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This paper draws on the retrospective accounts of eight LGBT+ students aged 18–21 attending a university in Northern England. Using interpretivist methodology, qualitative research was conducted to explore how their sex and relationships education impacted upon their needs as a sexual and/or gender minority. An under-researched aspect of experience was also investigated: namely, how LGBT+ people learned about sex and relationships if not in a formal school setting. Two focus groups were used to examine these areas of interest and similar patterns in both groups were apparent. Themes such as the impact of heteronormative value systems, pornography as an educational resource, and the use of online Blogs and search engines as a source of alternative education were highlighted. Findings demonstrate how participants' experiences of sex and relationships education were largely non-inclusive and irrelevant to their needs. The paper concludes with practical suggestions to ensure subsequent generations of LGBT+ pupils receive a more inclusive educational experience, supported by approachable teachers who are comfortable and competent teaching the subject. [ABSTRACT FROM AUTHOR]

Teachers in Lady Agatha's Boarding School (Lady Agatha's) find teaching Sex and Relationships Education (RSE) uncomfortable. This paper investigates one aspect of the discomfort that they feel, namely the impact RSE has on their professional status as teachers. I use focus group data to reflect on the professional and personal location of teachers at Lady Agatha's and to explore their understanding of RSE through the recurring themes of professionalism and professional reputation as symbolic capital; deprofessionalisation and risk as symbolic violence; and the connects and disconnects between the doxa and illusio of the school. Findings suggest that by interrogating the sites of symbolic violence which generate RSE discomfort, we can start to unpick the fabric which creates discomfort about RSE, allowing both for a deeper understanding of RSE discomfort in teachers and an opportunity to address this discomfort as a barrier to RSE delivery at Lady Agatha's. [ABSTRACT FROM AUTHOR]

Children's experience of harm and abuse has a profound impact on their health and well-being. In response, school-based prevention programmes have been developed and delivered by external organisations with the aim of improving children's awareness and understanding of forms of harm and abuse which may affect them, encouraging them to seek help if needed. In September 2020, Relationships Education became statutory within the primary school curriculum in England and this ratification is likely to increase demand for externally delivered classroom-based programmes, which address the broad range of topics to be covered within this field. However, evidence is required to understand the impact and acceptability of such programmes. This paper presents qualitative findings from a larger mixed-methods study. Focus group discussions with 29 children explored their responses to one Healthy Relationships programme delivered to primary school children aged 10 and 11 in England. Analysis focuses specifically on responses to the topics of sexual abuse prevention and help-seeking. Children's widespread support for the programme indicates that topics are relevant and the opportunity to explore these issues is valued. However, for effective programme implementation, schools and parents need to be prepared, and prevention messages should continue to be embedded throughout children's school lives. [ABSTRACT FROM AUTHOR]

In this paper, we draw from elements of a study that sought to examine how teenage South African girls, both white and black African, articulate their relationship with online sexually explicit materials (SEM). The study contributes to the literature by resisting the dominant discursive practices underlined by the construction of sexuality as an exclusive realm of danger for teenage girls. Challenging this static version of femininity, we focus on the ways in which teenage girls, aged between 13 and 18 years old in two elite private schools, use online SEM to expand their sexual knowledge and engage in pleasurable forms of sexuality. By drawing on individual interviews, focus group discussions and open-ended visual elicitation research methods, we show how girls embrace online SEM in ways that expand the definition of femininity beyond fearing sexuality whilst demonstrating the entanglement with gender inequalities. Girls' relationship with online SEM, whilst tenuous, disrupts normative assumptions around femininity. However, an ambiguous relationship with online SEM is evident as their challenges to dominant femininity are mediated by concerns about respect and innocence, as well as by persistent evidence of male power within online SEM. Implications for school-based sexuality education concludes the paper. [ABSTRACT FROM AUTHOR]

Notions of 'participation' in sexuality education has gained considerable traction in recent years - with participation being regarded as a fundamental right and a critical means to empower young people. However, the notion has increasingly been subject of debate, with critics problematising the manner in which participation is operationalised, and questioning the assumed impact of participation in relation to sexuality education goals. This paper contributes to these debates by examining the under-researched gendered dimensions of participation of young people in sexuality education. It utilises data from a qualitative study conducted in 2015 on young women and men's (10-15 years old) perceptions of their participation in the dance4life programme, an in-school sexuality education programme in Jinja district in eastern Uganda. The paper highlights subtle but important differences between young men and women's participation in the programme, which are arguably reflective of existing gendered hierarchies. We conclude by providing recommendations on how to address gender differences in participation. [ABSTRACT FROM AUTHOR]

Parent-adolescent sexual and reproductive health (SRH) communication plays an important role in reducing sexual risk behaviour and preventing HIV. We sought to enhance limited information about the unique barriers to parent-adolescent SRH communication in the Arab states. This mixed-methods study, using a two-phase sequential explorative design, was conducted in 15 public secondary schools (with grades 5 to 10 students aged 10 to 15 years) in Oman. In phase one, 15 parents participated in two single-sex focus group discussions and two in-depth individual interviews. The qualitative data were analysed using thematic analysis. In phase two, a convenience sample of 250 parents completed a paper-based self-administered questionnaire. Findings showed that parents rarely communicated with their children about SRH concerns, including HIV. Barriers to more open parent-adolescent SRH communication include the fear that such discussion might encourage early sexual debut; feelings of shyness, discomfort and shame; associated socio-cultural taboos; gender mismatch; and lack of SRH knowledge. Findings suggest the need for parental SRH education and training and school based SRH education programmes to improve adolescent SRH. Experience developing these may be helpful to other countries with similar religious beliefs and socio-cultural traditions seeking to improve parent-adolescent SRH communication. [ABSTRACT FROM AUTHOR]

