Category Archives: Sex Education

Talking With Both Daughters and Sons About Sex

By

Parents play a key role in shaping sexual decision-making among adolescents — especially for girls.

A 2016 review of more than three decades of research found that teenagers who communicated with their parents about sex used safer sexual practices. Likewise, new research from Dutch investigators who studied nearly 3,000 teenagers found that young adolescents who reported feeling close with a parent were unlikely to have had sex when surveyed again two years later.

Notably, both research teams found that daughters benefited more than sons, and that the effective conversations and relationships were typically had with mothers.

According to Laura Widman, lead author of the review study and an assistant professor of psychology at North Carolina State University, “parents tend to talk about sex more with daughters than with sons, and we can speculate that that’s what’s probably driving these findings. Boys may not get the messages as frequently or have the kind of in-depth conversations that parents are having with girls.”

Given the results of her research, Dr. Widman said that she “wouldn’t want parents to get the idea that they only need to talk to daughters. In fact, it may be the opposite. We need to find a way to help parents do a better job of communicating with both their sons and daughters so that all teens are making safer sexual decisions.”

That parents have more frequent conversations with their daughters about sex and sexual development may be prompted by biological realities. Menstruation, HPV vaccination (which remains more common in girls than boys), and the fact that birth control pills require a prescription might spur discussions that aren’t being had with sons.

Yet experts also agree that gender stereotypes play a powerful role in sidelining both fathers and sons when it comes to conversations about emotional and physical intimacy. Andrew Smiler, a psychologist who specializes in male sexual development, noted that women generally “have a better vocabulary for talking about feelings and relationships than boys and men do. Fathers may be a little more stoic, more reserved and more hands-off.” And, he added, “they may play to the stereotype of trusting boys to be independent and able to care for themselves.”

These same stereotypes can also tend to steer the conversation in one direction with daughters and another direction with sons. When parents do address sexual topics with their teenagers, they typically adopt a heterosexual frame with boys playing offense and girls playing defense.

“We usually view our girls as potential victims who need to be protected from pregnancy and rape,” says Sheryl Ziegler, a psychologist who provides mother-daughter seminars on puberty and sexual development, while boys are often cast as testosterone-fueled prowlers looking for nothing but sex. These assumptions often drive how parents approach the conversation. Dr. Mary Ott, an associate professor of pediatrics at Indiana University and the author of a research synopsis on sexual development in adolescent boys observed that, “when parents talk with boys, there’s an assumption that they’ll have sex and they are advised to use condoms. Whereas for girls, there’s more of a focus on abstinence and delaying sex.”

Parental concern about the negative consequences of adolescent sexual activity can reduce “the talk” to a laundry list of don’ts. Don’t get a sexually transmitted infection, don’t get pregnant or get a girl pregnant and don’t proceed without gaining consent. Critical as these topics are, Dr. Ziegler points out that they can “become the focus, so much more than having a quality conversation about why we are sexual beings, or talking about all of the ways we can express love.” And failing to acknowledge the pleasurable side of sex can, according to Dr. Smiler, hurt the credibility of adults. “When parents only acknowledge the scary side of the story,” he said, “teenagers can devalue everything else the parents have to say.”

So how might we do justice to conversations with both our daughters and sons about emotional and physical intimacy?

Over the years in my work as a clinician, I’ve come to a single tack that I take with adolescent girls and boys alike. First, I prompt teenagers to reflect on what they want out of the sexual side of their romantic life, whenever it begins. Why are they being physically intimate, what would they like to have happen, what would feel good?

Following that, I encourage each teenager to learn about what his or her partner wants. I urge them to secure not just consent, but enthusiastic agreement. Given that we also grant consent for root canals, gaining mere permission seems, to me, an awfully low bar for what should be the joys of physical sexuality. Dr. Smiler adds that any conversation about consent should avoid gender stereotypes and address the fact that boys experience sexual coercion and assault and “include the idea that boys can and do say no.”

Finally, if the parties are enthusiastically agreeing to sexual activity that comes with risks — pregnancy, infection, the potential for heartbreak, and so on — they need to work together to address those hazards.

