Asia-Pacific E-Journal of Health Social Science https://sites.google.com/site/asiapacificejournalofhss/. June 2012. Volume 1, Number 1. All rights reserved. ISSN 2244-0240 Research Article Sexuality Education in Grade School: Are Parents Receptive and Are Teachers Ready? Margareth A. Cabreros Department of Behavioral Sciences, College of Arts and Sciences, University of the Philippines, Manila, megcabreros@gmail.com This study assessed the level of receptiveness of parents and the level of readiness of teachers and the associations of these levels with socio-demographic characteristics. Attitude towards sexuality education was also examined. Using a self-administered questionnaire, a survey was undertaken among 104 parents and 104 teachers from 5 selected grade schools in Metro Manila, the Philippines. Descriptive and correlation analyses were performed. The overwhelming majority of parents and teachers viewed sexuality education positively. For example, most (72% of parents and 86% of teachers) agreed that sexuality education is an important subject for school children; and 55% of parents and 70% of teachers agreed that it should be implemented in school. Both parents and teachers were found to have a moderate to high level of receptiveness and readiness, respectively, with no apparent differences based on gender. Income level was associated with the level of receptiveness of parents, while age, civil status and type of school were associated or had significant trends with the level of teacher readiness. KEYWORDS: sexuality education, parents, teachers, readiness, receptiveness, Philippines INTRODUCTION The Philippine population has risen steadily. In 2010, the country’s population was estimated at 97. 9 m il li on ( annual growth rate: 1.97%). In terms of fertility rate, 3 children are born to every woman (Central Intelligence Agency, 2010). On average, six children are born to women belonging to lower socio-economic groups (National Statistics Office, 2006). lack of accurate knowledge stemming from having limited access to sexual and reproductive health services can be rectified. The Filipino youth need sound and accurate information to protect themselves from early sexual activity, early marriage, unwanted pregnancies, STI gender-based violence, and risky social behaviors (UNICEF, 2012). The population of the Philippines is young—more than a fifth are aged 15-24 years (UNICEF, 2012). Prevalence of premarital sexual activity among this group increased from 18% in 1994 to 23% in 2002 (UNICEF, 2012). Recently, there is much concern about the number of sexually transmitted infections (STI) among the youth (Lentzner & Pamuk, 2002). Over three years, a 10-fold increase in STI among the 15-24 age group was reported—41 cases in 2007 to 489 in 2010 (DOH, 2010). UNICEF (2012) explained that their infections are due to their sexual activity, coupled with their lack of awareness of these diseases and of preventive measures, such as condom use. Along with STI, unintended and unwanted pregnancies that often result in illegal and unsafe abortions (Lentzner & Pamuk, 2002) are also common among local adolescents. At least 6.3% of those aged 15-19 have already begun childbearing (DOH, 2010). Sexuality education is the process of acquiring information and forming attitudes and beliefs about sex, sexual identity, relationships and intimacy (Avert, 2009). It includes developing young people's skills so that they make informed choices about their behavior, and they feel confident and competent about acting on these choices; that is, able to distinguish accurate from inaccurate information, and to discuss a range of moral and social issues on sex and sexuality, including sexuality, pregnancy, contraception, abortion and STI (Avert, 2009). In various parts of the world, sexuality education is seen as a solution to addressing young people’s sexual activity and its lifelong consequences (Ortuoste, 2010). With sexuality education, the Evidence shows that comprehensive sexuality education can assist young people in their transition from adolescence to adulthood (Boonstra, 2007). However, despite the clear and pressing need for effective school-based sexuality education, the intervention is seldom, or only weakly, implemented. Some sectors oppose the move due to their limited knowledge about the nature, purpose and effects of sexuality education, and to their reluctance brought about by their lack of confidence and skills to carry it out (UNESCO, 2009). 