Lesbian, bisexual, transgender, queer and asexual (LGBTQA+) Australians are vulnerable to religion-based attempts to change or suppress their sexuality and/or gender identity, including conversion ideology messaging in school-based sex education. Conversion bans are currently being debated across the country. This paper reports on a critical survivor-driven study which retrospectively explored Australian LGBTQA+ youth exposure to conversion practices both within and outside of education settings. It privileges the perspectives of self-titled 'survivors' of conversion ideology and practices through the use of a reference group and constructivist grounded theory. Qualitative data were collected 20 from Australian LGBTQA+ conversion ideology and/or practice survivors aged 18 years and over, using focus groups and 35 individual interviews between 2016 and 2020. In conversion-promoting religious contexts including education institutions and groups, messages concerning sexuality and gender changed as individuals grew older and were drawn into more/enclosed settings in which core conversion messages of LGBTQA+ 'brokenness' were prevalent. While individuals progressed through the conversion experience in different ways, their experience was characterised by the absence of any form of affirming LGBTQA+ education – enabling conversion itself to become their LGBTQA+ (mis)information source. School policy addressing conversion, alongside enhanced provision of affirmative age-appropriate gender and sexuality education, may mediate this issue. [ABSTRACT FROM AUTHOR]

This paper explores students', preservice teachers' and inservice teachers' perceptions of the contributions and challenges of using participatory visual methodologies (PVM) to enhance HIV education in rural schools. Drawing on findings from three research projects conducted in KwaZulu Natal, South Africa, four positive contributions are identified: 1) novelty, fun and engagement; 2) amplifying youth voices; 3) the facilitation of teachers' reflexive learning; and 4) the production of local resources in under-resourced schools. Challenges include: 1) limited technology access; 2) teacher discomfort; and 3) resistance to PVM integration. Teachers and young people, especially in under resourced rural settings, can benefit from integrating such methodologies into their responses to HIV and AIDS. However, sustainable integration must rely on choosing the most appropriate participatory visual methodologies given the technological resources available in school. The paper concludes with recommendations to optimise participatory visual methodologies integration into rural school-based HIV responses. [ABSTRACT FROM AUTHOR]

This article examines the views of male and female learners regarding how Life Orientation (LO) sexuality education is taught at their schools. Learners in the study were selected from five former 'Black' schools in the Eastern and Western Cape Provinces of South Africa. Focus groups were used to identify what learners could recall about their LO sexuality education classes. The strong trend in the data speaks to how LO sexuality education implies a gendered, heteronormative and moralistic approach to youth sexuality which silences and negates same sex relationships and girls' accounts of sexuality. Although LO sexuality curricula are, as crafted on paper, often sophisticated learning programmes, participants point to a disjuncture between the official LO sexuality education curriculum and how LO sexuality education is taught in the studied schools. The paper concludes with some specific recommendations for teachers to promote a non-judgemental approach to sexuality education that challenges heteronormativity and other gendered injustices as part of the teaching of LO sexuality education. [ABSTRACT FROM AUTHOR]

Despite public outcry, South Africa has decided to roll out comprehensive sexuality education in schools. Currently, however, there are no scripted lesson plans for teachers of learners with visual impairment. Local literature suggests that the current sexuality education curriculum fails to engage with sexuality diversity and is imbued with notions of compulsory heterosexuality and able-bodiedness, perpetuating homophobia, transphobia and ableism in schools and broader communities. The paper sought guidance from disability professionals on how to best address lesbian, gay, bisexual, transgender and other sexualities' (LGBT+) issues as part of comprehensive sexuality education for learners with visual impairment. Bourdieu's work on doxa, orthodoxy and heterodoxy underpinned the study. Three professionals working with learners with visual impairment were interviewed in a focus group, and one school principal working in a school for learners with visual impairment was interviewed individually. Data were thematically analysed. Pre- and in-service teachers are encouraged not to see comprehensive sexuality education offered to learners with visual impairment as different from that provided to their sighted peers. Professionals urged teachers to accept LGBT+ learners with visual impairment in their dress, expression and embodiment. However, teachers need to be aware of learners' cultural and religious differences. Current lesson plans need to be revisited to safeguard against compulsory heterosexuality and able-bodiedness. [ABSTRACT FROM AUTHOR]

Research suggests that intimate relationship violence and coercive control are prevalent in young people's relationships. Furthermore, young people often fail to recognise such behaviour as abuse. While such findings indicate the normalisation of controlling and coercive behaviours amongst young people, there is little focus on how these behaviours are normalised. This paper presents findings from a study exploring young people's experiences and expectations of intimate relationships. Focus groups were conducted with young people (aged 13 to 18 years) in schools in the West Midlands, England. Young people talked of navigating precarious and competitive heterosexual relationships. Their expectations and negotiations of these relationships often upheld and reinforced gender double standards around dating practices. Young people's discussion also highlighted how they came to accept and rationalise controlling and coercive behaviours as 'love', 'care' and 'protection', legitimising these practices as reasonable. Heteronormativity remains a dominant discourse shaping young people's experiences and expectations of relationships with coercion and control being defining features of this discourse. Supporting young people to critically examine constructs of heterosexuality and gender norms should be a key component of England's forthcoming statutory Relationship and Sex Education. [ABSTRACT FROM AUTHOR]

Adolescence is a period of exploration of sexuality and of its integration into personality. Existing research on Latina adolescents, however, has been largely limited to disease and pregnancy prevention, ignoring the integration of sexual well-being with other aspects of health. Accordingly, this paper presents findings from a photovoice project with 11–12 year old Latina students, implemented to investigate topics related to cultural identity, gender and sexual health. The data were generated over a 12-week period in an urban middle school in Central Texas by 17 youth collaborators. Findings provide a platform for discussion of how Latina young people's ideas align with or diverge from current sexual health discourses within a racial/ethnic context. We highlight opportunities and constraints with regard to identifying sexual health needs from young Latina students' own perspectives, in an attempt to contribute to the body of literature on sexual health in middle school students, as well as the lessons learned through our efforts. [ABSTRACT FROM AUTHOR]

Despite a substantial body of research on young people's wishes about the content and delivery of sex and relationships education (SRE), studies still indicate dissatisfaction with the way lessons are provided. This discussion takes place in a public health context where young people's sexual activity is viewed negatively as a risk to health, and advice focusses on the need to prevent unwanted pregnancies and sexually transmitted infections. This focus on risk clashes with cultural representations of sexuality, and particularly male sexuality, which focus on pleasure and risk taking. In this paper, we present insights from workshops provided by a local charity to boys aged 14–15 in a school in one of the most deprived areas in Edinburgh, Scotland. We held four focus groups with a total of 20 boys and interviewed the workshop providers and the school guidance teacher. The boys valued having men from outside school talking to them about sex and relationships in ways that made them feel respected. They were keen to learn more about relationships, highlighting the need to focus on how SRE is delivered to young working class men. [ABSTRACT FROM AUTHOR]

