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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”.
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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