Adolescent sexuality Q&A

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2.1
Averil Tam
Flashcards by Averil Tam, updated more than 1 year ago
Averil Tam
Created by Averil Tam over 6 years ago
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Question Answer
YES/NO 1. What is risky sexual behaviour in adolescence (behaviour that leads to unplanned pregnancy/ STI)? A. Same-sex sexual behaviour No
YES/NO 1. What is risky sexual behaviour in adolescence? B. Oral sex No, oral sex is common
YES/NO 1. What is risky sexual behaviour in adolescence? C. Any sexual experience before 15 years Yes, early age of FSI (median=16 yrs)
YES/NO 1. What is risky sexual behaviour in adolescence? D. Combined oral contraceptive pill for birth control Yes (?), not using long acting reversible contraceptives
YES/NO 1. What is risky sexual behaviour in adolescence? E. 2+ sexual partners in past 12 months Yes, higher number of sexual partners (2+ in past year)
YES/NO 2. 15 yo girl, sexually active. What questions are key to assessing for risk of unplanned pregnancy? A. At what age was first sexual experience? Yes, early FSI is one of the most important risk factors for early pregnancy
YES/NO 2. 15yo girl, sexually active. What questions are key to assessing for risk of unplanned pregnancy? B. Does she know how to prevent pregnancy? No, knowledge of contraception is helpful but does not on its own change behaviour. Long acting reversible contraceptives highly effective, but not always accepted.
YES/NO 2. 15yo girl, sexually active. What questions are key to assessing for risk of unplanned pregnancy? C. Is she using condoms? No, condom use is often not consistent
YES/NO 2. 15yo girl, sexually active. What questions are key to assessing for risk of unplanned pregnancy? D. Does she go to school every day? Yes, screen for all risk factors (demographics, risky behaviour, school etc)
YES/NO 2. 15yo girl, sexually active. What questions are key to assessing for risk of unplanned pregnancy? E. If she had a baby sometime soon, how would she feel? Yes, screen for all risk factors (demographics, risky behaviour, school etc)
YES/NO 3. What online behaviours are concerning? A. Teen sends a nude image of themselves to their partner Yes, Teens frequently send naked or flirtatious images to their partners, but this is against the law if they are minors, it may also have other adverse effects
YES/NO 3. What online behaviours are concerning? B. Teen who reports seeing sexually explicit on their newsfeed No, most teens will have seen sexually explicit material due to liking by friends (easily transmissible)
YES/NO 3. What online behaviours are concerning? C. Teen reports 2000+ friends on Facebook or Instagram, many they have never met No, many teens have 2000+ friends and will interact on social media with those they haven't met
YES/NO 3. What online behaviours are concerning? D. A teen reports flirting online with another teen they have not met No, flirting is common with online friends, age is important and meeting people who are not known
TRUE/FALSE 4a. Sex education increases the likelihood of initiating sexual activity False: Studies have shown that sex education does not increase the likelihood of initiating sexual activity.
TRUE/FALSE 4b. Adolescents who are sexually active are at high risk of acquiring a sexually transmitted illness, compared with the rest of the population True: Adolescents who are sexually active are at greater risk of STI (highest rates of Chlamydia in adolescents/young adults). Reasons - biological immaturity of the cervix, relationships of shorter duration with short gap between new partners, impulsivity, lack of planning and sexual agency.
TRUE/FALSE 4c. Adolescents who have social and cultural adversities may also be sexually more vulnerable than those without, and hence considered at sexual health risk True: Adolescents with social adversity (lower education/affluence, single parent household, poor educational achievement/school engagement) are linked to earlier age of first sexual intercourse, teenage pregnancy and other risk taking behaviour. Cultural contexts (indigenous identity) are linked to higher risk of STI and early pregnancy. Sexuality or gender diverse adolescents are often marginalised and victimised in schools/society leading to greater risk of mental health disorders, disengagement from school and homelessness, which can in turn increase the risk of sexual activity, along with many other health problems.
TRUE/FALSE 4d. Adolescents are generally poorly informed about sexually transmitted diseases False: Good knowledge about HIV but poorer with STIs. Generally know about contraception options via sexual health education at school (mandatory in all government schools). Other sources include the internet and parents. Doctor is most trusted source of information, value conversations about sexual health. Knowledge does not always link with behaviour - adolescents do not use information unless it is linked to their personal context. Eg. they know sex without a condom can transmit an infection but they do not think it could happen to them, especially if they are in a ‘serious’ relationship.
TRUE/FALSE 4e. Sexual identity is always consistent with sexual attraction and sexual experience, throughout life False: ~1% adolescents identify as not heterosexual but 10% report some attraction to the same sex. 3-4% of adults will identify as other than heterosexual in adulthood. Same sex attraction stays at ~10% throughout life (8% of males and 15% of females will have some same sex sexual experience). Non-heterosexual (gay, lesbian or bisexual) sexuality identity likely forms early in life but expression is influenced by feelings of sexual attraction, life experience and society’s attitudes and tolerance. While a consistent proportion of individuals report same sex sexual attraction over a lifetime, sexual attraction is considered a different self-concept than sexuality identity. Doctors should understand that normal human sexuality and behaviour is diverse and complex and does not always fit into socially constructed norms (or their own world view).
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