The role of school health instruction in preventing interpersonal violence

The social and human costs of youth violence are staggering. Reducing violence among youth will require a multifaced approach, including educational strategies aimed at reducing the prevalence of high risk behaviors associated with youth violence. This article examines the role of school health instruction in preventing interpersonal violence. Specifically, this article provides an overview of comprehensive school health education; suggests instructional content for violence prevention education; explores options for administering violence prevention education; discusses theoretical frameworks supporting education strategies; provides criteria for selecting violence prevention curricula and mateirals; examines possible limitations and barriers to violence prevention education; and provides recommendations for implementing programs. Though classroom health instruction should not be expected to solve problems associated with youth violence, prevention education needs to be delivered within the context of comprehensive school health education.     

Medical students’ perceptions and preferences for sexual health education

Sexual health topics are not well-covered in US medical schools. Research has not typically asked medical students what sexual health topics they would like addressed and their preferred methods of sexual health education. This study attempted to address this deficit via an online survey of medical students at an institution where little sexual health education is offered. Participants reported receiving the most education in endocrinology and sexually transmitted infections, but they also saw the following topics as important: sexual development, child sexual abuse, healthy sexuality, male sexual dysfunction and female dysfunction. Participants were more confident in talking to adults about sexual health matters than children, and more uncomfortable talking to opposite sex patients. Perceived barriers to sexual health education in medical school included a busy curriculum, other topics being seen as more important, religious influences, discomfort with sexuality and unqualified teaching faculty. Participants favoured training strategies that included panels of experts, panels of patients and role-plays conducted by seasoned professionals in sexual health. To reduce the barriers to sexual health education in US medical schools, educators need to highlight the relevance and importance of sexual health topics to the future work of physicians.     

‘Sexual violence is not good for our country's development’. Students’ interpretations of sexual violence in a secondary school in Addis Ababa,Ethiopia

It has been increasingly recognised that sexual violence in schools is one of the major concerns with regard to promoting sexual and reproductive health and rights. This paper examines how boys and girls define, experience, and interpret sexual violence in a secondary school in Addis Ababa, Ethiopia, and considers from their perspectives, how sexual violence can be addressed effectively in formal educational settings. Fifteen in-depth interviews and two focus group discussions revealed how these views can be strikingly different for boys and girls: boys sharing a theoretical and instrumental view on sexual violence, as opposed to girls’ emotional views based on their experiences. This major difference in understanding complicates teaching about sexuality, and leaves room for sexual violence to remain tolerated in schools. Nevertheless, all students express the need to learn openly about sexuality, and particularly to reflect on the contradicting messages they receive from their environment.     

So Many Bricks in the Wall: Young women in Nova Scotia speak about barriers to school-based sexual health education

Adolescents are sexual beings, and many are sexually active. They are very often able to develop the knowledge and skills required to protect their sexual health, and to take the action required for doing so. Unfortunately, many experience barriers to accessing information through school-based sexual health education. The research outlined here represents an effort to better understand the origins of barriers which prevent young women from receiving maximally effective sexual health education in their schools in Amherst, Nova Scotia, Canada. Building upon research which the authors carried out in the context of a community development project aimed at enhancing the sexual health of young people in Amherst, the article presents the lived experiences of young women in that community as they have attempted to acquire knowledge related to this very important aspect of their lives. The research examines barriers to learning about sexual health at the levels of the curriculum, teachers, and students themselves, leading to a better understanding of the potential for positive change in these domains.     

Laughing to sexual education: feminist pedagogy of laughter as a model for holistic sex-education

This paper describes and analyses the ‘feminist pedagogy of laughter’ deployed in an original sex education presentation for college students, entitled Sexual Pleasure, Health, and Safety (SPHS). This work seeks to advance scholarship on liberatory education and humour in education by emphasising how we can use laughter to casually and joyfully deconstruct sexism, racism and heterosexism as they concern sexual stigma, violence, health and pleasure. This style of pedagogy also defuses discomfort around stigmatised topics and identities, disrupts oppressive norms about sex and bodies, and builds communities that enhance learning. We position the feminist pedagogy of laughter as a technique that may be replicated to empower participants to pursue sexual pleasure and wellbeing despite sexist, racist and heterosexist obstacles. Educators may apply the feminist pedagogy of laughter to create sex education lessons and curricula that participants can enjoy, learn from and apply in real life. The pedagogy may be especially useful in supporting high-impact lessons within the time constraints of university life.     

