By Cody Sigel, MPH, CHES | May 19, 2016
Professional Development Consultant, ETR
The history of sex education in the United States is fraught with horror stories, from fear-based tactics to blatant misinformation. Sadly, ineffective sex education is not a thing of the past. A recent CDC report shows that most middle and high schools around the country are not implementing effective approaches to sexuality education. It’s no surprise that statistics about the impact of STDs on young people are discouraging.
What’s more discouraging perhaps is that we have answers and proven effective programs and strategies that we could use to bring about positive change. When it comes to framing our messaging around STD prevention with youth, we should be using research to guide us to results!
Let’s take a look at four educational strategies educators can easily apply. Trust the science and the behavior change theories of public health and we will see a difference!
Knowledge alone doesn’t change sexual risk behaviors among youth. To do this, we need to influence risk and protective factors. That includes having an impact on attitudes, beliefs, perceived susceptibility and severity, and self-efficacy.
Teaching every clinical detail about chlamydia will not lead to a change in condom use behavior among youth. Focusing on key concepts that can shape beliefs and attitudes about condoms will.
The human brain does not finish maturing until about age 25. The prefrontal cortex, the part of the brain that is responsible for complex and abstract thinking, is not fully developed in adolescents. This is why key concepts and concrete lessons need to be central in sexual health education for youth. And it’s why we need to repeat those key concepts—that helps them make a true imprint on the developing brain.
Many educators, when introducing STDs, review signs and symptoms in detail. However, many STDs have no signs or symptoms at all. Without symptoms, sexually active teens often do not realize they might have STD.
One of the most effective ways educators can help young people prevent STDs and HIV is to focus on the importance of testing. Research shows that educating young people about STDs and HIV can encourage them to seek testing. Programs are especially helpful when they include information on locations for obtaining free or low-cost teen-friendly STD testing.
Sometimes sexual health teachers show students graphic pictures of genitals showing lesions or other symptoms of STDs. This is an ineffective strategy for several reasons.
Inducing fear is not an effective way to promote sexual health risk reduction. Showing images of symptomatic genitals might lead some youth to believe that if their own genitals do not look like those shown in the image, they and their partner must not be infected with an STD.
For some students, these graphic and disturbing pictures are the first realistic images they have seen of genitals. This negative approach pathologizes sexual activity instead of promoting positive sexual health and personal responsibility.
One of the most effective actions sexually active youth can take to reduce their risk for STD infection is to correctly and consistently use condoms. Research shows that positive attitudes toward condoms are a protective factor that leads to reduced sexual activity and increased condom use. Further, condom use self-efficacy, or the confidence that one can use condoms correctly and consistently, is a protective factor that can encourage condom use.
Emphasizing these key concepts and messages can help all of us have a genuine impact with youth. Let’s use the research to make sure the classes we teach don’t end up in a sex ed horror story!
I’d love to hear what you do to communicate key concepts to youth in your classes and programs.
Cody Sigel, MPH, CHES, is a Professional Development Consultant with ETR. She can be reached at firstname.lastname@example.org