1 Asia-Pacific E-Journal of Health Social Science: Sexuality Education in Grade School: Are Parents Receptive and Are Teachers Ready? Finger (2000) and Haignere & Culhane (1996) agreed that a successful sexuality education program rests on the expertise of the teachers—their knowledge, skills and attitudes would help determine adolescent responses and actions. However, despite the availability of comprehensive sexuality education programs, such as in the United States, teaching sexual health in schools has been inadequate. For one, teachers are insufficiently informed of and hesitant to handle sexuality education (Westwood & Mullan, 2007; Klitsch, 1993). education of grade school pupils, in and out of the school premises, the government has to probe and understand basic issues. Are parents receptive of sexuality education for their children? Are teachers ready to carry out their responsibility? Except for anecdotal evidence, there are no published local findings on these dimensions. This report discusses the evidence derived from a study that assessed the level of receptiveness of parents and the level of readiness of teachers in relation to the teaching of sexuality education in grade schools. Finger (2000) also pointed out that issues concerning sexuality education go beyond school-based challenges. Parental involvement and support are critical to the success of sexuality education programs (Daria & Campbell, 2004; Dwyer, et.al., 1998). Overall, parental behaviors and parenting practices influence adolescent health behaviors and decisions (Meschke, et. al., 1999). Specifically, parenting style, family management skills, and quality of parent-child relationships all contribute to the development of risky behaviors. METHODS Using a self-administered questionnaire, a survey was conducted in 5 selected grade schools (3 private and 2 public) in Metro Manila. The study population consisted of parents and teachers of randomly-selected pupils in Grades 3, 4 and 5. A total of 104 teachers and 104 parents were asked to participate in the study ( = 0.05, s=1.0, e=.05, ß=.90). In the 5 schools, all grade school teachers were asked to participate. One section each in Grades 3, 4 and 5 was randomly chosen and the parents of the pupils in those sections were requested to answer the questionnaire. Whether it was the father or mother who answered the instrument was contingent upon parental availability. In the Philippines, sexuality education has long been a part of the educational system. In 1969, the United Nations, through the World Health Organization in cooperation with the Philippine government, instituted a family planning and birth control program that taught basic biology, conception, pregnancy and the different options for contraception (Leyson, 2001). An expanded public health education that tackled information on STI was included in the science curriculum in 1970. Sex education, as it was known then, was left to the care of biology teachers. In 1972, the government approved the provision of formal sex education to students at all levels. Topics included basic level biological information and discussion of family planning and legal separation. A pre-tested, self-developed questionnaire consisting of multiple choice questions; yes/no items; self-assessment items measured on a 4-point Likert scale; a continuous rating scale and open-ended questions, was administered. The first section of the survey instrument consisted of questions on the socio-demographic profile of respondents (i.e., sex, age, civil status, religion, number of children, years of teaching, type of school, and monthly income). The second section included items measuring the attitude of respondents towards sexuality education. The section covered 25 items (the four response options—strongly agree, agree, disagree and strongly disagree—were scored 1-4). The attitudinal domains measured were belief, affect and behavior. Parents and teachers were considered having a negative perception on sexuality education if they had a score below 50; ambivalent if they had a score of 50; and a positive perception if they scored above 50. In 2005, the Department of Education Memorandum No. 261 was signed to operationalize the project on Institutionalizing Adolescent Reproductive Health through Life Skills-Based Education. The program, which was supported by the United Nations Population Fund, sought to provide young people access to sexual and reproductive health services (i.e., information and education) in order to develop their life skills and responsible sexual behavior and to minimize their risks and vulnerability to STI, early sex, unwanted pregnancies and abortion. Local governments were implementing partners. In measuring parental receptiveness and teacher readiness, the questions posed were: 1) Overall, how receptive are you with regard to having your child learn sex and sexuality in school? 