Learning about sex and relationships among migrant and refugee young people in Sydney,Australia: ‘I never got the talk about the birds and the bees’

In a multicultural nation such as Australia, it is important for young people from migrant and refugee backgrounds to have access to quality relationships and sexuality education, as they are known to be less well engaged with mainstream services. A study was undertaken to explore the complexities and opportunities for engaging this group with sexual and reproductive health information and care in Sydney, Australia. Interviews were undertaken with 27 migrant and refugee young people (aged 16–24 years), and 34 expert informants. Relationships and sexuality education was a dominant theme throughout both data sets. Nearly all young people reported that they were unable to discuss sexuality or sexual health with their parents, and most identified secondary school as the place where they first learned about these issues. Other sources of information were identified as the Internet, friends, health professionals and pornography. Participants appeared to have limited awareness of the different services available to them. Schools, as well as other education settings such as universities, private colleges and intensive English centres, are well placed to deliver relationships and sexuality education, and for migrant and refugee young people these may be valuable settings in which to access information rarely discussed in family or community environments.     

Gender differences in South African men and women's access to and evaluation of informal sources of sexual and reproductive health (SRH) information

While much research has documented unsatisfactory sexual and reproductive health (SRH) awareness among young people in South Africa, understanding of gender differences in access to and evaluation of SRH information is limited. This paper concerned itself with men and women's informal sources and content of SRH, and gendered divergences around accessibility, evaluation, and impact of such information. Fifty sexual history narrative interviews and twenty-five narrative interviews with women were conducted with participants purposively sampled from a range of ages, cultural and racial backgrounds, and in urban and rural sites across five provinces in South Africa. Data were analysed using thematic analysis. While young women were more likely to learn about SRH information from family members, they also reported greater regulation concerning their sexuality. This could enhance stigma surrounding women's sexuality and hinder open communication. Men predominantly learned about sex through pornography and peers, which was reported to encourage sexual prowess to the neglect of practising safer sex. Lack of adequate SRH instruction for young people as revealed through the narratives had significant and often negative implications for men and women's early safer sex behaviours. In response to these insights, recommendations are offered to strengthen informal sources of SRH awareness.     

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.     

How they got it and how they wanted it: marginalised young people's perspective on their experiences of sexual health education

Young people in Australia are at greatest risk of contracting sexually transmitted infections, and priority actions are necessary for this population group. This study of marginalised and at-risk young people in out-of-school environments was conducted in Western Australia with the aim of obtaining young people's perceptions about their experience of sexual health education and preferred means of gaining sexual health knowledge and skills. A participatory research methodology was implemented through a series of workshops with 88 young people recruited through community youth agencies. The results of the study support what is already known about sexual health promotion for young people and the importance of a holistic approach to promoting positive relationships and sexual health. However, the findings emphasise that this should include the need for demonstrated trust, confidence and safe environments, and the complementary role of community youth agencies and peer-based programmes which may play an important role in reaching young people who may disengage with, or not be reached by school-based sexual health education.     

Developing Relationships Between Sexual Health Clinics and Schools: More than clinic nurses doing sex education sessions?

Linking schools with sexual health clinics facilitates clinic access by young people. This paper documents the process of developing one such link and its impact on clinic use. Multiple data collection strategies were used to document a developing school/clinic relationship and constant comparative analysis was used to develop hypotheses from the data as follows: ” A few teachers have a good knowledge of local sexual health services and extensive experience of referring to them. ” Most tutors (despite their pastoral role) have little knowledge of local sexual health services and no experience of referring to them. ” Organising work in the school is difficult because teachers have little non-teaching time and a variable commitment to sex and relationship education. ” The link between the clinic and the school has facilitated access to the clinic by school pupils. ” Outreach work is more effective when young people meet the outreach worker repeatedly in different settings. Each hypothesis is presented with its supporting data. This information is consistent with what is known about the benefits of school/clinic links and adds to what is known about the process of developing and maintaining such links.     

