Out in school: talking about sexual orientation and challenging homophobia across the Key Stage 4 curriculum

Rates of sexually transmitted infections and teenage pregnancy amongst the under-16s are causing increasing concern. There is limited evidence about the sexual behaviour and sex education preferences of this age group, especially of those from Black and minority ethnic groups. This study aimed to provide data on early heterosexual risk behaviour, and to examine preferences for the content and delivery of sex and relationships education (SRE), across ethnicity, gender and school year to inform priority setting and sex education strategies. A cross-sectional study of 3334 13–17-year-olds from 10 English urban and suburban secondary schools was conducted. Multivariate analysis was performed to examine the independent effect of demographic variables on sexual experience and preferences for sex education. A number of important differences in the sexual experience and condom use of males and females across the ethnic groups were identified. Differences in preferences for the content and delivery of sex education were also identified, particularly between male and female pupils. The findings indicate the potential for quite wide variation in sexual experience and preferences within school classrooms. The challenge for educators is therefore to develop SRE curricula that are inclusive within the constraints of school teaching.     

Sex and relationship education and the media: an analysis of national and regional newspaper coverage in England

Newspapers are recognised as a major source of factual information. The media representation of issues related to teenage pregnancy is important to policy makers and those delivering related interventions. This is particularly so in relation to issues which may be seen as sensitive by the public, such as sex and relationship education (SRE). Despite general recognition of the importance of the media in communicating to the public, there is an absence of satisfactory tools with which to evaluate newspaper reports, particularly so in the field of SRE. In this paper we present a systematic examination of newspaper articles related to SRE from September 2000 to September 2002, in the national and regional press in England. Our analysis has highlighted some important distinctions between newspaper type, spokesperson and region. This paper concludes that a pro‐active strategy of directly contacting high circulation newspapers with a view to positively influencing the tone of relevant articles and reports would be of considerable benefit to those involved in SRE, teenage pregnancy and related interventions.     

Re´sume´ in Motion: Sensory self-awareness through movement

This small-scale, qualitative study explores the nature of sex and relationship education (SRE) in two primary schools in England. It investigates the similarities and differences in relation to the pedagogical approach and curriculum content of the SRE programmes from the perspectives of teachers and pupils. An illuminative evaluation methodology was used to investigate the cultural, social, historical and political contexts of those participating in the programme within the two schools. The main findings indicate that there were indeed similarities and differences in the provision of SRE: whilst the pupils involved showed an understanding of sex within a loving relationship, further findings suggest that some teachers were concerned about parental views of SRE content and this affected the scope of provision. A key concept of ‘bravery’ was identified as a highly compelling factor for teachers to create a context of and conditions for creativity in their approach to SRE with a view to capitalising on the inquisitive behaviour of the children. This highlights that effective SRE requires a bold pedagogical approach to curriculum design and content.     

Educator–student communication in sex & relationship education: a comparison of teacher and peer-led interventions

This paper presents findings from a comparative study of peer- and teacher-led Sex and Relationship Education (SRE). One lesson delivered by a peer educator, and one lesson delivered by a teacher was observed with the aim of exploring the communicative process between educators and students within SRE. It is claimed that open communication between students and peer educators promotes the adoption of positive attitudes to sexual health, making it a potential alternative to teacher-led provision. Yet to our knowledge, no studies have investigated the communicative process within peer-led adolescent health interventions to examine factors underpinning its potential efficacy. The development of a coding scheme to measure the extent to which educators and students are communicating openly within SRE is used to describe the communicative process between sex educators and students, characterise differences in communication within peer- and teacher-led conditions and discuss how these differences affect student participation in SRE. Results suggest interaction of students in the peer-led condition was different to that of students receiving teacher-led SRE; and provide valuable insight into educator–student communication in the context of classroom-based SRE.     

Developing sexual competence? Exploring strategies for the provision of effective sexualities and relationships education

School‐based sexualities and relationships education (SRE) offers one of the most promising means of improving young people's sexual health through developing ‘sexual competence’. In the absence of evidence on whether the term holds the same meanings for young people and adults (e.g. teachers, researchers, policy‐makers), the paper explores ‘adult’ notions of sexual competence as construed in research data and alluded to in UK Government guidance on SRE, then draws on empirical research with young people on factors that affect the contexts, motivations and outcomes of sexual encounters, and therefore have implications for sexual competence. These data from young people also challenge more traditional approaches to sexualities education in highlighting disjunctions between the content of school‐based input and their reported sexual experience. The paper concludes by considering the implications of these insights for developing a shared notion of what SRE is trying to achieve and suggestions for recognition in the content and approaches to SRE.     