As online pornography has become more readily available and accessible, educators have begun to grapple with how to address young people's engagement with it. Much of this discussion centres the view that pornography is an inherently problematic genre that young people should be inoculated against through comprehensive media literacy education – an approach that often ignores the nuance of young people's engagements with porn and which often isolates pornography as outside of and infringing upon young people's everyday lives. Using thematic narrative analysis, this paper examines excerpts from focus groups with undergraduate students at a Canadian university examining their experiences with and thinking on pornography and sex education. Findings suggest that participants' pornography-related narratives are connected both to their own personal, lived experiences with pornography and to the broader structural and relational aspects of their sexual and social worlds in ways that complicate traditional media literacy interventions. Small-group discussions on pornography therefore emerge through this study as potentially productive pedagogical sites for educators seeking to develop a more expansive and ethically oriented approach to sex and sexuality education. [ABSTRACT FROM AUTHOR]

Sexual health promotion and Relationships and Sexuality Education (RSE) are influenced by interrelated social and cultural factors, particularly in a rural setting. This paper reports on findings from interviews with young people when asked about experiences and perspectives accessing RSE and sexual health services in a small rural Australian town. Fifteen young people (16–24 years) participated in semi-structured focus groups and interviews. Data was analysed and coded with four key themes emerging: relevant and credible sexual health education; make it easy; GP accessibility; and discreet condom supply. The findings of this study have practical implications when addressing community level sexual health and RSE needs. [ABSTRACT FROM AUTHOR]

Various health promotion strategies have been implemented in South Africa aiming to encourage young people to talk about issues of sexuality and HIV with their parents/caregivers. Although parent/caregiver sexual communication may be an effective method of influencing sexual behaviour and curbing the incidence of HIV, very little is known about how young people with disabilities in South Africa communicate about these traditionally difficult subjects with their parents/caregivers. Based on findings from a participatory study conducted amongst 15–20-year-old Zulu-speaking youth with physical and visual disabilities, this paper explores how they perceive youth–parent/caregiver communication about sexuality and HIV. Using Foucauldian discourse analysis, the paper outlines how disabled youth–parent/caregiver sexual communication is governed by cultural customs, sexual secrecy and constructs of innocence. It also argues that the experiences and perceptions of young people with disabilities are critical to the development of future interventions to assist parents/caregivers develop communication strategies that help disabled young people make sense of sexual behaviour. [ABSTRACT FROM PUBLISHER]

Although romantic and sexual relationships are an important aspect of young people's lives, research on how young people negotiate their love/sex relationships is lacking. New media environments provide a new context within which young people negotiate their love/sex relationships; however, what is negotiated is often not all that different from what was negotiated before the advent of new media technologies. Using an online discussion board and individual in-person interviews, this paper explores how young Australians, aged 18–25 years, engage with dominant gendered discourses to negotiate their love/sex relationships within the context of new media environments. Previous research suggests that young people make use of new media technologies to flirt with one another, to initiate new relationships, to maintain their relationships, and to fight and end their relationships. This paper focuses on young people's practices of mediated flirting, surveillance, and breaking up. It considers the creative and agentic ways young people use new media technologies in the negotiation of their love/sex relationships. [ABSTRACT FROM AUTHOR]

This paper discusses pre-service teachers' responses to a critical analysis of gender/power relations using examples from a final assessment for an intensive elective unit called Teaching Sexuality in the Middle Years. This unit critically examines gender/ power relations, the production of difference, heteronormativity and pleasure and desire, employing a feminist post-structural framework. Despite the focus on critical thinking, reflection and interrogating structural inequalities in this unit some students were resistant or unable to engage with this approach in their assessments, although appearing to do so in workshops. We consider the broad range of sexuality education discourses mobilised by this unit to try to make sense of what looks like resistance but may be something more complex and difficult to negotiate. The paper ends with a consideration of some of the implications of this approach for practice. [ABSTRACT FROM AUTHOR]

This paper analyses sexuality and relationship education (SRE) in a Swedish college programme aimed at young people with mobility impairments. Interviews and focus groups were conducted to explore students’ experiences of the structure, content and usefulness of SRE, and college personnel’s SRE practices. Results show that, although many of the issues covered are pertinent for all young people, being disabled raises additional concerns: for example how to handle de-sexualising attitudes, possible sexual practices, and how reliance on assistance impacts upon privacy. Crip theory is used as an analytical framework to identify, challenge and politicise sexual norms and practices. Students’ experiences of living in a disablist, heteronormative society can be used as resources for developing cripistemologies, which challenge the private/public binary that often de-legitimises learners’ experiences and separates them from teachers’ ‘proper’ knowledge production. Crip SRE would likely hold benefits for non-disabled pupils as well, through its use of more inclusive pedagogy and in work to expand sexual possibilities. Crip SRE has the potential to disrupt taken-for-granted dis/ability and sexuality divides as well as to politicise issues that many young people presently experience as ‘personal shortcomings’. [ABSTRACT FROM AUTHOR]

New York City (NYC) is considered to be one of the world’s most progressive cities and gender and sexuality diversity (GSD)-inclusive education departmental policies appear to reflect these values. However, even within such a context, NYC educators report challenges in their work to meet the needs of trans/gender-diverse students and the visibility of trans/gender diversity more generally within their pre-K - 12 school communities. This paper reports on interview data from 31 school staff members from nine public and independent schools located in the NYC metro region, with a specific focus on their framing of inclusivity and bullying, and reported support of trans/gender-diverse students. Based on educators’ representations of their schools, the nine schooling environments fell into two broad clusters: (1) those framing trans/gender inclusivity as an anti-bullying initiative and working at the minimum policy requirements, and (2) those working beyond bullying discourses and policy frameworks to conceptualise trans/gender inclusivity as integral to the school’s mission and as offering clear whole-community benefit. Findings support the constraints of bullying discourse on even supportive educators’ curricular ‘translation’ of GSD-inclusive policies, reinforcing the need for relevant policy reframing and targeted of professional development opportunities, particularly for school leaders. [ABSTRACT FROM AUTHOR]

