association between sexuality communication and risky sexual behaviours. Analysis is based upon 474 Hispanic young people's responses to a school-based survey recruited from six New England high schools. We (1) calculated descriptive statistics and tests of difference by teenagers' gender, and (2) ran logistic regression models for three sexual behaviours (vaginal sex, oral sex and number of sex partners) separately by gender. There were significant gender differences in teenagers' talk with mothers and fathers, but not extended family members. There was consistent \"gender matching\" between teenagers and the extended family member they talked to. The content of sexuality communication, the family member the teenager talked to and the gender of the teenager all contributed to whether communication was protective for teenagers' sexual behaviour. There are substantial differences in the types of sexuality communication Hispanic teenagers have with different family members, which are closely tied to teenager's and the family member's gender. Results suggests that one size does not fit all when it comes to family communication about sex and sexuality.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"21 1","pages":"59-74"},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2020.1749042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40579776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ariella R Tabaac, Eric G Benotsch, Madina Agénor, S Bryn Austin, Brittany M Charlton
{"title":"Use of media sources in seeking and receiving sexual health information during adolescence among adults of diverse sexual orientations in a US cohort.","authors":"Ariella R Tabaac, Eric G Benotsch, Madina Agénor, S Bryn Austin, Brittany M Charlton","doi":"10.1080/14681811.2021.1873122","DOIUrl":"https://doi.org/10.1080/14681811.2021.1873122","url":null,"abstract":"<p><p>The objective in this study was to examine the association between sexual orientation and seeking/receiving sexual and reproductive health (SRH) information from media sources during adolescence. We analysed data from male and female participants (aged 23-35 years) from the U.S.-based Growing Up Today Study (GUTS) in 2016. Sex-stratified, multivariable log-binomial models adjusted for age, cohort and race/ethnicity were used to examine sexual orientation differences in retrospective self-reported seeking/receipt of SRH media information before age 18. Sexual minority (e.g., mostly heterosexual, bisexual, gay) men and women were more likely than same-gender individuals who identified as completely heterosexual to seek/receive SRH information about contraceptive methods (e.g., condom use), sexually transmitted infections, and HIV and AIDS. Although lesbians were more likely than completely heterosexuals to seek/receive SRH information from media about each topic, they were the sexual minority subgroup with the smallest proportion seeking/receiving SRH information. Sexual minorities may passively and/or actively receive SRH information pertaining to a wide range of topics, including skills-based sex education, from media sources more frequently than heterosexuals, which may influence safe-sex decision-making. Lesbians in particular may benefit from media information dissemination focusing on their specific SRH needs, as current media sources do not seem to be well-utilised by this group.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"21 6","pages":"723-731"},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2021.1873122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39719239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel H Scott, Clarissa Smith, Eleanor Formby, Alison Hadley, Lisa Hallgarten, Alice Hoyle, Cicely Marston, Alan McKee, Dimitrios Tourountsis
{"title":"What and how: doing good research with young people, digital intimacies, and relationships and sex education.","authors":"Rachel H Scott, Clarissa Smith, Eleanor Formby, Alison Hadley, Lisa Hallgarten, Alice Hoyle, Cicely Marston, Alan McKee, Dimitrios Tourountsis","doi":"10.1080/14681811.2020.1732337","DOIUrl":"https://doi.org/10.1080/14681811.2020.1732337","url":null,"abstract":"<p><p>As part of a project funded by the Wellcome Trust, we held a one-day symposium, bringing together researchers, practitioners, and policymakers, to discuss priorities for research on relationships and sex education (RSE) in a world where young people increasingly live, experience, and augment their relationships (whether sexual or not) within digital spaces. The introduction of statutory RSE in schools in England highlights the need to focus on improving understandings of young people and digital intimacies for its own sake, and to inform the development of learning resources. We call for more research that puts young people at its centre; foregrounds inclusivity; and allows a nuanced discussion of pleasures, harms, risks, and rewards, which can be used by those working with young people and those developing policy. Generating such research is likely to be facilitated by participation, collaboration, and communication with beneficiaries, between disciplines and across sectors. Taking such an approach, academic researchers, practitioners, and policymakers agree that we need a better understanding of RSE's place in lifelong learning, which seeks to understand the needs of particular groups, is concerned with non-sexual relationships, and does not see digital intimacies as disconnected from offline everyday 'reality'.