Introducing Sex Education in the Formal Education System in Nigeria

Abstract

Evidence exists about the increasing rate of sexual involvement, decrease in age of first sexual experience and the existence of different forms of sexual aberration such as prostitution, sexual exploitation and rape among Nigerian youth. In spite of these problems sex education has not been included in the framework of the formal education system in Nigeria. The introduction of sex education in our formal school system is now necessary not only to provide adolescents with valuable knowledge about sex, but also as a means of averting risks associated with unplanned coital sex such as teenage pregnancy, illegitimacy and other medical and psychological risks. This paper attempts to answer questions related to such issues as who should teach sex education, whether sex education should be taught as a subject or integrated into some or all school subjects, the content of sex education and how sex education materials should be presented. It is anticipated that the introduction of sex education in the formal school system is likely to lead to some conflicts with cultural and religious norms and with existing sex knowledge which youths have from their peers, magazines, pictures and pornography.     

Parents and sex education—looking beyond ‘the birds and the bees’

The social and political climate of sex education over the last two decades has dramatically changed, with parents now being encouraged to work in partnership with professionals. This paper seeks to further the argument that involving parents in their child's sex education does matter and can have an impact on their child's future sexual health. It discusses the reality of parents' roles and skills in providing sex education within the family. In particular, the discussion explores myths parents associate with sex education, involving fathers in provision, siblings as peer educators, health professionals' attitudes towards involving parents, and school partnerships. The author calls for professionals to involve parents alongside other sources of sex education in health and educational strategies to address sexual health issues and improve sex education. Otherwise future generations of children will experience a closed cultural attitude towards sexual matters and we will not achieve lower teenage pregnancy rates or view sex education positively.     

The impact of body image and Afrocentric appearance on sexual refusal self-efficacy in early adolescent African American girls

Research examining the association between body image and sexual risk-taking has been mostly limited to clinical and/or White female samples. It is unclear whether body image plays a role in sexual risk-taking among African American early adolescent females. Moreover, research has neglected to consider body image within a cultural and ethnic framework. A positive sense of Afrocentric appearance may influence, either positively or negatively, sexual attitudes and behaviors among African American early adolescent girls. The purpose of this study, conducted with 156 urban African American early adolescent females, was to examine the relationships among body image, Afrocentric appearance, and sexual refusal self-efficacy. Results found no significant association between body image and sexual refusal self-efficacy. However, structural equation modeling found that a positive sense of Afrocentric appearance significantly predicted increased sexual refusal self-efficacy. Implications of this study in regard to culturally-based teenage pregnancy prevention and education initiatives are discussed.     

Book Reviews

Rational choice models of teenage sexual behaviour lead to radically different predictions than do models that assume such behaviour is random. Existing empirical evidence has not been able to distinguish conclusively between these competing models. I use regional data from England between 1998 and 2001 to examine the impact of recent increases in access to family planning on teenage pregnancy and sexually transmitted infection diagnosis rates. I find consistent evidence that access to family planning services is not associated with reductions in teenage pregnancy rates. I also find consistent evidence that increased promotion of emergency birth control in youth family planning clinics has not affected the relationship between clinic services and teenage pregnancy rates, but has significantly worsened the relationship between clinic services and teenage sexually transmitted infection diagnosis rates. Most of the observed relationships are inconsistent, with teenage sexual behaviour being the result of a random decision‐making process.     

Sex and relationships education and gender equality: recent experiences from Andalusia (Spain)

Despite recent advances in sex and relationships education (SRE), the Spanish education system still lacks coherent policies in this field. This paper provides an overview of the current situation, focusing specifically on Andalusia, and discusses the importance of providing SRE for young people. It first describes current Spanish education policy on gender equality and shows how this leaves little space for SRE. It then presents data on young people's sexuality and relationships collected in the course of an action research project utilising different qualitative techniques. Data deriving from 27 in-depth interviews focusing on values, norms and practices relating to young people's sexuality and relationships, conducted in two secondary schools in Granada, Andalusia, are then analysed in order to identify the degree of gender equality present within them. The results suggest that in sexual relations young people tend uncritically to accept and reproduce many of the patriarchal dimensions of gender and sexuality. Findings highlight the importance of linking more closely SRE to gender equality education policies in Spain.     

