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These can then be built upon gradually, in line with the age and stage of development of the child.
This policy brief presents the available
evidence describing the hard and
soft aspects of sexuality education.
At the same time, the authors recog
nize that the impact of soft aspects
of sexuality education have not been
sufficiently studied to date.2
Awareness
of human rights
Critical
Respect,
Gender
Skills
thinking
Skills
equality
Confidence
Parent-child
and self-esteem
communication
in contraceptive use
Girls
Girls
Condom
Pill or other forms of contraceptives
Pill and condom
Boys
100
80
92%
92%
80%
100
80
71%
74%
63.1%
60
Boys
Condom
Pill or other forms of contraceptives
Pill and condom
60
40
40
20
20
74%
58%
54.4%
50%
41%
34%
24%
18.3%
15.9%
1980
2010
1995
2011
Figure 2: Contraceptive method at first intercourse in the Netherlands in 1995 and 201112,13
Young people using no contraceptive have been excluded from this table
DECLINE IN TEENAGE
PREGNANCY RATES
Sexuality education is thought to decrease teenage pregnancy rates because of the specific knowledge it imparts about contraception including
condoms, positive attitudes and intention to use contraception, self-efficacy
in using contraception, negotiation
skills when a partner refuses to use a
condom, ability to seek contraceptive
services and counselling, and more.
In Finland, school-based sexuality
education and sexual and reproductive health services for young people
were introduced in 1990, leading to an
immediate decrease in teenage pregnancy rates. However, owing to
budget constraints, both programmes were drastically reduced in
the period 19982006. This had an im-
Abortions
30
27,5
25
Sexuality
education and
health services
developed
Sexuality
education and
health services
were reduced
Sexuality
education
developed again
20
16,4
15
8,5
10,7
12,1
10
5
0
75 80 85 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10
Figure 3: Abortions and deliveries in 1519-year-old girls (per 1000), Finland, 19752010
1519 years
2024 years
2000
1800
1600
1400
STI cases
Deliveries
1200
1000
800
600
400
200
0
2001
2002
2003
2004
2005
2006
2007
2008
2009
Figure 4: Decline in registered cases of three STIs (Chlamydia, gonorrhoea and syphilis),
Estonia, 20012009
Data source: Murd, M. and A. Trummal. 2010. HIV ja seotud nakkused arvudes 2009. aasta seisuga
[HIV and related infections in numbers in 2009]. Tallinn, National Institute for Health Development.
REFERENCES
1. WHO Regional Office for Europe and BZgA. 2010. Standards for Sexuality
Education in Europe: A framework for policy makers, education and health
authorities and specialists. Cologne, BZgA.
2. Ketting, E., M. Friele, K. Michielsen. 2015. Evaluation of holistic sexuality
education: a European Expert Group consensus agreement. European
Journal of Contraception and Reproductive Health Care, 29 May: 113.
[Epub ahead of print].
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