n (%)
Present study [ Table/Fig-2 ] reveals the association between different socio-demographic profile and perception of need of sex education among adolescents; it shows that majority of adolescents 695 (93.5%) favour sex education. However, boys 374 (97.1%) were more likely to favour sex education as compared to girls 321 (89.7%). It was found that adolescents with higher age group, belongs to urban area and private school with higher SES favours sex education in school. It was considered statistically significant.
Perception of sex education according to their socio-demographic profile of adolescents.
Variables | Yes | No | Total | χ (p-value) |
---|---|---|---|---|
Age group (years) | ||||
13-14 | 138 (87.3%) | 20 (12.7 %) | 158 (100%) | 18.206 (p≤0.001) |
15-16 | 273 (92.9%) | 21 (7.1 %) | 294 (100%) | |
17-18 | 251 (97.7 %) | 6 (2.3%) | 257 (100%) | |
>19 | 33 (97.1%) | 1 (2.9%) | 34 (100%) | |
Sex | ||||
Boys | 374 (97.1%) | 11 (2.9%) | 385 (100%) | 18.1 (p≤0.001) |
Girls | 321 (89.7%) | 37 (10.3%) | 358 (100%) | |
Type of school | ||||
Government | 406 (91.0%) | 40 (9.0%) | 446 (100%) | 11.617 (p=0.001) |
Private | 289 (97.3%) | 8 (2.7%) | 297 (100%) | |
Place of school | ||||
Rural | 332 (91.7%) | 30 (8.3 %) | 362 (100%) | 3.899 (p=0.048) |
Urban | 363 (95.3%) | 18 (4.7%) | 381(100%) | |
Class | ||||
9 | 121 (84.6%) | 22 (15.4%) | 143 (100%) | 33.899 (p<0.001) |
10 | 184 (91.1%) | 18 (8.9%) | 202 (100%) | |
11 | 198 (98.0%) | 4 (2.0 %) | 202 (100%) | |
12 | 192 (97.9%) | 4(2.1%) | 196 (100%) | |
Type of family | ||||
Joint | 344 (91.7%) | 31 (8.3%) | 375 (100%) | 4.088 (p=0.043) |
Nuclear | 351 (95.4%) | 17 (4.6 %) | 368 (100%) | |
Socio-economic status | ||||
I | 83 (98.8%) | 1 (1.2%) | 84 (100%) | 30.022 (p<0.001) |
II | 153 (98.0%) | 3 (2.0 %) | 156 (100%) | |
III | 198 (93.8%) | 13 (6.2%) | 211 (100%) | |
IV | 96 (90.6%) | 10 (9.4%) | 106 (100%) | |
V | 165 (88.7%) | 21 (11.3%) | 186 (100%) |
[ Table/Fig-3 ] reveals the reason for sex education among adolescents, out of 695 adolescents who are in favour of sex education, 600 (86.3%) said sex education can prevent the occurrence of AIDS, whereas 396 (57.0%) removes myth, 373 (53.7%) believe knowledge of sex makes future life easy, 275 (39.5%) thought that protects from other diseases and 102 (13.7%) don’t give any reason for sex education.
Perception of the reasons of sex education among adolescents (n=695).
Reason for sex education | Boys | Girls | Total* |
---|---|---|---|
Prevent the occurrence of AIDS | 344(49.5%) | 256(36.8%) | 600(86.3%) |
Protect from other disease | 158(22.7%) | 117(16.8%) | 275(39.5%) |
Knowledge of sex makes future life easy | 209(30.1%) | 164(23.6%) | 373(53.7%) |
Remove myth | 236(34.0%) | 160(23.0%) | 396(57.0%) |
Need of their age | 156(22.4%) | 119(17.1%) | 275(39.5%) |
Not stated | 20(2.7%) | 82(11.0%) | 102(13.7%) |
(*Multiple responses)
[ Table/Fig-4 ] reveals that majority of adolescents thought 615 (86.9%) sex education and STDs, 581 (82.2%) menstruation and its hygiene, 512 (72.3%) changes occurring during puberty and 503 (71.0%) drug abuse was the most common topic that should be discussed in class. However, 349 (49.4%) urban adolescents thought menstrual and its hygiene topic and about 280 (39.5%) rural adolescents sex education and STDs related topic should discuss in class.
