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Education and Sexual Health

Education is paramount in the maintenance of sexual health. From the first sexual encounter and then throughout life, there are risks as well as the benefits. The risks can be minimised if people are aware of them and take appropriate action. This part of the site will hopefully provide some information and provide pointers to other information on the web.  

The most important message is that the education must start with parents and not be left to schools. Both educationalists and medics have tried for years to try and influence the high rate of teenage pregnancy and teenage sexually transmitted diseases. Teenagers with these problems say that they knew about contraception and diseases but never thought it could happen to them. Even teenagers who do not run into these problems often regret having embarked on a sexual relationship, as they were “too young”.  In a 1996 survey for the magazine 17, 81 percent of girls between 15 and 16 who'd had sex said they wish they'd waited until they were older.   

By the age of 15, 35% of girls and 30% of boys are sexually active. (These figures are lower than teenagers themselves think; there are a lot of unfounded boasts in the playground). The teenage pregnancy rate is one of the highest in Europe and one quarter of all sexually transmitted diseases are contracted by girls aged 15 to 19. This is probably an underestimate, as chlamydia often causes no symptoms until pelvic inflammatory disease with its risk of infertility shows itself.

In December 2000, the Public Health Laboratory Service report on known cases of sexually transmitted disease was published. This showed a dramatic increase over a 5 year period particularly in teenagers.  Gonorrhoea has increased by 55%, syphilis by 54% and chlamydia by 76%. Chlamydia often causes no symptoms as it causes damage leading to ectopic pregnancies and infertility so the actual incidence is much higher. Nottingham is a sexual disease blackspot with twice the national average rate for gonorrhoea. 1 in 8 teenage girls carry chlamydia compared to 1 in 25 nationally. One clinic has been treating girls as young as 11 for sexually transmitted diseases.

The provision of emergency contraception over a pharmacy counter is expected to lead to a further rise. Girls currently refusing unprotected sex by saying "No because I might get pregnant" will come under greater pressure as the boy can now counter this argument more easily.

Holland has a teenage pregnancy rate 7 times lower than Britain and start sex education earlier. The conclusion for many years has been that improving sex education here will solve the problem. The fact that this strategy is not working has led to a closer look at Holland. Ask parents in the UK who is responsible for sex education and the majority say SCHOOL. In Holland the majority say WE ARE, i.e. parents. The school service is additional. A further survey in the UK showed that the vast majority of parents (92%) thought that they should talk to their children about sex but half of them had never ever done so as they were too embarrassed to do so.  

Parental education is difficult but resources are being made available to help. We do not refer to waiting until age 15 and then handing over a Health Authority booklet about sex! The fact is that each child develops at a different rate so that lectures to a class of children are providing a single service to address a variety of needs. Sexual matters can be addressed from an early age without giving 5 year olds sexual knowledge beyond their years. Small children’s questions can usually be answered simply without detail. Addressing issues as they arise develops a home environment that is supportive and allows improved communication.  

A team at Southampton University analysed how parental attitudes influenced the age at which children have sex. Those whose parents talked to them about sex, which usually emphasised social values and respect for other people, tended to become sexually active later. Those whose parents had a laissez-faire attitude to sex education were sexually active youngest.  

The conclusion is clear. If parents take responsibility for their children’s sex education now, they will protect their child from some of the risks of sex. This should produce a move towards a more responsible generation with even further gains as your children educate your grandchildren.

This site is useful http://www.ncb.org.uk/  (search for sex education forum) and the Family Planning Association has a video "Talking to your kids about sex" http://www.fpa.org.uk .

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Homepage last modified: August 25, 2008.