Young offenders in New South Wales,Australia and the need for remedial sexual health education

The 2005–2008 Australian National Sexually Transmissible Infections Strategy identifies young people as a key target group in need of sexual health education, screening and management. For young people who are in contact with the New South Wales (NSW) juvenile justice system, a dire need for remedial sexual health education exists. NSW young offenders indicate initiation of sexual activity at a younger age than their peers, higher numbers of sexual partners, infrequent condom use and higher rates of sexually transmitted infections. They also report family instability, poor accessing of health services, and low school attendance: all factors that result in poor sexual knowledge and health outcomes. An examination into the cognitive profile of these young offenders indicates remedial education for this group may require a dual approach in order to redress their specific circumstances and needs. The first approach should target young offenders who simply missed out on stages of sexual health information in the school curriculum. The second approach requires a tailored teaching methodology more appropriate for a group with atypical cognitive profiles. Both approaches need to engage an educative model that acknowledges that these disadvantaged young people are already sexual active; and that many did not have the benefit of an informed or consensual decision making processes. More importantly, the tailoring of a sexual health education program to these young people needs to resonate with teaching to a cognitively distinctive population who have experienced higher than usual rates of alcohol and other drugs abuse, and higher than usual episodes of physical and emotional abuse and neglect.     

Principal Documents Issued by the Ministry of Education and Relevant Departments Concerning Study-Abroad Work

In the past we have accumulated very little data on the comprehension of sexual knowledge by middle school students in our country and on the development of their sexual physiology and psychology. When we spoke of the sexual awareness of young people and the growth of their sexual physiology and psychology, we were in the main forced to resort to data and materials from abroad. On the subject of the sexual-physiological growth of young people and adolescents, a group of scholars in the 1960s, led by Ye Gongshao, made some reports. In the same area, some people also made more recent investigations and acquired new data on a number of problems (such as the average age of girls experiencing their first menstruation period).2 However, systematic investigations and studies that deal with quantitative [analysis] on this subject—the development of the sexual awareness and the sexual psychology of young people—are still rare. To fill this gap, and to give the broad ranks of those involved in the work of education in our country a better understanding of the actual conditions of the growth of sexual awareness and sexual physiology and psychology among young people as well as to provide information for the formation of a theoretical framework on educational psychology and hygiene and health studies in our country, we have undertaken the following survey and investigation project.     

Collaboration between a child telephone helpline and sexual and reproductive health and rights organisations in Senegal: lessons learned

This study identifies lessons learned from a collaboration between a child telephone helpline and sexual and reproductive health and rights (SRHR) organisations in Senegal established in the context of an SRHR programme for young people. We assessed how helpline operators are equipped to address sexual health and rights issues with young people, what the relevant skills of operators are, and to what extent referral to sexual and reproductive health (SRH) service providers took place. A documentary review, a vignette study and interviews with six key informants and all seven operators took place. The collaboration led to promising initiatives, such as the provision of SRH training, the exchange of staff, referral to SRH service providers. However, the counselling advice provided by operators was not always in line with the rights-based approach and responses were influenced by underlying norms concerning young people’s sexuality. Additionally, concerns about confidentiality were noted. The collaboration was an innovative attempt to respond to young people’s limited access to SRHR information and services but there is a need for more in-depth training of helpline operator’s skills and the development of a standardised rights-based counselling manual.     

‘Can you get pregnant when u r in the pool?’: young people's information seeking from a sexual health text line

Young people have questions about sex and development but may have trouble getting answers to them. Text messaging services can serve as a resource. This study analysed 1351 text messages sent to a sexual health text message service designed for young people in North Carolina to determine the types of questions asked of a confidential, accurate source of information. The majority of texts sought information about sexual health topics (89%). A smaller proportion asked for advice (7%) or reassurance (4%) that the sender was developing normally. Questions mainly asked about sexual acts (33.9%), unplanned pregnancy (20.2%), contraception (13.7%), physical or sexual development (12.9%) and sexually transmitted diseases (10.8%). Findings suggest that a confidential and accurate sexual health text message service could be an important resource for young people, especially if they seek advice before engaging in risky sexual behaviour.     

The social meanings of the C-Card scheme: the importance of friends and peers

This paper draws on findings from an analysis of interviews with young people aged 14–18 years, to explore the peer influences in young people's informal social networks which can affect their access to sexual health services. The research focuses on the social meanings of a C-Card condom distribution scheme in North East England. Such schemes are widespread in the UK as a way of providing access to condoms and sexual health advice for young people in health and community settings. Focusing on one aspect of a broader study, the paper outlines the important social, emotional and practical resources provided by young people's chosen friendship groups in the process of acquiring a C-Card, which offers a route to accessing sex and relationships advice and condoms. Informal peer networks inform attitudes and expectations which can influence gendered patterns of behaviour. Through a focus on the educational possibilities of the C-Card scheme, the study suggests a need to revisit the dynamics of young people's peer relationships and harness their potential to influence sexual attitudes and behaviour in positive ways, rather than simply seeing these always as a source of negative pressure.     