Sexual violence,schooling and silence: teacher narratives from a secondary school in Ethiopia

Sexual violence is recognised as a public health and human rights problem worldwide. Although schools are expected to be safe places for young people and are envisaged as institutions that challenge social injustices, they are increasingly identified as sites where disproportionately high levels of sexual violence occurs. This study seeks to understand how sexual violence in schooling contexts is conceptualised and interrogated by teachers with a focus on lived experiences, the consequences and the underlying causes. The study is based on qualitative research conducted at a secondary school in Ethiopia. The findings point to overwhelming evidence that sexual violence pervades in secondary schools, with a wide range of adverse consequences on girls’ wellbeing and educational attainment. The study demonstrates how nature, culture and society are included in conceptual thinking about the causes of sexual violence and explores teachers’ agency in addressing the phenomenon.     

Barriers and facilitators to health behaviour change and economic activity among slum-dwelling adolescent girls and young women in Nairobi,Kenya: the role of social,health and economic assets

Adolescent girls and young women in urban slum areas in developing countries face a myriad of challenges regarding education, sexual health, livelihoods and gender-based violence. One way of understanding how these challenges interact with each other is through the Asset Building Framework, which posits that girls need a combination of social, health and economic assets in order to make a healthy transition from childhood to adulthood. This study sought to examine barriers and facilitators to health behaviour change and economic activity for girls within the context of this framework. It involved a combination of focus group discussions and in-depth interviews with 128 young women who were in the age range of 18–25 years, living in various slums in Nairobi, Kenya. We found that economic assets reduce young women's dependence on others (especially parents and relationships with men) so that they are able to make positive changes in health behaviour. Social networks, self-esteem and financial literacy all played important roles in positively positioning girls to make the transition to economic activity safely and successfully. We suggest that programmes that seek to improve girls’ and young women's health behaviour or economic activity include elements of asset building within all three categories of assets.     

Comprehensive Sexuality Education for Adolescents in Zambia via the Mobile-Optimized Website TuneMe: A Content Analysis

Abstract

Adolescents in sub-Saharan Africa encounter high risks associated with sexuality and reproduction, yet face numerous barriers in obtaining appropriate health services and information. Mobile phones provide a unique opportunity to provide youth with this critical sexual and reproductive health information need. Designed from the United Nations Comprehensive Sexuality Education framework, the mobile-optimized app TuneMe aims to provide adolescents living in eight sub-Saharan African countries—Zambia, Malawi, Zimbabwe, Swaziland, Lesotho, South Africa, Botswana, and Namibia—with sexual and reproductive health information, and to promote uptake and use of sexual and reproductive health services. To assess the scope and appropriateness of TuneMe’s sexuality education content, we conducted a directed content analysis of the 299 articles published on the Zambia-specific TuneMe site between October 2015 and June 2017. Results from this analysis indicate that the greatest information provided by TuneMe was on sexual and reproductive health and HIV, followed by relationships, sexual rights, and citizenship. There was substantially less information that focused specifically on matters of pleasure, violence, diversity, and gender. Content was situated within relatable and culturally-relevant contexts, but gave mixed, and often problematic, depictions of gender norms. This assessment is central to understanding current and future mobile-based sexuality education programming.     

Science teachers’ decision-making in Abstinence-Only-Until-Marriage (AOUM) classrooms: taboo subjects and discourses of sex and sexuality in classroom settings

Sex education, especially in the southeastern USA, remains steeped in an Abstinence-Only-Until-Marriage (AOUM) approach, which sets up barriers to the education of sexually active students. Research confirms that science education has the potential to facilitate discussion of controversial topics, including sex education. Science teachers in the USA, however, may face legislative challenges influenced by the local political and social climate. This study aims to understand how science teachers address and construct curriculum related to sex education topics in AOUM environments. A Foucauldian lens is used to examine how teachers’ discourses influence decision-making concerning sex education. Findings from the study suggest that the AOUM curriculum influences the ways in which science teachers make decisions about the curriculum and taboo subjects such as homosexuality and abortion. The study also suggests that students learn about sex and sexuality in ways directly related to their personal experiences. Finally, study findings suggest that personal controversies, such as those relating to sexual health, can be integrated into science education through forms of teacher education and professional development attuned to the different ways that AOUM policies affect science teaching practices.     

Where is the discourse of desire? Deconstructing the Irish Relationships and Sexuality Education (RSE) resource materials

Inspired by poststructuralist insights and the critical literature on the topic of school-based sexuality education, this paper is derived from a close examination of the Relationships and Sexuality Education (RSE) resource materials devised for teachers involved in delivering the programme in Irish schools. It seeks critically to uncover how students are expected to come to know themselves socially and sexually. It is argued that the liberal individualist discourse, which is very pronounced in the RSE discursive framework, promotes a narrow kind of sexual subjectivity, which obscures sexual pleasure and desire. Some suggestions are made as to how a discursive space might be created in the classroom in the interests of facilitating students’ exploration into how they can be sexual, safe and ethical in their relations and activities.     

