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Sex education: The case for primary prevention and peer education

机译：性教育：初级预防和同伴教育的案例

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With UK adolescent sexual health the worst in Europe, this paper outlines the political, cultural and educational barriers to effective primary prevention. World literature and UK research has demonstrated that there are solutions, but suggests a more radical and urgent approach than the British government is prepared to adopt. Behaviourally effective interventions which delay onset of first intercourse and reduce other sexual risk-taking behaviour amongst adolescents run counter to the educational orthodoxy in UK schools. Effective interventions are theory and evidence-based and, in the particular context of the UK, may require a peer education component. Peers can provide opportunities for learners to experience role-plays which both model and stimulate the rehearsal of skills necessary for successful and "safer" teenage relationship. The APAUSE sex education programme based in the Peninsula Medical School, Universities of Exeter and Plymouth has successfully pioneered a script-based approach to enabling effective peer education. The paper concludes that such approaches urgently need further investigation. Once sexual intercourse below the age of sixteen becomes a social reality for the majority, the pressure to be part of that "normative" expectation becomes increasingly difficult for adolescents to resist resulting in serious long term health consequences.
机译：由于英国的青少年性健康状况在欧洲最为严重，因此本文概述了有效的一级预防的政治，文化和教育障碍。世界文学和英国的研究表明，有解决方案，但提出了比英国政府准备采用的更为激进和紧迫的方法。行为有效的干预措施会延迟初次性交的发生并减少青少年中的其他性冒险行为，这与英国学校的正统教育背道而驰。有效的干预措施是基于理论和证据的，在英国的特定情况下，可能需要同伴教育。同伴可以为学习者提供机会来体验角色扮演，这些角色扮演既可以模仿也可以激发成功和“更安全”的青少年关系所必需的技能的排练。设在半岛医学院，埃克塞特大学和普利茅斯大学的APAUSE性教育计划已成功率先采用基于脚本的方法来实现有效的同伴教育。本文的结论是，这种方法迫切需要进一步研究。对于大多数人来说，一旦16岁以下的性交成为一种社会现实，成为该“规范”期望一部分的压力就变得越来越难以为青少年所抵触，从而导致严重的长期健康后果。

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