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1.
ABSTRACT

Adolescent sexual health programs often frame needs assessments using risk-taking, disease, or fertility data, fostering a narrow perspective of sexual health and limiting scopes of related programs. We address the gap between traditional measures and the socioecological lens used by many in the field. Using Washington State as an example, we report methods for developing and mapping an index of sex education needs that integrates social determinants of health (SDH) to reflect the complex, interrelated influences affecting adolescents. The generated index and maps support a holistic approach to assessing inequity, resource allocation gaps, and specific programmatic needs of young people. This case study demonstrates that it is possible and important to align adolescent sexual health measurement strategies with more holistic adolescent sexuality development frameworks. We recommend that public health professionals consider a broader range of data on SDH in their sex education policy and program decision making.  相似文献   

2.
Background: Teachers of sexuality education can often be uncertain about what theoretical basis and pedagogical strategies to use in their teaching. Sexuality educational programmes designed by teachers can often show few evident theoretical principles that have been applied in its construction. Thus, there seems to be a dearth of evidence of ways in which teachers can use appropriate theoretical foundations in their planning and teaching in sexuality education.

Purpose: This paper aims to suggest a way of providing such an appropriate theoretical framework for sexuality education teachers of young people aged 7–15 years of age.

Analysis: Age-appropriate primary and middle school pedagogies based on two integrated educational theories, namely Anderson and Krathwohl's theoretical framework of learning and teaching, with Verbal Linguistic Intelligence from Gardner's Multiple Intelligences, were analysed and evaluated. Key considerations were the earlier maturing of girls and boys, findings from relevant literature about children and young people's cognitive capacities, as well as the relevance of curriculum content for upper primary and middle school students, and the concomitant need for better and earlier sexuality education.

Conclusion: This approach, integrating Anderson and Krathwohl's theoretical framework of learning and teaching, with Gardner's Multiple Verbal Linguistic Intelligence, may be useful to assist health and sexuality education teachers in identifying and anchoring pedagogies in a more theoretically structured manner, thereby enhancing the quality of their sexuality education planning and teaching.  相似文献   

3.
Good-quality sexuality education can be effective in reducing sexual health risks, but may also be disconnected from the lived realities of learners’ lives and reinforce gendered stereotypes. In line with the trend towards ‘empowerment’ in and through sexuality education, we implemented a pilot sexuality intervention with Grade 10 participants following a rigorous consultation process. Nine weekly group dialogues were held with 11 participants, with 2 follow-up sessions the next year. Freirian principles of critical consciousness and dialogical pedagogy, infused with discursive psychological understandings, were used to foreground gendered/sexual norms and to provide recognition for participants in a variety of gendered and sexual subject positions. Sessions were recorded, the facilitator kept a diary, and participants were asked to evaluate the intervention. The dialogical format of the group generated curiosity and engagement, and some participants took up a ‘responsible’ sexual subject position in a reflexive manner. A partial normalisation of some ‘hidden’ aspects of sex was enabled, and critical consciousness around some gendered inequities was promoted. We argue, first, that it is not so much sexuality education that young people need, but sexuality dialogues, and second, that a discursive psychology framework provides a nuanced and fruitful dimension to Freirean inspired ‘empowerment’ sexuality interventions.  相似文献   

4.
Formal sexuality education in schools is declining in the United States and this is disproportionately affecting adolescents in rural settings. The purpose of this qualitative study was to assess student and teacher perception of sexuality education delivered online as a potential solution to address this gap in access. Nine gender-specific group interviews were conducted with ninth grade students (n = 29) in rural North Carolina to discuss students’ experience with an online sexuality education intervention called MyHealthEd. Interviews were also conducted with three health teachers at pilot schools. Students and teachers identified more benefits to online sexuality education including more student engagement and greater privacy and comfort, than drawbacks, such as too much student autonomy and less interaction with others. Online sexuality education is a promising and preferred method of delivery for sexuality education for students and health teachers, particularly in settings where trained health teachers are not available or less willing to deliver state-mandated content. The MyHealthEd intervention has the potential to increase availability of high quality health education to students across North Carolina, as well as students in other rural or underserved areas.  相似文献   

