School Based Sexuality Education – A Review Of Literature
Author(s):
Line Anne Roien (presenting / submitting) Venka Simovska
Conference:
ECER 2015
Format:
Paper

Session Information

08 SES 09 A, Sexuality Education: Human Rights and Inclusion Perspectives

Paper Session

Time:
2015-09-10
11:00-12:30
Room:
108.Oktatóterem [C]
Chair:
Kirsi Bykachev

Contribution

Sexuality education crosses the boundary between education and health promotion in schools and raises complex policy, research and practice related debates (Simovska and Kane, 2015; Monk, 2001). Although the name, aims and content differs, sexuality education is mandatory in practically all European countries (Parker et al. 2009). In 1955 Sweden was the first country in Europe to establish compulsory sexuality education in all schools, followed in 1970 by Denmark, Finland and Czech Republic.

In general, the prevailing rationale behind sexuality education derives from a traditional public health perspective focusing on preventing risk behaviors leading to sexually transmitted infections, unwanted pregnancies and sexual violence (UNESCO 2009; WHO & BZgA 2010). Whilst lot of research has been carried out on the possible preventive effects of sexuality education (e.g. Kirby & Coyle, 1997), little attention has been paid to positive perspectives focusing on sexual wellbeing and/or critical health education including new forms of families and relationships, identity, and human rights (Ingham & Hirst 2010; McNamara et al 2010; Hirst 2013; Simovska and Kane, 2015).

European children and adolescents of today grow up in a time where rapid changes in late-modern family structures, relationships, body culture and expressions of gender and sexuality may impact significantly on their lives and general wellbeing (Bauman 1996; 2003; Giddens 1992). In this perspective, it can be argued that sexuality education is not just to be considered a prescribed topic taught in specific lessons and aimed at physical health promotion. Rather, sexuality education has the potential of being an educational practice permeating all aspects of school culture, aimed at intricate processes of qualification, socialization and subjectification (Biesta 2006; 2011). In this perspective sexuality education becomes an important arena for Bildung (Klafki 2001) and, as such, it contributes to the personal and social development of children and adolescents on matters related to sexuality, intimacy, social interactions, emotions and gender as well as sexual rights, identities and societal challenges related to these.

Against this background, in this presentation we aim to discuss selected challenges concerning school based sexuality education, emerging from a systematic literature review. The review is guided by the following three sets of questions:

1) How is sexuality education in schools framed within research in general? Which methodological, discursive, theoretical and analytical perspectives prevail?

2) Specifically, what are the research questions, methodologies and analytical frameworks of studies within the discourse of critical health education and sexual wellbeing?

3) What is absent in the sexuality education research within the critical discourse? What are the questions which are not asked, methodologies and analytical frameworks that are lacking?

The positive focus on sexual wellbeing and the principles of critical health education is conceptualized following the general paradigm of the Health Promoting Schools approach, known in Europe as “Schools for Health” (e.g. Buijs, 2009; Simovska & McNamara, 2015). Although the health promoting schools do not focus exclusively on sexual health, the critical approach to health promotion -conceptualizing health in a socio-ecological manner, emphasizing wellbeing and the social determinants of health as well as placing empowerment and action competence development ahead of behavior modification - is considered highly relevant for the research and practice related to sexuality education in schools.

Method

A combination of database search, hand-search of key journals and checking the reference list in selected papers was used. We searched keywords, titles and abstracts in major bibliographic databases in English, German, Danish, Swedish or Norwegian published between January 2000 and January 2015 and reporting on sexuality education in a school setting targeted a population of children and adolescents aged 6-16. We searched the following databases: (a) International: ERIC, PubMed, PsycINFO, (b) Nordic: Libris, SwePub, BIBSYS and (c) German: Fis-Bildung. The following combinations of keywords were used (in English, Danish [Scandinavian] and German): children OR adolescents AND schools AND sex education OR sexuality education OR relationships education OR health education OR health promoting, OR health promotion OR sexuality OR sexual health. We included studies using quantitative and/or qualitative methods. The quality of the studies was evaluated on the basis of the clarity and relevance of the research question, the empirical design, data generation and analytical strategies, ethical issues and reflexivity. Using a structured form, data was extracted from the selected articles on the basis of the research questions. The extracted data was analysed first inductively, to respond to research question 1, and then in more details (responding to questions 2 and 3) by combining inductive and deductive, theoretically informed analysis and discussion. As mentioned earlier, the theoretical framework is the critical health education and health promotion theory (Green and Tones, 2010; Simovska & McNamara, 2015) and the more general educational theorizing on the purposes of education beyond behavior regulation and socialization (Biesta, 2006; 2011; 2014).