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"20 6","pages":"675-691"},"PeriodicalIF":1.9,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2020.1732337","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25407099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiarney D Ritchwood, John S Luque, Tanya M Coakley, Mysha Wynn, Giselle Corbie-Smith
{"title":"Understanding African American youth and adult perspectives on sex education in rural North Carolina.","authors":"Tiarney D Ritchwood, John S Luque, Tanya M Coakley, Mysha Wynn, Giselle Corbie-Smith","doi":"10.1080/14681811.2019.1708715","DOIUrl":"https://doi.org/10.1080/14681811.2019.1708715","url":null,"abstract":"<p><p>African American youth in the US rural South are at elevated risk for poor sexual health outcomes, including sexually transmitted infections and teen pregnancy. Historically, the southeastern USA has lagged behind in providing comprehensive sexuality-based education in secondary school, which may contribute to poor reproductive and sexual health outcomes. This study aims to understand the perspectives of African American youth and adults on comprehensive sexuality-based education in rural North Carolina. Twenty-four individuals (12 youth and 12 adults) participated in both semi-structured interviews and small discussion groups. Data were analysed and coded using inductive and deductive approaches to thematic analysis. Results indicated that comprehensive sexuality-based education was highly desirable; however, current efforts were viewed as insufficient. While both young people and adults agreed that abstinence was the most desirable path for youth, participants also acknowledged young people's autonomy in engaging in sexual activity and suggested that comprehensive sexuality-based education was needed to protect against unintended consequences. The findings of this study have practical implications for addressing challenges associated with providing sexuality-based education to African American youth in rural communities and offers suggestions regarding directions for future research.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"20 6","pages":"612-626"},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2019.1708715","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25526286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda Cameron, Ellie Smith, Nicholas Mercer, Beth Sundstrom
{"title":"'It is our duty:' Understanding Parents' Perspectives on Reproductive and Sexual Health Education.","authors":"Amanda Cameron, Ellie Smith, Nicholas Mercer, Beth Sundstrom","doi":"10.1080/14681811.2019.1704720","DOIUrl":"https://doi.org/10.1080/14681811.2019.1704720","url":null,"abstract":"<p><p>South Carolina ranks 16<sup>th</sup> in the USA for highest rates of teenage pregnancy. The South Carolina Comprehensive Health Education Act (CHEA) does not require medically accurate, unbiased, culturally appropriate materials, and varies greatly in compliance and implementation. This study aimed to better understand parents' perspectives in one county in South Carolina regarding reproductive and sexual health education. A total of 484 parents responded to a qualitative questionnaire, collectively representing 798 students. Researchers conducted a thematic analysis to organise data. Main themes identified include comprehensive reproductive and sexual health education as a duty; dispelling the myth of abstinence-only education; and the value of comprehensive reproductive and sexual health education. Parents described teaching reproductive sexual health education in public schools as a 'duty.' Furthermore, parents rejected the idea that abstinence-only education is effective and believed reproductive and sexual health education should be taught without the influence of religion. Parents valued inclusive reproductive and sexual health education, covering a robust set of topics. Findings from the study provide evidence for the need to update current reproductive and sexual health education materials and legislation to meet parental demands and reduce youth sexual and reproductive health disparities.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"20 5","pages":"535-551"},"PeriodicalIF":1.9,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2019.1704720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38399929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susan Patterson, Lisa McDaid, Kate Hunt, Shona Hilton, Paul Flowers, Lesley McMillan, Dona Milne, Karen Lorimer