Perception of students about content of sex education.
Topic should discuss in class | No. of responses | ||
---|---|---|---|
Rural | Urban | Total * | |
Changes occurring during puberty | 178(25.1%) | 334(47.2%) | 512(72.3%) |
Menstruation and its hygiene | 232(32.8%) | 349(49.4%) | 581(82.2%) |
Birth spacing and contraception | 217(30.7%) | 249(35.2%) | 466(65.9%) |
Maternal and child health | 261(37.0%) | 201(28.5%) | 462(65.4%) |
Sex education and STDs | 280(39.5%) | 335(47.3%) | 615(86.9%) |
Drug abuse | 259(36.6%) | 244(34.5%) | 503(71.0%) |
[ Table/Fig-5 ] shows the area wise distribution of respondents according to their preference for getting sex education. It was found that majority 680 (91.5%) of adolescents prefers doctors should give them sex education followed by 617 (83.0%) school/teacher and least preference was parents 277 (37.3%). However, in urban adolescents most common preference for sex education was school/teacher i.e., 357(48.0%) and in rural area 347 (46.7%) doctor was the most common preference for getting sex education.
Distribution of respondents according to their preference for getting sex education.
This study has tried to assess the knowledge, attitude and practices regarding reproductive health and sexual problems, to assess the perception regarding reproductive and sexual health among adolescents and to identify the need of imparting sex education in school going adolescents (13-19 year) from urban and rural area of district Ambala Haryana.
Regarding the need of sex education among adolescents, it shows that majority of adolescents (93.5%) favour the sex education. However, boys (97.1%) were more likely to favour sex education as compared to girls (89.7%). A similar study was conducted by Jaideep K et al., in Chandigarh found that 95% of students were in favours of mainstreaming of sex education [ 12 ]. Another study done by Benzaken T et al., shows 90% favours sex education and study by Thakur HG et al., shows that 90% and 97% favours sex education, among boys 82.9% and among girls 75.6% respectively [ 13 , 14 ]. A study done by Dorle AS et al., from Karnataka found only 48% of student favours sex education in higher and senior secondary school and it was lower than our study it might be because of regional and cultural difference and also study was conducted five year back [ 15 ].
To find out the reason of sex education, 86.3% participants said that sex education can prevent the occurrence of AIDS, whereas 57.0% remove myth, 53.7% knowledge of sex makes future life easy, 39.5% protect from other disease and 102 (13.7%) don’t give any reason for sex education. A study done by Mueller TE et al., reported that majority of adolescents said sex education reduce the risks of potentially negative outcome from sexual behaviour such as fear and stigma of menstruation, unwanted and unplanned pregnancies and infection with STIs including HIV [ 16 ]. To know the preference for getting sex education, present study found that majority 680 (91.5%) of adolescents prefers doctors followed by 617 (83.0%) school/teacher and least preference was parents 277 (37.3%) respectively. A similar study was conducted by Jaideep K et al., in Chandigarh found that 76.74% students choose the teacher as the best source to provide sex education [ 12 ]. Similar observation was found by Wong WC et al., in Hongkong and Zhang L et al., in China [ 17 , 18 ]. All these variation might be because of regional and cultural difference. A study done by Dorle AS et al., from Karnataka found girls favours parents and boys favours friend as a source of information about sex [ 15 ]. A view point given by Datta SS et al., favours school and college should give sex education to adolescents [ 19 ].
This study suffers from the usual limitation of a cross-sectional study. We only include the co-education school so it cannot be generalizes to all school adolescent. As sex education is a sensitive topic, we cannot guarantee about the honest answers as it covered the sensitive issue i.e., recall bias. Participants may agree with statements as presented to them, especially when in doubt i.e., acquiescence bias and also social desirability bias.
Sex Education must be introduced in the school which should start from the primary school and brings about the age appropriate topics as they go through the high school. It should contain a package of information about life skills, reproductive health, safe sex, pregnancy and STI’s including HIV/AIDS. A socio cultural research is needed to find the right kind of sexual health education services for boys and girls separately from the teacher of same gender. It is the responsibility of parents, teachers, social workers, politicians, administrators, medical and paramedical profession so that adolescent girl or boy got legitimate due to education and empowerment and change over to adult men or women is smooth and streamlined with nil or least medical, social or psychological problems.