Back to basics: how young mothers learn about sex and sexuality

Adolescent pregnancy continues to be a major concern for policy-makers, programme developers, helping professionals and society generally in the USA, especially in light of the US federal government's legislative emphasis on abstinence-only sex education until recently. Studies have found that abstinence-only programmes do not succeed in preventing young people from becoming sexually active or pregnant; most young people have sexual intercourse in their teenage years long before they even contemplate marriage. The purpose of this qualitative study was to explore how 32 teenage mothers learned about sex and their related views about pregnancy and birth control. Findings indicate that they have often received little accurate information about sex from their parents and schools. Findings also reveal their widely varying views about birth control and pregnancy. Overall, the findings support the need for comprehensive sexuality education that addresses the topics covered in this study in an age-appropriate manner. The findings also suggest ways that helping professionals in other settings besides schools can help young people address these issues.     

Peer regulation of teenage sexual identities

This article examines the teenage policing of heterosexuality in schools and contributes to debates about teenage sexual moralities and heterosexual male agency. It reports on a qualitative study in England of the collective sexual values of 12‐ to 13‐year‐olds and 14‐ to 15‐year‐olds. Focus group interviews indicated that pupils developed a consensual sexual morality through collusive sex talk. Homophobic and misogynistic views and verbal abuse were found to be key instruments of teenage peer regulation of sexual identities crossing class and ethnic boundaries. We found that the ‘official’ discourse of sex education did not relate to teenage lives. Anxieties about heterosexual masculinity and girls' sexual agency were conveyed by some boys through verbal sexual harassment—a form of behaviour regarded as intimidating yet normal. While white and Asian boys were more conservative in their views about marriage than girls, white and Asian girls struggled to resist heterosexual masculine power through career aspirations, by questioning marriage and being informed about sexual issues.     

Interrogating heteronormativity in primary schools: the No Outsiders project

Parent–adolescent communication about sexual health is one strategy to encourage healthy adolescent sexual behaviour. However, this literature has largely overlooked immigrant families. Hmong youth, identified as facing extreme challenges to parent–adolescent communication, are considered in the USA. Content analysis was used to examine parent–adolescent communication about sexual health for 44 pregnant or parenting Hmong adolescent girls. The minority of adolescents recalled an actual conversation about sexual health in their families with mothers most often identified as the source. Their stories reflect discussions about abstinence, puberty, pregnancy, and sexually transmitted infections – with much information being inaccurate. With culture being a recurrent theme, communication was reported to be hindered by cultural traditions, comfort level, applicability, and perceived consequences. The results identify opportunities for culturally-relevant sex education materials in the US Hmong community.     

Adolescent sexual initiation through the lens of letters to the editor published in Polish teenage magazines

Almost all teenage magazines invite readers to submit questions concerning relationships, published as letters to the editor, popularly called ‘advice columns’, often containing explicit questions about sexuality. This study aims to examine, firstly, how themes related to sexual initiation are presented in letters to the editor published in Polish magazines and, secondly, how these themes are reflective of Poland's socio-cultural climate. These aims are achieved through thematic data analysis and by presenting an in-depth history of teenage magazines in Poland. In order of prevalence, the presented themes include entering into a general dialogue focused on sexual activity, eliminating the long-term (e.g. unplanned pregnancy) and short-term (e.g. rejection by one's partner) consequences of sexual activity, establishing ideal circumstances for sexual initiation, and, as a transition stage, meeting needs relevant only to those who have already initiated sexual activity. Although by no means exclusive, these findings offer some insight into adolescent sexual initiation, reflective of Poland's socio-cultural climate, where adolescent sexuality remains a taboo topic and teenage magazines may be viewed by certain groups of adolescents as a resource for supplementing existing sexual education.     

Reviews

Introduction: Despite government support of culturally appropriate sex and relationships education (SRE), young people's access to information is limited and sexual health needs are not being met, particularly among youth from black and minority ethnic groups. Joint‐working between health, education, voluntary sectors and parents has been heralded as key in redressing inequalities in sexual health outcomes and access to information. Our study focuses on SRE provision for young Muslim Bangladeshis, highlighting the complexities involved in streamlining SRE messages.

Objective: To explore stakeholder views about SRE and ways to improve SRE delivery.

Design: Sixteen semi‐structured interviews were conducted in 2005 with stakeholders from schools, National Health Service, and parent and voluntary sector bodies in a London borough.

Results: Two key factors enhancing Bangladeshi youth's risk of infection and unwanted pregnancy were identified: inadequate parental understanding about sexual health and limited parent‐delivered SRE; and patchy provision of culturally appropriate, school‐based SRE. Factors affecting SRE provision included culturally rooted perceptions of sex/sexuality and limited participation of stakeholders, (religious leaders, parents), in developing and delivering SRE.

Conclusions: This study highlights the importance of widespread community engagement, underlining that joint‐working, and the development and delivery of culturally appropriate and consistent SRE, necessitates communication and collaboration among stakeholders in young people's health and well‐being.     

