Sex Education as Health Promotion: What Does It Take?

Health promotion should be evidence-based, needs driven, subject to evaluation, and ecological in perspective. How can this be achieved in the context of school-based sex education? Adopting new behaviors and giving up old habits involves common decision-making, planning, motivational control, and goal prioritization processes. Consequently, despite the particular nature of sexual behavior, models of cognitive change applied to other health-related behaviors also apply to the promotion of safer sex practice. Young people are less likely to have unprotected sexual intercourse if they have acquired a variety of social skills relevant to dealing with romantic and sexual relationships. Many of these social skills and the methods employed to facilitate their development are also important to the promotion of other health behaviors. However, teaching social skills relevant to sexual behavior in classroom settings requires specialist expertise both in program design and in delivery by teachers or facilitators. Theory- and evidence-based programs designed to promote such skills and modified on the basis of effectiveness evaluations are most likely to have an impact on the rate of pregnancies and sexually transmitted infections among young people. Yet, such programs may not be used in schools because of policy and cultural constraints. When this is the case, optimally effective health promotion cannot be delivered. Health promoters should acknowledge these challenges and facilitate the adoption and implementation of effective sexual health promotion programs by targeting communities and legislators.     

“What if You Already Know Everything About Sex?” Content Analysis of Questions From Early Adolescents in a Middle School Sex Education Program

PurposeTo assess sixth graders' knowledge and curiosity about sex-related topics that can guide the development of sexual health education and healthcare delivery.MethodsSixth graders (n = 795) in eight ethnically diverse schools participating in an evaluation of a sex education curriculum submitted 859 anonymous questions that were content analyzed. The χ² analysis examined whether the themes varied by coed/single-sex environments or by school-level sexual risk.ResultsSexual activity, female anatomy, reproduction, and puberty were the most frequently mentioned topics, whereas, questions on STIs, sexual violence, and drug/alcohol use were fewer. Questions that avoided sexual topics came from lower sexual-risk schools; students at higher-risk schools asked about sexual initiation, contraception, vaginal and anal sex, general health, and pain during sex. Single-sex classrooms elicited more direct and explicit questions about sex.ConclusionsThe results are relevant to educators and healthcare providers who ask and answer questions from early adolescents regarding sexual health.     

孕期Sex 有所为有所不为

怀孕是喜事,性爱是乐事,如同鱼与熊掌,能够兼得吗?孕期性爱究竟是可为还是不可为?如果可为又该如何为?长达10个月的"爱情枯水期"究竟该怎么度过?孕期性欲因人而异部分女性情欲高涨当育龄女性身怀六甲之后,性欲多会发生某些变化。一些女性会变得情欲高涨,格外性感。奥秘在于妊娠荷尔蒙的力量,一方面使阴道分泌增多、胸部丰满、生殖器充血加快、阴部敏感度增加;另一方面皮肤更润滑、头发更浓密且有     

车床不是Sex圣地

我们第一次在车上做爱，是一个夏天的中午。 那时，我在汉口工作，女友在武昌。一天中午，我有事到武昌，办完事正好路过女友单位，就把车开进了他们单位的院子里，两人坐在车上聊天。     

安全Sex的6大秘密

谈到避孕措施,大夫未必向你和盘托出,一些关键事实并不为多数女性所了解,未能引起足够的重视。曾经对2000多位女性进行了一项民意调查,有33%的女性回答每年一度的妇科检查大夫只是蜻蜒点水,应付一下而已。恰恰是你不了解的那些信息可能埋下隐患,伤害到你。在采取避孕措施的女性中,有2/3     

别摧毁完美Sex life

每个人都希望拥有美满的Sex life，但妨碍我们达到理想境界的，往往是自己一些不该有的态度与行为。 你可别看轻这些障碍，它们极有可能令你的性伴侣对你望而却步，甚至成为对方离开你的罪魁祸首。所以，要让男人恋上你的床，首先要戒掉以下陋心！     

掌控她的Sex荷尔蒙

女人每个月都有那些“几天”，是丈夫的“禁欲期”。那么，在这个生理周期外的时间里，是不是就可以百无禁忌，无拘无束地尽情享受性爱乐趣了呢？丈夫们尴尬的发现，并不尽然。他们的妻子，时不时地会耍些“小性子”，有时他们热情似火，有时却又沉闷乏腻，委实令人捉摸不定。[编者按]     

Somebody Else’s Job: Experiences of Sex Education among Health Professionals,Parents and Adolescents with Physical Disabilities in Southwestern Ontario

Sexuality is an aspect of health and development that is often overlooked among people with physical disabilities, particularly adolescents. Studies have demonstrated that youth with physical disabilities show considerably lower levels of sexual knowledge and receive inadequate sex education compared to their peers without such disabilities. The data for this paper are part of a qualitative study that explored the experiences, barriers and challenges associated with sex education for youth with physical disabilities from the perspectives of young people themselves, their parents and the health professionals who work with them. The findings from this study highlight the tendency for parents, educators and health professionals to place the responsibility of delivering sex education to young people with physical disabilities on someone else who they believe to be more appropriately qualified to handle these types of situations. As a result, the findings illustrate that adolescents with physical disabilities do not always receive the necessary combination of comprehensive sex education within school environments, specialized information from health professionals, and informal sex education from family and peers that they require in order to gain the knowledge and skills needed to understand their own sexual capabilities and make informed decisions about their sexual health and intimate relationships.     