In this present study knowledge and perception of sex education was good, majority believe that sex education should implemented in school curriculum and majority of them gave good reason for sex education implementation in school. The most common preference for getting sex education was from doctor and teacher/school followed by friend respectively. Sex education and sexuality is unaccepted in many communities and also among some parents, adolescents feel shy and scared to talk about sex education, some adolescents hesitate to reply about sex education especially girls.
An Australian-first study into the prevalence of strangulation during sex among young people has prompted concerns over the serious health risks.
Researchers found women were more likely to have been strangled than men during sex.
Experts say more conversations need to be happening in schools and at home to raise awareness around the risks, and the factors contributing to its normalisation.
Susie Dodds has had several sexual partners who wanted to choke her during sex.
While the 25-year-old had been able to rebuff their attempts, she says the experiences left her feeling panicked.
"That's definitely not something I am into," Ms Dodds told 7.30.
"If there's someone that you don't know that well, or it's the first experience you have with somebody, that's quite shocking to experience.
"I've had, you know, a few men ask if they can choke me. A couple of them, their hands kind of [wandered] up that way, but I know a lot of people have experienced much worse."
Ms Dodds said she did not want to shame the men who asked her if they could choke her, nor does she think they are bad people — but she was surprised by how frequently the question came up.
Susie isn't alone — a study by the University of Melbourne and the University of Queensland which surveyed 5,000 people aged between 18 and 35 found 59 per cent of men and 40 per cent of women admitted to having choked a sexual partner.
The figure was even higher among trans and gender-diverse people, at 74 per cent.
More women (61 per cent) than men (43 per cent) reported ever being strangled, while the numbers were higher again for trans and gender-diverse people (78 per cent).
"This group of people that we're looking at now is a context where the people engaging in sexual strangulation are largely saying that they're consenting to the practice," said Heather Douglas, a professor at Melbourne University Law School and co-author of the study.
The numbers don't surprise violence prevention educator Maree Crabbe.
"About three years ago, I started to hear much more frequently that strangulation was part of what was happening in young people's sexual lives," Ms Crabbe told 7.30.
"It had come up only marginally every now and then in the years before that.
"Young women have talked about [how] they have felt like they're genuinely being murdered ... they're really uncomfortable and feeling very, very unsafe."
The study, published in the academic journal Archives in Sexual Behaviour, defined strangulation or choking as placing pressure on the neck by using hands or other body parts or ligatures to hinder, restrict or obstruct breathing.
On average, those surveyed had been strangled six times by three partners – and the first time someone experienced strangulation was usually between the ages of 19 and 21.
Ms Crabbe said representations of strangulation in pornography and popular culture were influencing sexual practice, adding that sometimes, consent to sex was also seen as consent to choking.
The study found pornography is the most common way young people are finding out about strangulation (61 per cent), then movies (41 per cent), friends (32 per cent), social media (31 per cent), and current or potential partners (29 per cent).
"A lot of the people in our study said that they'd seen pornography in their teens, some quite young. So obviously this is an issue for parents as well in terms of engaging with the effects of pornography, the dangers of strangulation, how to broach those kinds of topics with their kids," Ms Douglas said.
Some young men Ms Crabbe has interviewed also describe feeling pressured to strangle their partners.
"Some of them talk about not really being into it, there being an expectation, sometimes being asked by their partners to do it," Ms Crabbe said.
"But I think also it can be really difficult for young men to reject that as a sexual practice when it's become normalised."
Medical professionals warn compression of the neck can cause miscarriage of pregnancy, stroke, and within minutes, death.
"[Death] is rare, but it can occur. But perhaps most concerning is the issue that we're very aware of, which is brain injury," said Heather Douglas, a professor at Melbourne University Law School and co-author of the study.
Ms Douglas said studies had found people could be injured quickly with about 10 seconds to being rendered unconscious, 17 seconds to having a fit from a lack of oxygen, 30 seconds to loss of bowel control and 150 seconds to death.