Masculinity and Condom Use among Mexican Teenagers: The Escuela Nacional Preparatoria No. 1's case

At the upper secondary school level, adolescents seem to be very concerned about sex education programmes, mainly because of widespread information about AIDS, and, of course, because most of them are beginning their sexual life. Generally speaking, Mexican sex education teachers are dealing with two challenges; the steady increase of teenage pregnancy and the spread of sexually transmitted diseases (STD), especially AIDS. In observing the dynamics in sex education lessons and interviewing a group of teenagers; it can be concluded that to the subjects of this study, contraception decision-making, especially condom use, being more than a rational or a cognitive issue, is a matter highly determined by their sexual reputation.     

Characteristics of effective interventions in improving young people's sexual health: a review of reviews

The purpose of this paper is to conduct a review of reviews to identify characteristics of effective sex and relationship education (SRE) interventions and/or programmes in young people to improve sexual health and identify barriers and facilitators for implementation. Six bibliographic databases were searched from 1986 to 2006 for systematic reviews that assessed SRE interventions or programmes in participants between 10 and 18 years old and their partners. All outcomes of improvement in sexual health were assessed and 30 systematic reviews were included. Effective interventions and/or programmes tended to be those targeting younger age groups before they become sexually active, focused interventions tailored to the physical and biological development stages, theory based, and abstinence education programmes that incorporate values of relationships and provide skills training and links to contraceptive services. Adequate training of personnel delivering the interventions and culturally sensitive programmes were identified as important facilitators of effectiveness. Future research should explore the appropriate age for initiating sex education and investigate targeting specific behaviour compared with multiple-outcome targeting. Research exploring the reasons for interventions focusing on specific populations (i.e. African and Hispanic origins), even if they were conducted in countries dominated by Caucasians, is warranted.     

Parent and family influences on young women's romantic and sexual decisions

Parents can play an important role in reducing their children's risk for teenage pregnancy and sexually transmitted infections, and in promoting sexual health during adolescence. The purpose of this study was to explore communication between parents, family members and young people and how it influences their romantic and sexual behaviours. Semi-structured interviews were conducted with 28 African American, American Indian, Euro-American and Latina women aged 19–29 years. Findings clustered into five themes. First, mothers were often the primary source of reproductive education. Second, fathers provided valuable guidance, although they were not the first source of information. Third, parental expectations influenced young people's sexual behaviours both positively and negatively. Fourth, aunts, uncles and grandparents were trusted sources of advice for personal discussions. Fifth, over one-third of participants perceived that there was no adult available to them during their teenage years for discussions about romance. Sex educators can encourage and guide parents to discuss romantic and sexual issues with young people as a way to support their young people's healthy sexual and romantic behaviours. Health and sex educators should also identify young people lacking support and encourage stronger relationships with family including fathers and extended family members.     

‘It's got to be about enjoying yourself’: young people,sexual pleasure,and sex and relationships education

Pleasure as a component of sexualities and relationships education (SRE) has been subject to much recent discussion. Arguably, academic debate has been more prominent than practitioner perspectives, with theoretical articulations and critique superseding pragmatic attention to integrating pleasure into learning about sexualities and relationships. Though there are exceptions, sexuality education that recognises pleasure and desire for young people remains absent in many contexts, despite calls for its inclusion for more than two decades. This paper offers a synthesis of expert opinion to outline the importance of pleasure and positive SRE to sexual health, rights, equality and safeguarding against coercion and harm. The paper acknowledges the often uneasy associations between sexuality, education and youth by identifying key political and academic debates, before offering a rationale on ways forward that may help persuade curriculum gatekeepers of its merits. Analysis focuses mainly on young women with reflections on current knowledge and the need for more empirically based research and theorising on boys and men. Policy developments relate to the UK, though issues raised have direct relevance for contexts where SRE is similarly contested.     

Schooling and the Normalisation of Sex Talk within the Home

This paper addresses public concern over the extent to which the school has supplanted parental responsibilities for the sex education of their children. This concern is investigated through a series of interviews with parents of adolescent children. I argue that rather than focus on an opposition between the intrusive school and the private domestic unit, the problem with sex education is located within the domestic unit as parents had difficulties in initiating discussion on sexual matters. Far from being intrusive, most parents saw the school as a crucial source of information and support. Parents operated confidently at a more informal level of sex talk within the home. Findings suggest that although parents admit to a degree of anxiety, through the family routine parents were able to ‘normalise’ sex talk within the home and gain insights into their children's sexual awareness.