5.
As part of Western European development aid policy, comprehensive sexuality education (CSE) is increasingly promoted in resource-poor countries. This paper engages with CSE promotion in Bangladesh funded by the Dutch Government. It unpacks the ‘collaboration’ by looking at how a paradox is played out between the universal ideals underlying a broader transnational rights-approach and the intended cultural sensitivity by adapting CSE to the targeted context. Feminist scholarship on the ideological, moral and affective underpinnings of CSE is used to question this model’s implied universality and neutrality. The various negotiations, concerns and strategies of NGO-representatives as co-producers of sexuality knowledge in Bangladesh are focused upon. Analysis focuses on how a ‘speakable’, middle-class-oriented ‘proper’ sexuality is invented and managed through affect; how cultural insensitivity and secular normativity with respect to CSE are challenged in discussions concerned a rights-versus-health approach; and how a confident and knowledgeable adolescent or young person is imagined through the emancipatory project attributed to sexuality education. Rather than via equal collaboration, it is argued, adolescent sexuality education in these development aid settings is shaped by powerful transnational and local processes of Othering.  相似文献   

6.
Although most teachers realize the potential of using popular culture within the sexuality education classroom, incorporating it successfully is complex. Especially, how can teachers critically analyse the ideology contained in popular culture without lapsing into moralizing and design motivating activities? For teachers in Taiwan, whose training has involved abstinence-only sex education and discourse, avoiding such activities is an even greater challenge. This study attempts to present an analytical framework for development students' sexual literacy through popular culture to respond to these issues. The framework for using popular culture sexual literacy as a pedagogical tool enables teachers to shift from analysing popular culture itself to understanding the lessons regarding sexuality and gender that students derive from it. Using this analytic framework, teachers can establish an interesting and meaningful method to discuss sex and intimacy relationship issues and facilitate students' inquiry into the multiple understanding of sexuality and gender; especially in discussing and understanding the desire of adolescent girls. Through this framework, the true needs of students in sexuality education can be addressed. This pedagogical approach also relates the course content to the practical experiences of young students and alters student opinions on formal sexual education.  相似文献   

7.
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.  相似文献   

8.
Globally, adolescents aged 12–15 years are making sexual and reproductive decisions of profound significance for their future, often based on misguided, inadequate or dangerously wrong information. Very few countries provide evidential and comprehensive education about puberty, sexuality, and reproductive health and safety to children and young adolescents at school, when it is most effective and beneficial. UNESCO has produced a culturally applicable framework for such education, with the primary aim of reducing sexual risk behaviour and sexually transmitted infections including HIV/AIDS. This study analyses the 2009 International Technical Guidance for its appropriateness, relevance and contemporaneity to this young teenage cohort, who are at most risk of the consequences of ignorance.  相似文献   

9.
青春期儿童的性教育是家庭性教育中的重要组成部分.青春期是儿童身体快速成熟的时期,生理和心理上发生的新变化会在生活和学习等方面给儿童带来一定的挑战.家庭性教育对于帮助他们顺利度过青春期,获得身心全面健康发展具有积极的促进作用.本文通过对处于青春期的儿童的父母进行性教育知识、性教育态度及家庭性教育开展状况调查,发现受访父母...  相似文献   

10.
Recent research into sexuality and education shows that homophobia is particularly prevalent and problematic in schools. However, little of this work has drawn on linguistic frameworks. This article uses the tactics of intersubjectivity framework to examine how a group of LGB-identified young people understand their sexuality identities in relation to the secondary school context. The application of this framework offers deeper insights into sexual orientation and education than can be gained from thematic analysis alone and can contribute towards developing understandings of sexual diversity issues in schools. The framework is applied to interview data in which young LGB people talk about their school experiences. Findings show that in the schools attended by the young LGB people, they have experienced a state of pervasive illegitimation surrounding LGB identities. The participants express a desire for this perceived institutional illegitimation to be replaced by authorisation using a range of authentication strategies.  相似文献   