2) Overall, how ready are you with regard to teaching sex and sexuality in school? Respondents answered the question based on a continuous rating scale of 0 to 100. In 2010, sexuality education in the grade school curriculum, which involved 150 public schools starting in Grade 5, was developed and pilot tested by the government (Teves, 2010). The effort was strongly opposed by some religious groups demanding that sexuality education should be left to parents. The Catholic Bishops Conference of the Philippines, along with the leadership of the Moro Islamic Liberation Front, protested against it, claiming that said education would only trigger and encourage curiosity and sexual promiscuity among the youth (Ortuoste, 2010). When the Reproductive Health Bill No. 4244, which is currently being debated in Congress, proposed the mandatory age-appropriate reproductive health and sexuality education in schools, among other provisions, the opposition turned even more intense. The receptiveness scale was validated (Cronbach’s Alpha=0.701). The scores were categorized as: low receptiveness (0–10), moderate (25–50) and high (75–100). The readiness scale was validated (Cronbach’s Alpha =0.964). Scale scores were classified as follows: low readiness (0–10), moderate (25–50) and high (75–100). The survey instrument was pilot tested on 65 teachers and 17 parents to determine its validity and reliability. The survey questionnaire was administered to teachers in school during breaks. The researcher requested the randomlyselected children to hand-in the survey questionnaire to their parents and to collect and return the completed version to their class adviser. All research activities had the permission of school principals. The government is facing various challenges, therefore, to carrying out its sexuality education in grade schools. On top of the religious influence, it has to attend to far more pressing immediate challenges, such as those involving parents and teachers. Given the significant and pivotal roles of these authorities in the sexuality 2 Asia-Pacific E-Journal of Health Social Science: Sexuality Education in Grade School: Are Parents Receptive and Are Teachers Ready? their self-report. Most importantly, the participants were informed of their right to accept or refuse the research invitation. TABLE 1. Items used to measure attitudes towards sexuality education RESULTS Belief 1. I think sex education is helpful towards preventing teenage pregnancy and sexually transmitted diseases among the youth. 2. Sex education will just lead to promiscuity among the youth. 3. Sex education should be taught in school because some parents are not capable of teaching their children the topic. 4. The Philippine education system [government, schools, educators] is not ready for sex education. 5. Sex education should be taught at home, left to the parents. 6. Sex education is an important subject matter. 7. Sex education is immoral. 8. Sex education will lead to early sexual debut. Parents were 41.2 years old on average; 7 of every 10 of them were female; and most were married and Roman Catholics (Table 2). Moreover, two thirds and one third of the parents interviewed had children enrolled in private and public schools, respectively. Most parents earned more than 10,000 pesos in a month. TABLE 2. Socio-demographic profile of participants (%) Characteristics Parents (n=104) Teachers (n=104) Mean age/SD* Sex Female Male Civil status Married Single Others Religion Roman Catholic Others Mean number of children Years of teaching 0-3 4-6 7-10 >10 Type of school where one teaches or one’s child studies Private Public Family monthly income (pesos) Below 10000 10000-50000 >50000 Affect 1. I am glad that the government has finally realized the need for sex education. 2. I feel anxious that my students/children are learning about sex and sexuality at such a young age. 3. My worries are gone when DepEd stopped the pilot testing of sex education modules to chosen schools. 4. I feel relieved to know that the Church is opposing the efforts of the government to implement sex education in the school. 5. I don’t feel comfortable discussing matters of sexuality and reproduction to my students/children. 6. I feel like there is no need for sex education in the grade school. 7. I feel happy that my students/children will be taught sex education in school. 8. I am scared of the consequences of teaching sex education in school. Behavior 1. I will be an advocate of the implementation of sex education in grade school. 2. Given an opportunity to vote with regards to implementation of sex education, I will disagree on its implementation. 3. Given a chance to talk to the side of the Church, I would want to explain to them the need for implementing sex education in grade school. 4. I will be supportive of sex education whenever implemented. 5. I will remind my students/children every time that the goal of sex education is to avoid teen age pregnancy and STI. 6. I am willing to join a special training that aims to improve teaching sex education to children. 7. I will agree to have students learn sex education in grade school. 8. I will fight against sex education in grade schools because they lower the moral values of children. 9. I will support the Church’s movement against the implementation of sex education in grade school. 41.2/7.01 33.5/10.8 70.4 29.6 79.8 20.2 88.9 2.0 9.1 60.0 36.7 3.3 83.7 16.3 94.3 5.7 2.6 - - 34.5 14.9 23.0 27.6 67.0 33.0 52.7 47.3 17.0 71.3 11.7 19.0 78.8 2.2 *SD=standard deviation. Teachers were aged 33.5 on average. Most were female. Of every 10 teachers, 6 were married and about 4 were single (Table 2). 