Universal Design for Learning in Pre-K to Grade 12 Classrooms: A Systematic Review of Research

Some researchers have characterized Universal Design for Learning (UDL) as a promising framework to provide diverse students with access to the general education curriculum, but to what extent and how have UDL-based interventions fulfilled that promise? The purpose of this review was to analyze studies that investigated impacts of UDL-based instruction on academic and social outcomes for pre-K to grade 12 students. For the 13 studies that qualified for our review, we analyzed how researchers applied UDL principles as well as outcomes and efficacy of UDL-based interventions. Results of this analysis suggest that overall, UDL-based instruction has the potential to increase engagement and access to general education curriculum for students with disabilities, and improve students’ academic and social outcomes. However, we found mixed results; the efficacy of UDL-based interventions varied considerably within and across many studies, with effect sizes ranging from small to large. In addition, we found that although authors noted that their interventions were UDL-based, there was considerable variance in how authors reported connections between specific UDL guidelines and components of their interventions.     

Sexual Assault Is Just the Tip of the Iceberg: Relationship and Sexual Violence Prevalence in College Students

With the advent of the “Dear Colleague” letter in 2011, higher education institutions have become focused on sexual assault and related policies, procedures regarding offenses, and prevention education. Institutions should consider using this spotlight on interpersonal dynamics to increase awareness about other types of relationship violence that may be more common. This secondary data analysis of 72,067 U.S. college students indicates stalking, emotional abuse, and physical abuse are very common. Along with relationship difficulties in general, these forms of relational violence occur more frequently than sexual assault. Implications for counseling and mental health services are provided.     

Without Sex Education: Exploring the social and sexual vulnerabilities of rural Bangladeshi girls and boys

In 1997, two organizations, BRAC (Bangladesh Rural Advancement Committee) and ICDDR,B (International Center for Diarrheal Disease Research), as part of their collaborative research model, developed an HIV/AIDS prevention strategy for rural Bangladeshi youth. Currently, HIV/AIDS is not apparent in rural Bangladesh. Other sexual and reproductive health problems are more pressing. Moreover, there are few inor out-of-school sex education programs for adolescents in Bangladesh. Therefore, preliminary qualitative research was conducted to understand the broad parameters of sexual and reproductive health within the sociocultural context of young people's risks and vulnerabilities. Exploratory research revealed that youth were vulnerable to sexual diseases, late-term abortions, sexual violence, reproductive tract infections, and premarital pregnancies. Adolescents and adults thought that youth today need sex education. Adults said that youth should not be educated about condom use because this would conflict with a girl's prospects for an arranged marriage. Bangladeshi youth today are being exposed to experiences unfamiliar to their parents. Lacking appropriate knowledge, information and awareness about sexual and reproductive health unduly heightens young people's fears, and increases their social and sexual vulnerabilities.     

Comparison of Community College Students’ Sexual Health Dimensions

ABSTRACT

Sexually active college students in the United States have alarming rates of unplanned pregnancy and sexually transmitted infections. Varying degrees of sexual health knowledge and attitudes among college students are an outcome of sexuality education in the K-12 school systems with abstinence-only or comprehensive focus. Community college students (n = 737) aged 18–24 years, 57% from a college in an abstinence-only sex education state and 43% from a college in a comprehensive sex education state, both in the Mid-Atlantic region, took the Sexual Health Survey in October 2016, which measures sexual health knowledge and attitudes. Gender and ethnicity differences, as well as other sources of sexuality information were evaluated. Students from the comprehensive sex education state, New Jersey had higher sexual health knowledge and attitude scores than the students from the abstinence-only sex education state, Pennsylvania. Male students in New Jersey scored significantly higher in sexual health knowledge compared to male students in Pennsylvania, while female students in New Jersey had higher sexual health knowledge scores compared to the male students. Analysis of ethnicity revealed the New Jersey college sample had healthier sexual attitudes as compared to the Pennsylvania college sample, with notable distinction among Black students. The Internet, friends, and personal experiences were chosen by 75% of all students across both colleges as the top reported sources of sexuality information. In addition to advocating for comprehensive sex education, recommendations are made for sexual health initiatives in community colleges to provide sexual health instruction and support.     

Information about human sexuality: sources,satisfaction, and perceived knowledge among college students

This study explored how 333 undergraduate and graduate students attending a large university in the southeastern USA learned about sex, their satisfaction with how they learned about sex, and their self-perceived knowledge before and after taking a human sexuality course. An anonymous, voluntary survey was administered to students in the first and last sessions of human sexuality classes each semester from fall 2004 until spring 2006. Standardized measures included how students learned about sex, satisfaction with ways they learned about sex, barriers to parent–child discussions, and self-perceived knowledge about sex. Although 67% of students indicated parents should be instrumental in sex education, only 15% indicated parents as a primary source. Thirty-seven percent reported some level of dissatisfaction with how they learned about sex. Self-perceived knowledge increased significantly following the course. College courses addressing sexuality as integral to human development should complement college programming that focuses on risk reduction for sexually transmitted diseases/infections, sexual assault, and unintended pregnancy.     

