Pub Date : 2022-08-19DOI: 10.1080/15546128.2022.2111010
B. Unis, K. Bjuresäter, J. Nilsson
Abstract The aim of this grounded theory study was to explore late-adolescents’ process of sexual development along with their information- and support-seeking behaviors in a Swedish context. Data were collected in semi-structured interviews with late-adolescents aged between 18 and 21 years in high schools in central Sweden. The results showed that late-adolescents’ sexual development involved seeking for knowledge, discussing norms and attitudes, learning through interactions, and growing through practice and experience. Information- and support-seeking behaviors were observed throughout their developent. This study highlights that, in order to be able to provide adequate help and support, healthcare professionals need to have an awareness of the changing information and support needs of adolescents in our constantly changing and diverse society.
{"title":"The Interplay of Multiple Influences on the Development of Sexuality in Late-Adolescence—A Grounded Theory Study","authors":"B. Unis, K. Bjuresäter, J. Nilsson","doi":"10.1080/15546128.2022.2111010","DOIUrl":"https://doi.org/10.1080/15546128.2022.2111010","url":null,"abstract":"Abstract The aim of this grounded theory study was to explore late-adolescents’ process of sexual development along with their information- and support-seeking behaviors in a Swedish context. Data were collected in semi-structured interviews with late-adolescents aged between 18 and 21 years in high schools in central Sweden. The results showed that late-adolescents’ sexual development involved seeking for knowledge, discussing norms and attitudes, learning through interactions, and growing through practice and experience. Information- and support-seeking behaviors were observed throughout their developent. This study highlights that, in order to be able to provide adequate help and support, healthcare professionals need to have an awareness of the changing information and support needs of adolescents in our constantly changing and diverse society.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"459 - 483"},"PeriodicalIF":1.2,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44680343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-18DOI: 10.1080/15546128.2022.2111012
Gaia L. Zori, Sarah L. Collins, Ashby F. Walker
Abstract Internet-based platforms present vital new venues for sex education. However, research is limited on the ways adolescents utilize these resources, particularly within user-generated content contexts. This study assesses the sexual health content adolescents seek online through a qualitative, directed content analysis of 365 user-generated posts in an open sexual health community forum. An adapted version of the National Sex Education Standards, a comprehensive, evidence-based sexual health framework, was used as the schema for this data analysis. Collectively, our results highlight and confirm the importance of providing comprehensive, medically accurate sexual health information to adolescents. Our analysis further supports the need to provide information on pleasure in sexual health and well-being, as well as guidance on social and emotional aspects of sexual health, and for education to be supportive and inclusive of all individuals. Ultimately, our results can help guide effective public health interventions, including sex education efforts, aimed at promotion of adolescent sexual health by offering direct insight into adolescents’ perceived information needs.
{"title":"Online Sexual Health Information Seeking of Adolescents: A Content Analysis","authors":"Gaia L. Zori, Sarah L. Collins, Ashby F. Walker","doi":"10.1080/15546128.2022.2111012","DOIUrl":"https://doi.org/10.1080/15546128.2022.2111012","url":null,"abstract":"Abstract Internet-based platforms present vital new venues for sex education. However, research is limited on the ways adolescents utilize these resources, particularly within user-generated content contexts. This study assesses the sexual health content adolescents seek online through a qualitative, directed content analysis of 365 user-generated posts in an open sexual health community forum. An adapted version of the National Sex Education Standards, a comprehensive, evidence-based sexual health framework, was used as the schema for this data analysis. Collectively, our results highlight and confirm the importance of providing comprehensive, medically accurate sexual health information to adolescents. Our analysis further supports the need to provide information on pleasure in sexual health and well-being, as well as guidance on social and emotional aspects of sexual health, and for education to be supportive and inclusive of all individuals. Ultimately, our results can help guide effective public health interventions, including sex education efforts, aimed at promotion of adolescent sexual health by offering direct insight into adolescents’ perceived information needs.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"378 - 400"},"PeriodicalIF":1.2,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47837753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-20DOI: 10.1080/15546128.2022.2093808
J. Amo-Adjei, S. Caffe, Z. Simpson, Michelle Harris, V. Chandra-Mouli
Abstract The Women’s Center of Jamaica Foundation’s (WCJF) Programme for Adolescent Mothers)—has supported pregnant girls and adolescent mothers to have uninterrupted access to education and allied services since 1978. This paper analyzes the conception, establishment, scale up and sustainability of the Programme. The Programme evolved from a small, local initiative into a national and international model. Repeat pregnancy has remained under 2% among programme beneficiaries since inception. While the core package of interventions has remained for the past 40 years, some new dimensions have been added, with the most recent one being support for transition to higher education, all of which are aimed at strengthening the impact of the Programme. The achievements of the Programme were propelled prominently by a progressive national policy environment with the support of several non-state actors. The PAM demonstrates the value of sustained cross-sectoral support, spearheaded, or fully supported by the state in providing opportunities for adolescent mothers.