11.
This study investigated facilitators and challenges to designing, implementing and evaluating school-based sexual health education in sub-Saharan Africa, using interviews with intervention designers and researchers. At the pre-planning and planning stages, participants reported that facilitating factors included addressing the reproductive health needs of participants, contextual (culture, religion, economic and social) considerations and the adoption of holistic approach to sexuality education. Lack of open communication about sexual health matters between young people and adults; concerns that sexual health education could encourage sexual activity; and inadequate funding, were key barriers. Implementation was facilitated by the involvement of relevant stakeholders, the training of facilitators and adopting strategies to overcome resistance to sexual health education. The provision of structured, detailed lessons plans and monitoring with supportive supervision optimised fidelity of delivery. Barriers to implementation included facilitators’ resistance to teaching safe sex promotion and logistical challenges in school environments. Participants also reported that the validity of self-reported adolescent sexual behaviour (as part of evaluation) may be improved by complementing well-designed self-report surveys with computerised audio devices for data collection, qualitative interviews and participant observation. Study findings generate recommendations to improve future forms of school-based sexual health education in sub-Saharan Africa.  相似文献   

12.
健康危险行为易发生于青少年时期,青少年是健康危险行为预防的重点人群.通过了解青少年健康危险行为现状,探索青少年健康危险行为的危害性,借鉴国内外青少年健康危险行为研究经验,为有针对性地开展青少年健康危险行为预防教育提供科学的理论依据.  相似文献   

13.
What do young people believe sexuality education ought to be about? It is within the absence of a sustained and critical consideration of the possibilities and politics of engaging in research with rather than for young people in the reimagining of sexuality education that this paper is positioned. Data were generated as part of an 18-month Youth Participatory Action Research study in one co-educational secondary school with 43 student co-researchers (15–17 years). The findings presented are not intended to provide conclusive statements about future directions for sexuality education, but rather provide a platform on which to discuss how young people’s ideas align with or diverge from current practice and debates surrounding what sexuality education should, could or ought to be about.  相似文献   

14.

Based upon fieldwork on the Cherokee Boundary in the USA during the mid-1990s, the author explores why a community that supported a teen health clinic and whose high school curriculum met the state standards for sexuality education continued to have a teen pregnancy rate that was one of the highest in western North Carolina. In the process, this study examines the conflicting views about adolescent sexuality, particularly teen pregnancy and homosexuality, held by Cherokee progressives and traditionalists as well as the resulting contradictory approaches to sex education within a community that values harmony. Arguing that the tribe's education policies worked at cross-purposes, the author details the mismatch between the school's sex education curriculum and health clinic vis-à-vis students' sexual interests, knowledge, and behaviors. Difficulties in integrating native culture and an absence of communication further inhibited the policies' effectiveness. Paradoxically, by avoiding the disharmonious issue of sexuality education, the community has become further out of harmony.  相似文献   

15.
Background: Teenagers need information about their changing bodies. Many young people do not receive adequate or accurate puberty/sexuality education from their parents or school, so many teenagers are going online to have their sexuality questions answered.

Purpose: This research examines teenagers’ web questions on sexuality, and an example of the puberty and sexuality education content that some may learn in school. It looks for evidence of heteronormative conceptualisations of gender and sexuality, using a theoretical framework based on the Four Discourses of Sexuality Education.

Sample: This includes the web questions (n = 200) of an evenly gendered sample of 13–15‐year-old students (n = 180) from four English-speaking nations, namely UK, USA, Canada and Australia, selected from a reputable puberty/sexuality education site, and, for comparison, an example of an age-representative public school Health and Physical Education (HPE) puberty/sexuality education curriculum.

Method: A gendered and narrative-thematic Content Analysis was undertaken, using the Four Discourses theoretical framework, on the students’ sexuality web questions, and also on the school HPE curriculum.

Results: The discourse of Victimisation was evident in nearly half of all students’ web questions, and over a third of the HPE curriculum. The discourse of Individual Morality was present in a quarter of both students’ questions and the curriculum, while the discourse of Desire was evidenced in a fifth of students’ questions and almost a third of curriculum content. Somewhat surprisingly, the discourse of Violence was present in 9% of exclusively female students’ web questions, and in 12% of the curriculum.