In Ethiopia, as in many other countries, moral discourses about female sexuality in general, and pre- and extramarital sexual experience in particular, create an environment that discourages women from engaging in open dialogue about their sexuality and their past or future sexual experience. In the study of induced abortion among unmarried women in Addis Ababa on which this paper rests, women describe a situation in which they are both surrounded by silence about sexual issues and forced to remain silent themselves. This paper investigates the nature of, and conditions for, this silence and the ways in which it is socially brought about and negotiated. In particular, it explores the ways through which young, unmarried women who have undergone abortion seek to reconcile seemingly contradictory, condemning discourses about premarital sex and more general codes addressing social, as well as moral, propriety and integrity. The discussion highlights that, while issues of sexuality are silenced, neither the silence nor the silencing power of dominant, gendered moral discourses is absolute. Moreover, silence may also be jointly produced and negotiated in social discourse fraught with moral objectives and ends. [ABSTRACT FROM AUTHOR]

This paper details findings from an evaluation of a gendertransformative sexual and reproductive health and rights group education programme facilitated with young men aged 15-24 years in South Africa. A total of 475 young men participated in the group education programme. A self-administered pre- and postquestionnaire survey was conducted with a sample of the participants, and focus group discussions were facilitated. A total of 265 young men completed both the pre and post-questionnaires. Findings from the surveys as well as the focus group discussions showed positive changes in gender equitable attitudes, contraception and condom use. Results indicate that the young men who participated in the group education learned to identify harmful gender norms and actively questioned these constructs both within their personal lives and in the broader community. The intervention enabled some participants to envision alternative versions of masculinity and femininity, thus enabling them to adopt a new way of being, with transformed attitudes concerning household and gender roles. [ABSTRACT FROM AUTHOR]

This paper describes the development of a Dutch online programme called Long Live Love+ focusing on positive, coercion-free relationships, contraception use, and the prevention of STIs, using the Intervention Mapping (IM) approach. All six steps of the approach were followed. Step 1 confirmed the need for a sexual health programme targeting young people aged 15 and over enrolled in higher level secondary education. Step 2 resulted in the production of a series of matrices-of-changes, including detailed programme objectives at the behavioural and the psycho-social level. Step 3 involved the selection of relevant methods and applications. Step 4 consisted of programme development, resulting in a sexual health programme with online and offline components, and including interactive exercises. Step 5 focused on adoption and implementation and included the production of a detailed teacher manual. Step 6 involved detailed planning for the process and effect evaluation and included interviews with teachers and focus group discussions with students to evaluate their experiences of the programme. The inclusion of a linkage group – and especially the inclusion of teachers in the development of the programme – turned out to be essential in terms of developing a programme in line with their context and needs. [ABSTRACT FROM AUTHOR]

Numerous classroom-based interventions have aimed to improve sexual health outcomes for young people, yet few have shown strong, lasting effects. Ecological approaches that address multiple levels of a young person’s environment offer largely untapped potential to positively change sexual behaviour. This paper presents results of a cluster-randomised trial of a multicomponent sexuality education intervention that integrated a classroom curriculum, parent education workshops and materials, peer advocate programme, and sexual health services at 10 urban high schools. An implementation evaluation, employing quantitative and qualitative instruments, was conducted to examine whether the individual components of the intervention were delivered as planned and how they were received by the target populations. Multilevel modelling was used to evaluate the effect of the multicomponent intervention on outcomes at one-year follow-up. Results showed that the intervention components were successfully implemented with and well received by target populations. Students receiving the multicomponent intervention reported greater increases in the use of sexual health services (odds ratio [OR] = 1.73, 95% CI = 1.09–2.75) and the likelihood of carrying a condom (OR = 2.71, 95% CI = 1.44–5.09) relative to those receiving a control condition. No effects were found for other behaviours, possibly due to low prevalence of sexual activity in the sample and the small number of schools randomised. [ABSTRACT FROM PUBLISHER]

This paper describes the development and evaluation of an interactive, narrative-based, multimedia game to promote learning and communication about sexual violence and health topics. High school-aged participants created the game concept in a three-week workshop, after which assets were assembled and refined by a university-based game design lab. The outcome,Lucidity, was a multimedia game with a nonlinear narrative that led to two different outcomes based on player decisions. The narrative followed the life of one character, an African American woman named Zaria who remembers and grapples with a sexual assault from her past. The player discovers parts of the story by reading comics, watching videos, navigating interactive websites and playing short videogames. The final evaluation consisted of gameplay, a post-game focus group and follow-up interviews. Twenty-four young people participated in three focus group discussions (n = 9,n = 5,n = 10); 23 participated in the follow-up interviews. Salient themes identified in the focus group discussions included: overall approval of the game, the acquisition of new knowledge and minimal past exposure to conversations or education about sexual violence. At follow-up, almost all (n = 22) had initiated a conversation about sexual violence with a parent, peer and/or teacher.Luciditysucceeded in engaging young people and facilitating communication with adults and peers regarding sexual violence and other sexual health topics. Ultimately, a game-based intervention such as this represents a feasible approach for introducing issues of sexual violence, with potential for future implementation in educational settings. [ABSTRACT FROM PUBLISHER]

This paper presents findings from a focus group study conducted to evaluateThe Source,an alternate reality game (ARG). ARGs are a relatively new genre of interactive digital games that use a variety of media to engage game players. We developed modules on sexual health, sexual orientation, and homophobia in a game that was delivered to 133 predominantly African-American and Latino US youth. Ten focus groups were conducted with 43 young people aged 13–18 who playedThe Sourceto understand feasibility and acceptability issues and the impact of the game on young people’s attitudes, knowledge, and behaviours. Data were transcribed and analysed for common themes by two independent coders. Four primary themes were identified: (1) the feasibility and acceptability of using an ARG for sexual education; (2) the acceptability ofThe Source’s specific sexual health content; (3) the game’s influence on sexual health-related knowledge, attitudes, and behaviours; and (4) the impact of the game on young people’s thoughts and responses to sexual orientation and homophobia. Study findings indicate that an ARG is an exciting and interactive way to educate young people on sensitive topics in sexuality education, but that attention to narrative authenticity and effective messaging are important issues to address. [ABSTRACT FROM PUBLISHER]

