Evaluation of Family Sex Education on Middle School Students in Shanghai

Objective To evaluate the impact of family-school combined sex education among middle school students. Methods This is a school-based intervention study. Four junior middle schools and two senior middle schools in Xuhui District, Shanghai, were selected as study sites involving parents, two junior middle schools and one senior middle school as the intervention group and others as control group. The intervention group was provided with both school and family education which contained giving lectures, distributing leaflets, organizing group discussions and parent-adolescent communicating activities to parents. Data were collected through anonymous and self-administered questionnaires before and after one-year intervention to evaluate the effect of the intervention. Results The average score of parents in the intervention group was higher than that in the control group after intervention. Particularly, the mean score of AIDS knowledge in the intervention group was increased by 10.5, which was more than that of control group （5.3）. The intervention increased the parents＇ intention to family sex education. The percentage of parents in the intervention group approving ＂sex education should be provided by parents＂ had increased, much higher than that in the control group. Intervention also promoted parent-adolescent communication about sex. The percentage of parents reporting ＂they actively talked with their children about sex or their teens asked them questions related to sex＂ had increased, much higher than that in the control group. Conclusion Family-school combined sex education significantly increased sexual knowledge and sex education intention of parents, promoted the parent-adolescent communication about sex as well.

A Literature Review on the State of High School Sex Education Implemented by School Nurses

Objective: In recent years, increases in sexually transmitted infections, cervical cancer caused by HPV, and abortions due to unwanted pregnancy among those in their 20s have become serious issues that threaten fertility. This study aims to identify issues in need of attention and the difficulties experienced by school nurses in teaching sex education in high schools preemptively before these students become sexually active in order to promote responsible sexual behaviors for the prevention of STIs. Method: ICHUSHI Web Ver. 5 and CiNii were queried for literature published between 2000 and May 2022. Search terms were “yōgokyōyu” [school nurses], “seikyōiku” [sex education], “seikansenshō” [sexually transmitted infections/diseases], and “kōkōsei” [high school students]. In addition, we limited the search to Japanese literature only, due to differences in cultural background and the roles of school nurses. Results & Observations: Sex education is taught by multiple faculty members and implemented into multiple subjects such as health & physical education and home economics. There are differences in the content taught by school nurses and other faculty. As specialists in health and hygienics, school nurses demonstrate high awareness and positive attitudes toward sex education. Additionally, while they play a central role in sex education, they face difficulties due to having no position in school health plans, differences in awareness among faculty, busy schedules, difficulty securing time, and failure to coordinate with other faculty. It is necessary to consider school-wide policies that systematize sex education as a continuous subject. Furthermore, while they have many opportunities to undertake consulting duties on sexuality, there is uncertainty among school nurses on their ability to meet student needs. Therefore, the development of teaching materials and opportunities for school nurses to improve their teaching skills is absolutely essential.

Sex education for adolescents:Indonesian nurse educators’experience as parents

Objectives:Sex education toward adolescent remains the most controversial subject due to the various thoughts and ideas of different values present in society.Nurse educators as parents must exemplify sex education to their children.The aim of this present study was to explore parents’experience,with nurse educators background to be exact,on how they convey sex education to their children.Methods:This study is a descriptive qualitative study,and the sample is recruited by using the purposive sampling technique.The qualified participants filled in the informed consent,provided demographic data,and were interviewed.Saturation data were obtained at the 6th interview in this study.The interview is transcribed to find themes and subthemes using conventional content analysis.Results:We derived 3 main themes:parents’approach,sex education topic,and children’s reaction.Parents’approach contained 4 subthemes,namely,gender match,parent-child closeness,media,and attitude.Sex education topic included 5 subthemes of bodily autonomy,health and safety,reproductive anatomy,puberty-related changes,and how to maintain healthiness.Children’s reaction experiences also included 4 subthemes of uncomfortable,questioning,acknowledging,and laughing.Conclusions:As a matter of fact,some parents in eastern countries,such as Indonesia,conveyed sex education to their children.Children might have various reactions to that topic,but it is important to keep them safe,especially in reproductive health,regardless of the culture or tradition.Based on nurse educators as exemplifiers,nurses and nursing students might acquire the picture in conveying sex education to adolescents.

Cultural and Socio-economical Dimensions a- Human Reproduction and Sex Education in the Biology Textbooks of Eight Countries

This study was carried out within the European research project ＂Biology, Health and Environmental Education for Better Citizenship＂. It is a comparative analysis of textbooks from eight Mediterranean countries which differ by their cultures, their socio-economical levels, and their religions. This work is focused on the sensitive educational topic ＂Human Reproduction and Sex Education＂. And 43 biology textbooks are analyzed among eight countries： four are in Europe and four in Africa and Middle East. Grids were built to identify implicit values in the texts and images. It is a more precisely explicit or implicit presence of cultural, socio-economical, and ethical dimensions. The investigation concerns whether the authors of textbooks present differently this theme depending on the socio-cultural, ethical, and religious contexts. The content of the textbooks was analyzed as reflecting the conceptions of their authors and publishers. The outcomes of the analyses show that several textbooks present images of human beings restricted to only one ethnic type, usually white-skinned and with fair hair. The social, cultural, economical, and ethical dimensions were generally absent, except for some interest for them in few European textbooks.