Stimulating tensions in special education teachers' figured world: an approach toward inclusive education

I examine special educators’ professional identity emergence and tensions within a researcher-facilitated teacher learning community. I introduced tools to evoke and challenge inequities in educational systems and via which participants examined and planned general education instruction for students with dis/abilities. Initially, professional identity, or figured world, emerged as performance of pathologising and relatedly, remediating students. Over time, participants expressed tensions as they engaged tools to examine structural limitations and design more universally accessible instruction; figured worlds shifted to critical sense-making about their positioning by general education colleagues and school structural barriers, and procedural identity performance tied to investigating student assets. Findings suggest potential for purposefully designed artefacts to mediate special educators’ development as (more) inclusive educators.     

Engagement with empires: Irish Catholic female religious teachers in colonial South Australia 1868–1901

This paper addresses the roles of Irish Catholic female religious institutes for teachers in the context of the recent debates about education and empire. Nineteenth century colonial South Australia provides an opportunity to examine such institutes, for example the Irish Dominicans from Cabra Dublin, the Irish Mercy Institute from Baggot Street, Dublin, and to a much lesser extent, the English Dominicans from Stone in England. The discussion canvasses the notion of the role of these religious teachers within three empires: the British Empire, the Irish church acting as a ‘Second Empire’, and within a third empire, the ‘Woman's Empire’. Key aspects in examining the flow or transference of education by these Sisters in a colonial setting, lie in their own histories, their spiritual focus, the schools they established for their students, and the curriculum they adopted in the social and geographic environments in which they found themselves.     

Exploring identities to deepen understanding of urban high school students' sexual health decision‐making

Sexual health is a controversial science topic that has received little attention in the field of science education, despite its direct relevance to students' lives and communities. Moreover, research from other fields indicates that a great deal remains to be learned about how to make school learning about sexual health influence the real‐life choices of students. In order to provide a more nuanced understanding of young people's decision‐making, this study examines students' talk about sexual health decision‐making through the lens of identities. Qualitative, ethnographic research methods with twenty 12th grade students attending a New York City public school are used to illustrate how students take on multiple identities in relation to sexual health decision‐making. Further, the study illustrates how these identities are formed by various aspects of students' lives, such as school, family, relationships, and religion, and by societal discourses on topics such as gender, individual responsibility, and morality. The study argues that looking at sexual health decision‐making—and at decision‐making about other controversial science topics—as tied to students' identities provides a useful way for teachers and researchers to grasp the complexity of these decisions, as a step toward creating curriculum that influences them. © 2010 Wiley Periodicals, Inc. J Res Sci Teach 47:742–762, 2010     

Community Colleges: Rethinking STD Prevention for the Nontraditional College Campus

ABSTRACT

As increased attention and proposed funding are being directed toward community colleges, it is important to consider the sexual and reproductive health care needs of this growing population. Existing data suggest there are significant sexual health needs among this population and often insufficient provision of services. Some community college students are more likely than students at 4-year colleges to test positive for sexually transmitted diseases (STDs). Given resource constraints, creative solutions are required. These may include campus-wide policies addressing STD/HIV (human immunodeficiency virus) prevention, referral systems to connect students to care in the community, and partnerships with local health departments, Federally Qualified Health Centers, or community-based organizations to assist with the provision of services. Colleges have the unique opportunity to provide students with valuable information about sexual health and services. Community colleges, in particular, are uniquely positioned to reach at-risk community members for STD testing and sexual health care who might otherwise be lost to care. More research is needed on the sexual health needs of community college students, especially on factors such as geographic location, how embedded the school is into the community, social norms around sexual health on college campuses, and health services offered. New and innovative ways to promote linkage to care for testing and counseling could offer potential health benefits to this growing at-risk population.     

‘The balancing act’ – Irish part-time undergraduate students in higher education

While the numbers of part-time students has increased in higher education in Ireland, little is known about these students or about how they balance their study and other commitments. Drawing on a larger study on Irish students’ experiences in higher education, this article attempts to address this gap in research and reports on Irish part-time undergraduate students’ socio-demographic and institutional characteristics. It further explores the balance between part-time students’ academic study and their life situations. The article proposes some recommendations with regard to policy concerning part-time students, particularly in the area of financial support available to part-time learners. It also calls for expanding opportunities for participation in part-time study in the light of changing demography and provision of resources to facilitate students’ participation in higher education. Although the findings of this article broadly agree with those of international studies, more research is needed into the experiences of part-time students in higher education.