Previous research has pointed to the potential of entertainment media as a source of informal sex education for young people. New social media may offer additional potential in this respect. In this paper, we consider the pedagogical possibilities and limitations of online fan forums, via a case study of the forums of the controversial British teen drama seriesSkins. We analyse discussions of the realism of the series' representation of teenage life, and of specific issues (virginity, attractiveness and gay sexuality). We compare participants' discussions of their own experiences – in a section of the forum entitled ‘advice on life’ – with their discussions of the series and the characters. We find that the presentation of issues to do with sexuality sometimes challenges young people to engage in debate, and to move beyond established discourses. However, the value of the series in this respect depends crucially on its ‘openness’ – that is, its avoidance of fixed moral positions – and on its perceived plausibility and authenticity. The forum emerges as a new space for non-formal, peer-to-peer education that has limitations as well as new pedagogical possibilities. [ABSTRACT FROM PUBLISHER]

In an attempt to resist moral panics over children's media consumption, and especially girls' consumption of hyper-sexualised popular media, this paper aims to offer a more positive account of popular culture and young children's, especially girls', engagement with it. By adopting a historical approach to modern childhood and the moral panics associated with it, I argue that the consumption of entertainment media and popular culture is a leisure activity which, rather than facilitating or reinforcing female subordination and youth vulnerability, can be seen as a possible source of knowledge about sexuality, about the self and the social world. I draw on findings from qualitative research conducted in Athens with young schoolgirls aged 10–12 years about their favourite popular icons in order to examine the variety of their engagements with, readings and practices of popular culture. Their discursive accounts reveal the intricate ways in which pre-teenage girls make sense of fandom and stardom, discuss taste, fashion and body aesthetics, and construct notions of attractiveness and ethical selfhood. [ABSTRACT FROM AUTHOR]

Adolescents are at increased risk of HIV and sexually transmitted infections (STIs) in the Southern states of the USA, where rates among youth are higher than in the rest of the nation. This paper reports on findings from a pilot study of an HIV prevention intervention that uses interactive theatre to educate young people about sexual health. The intervention was developed in Los Angeles and adapted for testing in the Southern USA, with its legacy of abstinence-based approaches to sexual health education. This study assessed intervention effects among a sample of young people in two public high schools in North Carolina. We used a pre-test, post-test quasi-experimental evaluation design to assess changes in 317 ninth-grade participants' knowledge and attitudes about HIV. At post-test, we found statistically significant increases in participants' HIV knowledge (t = 60.14;p = 0.001), as well as changes in attitudes (χ2 = 8.23;p = 0.042) and awareness (χ2 = 4.94;p = 0.026). Focus group data corroborated an increase in HIV knowledge and a reduction in HIV stigma as successful outcomes of intervention participation. The findings make an important contribution to the literature on theatre-based interventions for sexual health education. Furthermore, they highlight the importance of considering sociocultural and political context in implementing HIV prevention interventions in schools. [ABSTRACT FROM PUBLISHER]

A Family Life Education (FLE) curriculum was introduced in Fiji schools in 2010 in response to concern about increasing teenage pregnancies and young people's vulnerability to sexually transmitted infections and other health and social problems. However, conservative and suspicious parental attitudes towards FLE have been an obstacle. The need for an educational programme for parents to complement the FLE curriculum taught in schools is now urgent. This study examines parents' views on the sex and sexuality component of the FLE curriculum. Data were collected from 474 individuals using questionnaires, focus groups and face-to-face interviews. Participants represented different ethnic groups with Indigenous Fijians, women and Christians in the majority. The influence of the Christian religion on negative attitudes towards homosexuality and the use of protection is strong, as is parents' resistance to discussing sex education with their children. The paper concludes with suggestions on how to counter parents’ resistance to what they negatively perceive as Western or unbiblical ideas. [ABSTRACT FROM PUBLISHER]

Comprehending praxis is a critical step in developing interventions that can have a real-world impact on people's lives. In this paper, we reflect on the lessons learned in the development of a curriculum for young people living in informal settlements in eThekwini, who are exposed to numerous vulnerabilities, including HIV-related risks associated with precarious urban livelihoods. Behavioural interventions have not led to commensurate reductions in HIV incidence, and the impact of these approaches remains regulated by numerous contextual conditions affecting those participating. Our collaborative project tested the impact of implementing a combination of the well-tested gender transformation intervention, Stepping Stones, with a new livelihood transformation curriculum, Creating Futures, among young people in eThekwini's informal settlements. Creating Futures was grounded in the theory and practice of sustainable livelihoods, but equally in the experience of the multi-disciplinary project team members who have conducted both research and development work among youth in the eThekwini area. Our approach was founded on the work of Doug Kirby, and we are indebted to him for his inputs. His logical model approach ensured that the team remained orientated to specific curriculum outcomes. Analysis of the results at 12 months post-baseline indicates positive livelihood outcomes. [ABSTRACT FROM AUTHOR]

A literature search reveals minimal New Zealand and international research during the past 20 years with a specific focus on young bisexual women at school. This study addresses this paucity through acknowledgement of young bisexual women aged between 16 and 24 years and their experiences of being bisexual at secondary school in New Zealand. The study focuses on ways in which young bisexual women experience and negotiate teacher and student attitudes and practices in health classes that include sexuality education. A specific practice frames evidence from these experiences, this being societal misrecognition of the nature of bisexuality, or bisexual misrecognition. Bisexual theory and feminist qualitative methodology provide the study with a foundation for data gathering through focus groups, reflective journals and individual interviews with participants. Thematic analysis was applied to participants' responses, exposing their experiences at school of bi-misogyny and the ways in which their bisexuality is misrecognised and erased. Based on young bisexual women's narratives of their experiences in health education and sexuality education in New Zealand secondary schools, the study adds to the body of knowledge about this silenced minority. [ABSTRACT FROM AUTHOR]