Improving sexual health for young people: making sexuality education a priority

How well do young people understand their developing sexuality and what this means? This paper reports on findings from the Our Lives: Culture, Context and Risk project, which investigated sexual behaviour and decision-making in the context of the everyday life experience and aspirations of Indigenous and non-Indigenous young people (16–25 years) in the Northern Territory, Western Australia and in South Australia. Using qualitative data, this paper focuses on what participating young people thought was necessary to improve the quality of sexuality education. Participants suggest that current forms of sexuality education are too clinical, didactic and unengaging, and are missing in relevant content. Young people requested more information on relationships, first sexual experiences and negotiating condom use. These requests indicate that young people realise that they need more knowledge in order to have healthy relationships, which conflicts with the popular belief that providing young people with open, honest information around sex will encourage them to have sex or increase sexual risk taking. Making sexuality education more of a priority and listening to the needs of young people could be a positive step towards improving sexual health and well-being.     

Sexting and institutional discourses of child protection: The views of young people and providers of relationship and sex education

This article focuses on discourses of child safety and protection of stakeholder organisations (SOs) and school pastoral care co-ordinators (PCCs) on educating young people about sexting. Individual semi-structured interviews were conducted with the representatives of four organisations who assist schools in the delivery of Relationships and Sexuality Education (RSE); and with three PCCs in three different types of secondary schools in Northern Ireland to ascertain how their school educates and responds to sexting. Focus groups were also conducted with 17 (10 girls and 7 boys) 16–17-year-olds to explore their views on sexting. The results of this study reveal that the predominant discourse in RSE is child safety and protection, and abstention from sexting. The three main groups (young people, SOs and PCCs) vary, however, in how they view sexting behaviour: the stakeholders are largely cautious and counsel against sending sexual pictures, while the young people regard it as normal behaviour. RSE provided by the schools is inadequate and unrealistic, and does not represent what actually goes on in young people’s sexual lives. Young people want to be consulted on the content of RSE lessons and resources; and RSE content should desist from telling them not to sext and enable them to explore appropriate relationship behaviours, including sexting. Teachers should feel confident in teaching such material and should have access to appropriate training.     

Building productive relationships with young people with SEBD in transition: the role of identity

This article reports a study of the experiences of school leavers with social, emotional and behavioural difficulties (SEBD), which identified supportive relationships as key elements in young people demonstrating resilience through this transitional period. Almost all the young people involved in the study had access to potential helpers, but few managed to establish productive relationships with them. Analysis of interviews, conducted over a 15 month period with a group of 15 school leavers, their parents and those who worked with them, suggested that barriers and facilitators to relationship development existed at two levels: institutional and individual. This article focuses on the individual level, in which identity processes appear to play a key role. These processes are used to explain why some school leavers built productive relationships and thrived, whilst many failed to do so, and struggled. These findings have implications for policy, practice and theory.     

SRE and Young People in Further Education: A Review of Provision and Practice in England

Many initiatives relating to young people's sexual health have focused on under 16s. Yet, most young people become sexually active between the ages of 16 and 19 and 80 per cent of under-18 conceptions are to 16- and 17-year-olds. The shift from school to further education marks a time of transition in young people's lives. It is a time when information and support with sexual health issues is particularly relevant.
Reforms to the further education sector invite a fresh look at how every young person's health and well-being can best be supported. This is in the context of the government teenage pregnancy strategy, which aims to reduce under-18 conceptions. This paper reports on research conducted by the Sex Education Forum with young people and staff in further education settings across England. This research was used to write guidance on the provision of sexual health services for young people in further education settings, which was published by the Department for Education and Skills and with support from the Department of Health and ministerial backing in June 2007.     

