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The limits of school-based sex education: Lessons from rigorous evaluations in the UK

The limits of school-based sex education: Lessons from rigorous evaluations in the UK

The UK has among the highest teenage pregnancy and STI rates in Western Europe and strategies to reduce these outcomes have a high priority. This paper seeks to draw lessons from the rigorous evaluations of three sexual health initiatives: SHARE (a cluster randomised trial (CRT) of teacher-delivered sex education), RIPPLE (CRT of peer-delivered school sex education) and Healthy Respect Phase 2 (a quasi-experimental study of a multi-component Scottish national sexual health demonstration project encompassing youth friendly sexual health drop-ins, social marketing, branding, a parenting component and SHARE).

Compared with conventional sex education all three interventions improved practical sexual health knowledge, had modest (mostly positive) impact on attitudes and quality of relationships, and the pupils and teachers preferred the new interventions. However, all three studies had disappointing self-reported sexual behaviour outcomes (sexual experience, number of partners, contraceptive use, pregnancy and terminations). None had an impact on objective NHS recorded pregnancies or terminations.
Meanwhile, there is a growing body of evidence that generic parenting interventions in the early years (e.g. the Family Nurse Partnership) and generic interventions that aim to change both parenting and school culture (e.g. SEATTLE project) can have a positive impact on sexual risk behaviours. We appear to have reached the limits of what can be achieved by specific school-based sex education in terms of changing sexual risk behaviours. However, there seems to be scope to develop and evaluate more generic programmes aimed at changing parenting and school culture to improve sexual health.

Conference: WAS Glasgow 2011

WAS 2011

Trauma Relief: An Integrated Approach for Working with Sexually Abused Clients

Sexually traumatized patients often have problems with flashbacks, nightmares and avoidance. This workshop teaches an integrated method for trauma relief, combining knowledge from NLP, psycho dynamic therapy, cognitive therapy and modern trauma research. The method is based on the human memory storing system, which functions in the same way in all human beings. This means that the method easily can be used cross-culturally and for all gender combinations.

All you ever wanted to know about penile implants

Some Biblical Principles for Sexuality

To explore how sexual health and sexual ethics are represented in the Bible and how these are relevant to the 21st century. God created humans as physical and relational beings. Sexuality is a good, healthy element of that created physical relatedness, with three functions: relational bonding; mutual pleasure; and procreation. The biblical pattern for sexual expression which best accords with these functions is heterosexual monogamy.

Sexual health Public health

How should the Public Health Model be applied so it really contributes to improved sexual health for all?  Public Health recognizes three levels of prevention - Primary, Secondary and Tertiary.  Primary prevention involves prevention of the disease or injury itself, Fluoride, Immunization, Education to avoid smoking and substance abuse. Secondary prevention blocks the progression of an injury or disease from an impairment to a disability. An impairment has already occurred, but disability may be prevented through early intervention.

Sexual assault is bad for your sexual health

UNESCO Symposium: Cost, Cost-effectiveness and Scale-up of Sexuality Education

This symposium will focus on presentation of the results and discussion of a ground-breaking study into the cost and cost-effectiveness of sexuality education (SE) in six countries, commissioned by UNESCO in 2010. Why an economic analysis? Policy-makers all over the world, involved in decisions on school-based sexuality education (SE) programmes, are facing three important economic questions: what are the costs of developing the programmes, what are the costs of implementing and scaling up the programmes, and do the programmes provide value for money?

Sex and Movies : a tool for sexuality education

Cinema is perhaps the most important mass media communication which change paradigms in 90 minutes average. The case of  'Rain Man' is classical in autism studies. Sex has been one of the most important topics since the beginning of movies. We conducted a survey between medical students at UCV in 5th year of the currricula and well trained sexologists in Latin America.

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