94.3% were Roman Catholics. Two thirds had been teaching for 4 years or longer. The teachers interviewed were employed in either public or private school; most were earning more than 10,000 pesos a month. While about 13% of both parents and teachers viewed sexuality education negatively, the overwhelming majority of both groups had a positive attitude towards sexuality education. For example, 72% of parents and 86% of teachers agreed that sexuality education is an important subject for school children. Moreover, 55% of parents and 70% of teachers agreed that sexuality education should be taught in school (not shown in the table). Data gathered were encoded in MS Excel and analyzed using SPSS 17. Descriptive statistics were first calculated for all variables. Thereafter, correlation analyses were performed to determine the associations between parental receptiveness and teacher readiness and socio-demographic characteristics. This study posed minimal risks to respondents. Nevertheless, prospective participants were asked for their informed consent. The process involved informing them about the study—its objectives, methods, and possible outcomes and consequences of participating in the study—and requesting them to agree for an interview. Respondents were also informed of their right to withdraw and to forego answering questions that were threatening. The researcher assured participants of their anonymity and the confidentiality of Among the parents, majority has a moderate to high level of receptiveness. Male and female parents are similar with respect to their receptiveness level (Table 3). 3 Asia-Pacific E-Journal of Health Social Science: Sexuality Education in Grade School: Are Parents Receptive and Are Teachers Ready? TABLE 3. Level of receptiveness of parents (n=104) (%) Level Sex Low (0-10) Moderate (25- High (75-100) 50) Male Female Both 32.0 22.9 26.5 40.0 37.5 38.5 DISCUSSION This study sought to examine parental receptiveness and teacher readiness regarding sexuality education for grade school children among a sample of respondents in Metro Manila, Philippines. Given its limitations (e.g., non-random selection of schools and 208 sample size), the study is not definitive. 28.0 39.6 35.9 There were significant differences in the receptiveness level of parents classified by income level, with upper-income groups being more receptive of sexuality education in grade school than lowerincome groups. This finding runs counter to the evidence presented by SIECUS (2008) in the United States, which suggests that lowincome parents are more supportive than their rich counterparts. However, the current finding is aligned with the results offered by Liu et al. (2011). Liu and colleagues reported that, in Asian cultures particularly among Chinese parents, positive attitudes toward sexuality education are more pronounced among higher-income groups. Way and Rossmann (1996) pointed out that families with a higher socio-economic standing tend to have a greater level of parental participation in school. As a consequence, they have more opportunities to learn about changing sexual norms (Liu et. al., 2011) that, in turn, helps enhance their positive attitudes towards interventions, especially those that seek to stem the adverse effects of these emerging sexual norms. Most of the teacher-respondents had a moderate to high level of readiness. The data show that male and female teachers are not different in their readiness level (Table 4). TABLE 4. Level of readiness of teachers (n=104) (%) Level Sex Low (0-10) Moderate (25- High (75-100) 50) Male Female Both 11.8 19.0 18.2 52.9 56.9 55.8 35.3 24.1 26.0 Table 5 shows a significant association between the level of receptiveness of parents in relation to their income level (p=0.03). Parents with a monthly income of 10,000-30,000 pesos were found to have a low to moderate level of receptiveness; those earning more than 30,000 pesos had a moderate to high level of receptiveness. Readiness levels among teacher-respondents significantly differed in terms of the type of school, with teachers in public schools exhibiting a higher level of readiness relative to those in private schools. According to Greeley (1982 as cited in Donohue, 1988: 5), private schools, especially the Catholic ones, tend to emphasize the physical and emotional discipline of their students. Their discussion of student problems, as reported either by students themselves or by the principals, is thus generally limited due to their authoritarian style of administration (Donohue, 1988). In contrast, teachers in public schools are generally free to discuss broader issues (e.g., pregnancies and STI among the youth) and their engagement in discussions can lead to their increased knowledge of sexuality issues, and then to their perceived readiness to teach sexuality education. TABLE 5. Correlation coefficients of the level of receptiveness by socio-demographic