Shankar: reproductive health teaching aids kit for adolescent boys

Currently being developed by the Thoughtshop Foundation in collaboration with the Child In Need Institute in West Bengal, this kit is intended to help peer educators in generating awareness about reproductive health issues among rural adolescent boys and men through discussions and other activities. The central theme is men's responsibility for their sexual behavior and the reproductive and sexual health of their partners. In five modules, the kit tells the story of Shankar, a boy 13 years old. Each module consists of a flip chart and accompanying visual aids/activities. The modules are as follows: 1) Puberty, self-esteem, responsibility; 2) Knowledge of changes which girls experience during puberty; 3) Childbirth; 4) Contraception--why/how; 5) Safer sex, hygiene, STD/HIV/AIDS.     

Young Cypriots on sex education: sources and adequacy of information received on sexuality issues

Introduction: In the absence of standardised sex education and because schools usually limit their teaching to the ‘health’ aspects of sexuality, young people in Cyprus rely on their peers and the media for information on sexuality. This study examines the sources and adequacy of the information received by young people from various sources on matters related to sexuality and sexual health.

Method: Twelve in‐depth interviews were conducted in Cyprus in 2005 with purposively chosen boys and girls aged 15–18 years using a semi‐structured discussion guide. The interviews focused on participants' knowledge of HIV/AIDS and other sexually transmitted infections, safer sex, contraception and abortion. They also explored attitudes and beliefs concerning relationships, homosexuality and mutual consent.

Results: Information about sexual health is primarily received from school in classes that interviewees considered dull or irrelevant. Television, and to a lesser degree magazines, were the main sources of information on sexual relationships, the sexual act, homosexuality and abortion. Sexually transmitted infection knowledge was limited and often erroneous, while attitudes towards contraception use, abortion and homosexuality suggest that negative stereotypes are widespread.

Conclusions: Because the information young people receive on sexuality appears to be inadequate, there is an urgent need to implement comprehensive, evidence‐based sex education in the public schools. It should also address the nature and content of the sexual and reproductive health messages received from peers and the media.     

Secret languages of sex: disabled youth’s experiences of sexual and HIV communication with their parents/caregivers in KwaZulu-Natal,South Africa

Various health promotion strategies have been implemented in South Africa aiming to encourage young people to talk about issues of sexuality and HIV with their parents/caregivers. Although parent/caregiver sexual communication may be an effective method of influencing sexual behaviour and curbing the incidence of HIV, very little is known about how young people with disabilities in South Africa communicate about these traditionally difficult subjects with their parents/caregivers. Based on findings from a participatory study conducted amongst 15–20-year-old Zulu-speaking youth with physical and visual disabilities, this paper explores how they perceive youth–parent/caregiver communication about sexuality and HIV. Using Foucauldian discourse analysis, the paper outlines how disabled youth–parent/caregiver sexual communication is governed by cultural customs, sexual secrecy and constructs of innocence. It also argues that the experiences and perceptions of young people with disabilities are critical to the development of future interventions to assist parents/caregivers develop communication strategies that help disabled young people make sense of sexual behaviour.     

People and Perspectives

Abstract

Many initiatives relating to young people's sexual health have focused on under 16s. Yet, most young people become sexually active between the ages of 16 and 19 and 80 per cent of under-18 conceptions are to 16- and 17-year-olds. The shift from school to further education marks a time of transition in young people's lives. It is a time when information and support with sexual health issues is particularly relevant.

Reforms to the further education sector invite a fresh look at how every young person's health and well-being can best be supported. This is in the context of the government teenage pregnancy strategy, which aims to reduce under-18 conceptions. This paper reports on research conducted by the Sex Education Forum with young people and staff in further education settings across England. This research was used to write guidance on the provision of sexual health services for young people in further education settings, which was published by the Department for Education and Skills and with support from the Department of Health and ministerial backing in June 2007.     

The nature of peer sexual health communication among college students enrolled in a human sexuality course

Most young people go to their friends for information on sexuality-related topics, thus it is important to understand the context of these communications so that we may gather insight into sexual values and the underlying emotions and styles of communication. We conducted qualitative weekly surveys regarding discussion of sexual health topics among peers with students enrolled in an undergraduate human sexuality course. A four-stage inductive analysis process was utilized to examine a total number of 824 survey submissions from 102 college students who agreed to participate. Seven relevant common themes emerged: safer sex, sexually transmitted infections, pregnancy, feelings about sex, sexual acts, peer support, and peer communication norms. Some perspectives varied between males and females. Life events create opportunities for peers to discuss sexual health with each other. The connection between life events and peer sexual health communication has numerous implications for both research and education.