{"title":"“Second Chances” for Adolescent Mothers: Four Decades of Insights and Lessons on Effectiveness and Scale-up of Jamaica’s PAM","authors":"J. Amo-Adjei, S. Caffe, Z. Simpson, Michelle Harris, V. Chandra-Mouli","doi":"10.1080/15546128.2022.2093808","DOIUrl":"https://doi.org/10.1080/15546128.2022.2093808","url":null,"abstract":"Abstract The Women’s Center of Jamaica Foundation’s (WCJF) Programme for Adolescent Mothers)—has supported pregnant girls and adolescent mothers to have uninterrupted access to education and allied services since 1978. This paper analyzes the conception, establishment, scale up and sustainability of the Programme. The Programme evolved from a small, local initiative into a national and international model. Repeat pregnancy has remained under 2% among programme beneficiaries since inception. While the core package of interventions has remained for the past 40 years, some new dimensions have been added, with the most recent one being support for transition to higher education, all of which are aimed at strengthening the impact of the Programme. The achievements of the Programme were propelled prominently by a progressive national policy environment with the support of several non-state actors. The PAM demonstrates the value of sustained cross-sectoral support, spearheaded, or fully supported by the state in providing opportunities for adolescent mothers.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"318 - 351"},"PeriodicalIF":1.2,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48067157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-13DOI: 10.1080/15546128.2022.2096734
Encarnación Soriano-Ayala, María Bonillo Díaz, V. Cala
Abstract The objective of this study is to analyze the degree of sexualization observed in TikTok videos and to compare it with the narratives of young people about the social network. A mixed-methods research design was used combining (1) a quantitative observational study based on measuring indicators of sexualization in 648 videos published by the 12 TikTokers most followed in Spain and (2) a qualitative study with 12 in-depth interviews to TikTok users (6 male, 6 female) between 8 and 17 years old from Spain. The video analysis reveal hypersexualized behaviors in 10/12 accounts, without statistically significant gender differences. Narratives about the social network showed ambivalent ideas, considering it a fundamental space for fun and socialization while being aware of numerous risks and threats. Sexualization is described with the expression “being loose” and is recognized as an intrinsic characteristic of the network. The discourses on hypersexualization are markedly gendered, recognizing sexualization almost exclusively in women. Some young people perceive self-sexualization as a form of self-empowerment, while when they describe it in other women, it is penalized and negatively valued as a form of objectification that favors bullying. They also warn about its impact on self-esteem and mental health, especially in terms of those bodies that do not fit into body hierarchies. The climate of the network facilitates criticism and insult, the dissociation between the real and virtual self, and that public exposure increases their vulnerability. It is urgent to advance digital affective-sexual education that addresses these problems.