Research suggests that this shouldn’t be a single sit-down. The more charged the topic, the better it is served, and digested, in small bites.

Further, returning to the topic over time allows parents to account for the rapidly shifting landscape of adolescent sexual activity. We should probably be having one conversation with a 12-year-old, an age when intercourse is rare, and a different one with a 17-year-old, half of whose peers have had sex.

Is it better for mom or dad to handle these discussions? Teenagers “want to have the conversation with someone they trust and respect and who will show respect back to the teen,” Dr. Smiler said. “Those issues are more important than the sex of the person having the conversation.”

How families talk with teenagers about their developing sexuality will reflect the parents’ values and experiences but, Dr. Ott notes, we’re all in the business of raising sexually healthy adults.

“We want our teenagers to develop meaningful relationships and we want them to experience intimacy,” she said, “so we need to move our conversations about sex away from sex as a risk factor category and toward sex as part of healthy development.” And we need to do so with our sons as well as our daughters.

Complete Article HERE!

Why Young Men Don’t Get The Information They Need About Reproductive And Sexual Health

By

Some men may not know as much about their own sexual health because women’s health dominates that public conversation.

That could be important because the Centers for Disease Control and Prevention recently reported that sexually transmitted diseases like syphilis, chlamydia and gonorrhea — all of which can be cured with antibiotics — are spreading more than ever. Gay and bisexual men and young people were particularly affected by the infection increases.

Dr. Arik Marcell, a professor of pediatrics at Johns Hopkins and the paper’s first author, said in the statement that it shows “no one particular factor is responsible for young men’s lack of engagement” in getting sexual and reproductive health care. “We need to think about working at multiple levels to effect change rather than focusing solely on the individual level, which may place undue blame on the individual.”

Study results show that the young men surveyed talk to people in their lives, like their mothers and friends, about their health but didn’t always know where to go for care. Self-consciousness also played a role in their care: “Some participants also discussed needing greater self-confidence when asking and answering questions about their health in general, especially about their sexual health,” the university said.

The authors suggest that a lack of knowledge or health care could have a gender basis: According to the study, the culture around health care in the U.S. is “focused on women’s health” and males are influenced by “traditional masculinity scripts.”

“Few men also have received sexual and reproductive care because historically, few clinical guidelines have outlined care that providers should deliver to this population, and few public health efforts have focused on engaging this population,” Johns Hopkins said.

 

Care is not the only way men lag behind women when it comes to sexual and reproductive health. Another recent study showed that men don’t know a lot about their own fertility. A survey of hundreds of Canadian men found they were generally not aware of many of the factors that could reduce their sperm counts. And the authors of that study suggested one of the reasons could be that men are not are likely as women to ask questions about their own health.

Although the new study shows men have less knowledge and receive less care than women when it comes to their sexual health, some are getting a level of care. According to Johns Hopkins, about half of the men they surveyed had health insurance and a regular source of health care, and a majority had received a physical exam in the last year. Additionally, 35 of the 70 were tested for HIV.

Complete Article HERE!

New study finds girls feel unprepared for puberty

Girls from low-income families in the U.S. are unprepared for puberty and have largely negative experiences of this transition, according to researchers at Columbia University’s Mailman School of Public Health and the Johns Hopkins Bloomberg School of Public Health. Their latest paper on the puberty experiences of African-American, Caucasian, and Hispanic girls living mostly in urban areas of the Northeastern U.S. shows that the majority of low-income girls feel they lack the information and readiness to cope with the onset of menstruation. The research is one of the first comprehensive systematic reviews of the literature on puberty experiences of low-income girls in the U.S.

The findings are published online in the Journal of Adolescent Health.

“Puberty is the cornerstone of reproductive development,” said Marni Sommer, DrPH, MSN, RN, associate professor of Sociomedical Sciences at the Mailman School of Public Health. “Therefore, the transition through puberty is a critical period of development that provides an important opportunity to build a healthy foundation for sexual and reproductive health. Given the importance of this transition, the research is striking in its lack of quantity and quality to date.”

The investigators used Qualitative Research guidelines to review the data from peer-reviewed articles with a qualitative study design published between 2000 and 2014. They used a quality assessment form as a further check of the data.

