Kyra James Nov 20, 2014 FI Assignment Argument Draft Thesis: Public schools should implement better and more thorough sex education from grades seven through twelve. Public schools should implement better and more thorough sex education from grades seven through twelve because the spread of sexually transmitted diseases and infections, and teen pregnancy is becoming prevalent. There has been a great amount of argument in which school districts should decide whether to allow sex education in public schools or not. Contentious debates have raged in the past decade regarding whether abstinence-only or comprehensive sexual education interventions are effective and appropriate. A study completed by Sarah Brown of the National Campaign to Prevent Teen, Unplanned Pregnancy, reveals that one third in a group of students who were taught about abstinence didn’t engage in premarital sex compared to the half of the students who did engage whom were taught about safe sex methods in another group (Abstinence). However, abstinence-only interventions promote delaying sex until marriage with little to no information provided about contraceptives or condom use, whereas comprehensive sexual education provides information on abstinence as well as information on how to engage in safer sex and prevent pregnancies and sexually transmitted infections (STIs) (Fonner et al 1). Since many adolescents have so many temptations and a great deal of peer pressure, it would be best to include comprehensive sexual education in the curriculum. Yes, abstinence only programs do not promote sex and promote that the best way to avoid sexual risks, such as pregnancy or infections, is to not engage in premarital sex, but what about the adolescents that do end up engaging in premarital sex? These teens are left unknowledgeable about precautions and premeasures they should take in order to avoid such risks. Since abstinence-only education programs only inform about abstinence, adolescents would not be informed about the consequences or risks they are taking when engaging in sexual activities before marriage. They are therefore left clueless or with misconstrued ideas about certain outcomes regarding relationships, pregnancy, and sexually transmitted diseases and infections. Previous research has been conducted on the effectiveness of youth-oriented HIV prevention and sex education interventions in school settings. A review of 35 school based sex education programs by Kirby and Coyle found that abstinence based programs had no significant effect on delaying sexual debut, while some comprehensive programs were effective in reducing certain sexual risk behaviors (Fonner et al 2). This research allows the argument that public schools should implement sex education because it aids in the spread of some infections and diseases. School-based sex education is an intervention that has been promoted to increase HIV-related knowledge and shape safer sexual behaviors to help prevent new infections among this vulnerable group (Fonner et al 1). Sexual education is not a tactic used to scare adolescents, rather inform them and prepare them for such actions and their possible outcomes. Public schools should implement better and more thorough sex education throughout grades seven through twelve because information about sexual contraception’s and prevention methods provided by the sexual education curriculum in public schools is a purposeful way to prevent adolescents from increasing their risk of either pregnancy or infections and diseases. Numerous evidence-based sexual health education programs have proven effective in delaying sexual initiation or increasing contraceptive use (Finley 315). This report suggests that although nearly all younger female teens received some form of sexual health education, only six in ten reported that information on both birth control and how to say no to sex were covered (Finley 315). Of particular concern is that for most sexually experienced females aged 15-17 years, formal sex education did not precede their first sexual intercourse (Finley 315). This represents a missed opportunity to introduce medically accurate information on abstinence and effective contraceptive use (Finley 315). Due to the lack of misrepresented information, teens are not suitably ready to engage in such activities. Only 1% of sexually active females aged 15-17 years were using LARCs [long-acting reversible contraceptives], which have the lowest failure rate among reversible methods of contraception and are safe for use for females of all ages, including teens. Long-acting reversible contraceptives are birth control methods in which the user doesn’t take any required action to keep it effective. Such contraceptives include injections, intrauterine devices (IUDs) and subdermal implants. The more a child knows about the consequences of and risks of underage sex, the more they will take more preventive and precautionary measures. Although, the school system is a good place to implement such ideas, the real information should come from the parents of an adolescent. Parents are a particularly strong influence on the sexual behavior of teens, however, almost a quarter of females aged 15-17 years have not spoken with their parents about how to say no to sex or about methods of birth control (Finley 315). In addition to providing information on normal sexual development, health relationships, abstinence, and prevention of pregnancy and sexually transmitted diseases, the quality of parent-child relationships and monitoring teen activities and behaviors are also important in helping a teenager make healthy decisions (Finley 315). If adolescents are not getting this important information from the parents or other family members, then if sex education was a part of the curriculum, they would definitely be getting a great deal of information from another authority figure and source. Public schools should implement better and more thorough sex education throughout grades seven through twelve because many countries around the world are facing the same dilemma about whether to accept sexual education, leaving adolescents clueless and naïve. Just like the United States, other countries such as Hong Kong and Northern Ireland are debating