{"title":"TikTok and Child Hypersexualization: Analysis of Videos and Narratives of Minors","authors":"Encarnación Soriano-Ayala, María Bonillo Díaz, V. Cala","doi":"10.1080/15546128.2022.2096734","DOIUrl":"https://doi.org/10.1080/15546128.2022.2096734","url":null,"abstract":"Abstract The objective of this study is to analyze the degree of sexualization observed in TikTok videos and to compare it with the narratives of young people about the social network. A mixed-methods research design was used combining (1) a quantitative observational study based on measuring indicators of sexualization in 648 videos published by the 12 TikTokers most followed in Spain and (2) a qualitative study with 12 in-depth interviews to TikTok users (6 male, 6 female) between 8 and 17 years old from Spain. The video analysis reveal hypersexualized behaviors in 10/12 accounts, without statistically significant gender differences. Narratives about the social network showed ambivalent ideas, considering it a fundamental space for fun and socialization while being aware of numerous risks and threats. Sexualization is described with the expression “being loose” and is recognized as an intrinsic characteristic of the network. The discourses on hypersexualization are markedly gendered, recognizing sexualization almost exclusively in women. Some young people perceive self-sexualization as a form of self-empowerment, while when they describe it in other women, it is penalized and negatively valued as a form of objectification that favors bullying. They also warn about its impact on self-esteem and mental health, especially in terms of those bodies that do not fit into body hierarchies. The climate of the network facilitates criticism and insult, the dissociation between the real and virtual self, and that public exposure increases their vulnerability. It is urgent to advance digital affective-sexual education that addresses these problems.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"210 - 230"},"PeriodicalIF":1.2,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42682971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-12DOI: 10.1080/15546128.2022.2097145
Jenny Sperling
Abstract Adopting an ethnographic lens, readers are provided a look inside a California high school sexuality education classroom. On this chosen day, two invited guest speakers from an outside company are teaching students about pregnancy prevention, healthy relationships, and risks associated with having sex. Analysis of the guest speakers’ pedagogical strategies and accompanying curricula reveal exclusionary abstinence-only ideologies that provide students with limited and narrow constructions of commitment, romance, love, and sexuality. Although considered to be a comprehensive and inclusive sexuality education classroom space, content delivery strategically instills fear and disseminates misinformation. Through classroom observations and student interviews, findings highlight the need for increased attention to guest speakers’ involvement in sexuality education classrooms.
{"title":"Guest Speakers and Sexuality Education: An Ethnographic Look inside One California High School","authors":"Jenny Sperling","doi":"10.1080/15546128.2022.2097145","DOIUrl":"https://doi.org/10.1080/15546128.2022.2097145","url":null,"abstract":"Abstract Adopting an ethnographic lens, readers are provided a look inside a California high school sexuality education classroom. On this chosen day, two invited guest speakers from an outside company are teaching students about pregnancy prevention, healthy relationships, and risks associated with having sex. Analysis of the guest speakers’ pedagogical strategies and accompanying curricula reveal exclusionary abstinence-only ideologies that provide students with limited and narrow constructions of commitment, romance, love, and sexuality. Although considered to be a comprehensive and inclusive sexuality education classroom space, content delivery strategically instills fear and disseminates misinformation. Through classroom observations and student interviews, findings highlight the need for increased attention to guest speakers’ involvement in sexuality education classrooms.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"261 - 281"},"PeriodicalIF":1.2,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47273153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-10DOI: 10.1080/15546128.2022.2096163
Amy J. Peterson, Gillian K. Silver, Heather Bell, Stephanie Guinosso, K. Coyle
Abstract This synthesis of 30 qualitative studies examined young people’s views on pornography related to their sexual health. Synthesis revealed pornography use is considered normal by young people, reinforced by its usefulness as a tool for pleasure, information, and instruction in the absence of sufficient sexuality education. However, youth can become distressed by misogynistic, racist, homophobic, transphobic, or violent pornography content. Youth lack spaces to discuss pornography with trusted adults, leaving them to manage their use without support and potentially leading to harmful attitudes and unrealistic expectations about sex. Implications include the need for additional research and increased access to inclusive sexuality education.