Jo Ann Parkin from the Victorian Institute of Forensic Medicine says choking during sex can cause brain injuries like concussion, even if it's not apparent, and signs of non-fatal strangulation can also evolve.
"Absence of oxygen being supplied to the brain will affect things such as concentration, memory, decision-making, and we're waiting for more research in that particular area," Dr Parkin said.
"The issue with non-fatal strangulation is the fact that it has very serious outcomes that can arise from instances of short to long-term compression, so repeated episodes as well are an issue that we get quite concerned about."
Dr Parkin said other symptoms of injury could include a hoarse voice, and difficulty breathing and swallowing.
"The thing I would like to convey to the community is there is a perception that they can have a safe word, there is a perception that they can tap out effectively that they can give a signal," she said.
"And what we are hearing from our victims when they present in these settings is they were unable to indicate that in that situation.
"There is a very large misconception that this can be operated as an act very safely and it just is not a safe act, at any time."
In response to what she had heard from young people, Ms Crabbe is launching a campaign called Breathless to raise awareness about the prevalence of health risks of non-fatal strangulation and to encourage critical thinking about the kinds of influences that are contributing to its normalisation.
"I think we need to be having conversations as a society, but also, in schools and homes. Parents need to be speaking with their children about this practice," Ms Crabbe said.
"Unless there is stronger awareness of the risks, and also, some critical thinking about the gendered nature of it … it's going to be something that continues."
Ms Dodds shared her own experience with the campaign and said young people, particularly women, often felt pressured to conform with so-called rough or kinky sex, including strangulation.
"If someone says they're not interested in doing that, in a sexual context, now that's labelled as boring, or vanilla," she said.
"If you're going to do that, you do need to know the risk and you need to know that there is no way you can really do it safely.
"If you're comfortable with that, I guess, you know, it's your life, but it is your life."
Watch 7.30 , Mondays to Thursdays 7:30pm on ABC iview and ABC TV
Concerned about a mate's behaviour towards their partner here's how to handle it.
COMMENTS
School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find evidence for the effectiveness of comprehensive sex education.
Comprehensive Sexuality Education (CSE) "plays a central role in the preparation of young people for a safe, productive, fulfilling life" (p. 12) [ 17] and adolescents who receive comprehensive sex education are more likely to delay their sexual debut, as well as to use contraception during sexual initiation [ 18 ].
Over the 20-years encompassed by this review, the most prolific authors were Juliet Goldman with nine publications as lead author (Goldman, 2006, 2010; 2010a; 2010b; 2011a; 2011b, 2012, 2013, 2015), and 6 publications led by Louisa Allen (Allen, 2005, 2007, 2007, 2008, 2009, 2014).Geographically, the papers covered relationships and sexuality education in 34 countries/jurisdictions, although ...
The limitations in the quality of research in sex education have been highlighted by several authors in the past two decades (Kirby and Baxter, 1981; Card and Reagan, 1989; Kirby, 1989; Peersman et al., 1996). Due to these deficits in the quality of research—which resulted in a reduced number of studies that met the criteria for inclusion and ...
This paper's aim is to stimulate research in sex education and sexual violence perpetration by connecting these previously separate bodies of research (Figure 1), all of which already had systematic reviews and analyses. A further limitation is the focus here on cisgender, heterosexual men and women.
Learn how sexuality education can promote health, gender equality and human rights from this evidence-based report by UNESCO.
This report draws on multiple data sources to provide analysis of countries' progress towards delivering good quality school-based CSE to all learners. 85 per cent of 155 countries surveyed have policies or laws relating to sexuality education, with considerably more countries reporting policies to mandate delivery at secondary education level than at primary level. However, the existence of ...
Objective: To systematically review and synthesise evidence on the effectiveness of school-based sex education interventions on sexual health behaviour outcomes and to identify Behaviour Change ...
Trends in Adolescents' Receipt of Sex Education. In this month's Journal of Adolescent Health, Lindberg et al. [] provide further insight into the current state of sex education and the implications of federal and state policies for adolescents in the United States.Using population data from the National Survey of Family Growth, they find reductions in U.S. adolescents' receipt of formal ...