Conclusion: It is recommended that the sampled HPE curriculum, and similar curricula in these sampled students’ countries, need explicitly to address gender differences in students’ metacognition and conceptualisations of puberty and sexuality. This may enable students to embrace their entitlement to sexual subjectivity, in education and across the lifespan, thus helping to ensure students’ healthy, positive and purposeful life outcomes.  相似文献   

16.
Comprehensive sexuality education (CSE) is recognised as an effective method of sexual health education, with the school identified as a fitting site of implementation. Its holistic and participatory nature endeavours to develop the knowledge, attitudes and life-skills of students to help them secure their sexual and reproductive health and rights (SRHR). This qualitative study aimed to better understand aspects of CSE implementation in one context. Specifically, it focuses on the effects of the cultural setting, considering how gender and sexuality norms influence teacher and student implementation strategies. The research was carried out in one secondary school in Ethiopia, which delivered a Dutch-developed programme throughout 2013. Over 50 in-depth interviews were conducted with teachers and students, influential community members and experts in SRHR. Data were also gathered through focus group discussions and classroom observations. Results show that CSE teachers and students, both male and female, were able to discuss issues of sexuality. However, the cultural context was seen to affect interpretation of programme information, influencing the nature of this discussion. For an impactful implementation, it is recommended that sexuality education aims to engage with and involve the wider community, to reduce contradictory messages and increase programme support. Furthermore, teachers should undergo extensive and comprehensive pre-programme training that addresses their attitudes and values, not just their knowledge.  相似文献   

17.
18.
The Foundation for Adolescent Development, Inc. (FAD) has been addressing adolescent health and sexuality and development issues since its establishment. It has implemented programs and services that are dedicated in promoting and popularizing the view that sexuality covers the total development of persons. This article focuses on the experiences of the FAD in running the Manila Center for Young Adults. Utilizing a peer education or youth-to-youth approach to provide information, counseling and sexuality issues, this campus-based project reaches out to students of colleges and universities in Metro Manila. The varied experiences in the implementation of the project are reflected in the work areas, including needs assessment research, advocacy, capacity-building, emergence of core group structure, program sustainability mechanism, and evaluation. Such experiences are documented in a book developed and produced by FAD. The book is divided into two parts: part I contains the project concept, the capacity-building framework, and the experiences in implementing the model; part II provides supplements for reference materials.  相似文献   

19.
Abstract

Sexuality education as pedagogy is often fraught by the perceived requirement to balance the informational needs of young people with an investment in notions of childhood ‘innocence’. Nowhere is this perhaps more evident than in sexuality education that seeks to be inclusive of transgender young people, often resulting in the failure of such education to address the needs of such students. In an attempt at addressing the relative dearth of information about what transgender young people would like to see covered in sexuality education, in this paper we explore transgender young people’s accounts of intimacy and sexual health and consider what this means for school-based sexuality education. To do this, we analyse discussions of intimacy from the perspectives of transgender young people as narrated in a sample of YouTube videos. We conclude by advocating for an approach to sexuality education that largely eschews the gendering of body parts and gametes, and which instead focuses on function, so as to not only address the needs of transgender young people (who may find normative discussions of genitals distressing), but to also provide cisgender young people with a more inclusive understanding of their own and other people’s bodies and desires.  相似文献   

20.
Previous research has confirmed peers and parents as significant agents of socialisation with respect to young people’s sexuality. The aim of this cross-sectional cohort study was to examine how parental and peer variables predict young women’s sexual behaviour and sexuality-related thoughts and emotions, and whether perceived peer influences mediate the relationship between parental variables and young person sexuality. A total of 560 female high school students of 1st (mean age 15.56 years) and 3rd grade (mean age 17.55 years), selected by means of two-stage stratified probability sampling participated in the research. Results confirmed that peer variables explained considerably more variance in participant sexuality than parental variables. Indirect parental communication about sexuality was a significant positive predictor of sexual behaviour and sexuality-related thoughts and emotions in both subsamples. The strength of direct and indirect influences of parents and peers on young people’s sexuality is determined by the age of the young person and specific aspects of adolescent sexuality. Perceived percentage of sexually active peers was the only mediator in older participants, while in the younger subsample, additional peer variables mediated the association between some parental and sexuality variables. In the discussion, special attention is given to implications of these results for planning future forms of comprehensive sexual education.  相似文献   

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