the idea of whether sex education is an appropriate subject to teach the youth in school systems. Hong Kong has three different views and definitions of what sex education is and should consist of. The ‘traditional emphasis’ is basically an instruction on reproductive biology and focuses on the anatomy and physiology of the reproductive systems (Che 283). The ‘abstinence-only emphasis’ considers abstinence as the only solution to teenage pregnancy and sexually transmitted diseases (Che 283). The ‘comprehensive emphasis’ believes that the best way to educate adolescents about their sexuality is by preparing them for the healthy expression of their sexuality instead of focusing only on the prevention of negative consequences (Che 283). In the United States, the National Guidelines Task Force (1991) has defined sex education as follows: “Sexuality education is a lifelong process of acquiring information and forming attitudes, beliefs, and values about identity, relationships, and intimacy. It encompasses sexual development, reproduction health, interpersonal relationships, affection, intimacy, body image, and gender roles. Sexuality education addresses the biological, socio- cultural, psychological, and spiritual dimensions of sexuality ... including the skills to communicate effectively and make responsible decisions.” (Che 283) These views lead to uncompromised situations among the officials who are responsible for such decisions. In Hong Kong, since everybody doesn’t approve the ‘comprehensive emphasis’, thorough sex education is not implemented. This is the same situation in Northern Ireland and the United States as well. In Hong Kong, generally speaking, the young people today have an earlier onset of puberty than their predecessors (Che 282). However, they are still deficient in sexual knowledge. Many of them have a sense of inferiority about themselves (Che 282). They are very susceptible to peer group influence (Che 283). Previous surveys also revealed the following needs of Hong Kong’s young people in the area of sex education: to have more information about sex; to have proactive teaching about courtship, marriage and parenthood; to develop self-esteem, unbiased gender roles and the ability to play a constructive role in the family; and to clarify values and make responsible decision on issues relating to sex (Che 283). Northern Ireland youth also claim that there is valuable information that is missing in their sex education curriculum. The youth criticize the system in that there are evident flaws, such as, the avoidance of discussion of emotional aspects of sexuality; the focus within sex education on reproduction rather than sexuality; the absence of a ‘discourse of desire’, especially for girls, and a concentration instead on the dangers of desire for women— pregnancy, abortion, sexually transmitted infections (STIs), etc; a narrow definition of sexuality simply as sexual intercourse; the frequent avoidance of any proper discussion of homosexuality; the failure to engage boys, who complain of an emphasis solely on what happens to girls; and an awkwardness on the part of teachers with the resultant failure to answer ‘awkward’ questions (Rolston et al 217). This information shows that countries all around the world face the same issue as the United States in regards to allowing a thorough and informative sex education class become a part of the curriculum. Incorporating the curriculum would better suit teenagers and allow them to explore their feelings with the information to protect them and prevent certain consequences of engaging in sex. Public schools should implement better and more thorough sex education throughout grades seven through twelve because the Center for Disease Control and Prevention states that cases of chlamydia are at its highest and cases of gonorrhea and syphilis are ever increasing. Public schools should implement this information because STDs pose a greater threat for women rather than men. The Center for Disease Control states that in order to help adolescents make healthy choices, involvement from families, community, and other sectors including school, are an essential part to the effort. Since there is a lack of thorough sex education in schools, and even general sex education in schools, statistics of teen pregnancy and infections are growing. Untreated gonorrhea and chlamydia can result in pelvic inflammatory disease in women, a condition that can cause infertility (Center for Disease Control). CDC surveillance also shows much higher rates of reported STDs among some racial or ethnic minority groups than among whites (Center for Disease Control). A range of factors contributes to these disparities, including poverty, lack of access to health care and an already high prevalence of STDs in communities of color that increases a person’s risk of infection with each sexual contact (Center for Disease Control). Since people of color are already at a risk for contracting these diseases, sex education would definitely lower the chances of a person of color contracting the disease, spreading the disease, and infecting others. The growing increase in STD infections not only hurts those that have been infected, but also takes a toll on the United States health care system. In total, the CDC estimates that there are approximately 19 million new STD infections each year, which cost the U.S. healthcare system $16.4 billion annually and cost individuals even more in terms of acute and long-term health consequences (Center for Disease Control). Accurate and convincing information given to adolescents, which would be provided by public schools, would give adolescents a better fighting chance to avoid and prevent contracting these diseases. Public school systems should implement better and more thorough sex education from grades seven through twelve because they have an obligation to inform students about the consequences of sex at a young age and the possibility of teenage pregnancy and abortion. Public schools must inform students about these consequences because school is where many children learn many lessons about the world. If public schools fail to share necessary information, especially concerning the responsibilities of sex, adolescents