Sex Work Among Men Who Have Sex with Men and Transgender Women in Bogotá

This qualitative study examined sex work among internally displaced male and transgender female sex workers in Bogotá, Colombia. Internal displacement has occurred in Colombia as a result of decades of conflict among armed groups and has created large-scale migration from rural to urban areas. Informed by the polymorphous model of sex work, which posits that contextual conditions shape the experience of sex work, we examined three main research questions. The first dealt with how internal displacement was related to the initiation of sex work; the second concerned the effect of agency on sex worker satisfaction; and the third examined how sex work in this context was related to HIV and other risks. Life history interviews were conducted with 26 displaced individuals who had done sex work: 14 were men who have sex with men and 12 were transgender women (natal males). Findings revealed that many participants began doing sex work in the period immediately after displacement, because of a lack of money, housing, and social support. HIV risk was greater during this time due to limited knowledge of HIV and inexperience negotiating safer sex with clients. Other findings indicated that sex workers who exerted more control and choice in the circumstances of their work reported greater satisfaction. In addition, we found that although many sex workers insisted on condom use with clients, several noted that they would sometimes have unprotected sex for additional money. Specific characteristics affecting the experience of sex work among the transgender women were also discussed.     

激活Sex的7个秘诀

结婚几年以后,当你被许多琐事牵绊住:工作、孩子、父母、坏掉的马桶……你是否也发现,你的性爱已经被你排到了所有事情的最后?甚至都已经被遗忘?今天,我们请到的这7对夫妻,都是结婚多年、全日制工作、同样要抚养小孩,但是他们都拥有正常,甚至说是频繁的性生活,一个星期三次以上。让我们一同来分享他们的SEX保鲜秘诀吧!秘诀1:给爱人发一封性爱请柬     

Sex高手的礼仪9课

第一课:要接吻吗?那么先去刷牙,有条件的还可以喷点口腔清新剂,最不济的,也要吃点口香糖吧。食物残渣、口气,想起来都会让人恶心。口香糖最好选用无糖的,太甜的残留味道,也会让对方感觉不好。第二课:记得洗澡!太多的中国男人,没有事前事后洗澡的好习惯。要知道,汗臭味会极大地影响女人的欲望。你未经处理和净化过的关键部位,也会带入病菌,给女性身体带来很大的损伤。而事后洗澡,是对自己身体卫生负责的方式。第三课:如果你们还没有准备要生     

俏皮创意：回暖Sex华美春情

对结婚已经几年的夫妻来说，偶尔给性爱放放假，两性激情就会有所回升，激情澎湃的鸳梦重温也就有了可能。尝试给性爱放假的人各有各的创意，下面是一些实例。     

“Let's Talk About Sex, Baby”: Community-Based HIV Prevention Work and the Problem of Sex

Talking about sex and sexuality has been integral to HIV/AIDS prevention work in the United States since the beginning of the epidemic. Early prevention workers, who were primarily gay men, developed a sex-positive approach to prevention, involving frank discussions of sex and sexuality, with the idea of helping to end the epidemic by protecting oneself and one's sex partners from the disease. This article examines early prevention work at AIDS Action Committee (ACC) in Boston, Massachusetts, and details subsequent challenges to this approach, primarily from Bostonians outside of the gay community, but also from within AAC. The article ends with an examination of the early 2000s at AAC, which saw the more recent manifestation of a sex-positive approach to prevention in their work with HIV-infected individuals.     

The Opposite of Sex? Adolescents’ Thoughts About Abstinence and Sex,and Their Sexual Behavior

CONTEXT: Little research has explored how teenagers think about abstinence and how it functions in their lives. These questions are particularly salient in light of widespread funding of abstinence-only programs in the United States. METHODS: Data on attitudes and intentions related to abstinence and sex were collected from 365 adolescents aged 12-15 who participated in an HIV risk reduction program in Seattle in 2001-2003. Logistic regression analyses assessed associations between these cognitions, as measured six months after the program, and teenagers' likelihood of having vaginal or anal sex in the subsequent six months. RESULTS: Adolescents who had positive attitudes and intentions about abstinence had a reduced likelihood of subsequently engaging in sex (odds ratio, 0.6 for each), whereas those with positive attitudes and intentions about having sex had an elevated likelihood of engaging in sex (2.2 and 3.5, respectively). A regression model including only sex cognitions accounted for substantially more variation in sexual activity than did one including only abstinence cognitions (15-26% vs. 6-8%). Significant interaction effects were also seen: Among teenagers with low levels of sex intention, greater abstinence intention had little relationship to the predicted probability of having sex, but among teenagers with high levels of sex intention, greater abstinence intention was associated with increases in the predicted probability of having sex. CONCLUSIONS: Youth do not consider abstinence and sexual activity opposing constructs, and solely instilling positive abstinence attitudes and intentions in youth may not have robust effects in preventing sexual activity.     

Easy Sex,爱风生水起的秘密

压力太大,工作太忙,孩子还小,家务太多,睡眠太少,感觉太累……是的,这就是我们每天匆匆而过的日子,性爱,早已在疲态中悄悄淡出夜的舞台。忙碌中,也要记得给他一个小小的暗示,让他和你一起期待今晚的月光。