The age of breast development and menarche has declined steadily in the U.S. during the last 25 years, with 48 percent of African-American girls experiencing signs of physical development by age 8. “This trend may mean that increasing numbers of African-American girls are not receiving adequately timed puberty education¬, leaving them uninformed and ill-prepared for this transition,” said Ann Herbert, doctoral candidate at the Bloomberg School of Public Health.

Although many of the girls reported being exposed to puberty topics from at least one source—mothers, sisters, or teachers—most felt that the information was inaccurate, insufficient, or provided too late. Girls also reported being disappointed in the information they received from mothers; meanwhile many mothers said they were unable to fully address their daughters’ needs. Mothers were uncertain about the right time to initiate conversations, uncomfortable with the topic, and uninformed about the physiology of menstruation. The timing of puberty also influenced girls’ puberty experiences.

The researchers noted that despite a strong focus on adolescent sexual health outcomes, such as sexually transmitted infections and teen pregnancy, clinicians and practitioners in the U.S. have yet to capitalize on the issues of puberty onset and menstruation as a window of opportunity to improve adolescent sexual and reproductive health. In addition, the current body of research leaves out many topics entirely. “For example, missing are the voices of adolescents with non-conforming gender role and sexual orientation,” Herbert said.

Earlier research showed that irrespective of race, higher-income girls had more knowledge about puberty, were more prepared for menarche, and had more positive attitudes about menstruation, strongly suggesting socioeconomic disparities related to preparation for puberty.

“Findings from the current review suggest that low-income girls today expressed a sentiment similar to girls studied in the 1980s and 1990s—a feeling that they were largely unprepared for puberty and menarche,” noted Herbert.

“Our review makes it clear that there is a need for new more robust interventions to support and provide information about for low-income , something we are considering for the coming years,” said Sommer.

Complete Article HERE!

Sexual Health

from Health World Education

Publish – Sexual Health – Trailer from Health World Education on Vimeo.

Publish – Sexual Health – CHAPTER_01 – 12/16/16 from Health World Education on Vimeo.

 

Publish – Sexual Health – CHAPTER_02 – 12/16/16 from Health World Education on Vimeo.

 

Publish – Sexual Health – CHAPTER_03 – 12/16/16 from Health World Education on Vimeo.

 

4 Steps To Having Open And Honest Talks About Sex With Your Kids

If you don’t, let me tell you who will…

By Lori Beth Bisbey

Many parents find it difficult to talk about sex and intimacy with their children. No one ever taught them how, and it’s understandably uncomfortable. But like anything else, as a parent you need to figure out how and when to discuss sex and intimacy with your child before society does.

Today’s children are at greater risk of developing a warped view of sex and intimacy than ever before. They desperately need you to explain to them your view of what healthy sex and intimacy look like.

When I use the phrase ”warped view” I’m not referring to kinky sex practices or alternative sexuality. I’m far more concerned about the average views regarding sex and sexuality and how they are communicated.

Research shows that young people receive most of their modeling around sexual behavior from the media —  in particular, pornography.

Don’t misunderstand me. This is not an anti-pornography stance. My concerns here revolve around the fact young people are getting the majority of their information from such an impersonal source.

While attending the recent TED Women Conference, what I heard from speaker Peggy Orenstein chilled me to the bone.

 


 
Orenstein conducted research focused on girls and sex. She performed an in-depth interview with a group of 70 racially and ethnically diverse girls between the ages of 15 and 20 who identified as either college bound or already in college. Among the group, 10 percent placed themselves on the sexuality spectrum as being either lesbian or bisexual.

Research shows a high prevalence of sexual assault occurs on college campuses. Even in our modern culture we still have difficulty navigating discussions of consent without the inevitable spiral into talk of “false allegations.”

As the mother of a 14 ½-year-old son who has been raised in a complicated family, I strive to give him the tools necessary for negotiating the minefield of sexual and intimate relationships.  