Survey on Attitude of Middle School Educators for Sex and Reproductive Health Education

Objective To get a general picture of the attitudes of middle school educators on sex and reproductive health education. Methods A cross-sectional survey was carried out among 144 middle school educators in three districts of Shanghai from September to October 2005 using anonymous self-administered questionnaire. Results The majority of the educators thought that it was necessary to launch the sex and reproductive health education in all of the middle schools in Shanghai （97. 02%）. They were aware that the age of the students＇puberty were earlier now than before （94.41%）, but the reproductive health knowledge of students was neither sufficient nor correct （78.34%）. The sex and reproductive health education had been involved in the curriculum of many middle schools （66.11%）. Lacking of qualified education staffs contributed most （90. 71%） in the schools which had not launched the sex and reproductive health education. Lacking of qualified education staffs （90.91%） challenged most in the schools which had carried the education. Conclusion The middle school educators thought it was necessary to carry the sex and reproductive health education in all of the middle schools in Shanghai while the major challenges were lacking of qualified education staffs and sufficient teaching time.

Promoting Sex and Reproductive Health Education among Adolescent Should Place Emphasis on Advocacy

Objective To make a exploration of the function of advocacy in the promotion of sex and reproductive health education for adolescents. Methods The advocacy played a key role on the promotion of adolescent sex and reproductive education by taking ＂International cooperation project to promote Chinese youth reproductive health ＂（YRH projecO as example. Results The successful experience of YRH project indicated advocacy＇s important function in the promotion of sex and reproductive health education for adolescents, Conclusion Advocacy is a crucial element in promoting adolescent sex and reproductive health education,

Sex Education Can't Wait

Teenagers have become sexually mature and active much earlier, leading to rising rates of premarital sex and juvenile pregnancies in China and around the world. As a lack of sex education will put young people in a position that is very vulnerable to sexually transmitted diseases, including HIV/AIDS, we must give them proper knowledge about sex and help them handle sex-related issues wisely.

Education for Sexualities in the Voices of Its Protagonists： An Experience in Context

Introduction： this work narrates the experience of the implementation of CSE （Comprehensive Sexual Education） in Argentina, at the Faculty of Humanities, Arts and Social Sciences of the Autonomous University of Entre Ríos, within the “School Program of Comprehensive Sexual Education” （SPCSE） developed at compulsory schooling in the voices of teachers and the school management team. Aims： The aims of this paper are to share some of the issues that characterize the SPCSE modality, some progress and obstacles of its implementation, as well as to value the experiences of those who carry out the CSE, in order to know what happens when it comes to the classroom. Methods： it was qualitative, through the use of questionnaires to 13 elementary teachers and in-depth interviews with 5 key informants for the role they played in the management. They were analyzed and relevant data were selected, central ideas were elaborated and relationships and reflections derived from this process. Results： As obstacles or initial resistances, training, relationship with families, school practices, among others, predominated. As potentialities, those who embraced the CSE see it as enriching on a personal and professional level, not only in relation to the contents and the predisposition for learning, but also in the construction of more affective relationships. Conclusions： We recognize the great transformation potential of the CSE. Its implementation requires a systemic and sustainable change. In this sense, those of us who are part of this program are highly committed to developing strategies to face the difficulties and weaknesses in order to meet the needs of each school community. In order that the respect for human rights is visible and real, they are principles and convictions that are supported by the policies of the faculty.

Communication with Parents and Peers on Sexual Matters:the Experience of Adolescents in the Northeastern of China

Objective To analyze the status of parent-child communication on sexual matters and its relationship to the sexual behaviors of adolescents. Methods The data were obtained from a study which was conducted in Changchun city of China in 2001, Unmarried adolescents aged 15-19 years old（322 males and 360females） were selected for this analysis. Results Ten percent of adolescents reported having experience of sexual intercourse （16% of male and 5% of female）. The percentages of adolescents communicating with peers, mothers and fathers were 35%, 30% and 17%, respectively, Males were more likely to talk about sexual issues with peer, while females were more likely to talk with mothers. Significant difference was also noted between the ratio of communication on sexual matters and having a girl/boyfriend with peers and with parents, There was a statistically significant relationship between sexual experience and communication with fathers among male adolescents＇, Despite the fact that parents are the most closest care providers, adolescents obtained most of the sex information from ＂reading materials＂ and from ＂teachers＂, but not from their parents. There was an age difference in the main source of obtaining sexual information. Younger adolescents obtained sexual information mainly from teachers while older adolescents mainly from reading materials. Conclusion In addition to schools and reading materials, parents should serve as an important source of information on sexual education as well.