{"title":"How men and women learn about sex: multi-generational perspectives on insufficient preparedness and prevailing gender norms in Scotland.","authors":"Susan Patterson, Lisa McDaid, Kate Hunt, Shona Hilton, Paul Flowers, Lesley McMillan, Dona Milne, Karen Lorimer","doi":"10.1080/14681811.2019.1683534","DOIUrl":"10.1080/14681811.2019.1683534","url":null,"abstract":"<p><p>Attitudes towards sexual health and relationships are learned from a young age, and there is an ongoing need for innovative and comprehensive approaches to sex education that keep pace with rapidly changing contexts of people's lives. We used thematic analysis of data from two qualitative studies in Scotland to explore learning contexts from a multi-generational perspective, as well as the influence of different socio-cultural factors on provision, access to and experience of sex education. The importance, but inadequacy, of school as a source of learning, was a persistent theme over time. Participants' strategies to address perceived gaps in knowledge included experience, conversations, vicarious and online learning. Gender and age differences emerged, with younger participants more likely to go online for information, and prevailing gender norms shaping attitudes and behaviours across both study groups. Participants who identified as gay, lesbian or bisexual described feeling particularly unprepared for sex and relationships due to the narrow, heteronormative content received. Although schools continue to be a common source of information, it appears that they fail to equip young people for their post-school sexual life-course. We recommend the mandatory provision of comprehensive, positive, inclusive and skills-based learning to improve people's chances of forming and building healthy, positive relationships across the lifespan.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"20 4","pages":"441-456"},"PeriodicalIF":1.4,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7455048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38387728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Positive and Negative Aspects of Relationship Quality and Unprotected Sex among Young Women.","authors":"Sonya S Brady, Sandra K Gruber, Julian A Wolfson","doi":"10.1080/14681811.2016.1141286","DOIUrl":"https://doi.org/10.1080/14681811.2016.1141286","url":null,"abstract":"<p><p>The aim of this study was to examine both positive and negative aspects of relationship quality in relation to condom use. Sexually active young women aged 14-18 years (n=111; 34% non-white) were recruited from community clinics and schools in the Midwest USA and provided data via an online survey. The number of unprotected sex acts in the past month with the most recent male partner was regressed on relationship quality with that partner, adjusting for demographics and other characteristics. Negative relationship quality was associated with a greater number of unprotected sex acts among women reporting a low level of positive relationship quality and among women taking hormonal/IUD contraception. Positive relationship quality was associated with unprotected sex among women who reported multiple partners in the past month. Both positive and negative aspects of relationship quality may confer risk for unprotected sex. This risk appears modified by patterns of contraceptive use and other sexual behaviours. Health professionals may be more effective in promoting condom use if they ask questions about both positive and negative aspects of young people's relationship quality and tailor their conversations based on the responses received.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"16 6","pages":"586-601"},"PeriodicalIF":1.9,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2016.1141286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35479003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jamie Jensen, Den Yelle Baete Kenyon, Jessica D Hanson
{"title":"Preventing alcohol-exposed pregnancy among American-Indian youth.","authors":"Jamie Jensen, Den Yelle Baete Kenyon, Jessica D Hanson","doi":"10.1080/14681811.2015.1082070","DOIUrl":"https://doi.org/10.1080/14681811.2015.1082070","url":null,"abstract":"<p><p>Research has determined that the prevention of alcohol-exposed pregnancies (AEP) must occur pre-conceptually with women, either by reducing alcohol intake in women planning pregnancy or at-risk for becoming pregnant, or by preventing pregnancy in women drinking at risky levels. One such AEP prevention programme with non-pregnant American Indian women is the Oglala Sioux Tribe (OST) CHOICES (Changing High-risk alcohOl use and Increasing Contraception Effectiveness Study) Programme, which shows promise in reducing AEP risk in American Indian women aged 18 or older. A community needs assessment was conducted with key informant interviews and focus groups with an emphasis on how to expand OST CHOICES. To identify interconnected themes, a content analysis methodology was used on the qualitative feedback from the focus groups and interviews. Altogether, key informant interviews were completed with 25 health and social service professionals. Eight focus groups were held with 58 American Indian participants, including adult women of child-bearing age, elder women, and adult men. Several sub-themes regarding the prevention of AEP with youth were identified, expanding the OST CHOICES curriculum into the schools, and the role of family and culture within AEP prevention.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"16 4","pages":"368-378"},"PeriodicalIF":1.9,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2015.1082070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34741642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mary E Grewe, Arianna Taboada, Alexis Dennis, Elizabeth Chen, Kathryn Stein, Sable Watson, Clare Barrington, Alexandra F Lightfoot