The adolescence is the time. during which the personal and sexual identity develops [. 1. ]. Sexuality takes into account. aspects such as sex, gender identity, gender roles, sexual orientation ...
In academic literature that supports school-based sex education, adolescence is presented as the main stage of sexual development (Lesko, 2001).It is the time in which healthy habits in regards to sexuality are formed, and therefore, from a health education perspective, the time to deliver sexual health interventions (Schaalma et al., 2004).In this life stage, beginning to engage in sexual ...
This paper reviewed 33 empirical studies which assessed the effectiveness of sex education. Methodological issues were considered within six sections: (a) populations, (b) instructors, (c) program ...
Purpose: School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find evidence for the effectiveness of comprehensive ...
Comprehensive sexuality education - or the many other ways this may be referred to - is a curriculum-based process of teaching and learning about the cognitive, emotional, physical and social aspects of sexuality. It aims to equip children and young people with knowledge, skills, attitudes and values that empowers them to realize their health ...
The issue of school-based sexuality education is controversial, and the consequences of. not providing adequate education to adolescents are serious. The purpose of this study will be to. review research relevant to the topic of school-based sexuality education and offer critical. analysis of relevant research.
1.1. Sex Education. Sex education refers to "an age-appropriate, culturally relevant approach to teaching about sex and relationships by providing scientifically accurate, realistic, non-judgmental information" [] (p. 69).This definition acknowledges that the aim of sex education extends beyond the transfer of knowledge on human physiology, reproductive system, or the prevention of STIs.
The purpose of this clinical report is to provide pediatricians updated research on evidence-based sexual and reproductive health education conducted since the original clinical report on the subject was published by the American Academy of Pediatrics in 2001. Sexuality education is defined as teaching about human sexuality, including intimate relationships, human sexual anatomy, sexual ...
This presents that majority of the senior high school students have no sexual partners with a frequency of 684 out of 846 and a mean percentage of 80.85. Moreover, there are 93 (10%) respondents who had 1-2 sexual partners followed by. 45 (5.32%) who had 3-5 and lastly 24 (2.84%) who had more than 5 sexual partners. 3.
Purpose. School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find ...
The bulk of the analysis in this report is based on an online survey of 2,531 U.S. public K-12 teachers conducted from Oct. 17 to Nov. 14, 2023. The teachers surveyed are members of RAND's American Teacher Panel, a nationally representative panel of public school K-12 teachers recruited through MDR Education.
education: an ove rview. Yen Med J. 2021;3 (1):8 -11. Viewpoint. Abstract. Sexuality education has been recognised as a basic human right which empowers young people with comprehe nsive ...
Abstract. According to the National Association for the Education of Young Children, early childhood also includes infancy, making it age 0-8 instead of age 3-8. At this stage children are learning through observing, experimenting and communicating with others. Childhood is the age span two years to adolescence.
A new, national, peer-reviewed survey, show young people aged 13 to 17 who identify as LGBTQ+ believe crucial topics surrounding sexual orientation and gender identity are being omitted from sexual health-education programs, which could force them to seek potentially inaccurate or dangerous advice elsewhere.
Present study [Table/Fig-2] reveals the association between different socio-demographic profile and perception of need of sex education among adolescents; it shows that majority of adolescents 695 (93.5%) favour sex education.However, boys 374 (97.1%) were more likely to favour sex education as compared to girls 321 (89.7%). It was found that adolescents with higher age group, belongs to urban ...
Susie Dodds has had several sexual partners who wanted to choke her during sex. While the 25-year-old had been able to rebuff their attempts, she says the experiences left her feeling panicked.
The Disability Royal Commission's Final report tells the Australian Government what changes need to be made to prevent violence against, and abuse, neglect and exploitation of, people with disability. We recommend change so people with disability can enjoy all human rights and freedoms fully and equally. Our Final report has 12 volumes.
Using a sex positive framework, the authors conducted a 61-year (1954-2015) content analysis of sexuality research in the flagship counseling psychology journals, the Journal of Counseling Psychology and The Counseling Psychologist.Given counseling psychology's core strengths- and multiculturalism-related values, this study aimed to uncover which human sexuality topics were published most ...