Peer education is a widely used strategy in sexual reproductive health and rights (SRHR) programmes for young people, yet measurement of its effectiveness often focuses on a narrow set of outcomes. This qualitative study explored how peer education was integrated into the Get Up, Speak Out for Youth Rights! (GUSO) programme in Kisumu and Siaya Counties, Kenya and the contribution it made to measured and unmeasured outcomes. Findings indicate that whilst peer educators were a central part of the GUSO theory of change, the intentionality of design varied between partners and sites, and their contributions were formally measured only in relation to two of five outcome areas. In addition to their contributions to these measured outcomes, the study found that peer educators also contributed to a range of other, unmeasured outcomes related to community support and mobilisation; gender norms; and economic empowerment. Findings show that peer educators may contribute to many unmeasured – and sometimes unexpected – outcomes that go beyond traditional measurement of their contributions. These merit further exploration in the literature and in programming. Programme developers are encouraged to be more intentional in the design and measurement of peer education, ensuring that the breadth of its contribution to programming are recognised. [ABSTRACT FROM AUTHOR]

Despite rising rates of sexually transmitted infections (STIs) and inequitable access to education and services, few studies have addressed the unique sex education needs of newcomer youth in Canada and other increasingly demographically diverse Western countries. This study involved the design, implementation and evaluation of a novel and innovative participatory action research project, SExT: Sex Education by Theatre. SExT is a theatre-based, culturally empowering, peer education intervention piloted in a multicultural area of Toronto. Young people were trained as peer educators through participation in theatre-based workshops culminating in the performance of a new play for peers. Mixed methods evaluation involved surveys, focus groups, peer interviews and arts-based data collection. Paired-samples t-tests were conducted to investigate changes in sexual health self-efficacy (protection, STI/HIV testing, sexual limit-setting) over three time-points (pre, post, 4-month follow-up). Thematic analysis was used to gain a deeper understanding of outcomes. Quantitative analysis demonstrated significant improvements in outcome measures from pre– to post-intervention that were maintained at follow-up. Qualitative data indicated increased sexual health self-efficacy attributed to SExT. Pilot study findings suggest that SExT may serve as a model for sexual health interventions in areas populated by newcomer and other priority youth groups. [ABSTRACT FROM AUTHOR]

Increases in STD cases in Indiana communities have led to questions about the sexual health of adolescents. School-based sex education can help teenagers adopt healthy attitudes and behaviours. Effective sex education programmes should involve learning from adolescents and young people about their health needs. Student voice, however, is generally absent in curriculum development. This study explored rural young people aged 14–18 years' perceptions of current sex education; opinions about abstinence-only-until-marriage and comprehensive sex education (CSE) curricula; and preferences for future sex education development. Focus groups and surveys were used to elicit high school students' opinions. Constant comparative approach was used for data contextualisation and theme identification. Analysis revealed participants perceive that current sex education content does not relate to them; abstinence-only-until-marriage sex education is impractical either now or later; young people frequently resist abstinence-only-until-marriage education; students want information that helps keep them safe sexually. Taken together, study findings reveal ideal sex education curricula contain relevant, relatable and reliable information. Incorporating these '3Rs' can help students better engage with and apply sex education information. [ABSTRACT FROM AUTHOR]

Teenage pregnancy and child marriage continue to rise in Malawi despite the introduction of compulsory Life Skills education in primary schools in 2002. A qualitative approach, employing focus group discussions with participants was used to explore the barriers faced by teachers in delivering sexual and reproductive health education in primary schools in southern districts of Malawi. Pupils, teachers and parents from a total of 10 primary schools, seven in Mangochi and three in Zomba, were invited to participate in focus group discussions on barriers to sexual and reproductive health education. The teaching experience of teachers ranged from one to six years. Pupils were aged between 10 to 19 years while parents had to have a child learning sexual and reproductive health at school to participate. Thematic analysis revealed several barriers to delivering sexual and reproductive health education: over-emphasis on abstinence, an unconducive learning environment, existence of sexual practices linked to becoming of age rites, peer pressure, lack of sexual and reproductive health reinforcement by parents, and inadequate training for teachers. Policymakers and curriculum developers/implementers should create an approach which is inclusive of all stakeholders and able to provide young people with comprehensive sexuality education that is rights based and effective. [ABSTRACT FROM AUTHOR]

The provision of comprehensive sexuality education (CSE) accords opportunities for scientifically accurate information about sexual and reproductive health (SRH). We used a mixed-methods study to characterise adolescent SRH knowledge, attitudes and service utilisation experiences in the context of CSE implementation in Zambia. In-school young people aged 12–24 years (N = 1,612) in the North-Western Province were randomly surveyed. A 29-item index was constructed to measure alignment of knowledge, attitudes and values (KAV) with the CSE curriculum. Logistic regression, stratifying by sexual debut status, modelled associations of past-year HIV counselling and testing and family planning service access, respectively, with CSE-KAV index scores. Focus group discussions further explored perceptions of and experiences accessing SRH services. Despite moderate SRH knowledge and acceptability of SRH services, fewer than half of sexually experienced young people reported accessing SRH services. Among sexually experienced youth, neither HIV testing nor family planning service utilisation in the previous year were associated with higher CSE-KAV index scores. Salient barriers to SRH service uptake included limited perceived benefits, unsupportive household and community environments, and negative interactions with health providers. To increase accessibility and uptake of youth SRH services, linking school-based CSE to SRH services is recommended. [ABSTRACT FROM AUTHOR]