{"title":"Young People’s Views on Pornography and Their Sexual Development, Attitudes, and Behaviors: A Systematic Review and Synthesis of Qualitative Research","authors":"Amy J. Peterson, Gillian K. Silver, Heather Bell, Stephanie Guinosso, K. Coyle","doi":"10.1080/15546128.2022.2096163","DOIUrl":"https://doi.org/10.1080/15546128.2022.2096163","url":null,"abstract":"Abstract This synthesis of 30 qualitative studies examined young people’s views on pornography related to their sexual health. Synthesis revealed pornography use is considered normal by young people, reinforced by its usefulness as a tool for pleasure, information, and instruction in the absence of sufficient sexuality education. However, youth can become distressed by misogynistic, racist, homophobic, transphobic, or violent pornography content. Youth lack spaces to discuss pornography with trusted adults, leaving them to manage their use without support and potentially leading to harmful attitudes and unrealistic expectations about sex. Implications include the need for additional research and increased access to inclusive sexuality education.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"171 - 209"},"PeriodicalIF":1.2,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43478637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-04DOI: 10.1080/15546128.2022.2095315
Monica St. George, Danielle R. M. Niemela, R. Zeglin
Abstract Suicide continues to be a considerable health risk among adolescents and is the second leading cause of death among adolescents between the ages of 10 and 24. Middle school-aged adolescents may be at a heightened risk for suicide, as middle school can be rife with intrapersonal and interpersonal stressors. One such stressor may be sexual activity and navigating sexual relationships. Past research has shown that parents can play an important role in helping adolescents cope with stressors at this age, but there is no identified research assessing whether parental conversations about sex are associated with suicidality among adolescents. The current study addressed this gap via secondary data analysis using logistic regression with a sample of 3,568 middle school students (mean age = 12.74; SD = 1.08). Results suggest that parental conversations about sex are a significant protective factor against suicidality, but only among adolescents who report having engaged in sexual activity.
{"title":"Parents Talking to Middle School Children about Sex: A Protective Factor against Suicide in Sexually Active Teens","authors":"Monica St. George, Danielle R. M. Niemela, R. Zeglin","doi":"10.1080/15546128.2022.2095315","DOIUrl":"https://doi.org/10.1080/15546128.2022.2095315","url":null,"abstract":"Abstract Suicide continues to be a considerable health risk among adolescents and is the second leading cause of death among adolescents between the ages of 10 and 24. Middle school-aged adolescents may be at a heightened risk for suicide, as middle school can be rife with intrapersonal and interpersonal stressors. One such stressor may be sexual activity and navigating sexual relationships. Past research has shown that parents can play an important role in helping adolescents cope with stressors at this age, but there is no identified research assessing whether parental conversations about sex are associated with suicidality among adolescents. The current study addressed this gap via secondary data analysis using logistic regression with a sample of 3,568 middle school students (mean age = 12.74; SD = 1.08). Results suggest that parental conversations about sex are a significant protective factor against suicidality, but only among adolescents who report having engaged in sexual activity.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"282 - 299"},"PeriodicalIF":1.2,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48240419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-25DOI: 10.1080/15546128.2022.2082616
P. Tavrow, Lauren Schenker, M. R. Johnson
Abstract In the past decade, several states have introduced comprehensive sexuality education standards for public schools, but the impact is unknown because mechanisms to monitor adherence and improve quality have been lacking. In this study, we pilot-tested an approach for high school students to assess sexuality education standards mandated by the California Healthy Youth Act. We introduced a 15-minute online survey administered at the conclusion of sexuality education instruction. Results from thirteen Los Angeles high schools indicated that the approach was acceptable, feasible, and valid. It provided actionable data about which standards were being followed and whether the classroom environment was conducive to learning.
