Sexualbehavior 160303172550 PDF

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ADOLESCENT

SEXUAL BEHAVIOR
Courtney Kallis
University of Mary
GATHERING DATA
RATES OF SEXUAL INTERCOURSE

United States North Dakota Bismarck/Mandan


46.8% 44.9% 41.9%
HIGH-RISK SEXUAL BEHAVIOR: TYPES

 Sexual activity at an early age


 Multiple partners
 Unprotected sexual intercourse (vaginal, anal, oral)
 “Sexting” inappropriate messages or pictures/videos
HIGH-RISK SEXUAL BEHAVIOR: RATES

Sexual Behavior Bismarck-Mandan


Percentage of students who have had four or more
sexual partners 12.3%
Percentage of students who used alcohol or drugs
prior to last sexual intercourse 21.4%
Percentage of students who did not use a condom
during last sexual intercourse 48.4%
North Dakota Youth Risk Behavior Survey, 2013 results
HIGH-RISK SEXUAL BEHAVIOR: DANGERS

 Unintended pregnancy
 STD/STI
 Dating violence
 Negative peer reactions
 Legal consequences
INFLUENCES ON SEXUAL BEHAVIOR

 Use of alcohol or other drugs


that impair judgment
 Peer norms
 Media
 Lack of sex education
 Brain development
INTERVENTION STRATEGIES

Preventative role
 Prevention/education program
Responsive role
 Crisis intervention services
 Small group counseling
 Referral
OUTCOMES OF SUCCESSFUL
INTERVENTION PROGRAMS

 Improve knowledge of sexual issues


 Improve ability to make decisions about sex
 Increase contraceptive use
OUTCOMES OF SUCCESSFUL
INTERVENTION PROGRAMS

 Improve personal values about sexuality


 Reduce number of sexual partners
 Delay first sexual intercourse
SELECTING AN INTERVENTION PROGRAM

1. Examine the data.


What are the needs of the students?
Which students are most at-risk?
SELECTING AN INTERVENTION PROGRAM

2. Evaluate current intervention strategies.


What are the strengths and deficiencies?
What are some alternative interventions?
What does the research support?
SELECTING AN INTERVENTION PROGRAM

3. Determine proper course of action.


What is the best intervention for our school?
How will we meet needs at each tier?
How can we monitor and improve?
COMPONENTS OF SUCCESSFUL
INTERVENTION PROGRAMS

 Supported by research
 Developmentally appropriate
 Widely implemented with success
EVIDENCE-BASED PREGNANCY
PREVENTION PROGRAMS
All4You! Making Proud Choices!
Be Proud! Be Responsible! Project IMAGE
Becoming a Responsible Teen (BART) Reducing the Risk
Draw the Line/Respect the Line Rikers Health Advocacy Program (RHAP)
Families Talking Together (FTT) Safer Choices
FOCUS Safer Sex
Heritage Keepers Abstinence Education SiHLE
HORIZONS STRIVE
It’s Your Game: Keep it Real (IYG) Teen Health Project
EVIDENCE-BASED HIV BEHAVIORAL
INTERVENTION PROGRAMS
Brief Alcohol Intervention for Needle Intensive AIDS Education
Exchangers (BRAINE)
LIFT
Brief Group Counseling
Preventing AIDS through Live Movement
Choosing Life: Empowerment, Actions, and Sound (PALMS)
Results (CLEAR)
REAL Men
Community Promise
Safe on the Outs
Familias Unidas
Safety Counts
Focus on Youth
Sisters Saving Sisters
Healthy Living Project (HLP)
Street Smart
Healthy Relationships
RESPONSIVE SERVICES

 Support and listening


 Skill building
 Health education
 Crisis intervention
 Referral
COMMUNITY RESOURCES

Abused Adult Resource Center


 Domestic violence services
 Sexual assault services
 Safe housing
First Choice Clinic in Bismarck
 Pregnancy testing and information
 STD testing and treatment
 Prenatal/parenting classes
 Community referrals
COMMUNITY RESOURCES

Catholic Family Services


 Adoption services
 Counseling
 Resource referral
Lutheran Social Services
 Child Care Aware program
 Adoption services
 Counseling
 Healthy Families program
REFERENCES
Besharov, D., Gardiner, K. (1997). Trends in teen sexual behavior. American Enterprise Institute Children and Youth Services Review, 19, 341-367.

Centers for Disease Control and Prevention. (n.d.) Adolescent and school health. Retrieved from http://www.cdc.gov/HealthyYouth/sexualbehaviors/

Centers for Disease Control and Prevention. (n.d.) Compendium of evidence-based HIV behavioral interventions. Retrieved from
http://www.cdc.gov/hiv/prevention/research/compendium/rr/complete.html

Division of Adolescent and School Health (2013). North Dakota 2013 high school youth risk behavior survey. Retrieved from
http://www.dpi.state.nd.us/health/yrbs/2013/2013_ND_High_School_Statewide_YRBS_Report.pdf

Knox, R. (2010). The teen brain: It’s just not grown up yet. National Public Radio. Retrieved from http://www.npr.org/templates/story/story.php?storyId=124119468

Martinez, G., Abma, J., Copen, C. (2010). Educating teenagers about sex in the United States. NCHS Data Brief, 44. Retrieved from http://www.cdc.gov/nchs/data/databriefs/db44.pdf

National Institutes of Health (2011). The teen brain: Still under construction. National Institute of Mental Health, 11-4929. Retrieved from
http://www.nimh.nih.gov/health/publications/the-teen-brain-still-under-construction/index.shtml

U.S. Department of Health & Human Services Office of Adolescent Health (n.d.). Evidence-Based Programs. Retrieved from
http://www.hhs.gov/ash/oah/oah-initiatives/teen_pregnancy/db/#.U_YM2Lkg-2I

Welti, K., Wildsmith, E., & Manlove, J. (2011). Trends and recent estimates: Contraceptive use among U.S. teens and young adults. Trends Child Research Brief, 23, 1-7.

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