are left impressionable and are more vulnerable to getting themselves into life-changing situations. Schools implement many other subjects for education that will benefit students’ futures, so why not implement sex education since it has a big impact on the life and future of children as well? Many public schools currently do not include sex education in their curriculum and as a result, the majority of those schools have higher teenage pregnancy rates. If public schools are not informing children about this important information, children will be misinformed and make risky and costly mistakes. Premarital sex could possibly lead to pregnancy. For some teens and their families, an unwanted pregnancy leads to consideration of abortion (Benson 440). In the 2006–2008 cycle of the National Survey of Family Growth, 49% of all pregnancies were reported to be unintended (Peipert et al 1291). Of these, 29% were mistimed, 19% were unwanted, and 43% ended in abortion (Peipert et al 1291). Approximately half of unintended pregnancies result from nonuse of contraception, and half result from inconsistent or incorrect use and contraceptive failure (Peipert et al 1291). Most teenage pregnancies however, are unknown by the parents. Teenagers are reluctant to telling their parents about their pregnancy and are more willing to take matters into their own hands. Teenagers then are more likely to move towards the idea of having an abortion. Yet, In the US, states determine specific laws concerning mandatory parental notification or parental consent for an abortion for daughters under the age of 18 (Benson 441). The requirement of parental notification and consent could lead to teenagers making alternative and risky decisions to terminate their pregnancy if they are afraid of telling their parents. If public schools included sex education in the curriculum, teenagers would be more knowledgeable about the risks and consequences of underage and unprotected sex. It would also prevent any negative outcomes, and would avoid hard-to-make decisions regarding teen pregnancy all in all. Also, as a result of sex education, under age sex would more likely be offset and teenagers would be knowledgeable about the consequences of such actions. Public schools should implement better and more thorough sex education from grades seven through twelve because if the number of teenage pregnancies continue to rise, more adolescents will continue to drop out of school, live in poverty, and increase their risks of health problems. Teenage pregnancy is a burden on everybody involved in the lives of the teenagers. While millions of American families struggle individually with the emotional and economic challenges that unintended pregnancy can bring, teen pregnancy poses a significant financial burden to society at large — an estimated $10.9 billion per year according to the data collected by the Planned Parenthood Federation of America (Pregnancy). The more teenage births there are, the more of the taxpayer’s money that will be covering the costs of expenses such as care for the baby and mother and other financial factors. Also, without the strong information, regarding sexual relations, provided by public school systems, adolescents are less knowledgeable which leads to less protection for themselves in regards to avoiding teenage pregnancy and sexual infections. As a result, teenage pregnancy can occur and lead to life long responsibilities that a teenager may not be able to keep up with and handle. Only 63 percent of teenagers who give birth before the age of 18, and 74 percent of teenagers who give birth between the ages of 18 and 19 either graduate from high school or receive their GED, as compared to approximately 85 percent of women who delay childbirth until their early 20s (Pregnancy). Nearly one-third of teen girls who have dropped out of high school say that pregnancy or parenthood is a key reason, and rates are even higher for African Americans (38 percent) and Latinos (36 percent) (Pregnancy). Teenage births have health effects on not only the mother, but also the child. According to the Planned Parenthood Federation of America, Infants born from a repeat teen birth are more likely to be preterm or low birth weight — in 2010, 17 percent of infants who were second teen births were born preterm compared to 12.6 percent for first births, and 11 percent of second teen births were low birth weight, compared to nine percent of first births. Repeat births might also negatively affect teen mothers’ ability to attend school and obtain job experience (Pregnancy). Lastly, although teen pregnancy rates are still a problem, there has been a significant drop over the past decade. A study done through the National Survey of Family Growth by Kost and Henshaw, researchers of the Guttmacher Institute, which promotes sexual health, in 2012 shows that between 1990 and 2008, the national teen pregnancy rate fell 42 percent, from 116.9 to a record low of 67.8 pregnancies per 1,000 women aged 15–19, the lowest level in nearly 40 years (Pregnancy). The teen pregnancy rate in the U.S. is still the highest among the most developed countries in the world, including Australia, Canada, England, France, Germany, Italy, Japan, Netherlands, Norway, Spain, and Sweden (Pregnancy). A Guttmacher Institute analysis shows that this drop in teen birth rates “can be linked almost exclusively to improvements in teens’ contraceptive use (Pregnancy).” While there was no significant change in sexual activity among women aged 15–19 years, teens use of hormonal contraceptives increased from 37.3 percent in 2006–2008 to 47.5 percent in 2008–2010 (Pregnancy). Use of more than one contraceptive method also increased from 16.1 percent to 23.2 percent, as did use of long-acting methods such as IUDs, growing from 1.4 percent to 4.4 percent (Pregnancy). If public schools better implemented information about protection and prevention, these rates could drop even more, costs would drop, teenagers would be more likely to finish school, and there would be lower health risks for the teenager. Bibliography David Muhr. “Abstinence-Only Education Gets a Boost.” abc news. abc news, Feb 2010. Web. Dec. 2014. 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