  • He has a variety of people he can talk to about these decisions who I know will always have his back.
  • He knows that he needs to discover his own desires, likes, and dislikes.
  • He knows that his body belongs to him.
  • He knows about consent.
  • He knows to treat his partners with respect and not to be judgmental.
  • He also knows that talking about these things, though potentially embarrassing, is essential to having healthy and satisfying long-term sexual relationships.

As an intimacy coach and a psychologist, I remain concerned for those kids raised in homes in which their parents never even mention sex, the children whose parents are never physically affectionate in front of them, and those in homes in which too much adult sexual behavior is seen.

Paul Bryant, a professor of telecommunications at Indiana University Bloomington, highlights the trouble faced by children learning about sex through pornography in his “sexual script theory” regarding the sexual socialization of teens.

For today’s teen, pornography lays down internal scripts for a variety of sexual behaviors and scenarios.

If parents do not present an alternative view, the only model for how to behave in sexual relationships will come from media — not just pornography, but from music and music videos as well. Without the safeguard of knowing they have a non-judgmental parent to discuss with what they see and learn, they have no meaningful way to understand and consider the positives and negatives among the variety of sexual scripts they see in order to weigh their feeling about the perceived possibilities.

There is no easy fix to this discussion.

As adults, we need to examine the way we relate to sex and how we talk about it with each other. As we become more comfortable talking about sex with our own partners and peers, we will become more confident about discussing it as a parent as well.

To get you on your way, here are 4 steps you can take to begin addressing the problem and have conversations with your child about sex — starting right now.

1. Take a look at your own experiences of sex and sexuality.  

If you have experienced sexual trauma, this is the time to resolve any issues that remain charged or live for you. You may need help to do this or you may already get help through your social support network.

If you haven’t experienced sexual trauma, this is the time to look at any issues, stuck places, and/or negative thought patterns you have in relation to sex and sexual relationships. You can work through this on your own, with your partner, or with your social support network as well.

2. Learn about what is normal for your children at each stage of development.  

Try to do this without judgment. Have a look at what your children are being exposed to in your wider culture. Each of us has our own moral code, and moral codes are constructed whereas sexual development is built as part of a biological process.

You may believe that masturbation is a sin, but this is a moral belief. Biologically, ALL children discover that when they touch their genitals, it feels good. This is the way human beings are constructed. Healthy and comprehensive personal development depends on the combination of biological, psychological, spiritual, and moral development, as well as development that is culture specific.

3. Create a safe space to have intimate conversations with your children.

This may seem like a given, but many homes offer no safe space for a child to bring up issues around sex and sexuality. In many families, these topics are dealt with by simply handing children reading materials. There are some excellent books out there to help children with all manner of topics relating to sex and sexuality, but books are not a substitute for a home environment that fosters safe conversation.

Your children need a place where they can get questions answered. Start creating that safe space to talk about emotions first (if you haven’t already). Once your children are used to talking about more difficult topics and you are used to dealing with these without judgment, with acceptance, and in a way that fosters growth, then you can begin to have the talks about sex.

4. Find out what is age appropriate for your child and pitch your conversation to that level.  

Talking to a five-year-old who asks where babies come from is very different from answering a question about how you get pregnant from a 10-year-old. Keep the conversations short and sweet. Do use videos, audio recordings, and books as aids, and encourage your children to come back to you with questions.

Set up a consistent routine so your child knows there will always be a time and a place to bring up these topics. If you’re not comfortable having these sorts of conversations with your child OR your child is too embarrassed to talk to you, make sure you have an alternate trusted adult (or a few) the child knows they can feel free to approach. Children thrive when they have more than one viewpoint to consider about this amazing, yet complicated part of life.

Remember that this is a process that will continue to take shape throughout your child’s development.

If you do so, then your young adult will also come to you with questions and your adult child will be much more likely to create satisfying intimate relationships for himself or herself.

Children who have self-knowledge and an understanding of the joy and dangers of sex are at lower the risk of becoming victims of sexual assaults.

The more knowledge you possess, the more quickly you are apt to take a firm stance, and therefore the more likely you are to be seen by a perpetrator as a difficult target. Perpetrators go for the softest targets they can find, so the harder a target you make yourself, the more you lower your risks.

So go have that talk!

Complete Article HERE!