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Sexual health services and education: Young people’s experiences and preferences
C Reeves
University of Wales, Bangor, UK, c.reeves{at}bangor.ac.uk
R Whitaker
University of Wales, Bangor, UK
R K Parsonage
Keele University, UK
C A Robinson
University of Wales, Bangor, UK
K Swale
North East Wales NHS Trust, UK
L Bayley
North East Wales NHS Trust, UK
Objective To examine young people’s requirements and perceptions of sexual health services and education in the context of their experience of sexual relationships and knowledge of sexual health.
Design A questionnaire based cohort study.
Setting Three hundred and sixty Year 11 students (aged 15-16 years) surveyed in three Secondary Schools.
Method The study received ethical approval from The North Wales Central Ethics Committee. School nurses distributed questionnaires in classroom conditions to all students present on the survey day.
Results Eighty-six per cent of the cohort responded. Those young people who reported being sexually active (153, 45 per cent) thought most sexual education topics should be taught around six months earlier than non-sexually active respondents. Of those accessing sexual health services, 90 per cent were happy with the services received, however, only 44 per cent of sexually active males and 76 per cent of sexually active females had sought advice. That clinics had a ‘friendly atmosphere and staff easy to talk to’ ranked highest and ‘only people of your own age using the clinic’ ranked lowest on a list of important features for a sexual health clinic.
Conclusion Planners should consult young people and develop services in line with their needs. Sexual health education should be taught earlier in the school curriculum, with flexibility over when some information is accessed. There is little evidence for the assumption upon which much work in this field is based; that most young people prefer a specifically young person’s sexual health clinic.
Key Words: services teenagers • sexual education • sexual health • young people
References
- Adler MW. Sexual health - A health of the nation failure . British Medical Journal, 1997: 314: 1743-1743 .[Free Full Text]
- Grunseit A, Kippax S, Aggleton P, Baldo M and Slutkin G. Sexuality education and young people’s sexual behaviour: A review of studies . Journal of Adolescent Research, 1997: 12(4): 421-453 .[Abstract]
- Nicoll A, Catchpole M, Cliffe S, Hughes G, Simms I, Thomas D. Sexual health of teenagers in England and Wales: Analysis of national data . British Medical Journal, 1999: 318: 1321-1322 .[Free Full Text]
- Cowan FM. Adolescent reproductive health interventions . Adolescent Sexual Health, 2002: 78: 215-318 .
- Department of Health. Choosing Health. London: Department of Health , 2004.
- Winn S, Roker D, Coleman J. Young People’s Sexual Knowledge. In: D Roker, J Coleman (Eds) Teenage Sexuality: Risk, Health and Education. London: Harwood Academic Press , 1998.
- Oakley A, Fullerton D, Holland J.et al. Sexual health education interventions for young people: A methodological review . British Medical Journal, 1995: 310: 158-162 .[Abstract/Free Full Text]
- Graham A, Green L, Glasier AF. Teenagers’ knowledge of emergency contraception: Questionnaire survey in south east Scotland . British Medical Journal, 1996: 312: 1567-1569 .[Abstract/Free Full Text]
- Butler R, Solomon S. Review of Sexual Health Services for Young People in Scotland. Edinburgh: Health Education Board for Scotland , 2002.
- Mellanby A, Pearson V, Tripp JH. Preventing teenage pregnancy . Archives of Disease in Childhood, 1997: 77: 459-462 .[Free Full Text]
- Jacobson LD, Mellanby AR, Donovan C, Taylor B, Tripp JH. Teenagers’ views on General Practice consultations and other medical advice . Family Practice, 2000: 17(2): 156-158 .[Abstract/Free Full Text]
- BBC News. Schools. ‘Ignoring’ Sex Education. BBC news , 2005. Online. Available: http://newsvote.bbc.co.uk/mpapps/pagetools/print/news.bbc.co.uk (accessed 25 January 2005).
- National Assembly for Wales. Strategic Framework for Promoting Health in Wales. National Assembly for Wales , 2000.
- Wight D, Raab GM, Henderson M.et al. Limits of teacher delivered sex education: Interim behavioural outcomes from randomised trial . British Medical Journal, 2002: 324: 1430-1430 .[Abstract/Free Full Text]
- Graham A, Moore L, Sharp D, Diamond I. Improving teenagers’ knowledge of emergency contraception: Cluster randomised controlled trial of a teacher led intervention . British Medical Journal, 2004: 324: 1179-1179 .
- Clements S, Ingham R, Sadler M, Diamond I. Young People’s Sexual Health in South East Hampshire. A Survey of Young People’s Knowledge, Use and Opinions of Sexual Health Services, their Sexual Knowledge, Attitudes, Behaviour and Opinions of Sex Education. Online. Available: http://www.socstats.soton.ac.uk/cshr/pdf/UKreport/SEHamp.PDF. 1999 (accessed 8 June 2005).
- Welsh Assembly Government. Teenage Conceptions: Number and Rate by Age of Mother. Online. Available: www.wales.gov.uk/.../content/publication/compendia/2004/dwlas2004/dwlas2004-ch2/dwlas2004-t2-2.xls. 2004 (accessed 10 June 2005).
- Free C. Advice about sexual health for young people . British Medical Journal, 2005: 330: 107-108 .[Free Full Text]
- Jewell D, Tacchi J, Donovan J. Teenage pregnancy: Whose problem is it? Family Practice, 2000: 17(6): 522-528 .[Abstract/Free Full Text]
- Allaby MAK. Contraceptive services for teenagers: Do we need family planning clinics? British Medical Journal, 1995: 310: 1641-1643 .[Abstract/Free Full Text]
Health Education Journal, Vol. 65, No. 4,
368-379 (2006)
DOI: 10.1177/0017896906069381
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