Expected Outcomes

At the time of writing this abstract, the findings are still preliminary and focused on research question 1. We expect to present findings on all three questions at the conference. Regarding question 1, the literature review shows that the majority of sexuality education research is framed in a narrow and preventive perspective focusing primarily on the effects of school based interventions on the sexual behavior of the pupils. The wider perspectives on sexuality and society, as well as children’s and young people’s competences in this respect, are scarce. Furthermore, the majority of the studies describe sexuality education targeted at adolescents, suggesting that the topic is seen primarily as a relevant issue for the older age groups in schools while children at a younger age are underrepresented in research. Educational dilemmas related to sexuality education such as curriculum content, aims, learning and teaching strategies, classroom environment conducive to discussing sensitive and private issues, teacher’s competences, as well as attitudes and values etc. seem to be under researched. Based on the review at this moment we can conclude that there is a need to investigate school based sexuality education in a wider educational perspective, perhaps including but not limited to risk prevention. The next phase in the review, and the analysis of the studies specifically focusing on these wider perspectives, will help nuance these conclusions, identify specific gaps in research and discuss challenges and ways forward.

References

Bauman, Z. (1996). Postmodern ethics. Oxford: Blackwell Publishers Bauman, Z. (2003). Liquid Love: On the Frailty of Human Bonds. Cambridge: Polity Biesta, G.J.J. (2006). Beyond learning. Democratic education for a human future. Boulder, Co.: Paradigm Publishers Biesta, G.J.J. (2011). Learning democracy in school and society: Education, lifelong learning and the politics of citizenship. Rotterdam: Sense Publishers Biesta. G.J.J. (2014). The beautiful risk of education. Boulder, Co: Paradigm Publishers Buijs, G.J. (2009). Better schools through health: networking for health promoting schools in Europe. European Journal of Education, Vol. 44, No. 4, 2009, Part 1 Giddens, A. (1992). The Transformation of Intimacy. Sexuality, Love, and Eroticism in Modern Societies. Palo Alto: Stanford University Press Green, J. & Tones, T. (2010). Health Promotion: Planning and Strategies (2nd edition). Sage Hirst, J. (2013). It’s got to be about enjoying yourself: young people, sexual pleasure, and sex and relationships education. Sex Education, vol. 13, Issue 4, pp. 423-436 Ingham, R. & Hirst, J. (2010).Promoting Sexual Health in: Aggleton, P., Dennison, C. & Warwick, I. Promoting Health and Well-being through Schools, Abingdon, Oxon: Routledge, pp. 99-118. Kirby, D. & Coyle, K. (1997). School-based Programs to Reduce Sexual Risk-taking Behavior. Children and Youth Services Review, vol. 19, 5/6, pp. 415-346 Klafki, W. (2001). Dannelsesteori og didaktik – nye studier (in Danish).Theory of Bildung and didactics – new studies. Århus: Forlaget Klim McNamara, P. M., Geary, T. & Jourdan, D. (2010). Gender implications of the teaching of relationship and sexuality education for health-promoting schools. Health Promotion International, vol. 26, 2, pp. 230-237 Monk, D. (2001). New guidance/old problems: recent developments in sex education. Journal of Social Welfare and Family Law, Vol. 23, No. 3, pp. 271-291 Parker, Rachel; Wellings Kaye & Lazarus, Jeffrey V. (2009). Sexuality education in Europe: an overview of current policies, Sex Education: Sexuality, Society and Learning, 9:3, pp. 227-242 Simovska, V. & Kane, R. (2015). Sexuality education in different contexts: limitations and possibilities, Health Education, Vol. 115, Iss 1, pp 2-6 Simovska, V. & McNamara, P.M. (2015). Schools for health and sustainability: theory, research and practice. Dordrecht: Springer UNESCO (2009). International Guidelines on Sexuality Education. An evidence informed approach to effective sex, relationships and HIV/STI education. Paris: UNESCO WHO & BZgA (2010). Standards for Sexuality Education in Europe. A framework for policy makers, educational and health authorities and specialists. Cologne: Federal Centre for Health Education, BZgA

Author Information

Line Anne Roien (presenting / submitting)
Aarhus University
Department of Education
Copenhagen NV
Department of Education, Aarhus University, Denmark

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