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In the USA, universities have recently developed policies and programmes on sexual consent education. But waiting until students enroll in higher education may be too late to begin this work. To examine the extent that K-12 health education standards promote sexual consent education, we conducted a pilot study and found that only two of eighteen states explicitly mentioned sexual consent in their health education standards. Using a small sample (n = 4 states), we then identified four themes as making implicit reference to sexual consent: communication skills, decision making, personal space and interpersonal relationships. Finally, in a robust sample (n = 18 states), we conducted a content analysis of published standards regarding these themes related to sexual consent. Our analysis suggests that sexual consent is likely not discussed in sex education at K-12 schools. We recommend the more explicit inclusion of sexual consent in health education curricula via the identified themes that already exist in most or all standards, emphasising the importance of teaching young people about the nuances of sexual consent and its communication before they become sexually active.

In response to evidence that one in five college women are sexually assaulted, institutions of higher education have started adopting affirmative consent policies. Affirmative consent must be voluntarily and explicitly communicated--verbally or nonverbally. A recently published article highlighted barriers to the success of affirmative consent initiatives at the intrapersonal level. To extend this discussion, we identified barriers at each level of the Social Ecological Model. In our commentary, we discuss social determinants that are particularly relevant for campus sexual assault. There are elements in young people's micro-, meso-, exo-, and macrosystems that hinder their adoption of affirmative consent practices. We focus on gender as an aspect of the macrosystem that is a formidable barrier to the success of affirmative consent initiatives, influencing each of the other levels. Finally, we discuss how sexuality education might begin to address the social determinants of sexual assault.

We investigated whether the context of first-time intercourse (FTI) was associated with internal consent feelings and external consent communication at FTI. College students (n = 1020) from universities in Canada and the United States retrospectively reported on their FTI. Using structural equation modeling, we found that the context of participants' FTI (e.g. age, contraceptive use) predicted their internal consent, which in turn predicted their external consent communication. Sexual health education should highlight these contextual correlates of sexual consent at FTI. Despite the cultural primacy of FTI, consent should also be prioritized for other early sexual experiences. [ABSTRACT FROM AUTHOR]

Even though young people report learning about sex from pornography, most do not think this sexual medium teaches them about sexual consent communication. But research shows that people are also able to evaluate pornography as consensual or not. Therefore, we proposed that pornography depicts subtle sexual scripts regarding sexual consent communication. We conducted a content analysis of 50 20-minute segments within best-selling pornographic films from 2015. We systematically coded the presence of various consent communication cues in these films. Consent communication was often depicted; nonverbal cues were more frequent than verbal cues. We found that the films either directly or indirectly supported several sexual scripts: Explicit Verbal Consent Isn't Natural, Women are Indirect/Men are Direct, Sex Can Happen Without Ongoing Communication, Lower-Order Behaviors Don't Need Explicit Consent, and People Receiving Sexual Behaviors Can Consent by Doing Nothing. Further research is needed to examine whether viewers are acquiring, activating, or applying these scripts. Sex education programs could benefit from acknowledging how consent communication is modeled in pornography and by teaching about pornography literacy. [ABSTRACT FROM AUTHOR]

Young adults have limited access to comprehensive sex education. As such, they may seek sexuality information through such alternative sources, such as mass media. Previous research suggests that media, including films and television shows, can influence sexual behaviors and attitudes. Because sexual consent communication is important to sexual experiences, the purpose of this study was to assess how sexual consent and refusal communication were depicted in films. We also examined contextual factors that influence consent and refusal communication, such as gender, relationship status, location, and types of sexual behaviors. Four researchers analyzed popular mainstream films (N = 50) from 2013 based on a codebook developed inductively and deductively. The most common consent and refusal communication cues were nonverbal or implicit. The majority of scenes portrayed consent immediately before sexual activity. We also conducted chi-squared analyses to assess differences in consent and refusal communication based on gender and relationship status. There were no gender differences in the portrayal of consent cues; however, characters in established relationships used nonverbal cues more often than those in novel relationships. Mass media can normalize behaviors, and our results suggest that films may further normalize nonverbal or implicit consent cues. [ABSTRACT FROM AUTHOR]