‘I learned to accept every part of myself’: the transformative impact of a theatre-based sexual health and HIV prevention programme

The family—via communication (or lack thereof)—is a primary avenue for sexuality education. While most research on family sexuality communication has examined the content of parent–child communication (e.g. topics discussed), relatively few studies have assessed the process, the way in which communication occurs. This paper presents an analysis of communication process based on data collected during a qualitative, observational study of family sexuality communication with thirty low‐ and middle‐income African American mothers and their adolescent daughters living in an urban area in the southeastern USA. Two dimensions of communication process emerged: affective and stylistic. Elements of the affective dimension included connection, empathy, comfort, anger, and silence. Elements of the stylistic dimension included interactive versus didactic communication styles, use of a variety of persuasive techniques, body language, and setting. Results suggest that the process of sexuality communication is as, if not more, important than content and that affectively open and stylistically interactive sexuality communication is related to the context of close and connected mother–daughter relationships.     

Framing gender identity and sexual orientation: media influence on young men who have sex with men’s health

Sex education takes place in a wide range of contexts including through the media. Media use among young men who have sex with men is high and gender identity and sexual orientation are topics often integrated into today’s media. Little is known about young men who have sex with men’s perceptions of how the media frames messages about gender identity and sexual orientation and the implications these messages have on HIV prevention. A greater understanding of young men who have sex with men’s perceptions of media framing about gender identity and sexual orientation is needed to ensure prevention efforts reach those most impacted by HIV. Focus groups were conducted with forty-two African American men who have sex with men, aged 18–21, living in the Southeastern USA. Thematic analysis revealed that participants reported using the Internet and television to access gender identity and sexual orientation information. Participants felt that the media’s framing of gender identity and sexual orientation only worsened HIV-related stigma and discrimination. Findings illustrate the important role that media can play in educating about gender identity and sexual orientation and the implications this framing has for HIV prevention.     

‘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.     

Untangling the conflation of ‘young adults’ and ‘young people’ in STI and sexual health policy and sex education

Young adults, aged 18–30 years, are disproportionally mentioned in sexually transmissible infection surveillance data both in Australia and internationally. This contributes to categorising young adults as an ‘at risk’ group in health policy. How young adults are framed in policy, and what informs this, have direct implications for policy priorities and responses, including the development of health promotion programmes. In this paper, we provide a case study of Australia’s National Strategies for Blood Borne Viruses and Sexually Transmissible Infections from 2005 to 2017. We identify how ‘young adults’ as a population are masked by, and subsumed within, the broader category of ‘young people’ within these strategies. As a result, young adults become framed by default as a ‘risk category’ that requires education to correct its deficits, regardless of personal experience. For health promotion to advocate, mediate and enable better sexual health outcomes, a policy environment is needed that reflects the changing social and cultural contexts and sexual independence that young adults experience. Sexual health policies should reflect the complexity and opportunities of young adulthood if we are to offer an enabling policy environment for innovative and nuanced health promotion strategies, including adult appropriate health education.     

Young people’s perceptions of advice about sexual risk taking

Sexual and reproductive health indicators for young people in the USA have improved in recent decades, but teenage pregnancies remain high, and large differences between Whites and non-Whites persist in teenage births, abortions, and the acquisition of sexually transmitted infections. Prior research shows that young people are receptive to communication about sex from parents and friends, but peers have been found to be more influential on sexual risk taking. In this study of 617 young people aged 13–20 years in high-risk neighbourhoods for teenage pregnancy in New Jersey, we asked whether sexually inexperienced young people differed from sexually experienced young people in their level of receptivity to the recommendations from their parents, friends, and others about whether to have sex before marriage and whether to use a condom if sexually active. The results showed that the sexually inexperienced were more receptive to messages from figures of authority in their life than those sexually experienced. We also found that stronger message intensity from parents, friends, and others to delay sex until marriage and to use a condom if sexually active was associated with lower sexual intentions in the next six months and the use of a condom if sexually active in the last three months.     

成人意识概念深度剖析

成人意识的概念在青少年心理健康教育领域有重要的意义,可以衡量青少年的心理成熟水平,解释青少年中出现的各种心理问题.成人意识水平是个体成长为成人的心理标尺,它的获得是青少年形成健全人格必经过程.成人意识的内容以三个层面和四条纵线构成立体体系.     

Ugandan adolescents’ sources,interpretation and evaluation of sexual content in entertainment media programming

Although mounting evidence in Western nations indicates that entertainment media influence young people’s sexual socialisation, virtually no research has addressed the topic in sub-Saharan Africa. The present study employed 14 focus groups of Ugandan high school students to identify media through which they were exposed to sexual content, how they interpreted and evaluated that content, and how they compared its influence with that of parents, schools and religious institutions. Participants most often mentioned TV, followed by print media and Internet as sources of sexual material. Media were said to present discrepant messages regarding the timing of sexual debut, with international programming urging early sexual debut and local programming described as urging young people to delay sex. Young people spoke of turning to ssengas and kojjas for sexual advice, and a number of boys suggested pornography could also be educational. Both local and international programming was interpreted as conveying views of men as sex driven and women as submissive in sex and relationships. Participants expressed the belief that sexual media content had a negative impact on young people. Most nevertheless assessed these messages as more influential than other sources of sexual socialisation.     

A Review of Parent-Based Barriers to Parent–Adolescent Communication about Sex and Sexuality: Implications for Sex and Family Educators

Although adolescents' sexual health is generally better when parents and adolescents communicate about sex and sexuality, researchers have found parents can be reluctant to engage adolescents in conversations about those topics. To better understand why, we reviewed prior literature and identified four types of parent-based barriers to communication with adolescents about sex: limited sexual health knowledge, believing adolescents are not ready to discuss sex, discomfort discussing sex, and demographic factors. We then used the Theory of Planned Behavior to develop recommendations for how health educators can address these barriers, thereby increasing parent–adolescent sexual health communication.