The Explicit Portrayal of Obscenity in American Television Series on The Grey＇s Anatomy

The portrayal of obscenity in television series is not a new issue in our society. It is a reasonable fact to be understood, that the exposure to such explicit content of obscenity is acceptable in Western culture but somehow or rather, the acceptance of obscenity among the Asian society is still taboo and this has geared parents to pay greater attention to what type of media content should be watched by their children. The researcher believes the audience could also educate themselves by watching such television series since Malaysia is lacking in sexual education. This research consists of qualitative content analysis. The researcher had included the obscene visuals and dialogues in order to justify the existence of such sexual portrayal on the Grey＇s Anatomy TV series. A theory was selected for this study--the application on selected variables from a previous research done by the Henry J. Kaiser Family Foundation （Sex on TV4, 2005）. The researchers had found that such TV content could be a medium to promote safe sex messages since Malaysia lacks in sex education. The implication on theory was to distinguish the obscenity portrayal in TV series in shaping the audiences＇ acceptance.

Analysis on the Factors Related to the Accidental Pregnancy in 98 Teenage Girls

Objective:To understand the general information of adolescent girls with unplanned pregnancy and the information about abortion and reproductive health knowledge,analyze the influencing factors of unplanned pregnancy and explore the preventive measures.Methods:Using epidemiological investigation method,the adolescent females(age<19 years old)who volunteered requested pain deprivation in our hospital from January 2018 to December 2019 were examined by questionnaire with informed consultation,and the results were analyzed.Results:After screening,98 valid questionnaires were received.The average age of girls were 16.81 years old,and the youngest was 13 years old.Employed girls accounted for 54.0%,students for 23.5%and unemployed people for 22.5%.Non-eamers accounted for 38.8%,and those with monthly income less than 3,000 yuan accounted for 86.8%.78.6 of those aged 16-18 had sex for the first time.The age of first sexual intercourse<15 years old accounted for 21.4%・The first abortion patients accounted for 84.7%,repeated abortion accounted for 15.3%.years old accounted for 19.05%.First abortion in the age<15 There was no statistical difference between the reproductive health knowledge mastery score and the family economic status,parents*12*5 occupation,parents'marital status,parents5 sex education(P>0.05).The score of reproductive health knowledge was statistically different from that of school sex education and hospital sex education(P<0.05).Conclusions:The primary cause of unintended pregnancy is the lack of knowledge of contraception and reproductive health.Schools and hospitals are effective in sex education for adolescent girls.Relevant government departments,schools,families and hospitals should pay more attention to sex education and strengthen efforts to improve the quality of education,so as to further reduce the harm caused by accidental pregnancy of adolescent girls.

Evaluation of Impact of Life-planning Skills Training among Senior High School Students in Shangcai County

Objective To evaluate the impact of sex and reproductive health education using lifeplanning skills training among senior high school students in a rural county. Methods The study was conducted in three senior high schools of Shangcai County with comparable socio-cultural, economic, and demographic characteristics, two as intervention sites and one as the control. A three-month life-planning skills training course was conducted among all grade one students in the intervention schools. The baseline survey was conducted prior to the intervention, once again three months after the intervention was initiated. Data were collected through questionnaires, FGDs and 1Dis to evaluate the effect of the intervention program. Results After the intervention, the median score of reproductive health knowledge was higher in the intervention group （55.66） than that in control group （38.68）. Students from the intervention group were also more comfortable with their developmental changes which were going through, In the end line survey, 92.70% of the students in the intervention group suggested that reproductive health education should be carried out among all middle school students in Shangcai County. Multivariate analysis also indicated that peers and family had a significant effect on students＇ sex-related knowledge, attitudes and behaviors. Conclusion Sex and reproductive health education via provision of life-planning skills training can significantly increase students＇ sex and reproductive health knowl- edge and was welcomed by students, teachers and parents.

Contraceptive use behavior among never married young women who are seeking pregnancy termination in Beijing

OBJECTIVE: To identify contraceptive use behavior and its determinants among never married young women with an unwanted pregnancy and seeking pregnancy termination in Beijing. MEHTODS: A cross sectional study, adopting the Lawrence' PRECEDE-PROCEED model was conducted in 1999 in Beijing, China. A total of 306 unmarried young women, aged 18 to 24 years and requesting pregnancy termination, were face to face interviewed. RESULTS: Only 13% of the young women insisted on contraceptive use, and almost an equal proportion occasionally or never used contraceptives (26% and 27%, respectively). Among 224 women who had contraceptive use during the past 12 months, the methods used most often were condom (49%), withdrawal (28%) and the rhythm method (16%). One of the most important reasons cited by 73 percent of women who had never used contraceptives was that they did not realize the risk of getting pregnant. The results of logistic regression analysis revealed that knowledge on contraception, boyfriend's approval of contraceptive use, perceived risk of getting pregnant, perceived availability of contraceptive services and discussion of contraception with boyfriend were important indicators of a young woman's contraceptive use behavior. CONCLUSION: These results indicate an urgent need to develop sex education on conception and contraception among young women and men. It is equally important to enhance young women's perception about the risk of unwanted pregnancy and the complications of induced abortion. Promotinga men's cooperation and participation in contraceptive use as well as strengthening communication on contraception between young women and their partners is essential.