{"title":"'I learned to accept every part of myself': the transformative impact of a theatre-based sexual health and HIV prevention programme.","authors":"Mary E Grewe, Arianna Taboada, Alexis Dennis, Elizabeth Chen, Kathryn Stein, Sable Watson, Clare Barrington, Alexandra F Lightfoot","doi":"10.1080/14681811.2015.1022820","DOIUrl":"https://doi.org/10.1080/14681811.2015.1022820","url":null,"abstract":"<p><p>Theatre-based interventions have been used in health promotion activities among young people to address HIV and sexual health. In this study, we explored the experience of undergraduate student performers participating in a theatre-based HIV prevention and sexual health education intervention for high school students in the USA. Undergraduate students enrolled in a credit-bearing course to learn about HIV and sexual health, participatory theatre and health education techniques. We analysed students' reflective essays written throughout the semester to identify any changes and the intervention processes that promoted these changes. Students experienced five interrelated forms of transformation: (1) increased knowledge about HIV and sexual health; (2) changes in attitude and communication about sex; (3) artistic growth; (4) emotional growth; and (5) clarification of career goals and future plans. Intervention processes that contributed to these transformations included improvisation, guided writing exercises, the creation of a close-knit cohesive group, and interactions with a group of HIV-positive speakers. Theatre-based, peer-led sexual health programmes can provide a transformative experience for undergraduate student performers. The transformative effects are linked to specific activities and processes of the intervention and require examination in future research.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"15 3","pages":"303-317"},"PeriodicalIF":1.9,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2015.1022820","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33397243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandra F Lightfoot, Arianna Taboada, Tamara Taggart, Trang Tran, Amy Burtaine
{"title":"'I learned to be okay with talking about sex and safety': assessing the efficacy of a theatre-based HIV prevention approach for adolescents in North Carolina.","authors":"Alexandra F Lightfoot, Arianna Taboada, Tamara Taggart, Trang Tran, Amy Burtaine","doi":"10.1080/14681811.2015.1025947","DOIUrl":"https://doi.org/10.1080/14681811.2015.1025947","url":null,"abstract":"<p><p>Adolescents are at increased risk of HIV and sexually transmitted infections (STIs) in the Southern states of the USA, where rates among youth are higher than in the rest of the nation. This paper reports on findings from a pilot study of an HIV prevention intervention that uses interactive theatre to educate young people about sexual health. The intervention was developed in Los Angeles and adapted for testing in the South of the USA, with its legacy of abstinence-based approaches to sexual health education. This study assessed intervention effects among a sample of young people in two public high schools in North Carolina. We used a pre-test, post-test quasi-experimental evaluation design to assess changes in 317 ninth grade participants' knowledge and attitudes about HIV. At post-test, we found statistically significant increases in participants' HIV knowledge (<i>t</i>= 60.14; <i>p</i>=.001), as well as changes in attitudes (<i>X<sup>2</sup></i> =8.23; <i>p</i>=.042) and awareness (<i>X<sup>2</sup></i> =4.94; <i>p</i>=.026). Focus group data corroborated increase in HIV knowledge and reduction in HIV stigma as successful outcomes of intervention participation. The findings make an important contribution to the literature on theatre-based interventions for sexual health education. Furthermore, they highlight the importance of considering socio-cultural and political context in implementing HIV prevention interventions in schools.</p>","PeriodicalId":47510,"journal":{"name":"Sex Education-Sexuality Society and Learning","volume":"15 4","pages":"348-363"},"PeriodicalIF":1.9,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14681811.2015.1025947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34012771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}