characteristics (n=104) (%) Receptiveness Characteristics Coefficient (r) Age group Sex Civil status Type of school Income level -0.126 -0.027 -0.110 -0.044 0.260* *significant at p=0.03 The type of school was found to be significantly associated with teacher readiness (p=0.008). Those in private schools had a moderate level of readiness, while those in public schools had a high level of readiness. Age and civil status were observed to have significant trends with readiness levels, such that older and single teachers showed a higher level of readiness than their younger and non-single counterparts (Table 6). The results also showed the relationship between age group and civil status and the level of the readiness of teachers, such that older teachers and unmarried teachers were found to be more ready than single ones. Compared to their new and inexperienced counterparts, older teachers have more experience not only in teaching, but in life in general; thus they would feel more ready and competent to teach sexuality education to children. Non-married teachers were observed to be highly ready as well and this may be because of their simple and naïve understanding, or their lack of experiential knowledge, of the complexities of parenting and child education. TABLE 6. Correlation coefficients of the level of readiness by socio-demographic characteristics (n=104) (%) Readiness Characteristics Coefficient (r) Age group Sex Civil status Type of school Income level This study has shown that, in general, respondents viewed sexuality education in grade school in a highly positive sense. Parents and teachers were both found to have a moderate to high level of readiness and receptiveness, respectively. Among parents, income level relates with receptiveness level. Among teachers, age group, civil status and type of school are important considerations for assessing readiness. Some parent-respondents were not receptive, probably because they thought that teachers are not competent enough to discuss sexuality education with children. Similarly, some teacher-respondents were not ready, most likely as -0.194+ 0.117 -0.204+ 0.300* 0.102 +significant trends *significant at p=0.008 4 Asia-Pacific E-Journal of Health Social Science: Sexuality Education in Grade School: Are Parents Receptive and Are Teachers Ready? National Statistics Office. (2006). Family planning survey. Manila: National Statistics Office. Ortuoste, J. (2010). Ignorance is not bliss. Retrieved from http://www.manilastandardtoday.com/insideOpinion.htm?f=2010 /june/24/jennyortuoste.isx&d=2010/june/24. SIECUS. (2008). Sexuality education Q&A. Retrieved from http://www.siecus.org/index.cfm?fuseaction=page.viewpage&pa geid=521&grandparentID=477&parentID=514. Teves, O. (2010). 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Sex Education: Sexuality, Society and Learning, 7(2), 143-159. a result of their perception that they lack appropriate skills and training. Programs for parents and teachers are critical for a successful implementation of sexuality education in grade school. An awareness program for parents, especially for those in low-income groups, is needed. As well, a series of training programs for teachers must be designed, and greater programmatic attention must be directed at younger and single teachers, and those employed in private schools. Teachers must be adequately trained and given up-to-date resources (Milton, 2003) ACKNOWLEDGMENT I am grateful to my thesis adviser, Dr. Laurie S. Ramiro, for her effective guidance and support. REFERENCES Avert. (2009). Sex education that works. Retrieved from http://www.avert.org/sex-education.htm. Boonstra, H.D. (2007). The case for a new approach to sex education mounts; Will policymakers heed the message?. Guttmacher Policy Review, 10(2), 2-7. 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Meschke, L.L., Bartholomae, S., & Zentall, S.R. (1999). Adolescent sexuality and parent-adolescent processes: Promoting healthy teen choices. Family Relations, 49(2), 143-154. Milton, J. (2003). Primary school sex education programs: Views and experiences of teachers in four primary schools in Sydney, Australia. Sex Education: Sexuality, Society and Learning, 3(3), 241-256. COMMUNITY NEWS The Foundation for Adolescent Development (FAD), Inc., a leading non-government organization for adolescent sexual and reproductive health, received an Award of Merit for its novel social franchising model of Teens Healthquarters, a response to the need for more sustainable approach to general medical and reproductive health information and services to Filipino adolescents. The award commends FAD’s partnerships with local government units and its demonstration that social franchising is a cost-effective and a viable way of delivering and financing youth services at a local level. Ms. Rina Silayan Go, FAD Chairperson and Mr. Joaquin Quintos IV, FAD Trustee, together with Cecilia C. Villa and Arceli Romulo- Obmerga, FAD Staff, are shown receiving the award. 5