Why — and how — parents should help teens develop a healthy understanding of sex

By Ellen Friedrichs

Recently, I attended my 12-year-old daughter’s instrumental concert. The group sounded lovely, and you could tell how much work the kids had put into their performance. My daughter has been playing viola for five years. She has an ensemble class twice a week in school and takes weekly private lessons. She is also supposed to practice on her own.

When it comes to learning an instrument, or mastering driving, cooking, playing a sport, or becoming fluent in a foreign language, this type of training is the norm. We would never expect someone to instinctively excel at, let alone enjoy, these things without at least some routine instruction or study.

Yet when the topic is sex, something that is arguably more nuanced and complicated than many other life skills, we often assume that putting similar structures for instruction in place will be harmful to young people, or will encourage risky behavior. Or we’re just too uncomfortable to talk to them about it at length. But having worked as a health educator for the past 15 years, I have seen how harmful this misguided approach can be.

The United States’ high rates of adolescent pregnancies and sexually transmitted infections are well documented. But what isn’t discussed as often is that the actual experiences of teen sex can be really negative. Frequently, teens hook up in secret, without a committed partner, maybe under the influence of substances and often with the fear of getting in trouble. Many are pressured into things they would rather not do. Others are having experiences that aren’t consensual. And even when it’s consensual, a lot of the sex happening among teens doesn’t feel great, particularly for girls with male partners.

This bleak picture contributes to an understandably common view that teens are just too young to have sex in a healthy manner, and that the best choice is for them simply to abstain. Certainly that assumption is fair for many.

But this view ignores the fact that plenty of these negative experiences are not the byproduct of youth, but rather the result of the conditions under which many teens are having sex. In a culture where abstinence-only programs have taken the place of real sex education, and where many teens lack the resources to prevent pregnancies or STIs, let alone the ability to deal with these situations if they occur, it is common for teens to feel shame, fear and anxiety about sexuality. And many feel like they cannot turn to adults for help when they need it.

So what would it look like if we gave teens the tools to help them succeed? For one thing, we know that accurate information about sex and access to reproductive health care makes teens less likely to become sexually active in the first place. Then if they do have sex, these supports mean they are far more likely to use condoms and contraception, and are at significantly lower risk of having nonconsensual experiences.

It might feel counterintuitive, but parents who want to help teens grow into sexually healthy adults are going to need to step up to the plate. Here are six ways to do that,

Actively support comprehensive sex education in your community and oppose abstinence-only programs. Attend school board meetings where the issue is being discussed, and share your opinion with school officials. Many studies (including one published last month in the American Journal of Public Health) have found that abstinence education has not only failed to prevent teens from having sex, it has also put teens who receive it at greater risk for STIs, pregnancy and even sexual assault than those who get comprehensive sex education.

Make sure teens understand consent. They need to know that sex can’t be truly consensual if there is pressure involved, or if either person is inebriated. It should be clear that if they aren’t completely certain that someone wants to have sex, or if they are questioning how far someone wants to go sexually, they don’t have consent. Teens should also be aware that while many people assume that a lack of a verbal “no” constitutes consent, that is not the case. Teens should be encouraged to clearly state their desires and boundaries.

Support healthy teen relationships. Get to know your child’s boyfriend or girlfriend. If you have concerns about their relationship, share them. But if the relationship seems solid, make it comfortable for the couple to spend time in your home and allow them privacy. Doing this won’t cause teens to have sex if they otherwise wouldn’t, but we do know that if young people choose to become sexually active, doing so in the context of a loving relationship is far safer than a casual hookup. In fact, studies have determined that for older teens, being in a respectful sexual relationship with a caring partner can help them develop better social relationships in early adulthood, can increase self esteem and decrease delinquent behavior.

Teach them to communicate. Make sure teens understand that they should express their limits, likes and dislikes to a partner, and that the expectation should be that both people enjoy the experience. That means that in opposite gender encounters it isn’t only about a boy’s pleasure.

Create an environment in which your children can talk to you. Many parents fear that a conversation about sex will be uncomfortable or will make them seem overly permissive. But letting these fears prevent open dialogue tends to do more harm than good.

Help teens access reproductive health care. Putting barriers in the way of teens’ health care can be dangerous, and the American Academy of Pediatrics has advocated for all teens to have access to confidential reproductive health care, saying it greatly improves health outcomes for adolescents. If you live in one of the many places where teens cannot independently access health care, help them make appointments and ensure they have time alone with their doctors.

The idea of helping teens develop sexual skills may feel like parents are condoning something that they should actually condemn. But American teens face a lot of hurdles on the path to developing healthy sexuality, and when we look at the research, it becomes clear that the best thing we can do for our kids is to help them become sexually informed and proficient long before they become sexually active, and then to help them stay safe and informed once they do.

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