This article explores the schooling experiences of 12 fa'afāfine and fakaleiti who attended an all-boys faith-based secondary school in Aotearoa-New Zealand. Fa'afāfine are Samoan, and fakaleiti Tongans who are assigned male at birth, but enact varying degrees and types of behaviour deemed as feminine. There are currently no in-depth qualitative studies that examine the schooling experiences of these young people. Within the existing literature the experiences of fa'afāfine and fakaleiti are typically subsumed under the umbrella of transgender and/or non-binary students. This study examines participants' recollections of daily experiences of being fa'afāfine and fakaleiti at an all-boys school where any expression of femininity was frequently disallowed and denigrated. In this highly masculinised environment, participants describe the struggle to be 'like-women' and the cisgender discrimination they faced. Incidents of bullying, physical assault and marginalisation from teachers and students along with the pathologisation and erasure of their identities within school curricula and practices were daily occurrences. These accounts contribute to an emerging and broader picture of schools as cisgender spaces, in which educational structures and processes reinforce the idea there are only two genders, and that gender is based on sex assigned at birth. [ABSTRACT FROM AUTHOR]

Universities have implemented a range of education programmes to address the problem of sexual violence on campus. While these programmes can improve the attitudes and behaviours that contribute to rape culture, little is known about the factors influencing students' decisions to participate in such programmes. The aim of this study was to understand university students' decisions about attending sexual violence prevention workshops. Focus groups or individual interviews were conducted with 28 students at a university in Aotearoa/New Zealand who had attended a prevention workshop (n = 11) or who had had the opportunity to attend (n = 17). Thematic analysis was used to analyse the data with a focus on barriers to students' willingness to engage with sexual violence prevention education. Three themes were developed. Each theme concerned preconceived ideas about sexual violence that impacted students' perceptions of and willingness to engage in sexual violence prevention. The three barriers consisted of perceptions concerning the relevance of programmes, participants' perception that they already knew the content, and the impact of cultural ideas about gender and sexual violence. These findings have practical implications for the development and promotion of future campus sexual violence prevention programmes. [ABSTRACT FROM AUTHOR]

In Australia, school-based immunisation programmes (SBIP) provide Human Papillomavirus (HPV) vaccinations to secondary school students. However, despite such free programmes, around 20% of girls and 25% of boys do not complete all doses. This formative study identified barriers and enablers to vaccine completion. Online surveys were conducted with senior school administrators and nurses from Western Australian secondary schools across all three school sectors. Year 8 students participated in focus group discussions. Parents participated in one-on-one interviews (n = 22). Administrators were supportive of vaccination and the SBIP. Nurses and administrators perceived lack of parental awareness, issues around consent and school absenteeism as the main barriers to completion. Parent and student knowledge concerning HPV, the HPV vaccine and immunisation in general were low. Despite this, students and parents were supportive of the SBIP and wanted the opportunity to learn more about HPV, the vaccination and immunisation in general. There are opportunities for targeted school-based work to increase awareness and provision of consent. [ABSTRACT FROM AUTHOR]

Sexuality education in school is important for students' reproductive health; however, devising ways of tailoring it to the needs of a particular society can be challenging. We compared preferences for type of sexuality education in high schools and the level of knowledge of reproductive health among students, parents and teachers in Myanmar. A cross-sectional study was conducted in public high schools in Pyin Oo Lwin. Students, their parents and teachers were asked their preferences for sexuality education and their reproductive health knowledge. Focus group discussions were held to explore their insights on sexuality education for students. We found that 73% of students preferred comprehensive sex education whereas 62% and 56% of parents and teachers preferred an abstinence only approach, respectively. Reproductive health knowledge was low, particularly among students, and particularly with respect to knowledge of sexually transmitted infections. Cultural issues, training and manpower emerged as key themes from the focus groups. Over half of the students said that they were not receiving any form of sex education at school. Reproductive health knowledge was unsatisfactory among all participants reflecting the insufficiency of current sexuality education classes. Training and support for teachers should be provided. [ABSTRACT FROM AUTHOR]

In the USA, there has been a nationwide call for comprehensive sexual health education programs to be LGBTQ+-inclusive. The Chicago Public Schools (CPS) K-12 curriculum was intentionally designed to align with the National Sexuality Education Standards and to be inclusive of lesbian, gay, bisexual, transgender, and questioning as well as other (LGBTQ+) identities (Chicago Public Schools, 2013). This case study of CPS's policy and curriculum implementation, with a focus on 9th grade, examines the extent to which this curriculum is truly experienced as inclusive by students and teachers. Twenty-nine ninth grade sex education class-periods were observed in 4 schools, 12 teachers were interviewed and 5 student focus groups were conducted to assess perceptions of the nature of inclusivity of the curriculum and ongoing needs to ensure inclusivity going forward. Students wanted a more LGBTQ+-inclusive curriculum defined by 1) including identity topics integrated throughout the curriculum; 2) more holistic discussion of sexuality; 3) more information about identity development, and 4) the creation of a safe space through an accepting, non-judgmental tone from teachers. Implications for the sexual health education field as well as for the larger public health field are discussed. [ABSTRACT FROM AUTHOR]

This study presents findings from qualitative research conducted as part of the European Commission supported HOMBAT (Combating HOMophoBic And Transphobic bullying in schools) project in Cyprus. Thematic analysis was used to analyse extracts of interviews from three focus groups: two groups with professionals who work in primary and secondary education as teachers, school psychologists and school counsellors; and one group with parents and children attending primary and secondary education in Cyprus. Findings from the study reveal how homophobic and transphobic bullying is becoming more visible in schools and both school staff and children frequently witness incidents of bullying on the basis of differing sexual and gender identity/self-expression. Professionals report having a sense of powerlessness to combat homophobic and transphobic bullying within the school community. Implications for practice that link to school professionals' needs are explored and discussed. [ABSTRACT FROM AUTHOR]

The successful implementation of sexuality education policy for young people has been shown to depend on a sound legislative and institutional framework. This article shows that both institutional factors and contextual obstacles have impeded the implementation of sexuality education policy in Uganda. Qualitative research techniques were employed in the form of systematic document reviews and extensive field-work with 64 participants, of which 32 were in-depth interviews with policymakers and key stakeholders in Kampala and Mbarara districts. In addition, four focus group discussions (n = 32) were conducted with teachers. The analysis was carried out thematically and manually, using open and axial coding. It was found that policy success was primarily limited by two broad factors: firstly, by institutional weaknesses such as a lack of capacity, inadequate financial commitment, poor coordination between relevant ministries and ineffective monitoring, and regulatory frameworks; secondly, by social, cultural and religious norms that give informal power to religious and cultural leaders. Two strategies are suggested as potential ways forward: (i) a commitment to both the human and financial resources needed to monitor adolescent sexual, and reproductive health programmes, but more importantly (ii) the initiation of negotiations with cultural and religious leaders to yield more positive outcomes. [ABSTRACT FROM AUTHOR]