{"title":"A Student-Centered Approach for Assessing Sexuality Education in the Classroom","authors":"P. Tavrow, Lauren Schenker, M. R. Johnson","doi":"10.1080/15546128.2022.2082616","DOIUrl":"https://doi.org/10.1080/15546128.2022.2082616","url":null,"abstract":"Abstract In the past decade, several states have introduced comprehensive sexuality education standards for public schools, but the impact is unknown because mechanisms to monitor adherence and improve quality have been lacking. In this study, we pilot-tested an approach for high school students to assess sexuality education standards mandated by the California Healthy Youth Act. We introduced a 15-minute online survey administered at the conclusion of sexuality education instruction. Results from thirteen Los Angeles high schools indicated that the approach was acceptable, feasible, and valid. It provided actionable data about which standards were being followed and whether the classroom environment was conducive to learning.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"1 - 23"},"PeriodicalIF":1.2,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45678712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-23DOI: 10.1080/15546128.2022.2086655
Ozlem Karatana, A. Ergun, Saime Erol
Abstract College women are at more risk in terms of sexual behavior than male students. This study was carried out to determine the effect of the transtheoretical model-based Healthy Youth Program on college women's sexual health knowledge and behaviors. The sample of the study, which was conducted with a one-group pretest-posttest quasi-experimental design, consisted of 207 first-year college women. It was determined that the Healthy Youth Program was effective in improving the sexual health knowledge and behaviors of college women. It can be used as a guide in sexual health education in colleges.
{"title":"The Effect of the Transtheoretical Model-Based Healthy Youth Program on Sexual Health Knowledge and Behavior of College Women","authors":"Ozlem Karatana, A. Ergun, Saime Erol","doi":"10.1080/15546128.2022.2086655","DOIUrl":"https://doi.org/10.1080/15546128.2022.2086655","url":null,"abstract":"Abstract College women are at more risk in terms of sexual behavior than male students. This study was carried out to determine the effect of the transtheoretical model-based Healthy Youth Program on college women's sexual health knowledge and behaviors. The sample of the study, which was conducted with a one-group pretest-posttest quasi-experimental design, consisted of 207 first-year college women. It was determined that the Healthy Youth Program was effective in improving the sexual health knowledge and behaviors of college women. It can be used as a guide in sexual health education in colleges.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"300 - 317"},"PeriodicalIF":1.2,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47175313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-15DOI: 10.1080/15546128.2022.2087815
J. Liddell, Juliet Herzberg
Abstract Native American groups in the United States experience extensive sexual and reproductive health disparities. However, the sexual health education and communication experiences of Native American groups are understudied. Thirty-one interviews were conducted with Native American women in the United States’ Gulf Coast about their sexual and reproductive health experiences. Women reported the following themes: (a) Lack of Formal Sex Education; (b) Young Pregnancy; (c) Lack of Knowledge about HIV/STDs; (d) Lack of Communication about Menstruation; (e) Communication Experiences about Sexual and Reproductive Health; and (f) Stigma Around Discussing Sexual and Reproductive Topics. The findings of this research indicate that there are gaps in sexual health education and highlight the ways female tribal members act as health leaders in their communities.
{"title":"“They Didn’t Talk About Stuff like That”: Sexual Health Education Experiences of a Native American Tribe in the Gulf Coast","authors":"J. Liddell, Juliet Herzberg","doi":"10.1080/15546128.2022.2087815","DOIUrl":"https://doi.org/10.1080/15546128.2022.2087815","url":null,"abstract":"Abstract Native American groups in the United States experience extensive sexual and reproductive health disparities. However, the sexual health education and communication experiences of Native American groups are understudied. Thirty-one interviews were conducted with Native American women in the United States’ Gulf Coast about their sexual and reproductive health experiences. Women reported the following themes: (a) Lack of Formal Sex Education; (b) Young Pregnancy; (c) Lack of Knowledge about HIV/STDs; (d) Lack of Communication about Menstruation; (e) Communication Experiences about Sexual and Reproductive Health; and (f) Stigma Around Discussing Sexual and Reproductive Topics. The findings of this research indicate that there are gaps in sexual health education and highlight the ways female tribal members act as health leaders in their communities.","PeriodicalId":45712,"journal":{"name":"American Journal of Sexuality Education","volume":"18 1","pages":"231 - 260"},"PeriodicalIF":1.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42735751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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