This article examines the legacy of Section 28 of the Local Government Act in England for LGBT+ school teachers between 1988 and the repeal of the Section in 2003. Section 28 stated that 'A local authority shall not – (a) intentionally promote homosexuality... (b) promote the teaching in any maintained school of the acceptability of homosexuality as a pretended family relationship'. A questionnaire examined the ways in which LGBT+ teachers in England experienced their work environments in 2017–18. The current perceptions of LGBT+ teachers who experienced Section 28 were compared with the perceptions of those LGBT+ teachers entering the profession after the repeal of Section 28 in 2003. Responses suggest that Section 28 continues to adversely affect the LGBT+ teachers who experienced it. These teachers are, in 2017–18, less open about their sexuality, unlikely to engage in the school community with their partner and more likely to see their teacher and sexual identities as incompatible. Whilst a climate of oppression, discrimination and harassment consistent at the time of Section 28 also played contributed to LGBT+ teachers' experiences, despite advances in equalities legislation those teaching during the Section 28 era are still deeply affected by their experiences. [ABSTRACT FROM AUTHOR]

Sex education takes place in a wide range of contexts including through the media. Media use among young men who have sex with men is high and gender identity and sexual orientation are topics often integrated into today's media. Little is known about young men who have sex with men's perceptions of how the media frames messages about gender identity and sexual orientation and the implications these messages have on HIV prevention. A greater understanding of young men who have sex with men's perceptions of media framing about gender identity and sexual orientation is needed to ensure prevention efforts reach those most impacted by HIV. Focus groups were conducted with forty-two African American men who have sex with men, aged 18–21, living in the Southeastern USA. Thematic analysis revealed that participants reported using the Internet and television to access gender identity and sexual orientation information. Participants felt that the media's framing of gender identity and sexual orientation only worsened HIV-related stigma and discrimination. Findings illustrate the important role that media can play in educating about gender identity and sexual orientation and the implications this framing has for HIV prevention. [ABSTRACT FROM AUTHOR]

Young people's sexual health is a significant concern to parents, educators, health professionals and policy makers in Canada. However, challenges exist with respect to the nature of school-based sexual health education content and mode of delivery. These include the lack of attention paid to the impact of gender ideologies on the development and expression of youth sexuality, and the tendency to exclude boys and young men by focusing primarily on the sexual and reproductive needs of girls and young women. This article discusses findings from a participant observation and focus group study conducted with the facilitators of WiseGuyz, a school-based sexual health and healthy relationship programme, which involves boys aged 13-15 years in Calgary, Alberta. Findings suggest that the process of facilitation is as important as curriculum content in securing positive outcomes for young men. Implications for school-based sexual health education and further research in this area are discussed. [ABSTRACT FROM AUTHOR]

This study aimed to explore how sex education in special schools in Sweden is influenced and challenged by the multicultural aspects of modern society. In particular, it sought to explore professionalls' experiences of sex education and of honour-related experiences among young people with intellectual disabilities. Data from five individual interviews and one focus groups with four professionals were thematically analysed using sexual scripts as a theoretical framework. The results reveal an ambivalent honour-related script geared toward pupils with intellectual disabilities from cultural backgrounds differing from those of the Swedish mainstream. The provision of sex education, including information about honour-related experiences, is especially important because of these young people's vulnerability; however, addressing the subject effectively is sensitive and complicated. Colleagues with different cultural backgrounds can act as 'culture bridges' for professionals who lack strategies, methods and materials. Increasing professionals' prerequisite qualifications (e.g. further education, supervision) and adopting autonomy-promoted conduct can empower pupils with intellectual disability to exercise autonomy over their sexuality outside their immediate cultural context. [ABSTRACT FROM AUTHOR]

The nature of sex/ualities, genders and schooling has changed considerably over the last 20 years, with global political, social and cultural shifts bringing the lives of queer youth to the fore. Trans youth are now more visible and various kinds of support groups in schools (such as diversity support groups, queer groups and gay-straight alliances) have emerged. This article reports on a critical ethnographic study conducted with queer youth in a co-educational secondary school in Auckland, Aotearoa/New Zealand. The focus of the research was on exploring how LGBTQ students actively negotiate their identities in school. A particular issue of interest was how gendered pronouns (s/he, him, her) are used (both in and outside of schools). We consider how the naming of pronouns both disrupts the articulation between sex, gender and sexuality and also reinforces stable gender identities and binaries. This opens up new possibilities for the trans students to identify but also works to reinforce hierarchies and power relations. We employ the theoretical tools of Foucault (power and resistance) and Butler (the heterosexual matrix, intelligible subjects and performativity) to conceptualise and interpret the power relations evident in trans students' experiences of using gender pronouns. [ABSTRACT FROM AUTHOR]

In primary schools in England, programmes of Sex and Relationships Education (SRE) are rare. Provision has been judged as requiring improvement in over one-third of these schools at a time when statutory provision has been mandated by the government. The aim of this study was to examine the early implementation of Spring Fever, a programme of primary school SRE, in terms of reach, fidelity, dose, recruitment and context. Data were collected through a teachers’ feedback form (n = 10), teachers’ focus group (n = 9); a parent diary (n = 7), parents’ interviews (n = 5), parent feedback (n = 41) and pupil feedback (n = 24). Reach was high with few pupils withdrawn. Fidelity to the lesson plans and achievement of learning objectives was high for most school years. Pupils enjoyed the programme and responded well. It was clear that learning had occurred but that pupils had been uncomfortable with some topics. Teachers were largely positive about the programme. Parents felt that it was age-appropriate, informative and handled sensitively. This is the first process evaluation of primary school SRE. Detailed descriptions of process evaluation are uncommon in the literature but this is vital for identifying issues pertinent to the future roll-out and evaluation of programmes. [ABSTRACT FROM PUBLISHER]