Understand sexual risk behaviours in young adults and challenges in their education

  1. Alonso-Martínez, Laura 1
  2. Fernández-Hawrylak, María 1
  3. Heras-Sevilla, Davinia 1
  4. Ortega-Sánchez, Delfín 1
  1. 1 Universidad de Burgos
    info

    Universidad de Burgos

    Burgos, España

    ROR https://ror.org/049da5t36

Journal:
Qualitative Research in Education

ISSN: 2014-6418

Year of publication: 2021

Volume: 10

Issue: 2

Pages: 172-203

Type: Article

DOI: 10.17583/QRE.2021.6996 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Qualitative Research in Education

Abstract

Sexual risk behaviours are considered sexual conducts that can cause biological, psychological and social damage. Therefore, sexuality education is considered the only effective way to avoid it. This project aims to understand sexual risk behaviour factors and their consequences in young adults and to explore strategies they would use to face them. To answer these questions, we conducted a qualitative study in which we interviewed 11 young adults using an asynchronous mail technique due to the Covid19 pandemic. We also carried out a thematic analysis and developed our key results: 1) Sexual attitudes and behaviours; 2) Sexual risk factors, 3) Sexual risk consequences; and 4) Educational approach and strategies. Similarities in the themes were verified with previous literature, exposing the importance of learning to identify factors and consequences to respond appropriately. Participants believe that comprehensive and egalitarian sexuality education applied at individual and community level is a solid method that can improve sexual health and well-being. To conclude, this study reveals the importance of listening to young adults’ perspectives towards these conduct variables and educational approaches in order to establish global health strategies that could be based on these results.

Bibliographic References

  • Balzarini, R. N., Shumlich, E. J., Kohut, T., & Campbell, L. (2020). Sexual attitudes, erotophobia, and sociosexual orientation differ based on relationship orientation. The Journal of Sex Research, 57(4), 458-469. https://doi.org/10.1080/00224499.2018.1523360
  • Benotsch E.G., Snipes D.J., Martin A.M., Bull S.S. (2013).Sexting, substance use, and sexual risk behaviour in young adults. Journal of Adolescent Health,52(3), 307-313. https://doi.org/10.1016/j.jadohealth.2012.06.011
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology,3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
  • Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589-597. https://doi.org/10.1080/2159676X.2019.1628806
  • Burns, E. (2010). Developing email interview practices in qualitative research. Sociological Research Online, 15(4), 24-35. https://doi.org/10.5153/sro.2232
  • Cacciatore, R., Korteniemi-Poikela, E., & Kaltiala, R. (2019). The Steps of Sexuality—A Developmental, Emotion-Focused, Child-Centered Model of Sexual Development and Sexuality Education from Birth to Adulthood.International Journal of Sexual Health,31(3), 319-338. https://doi.org/10.1080/19317611.2019.1645783
  • Castillo-Nuñez, J., Derluyn, I., & Valcke, M. (2018). Young people’s expressed needs for Comprehensive Sexuality Education in Ecuadorian schools. Sex Education,18(1), 14-31. https://doi.org/10.1080/14681811.2017.1374941
  • Centers for Disease Control and Prevention. (2016). Sexually transmitted disease surveillance 2015. U.S. Department of Health and Human Services. https://www.cdc.gov/std/stats
  • Clarke, V., & Braun, V. (2014).Thematic analysis.In T. Teo (Ed.), Encyclopaedia of Critical Psychology(pp. 1947–1952). Springer. http://www.springerreference.com/docs/navigation.do?m=Encyclopedia+of+Critical+Psychology+(Behavioural+Science)-book162
  • Comfort, A. (1990). Has sexual behaviour really changed with time?. Journal of Obstetrics and Gynaecology,10(5), 351-356. https://doi.org/10.3109/01443619009151215
  • Cook S.H., Watkins D.C., Calebs B.J.,& Wilson P.A. (2016). Attachment orientation and sexual risk behaviour among young Black gay and bisexual men.Psychology & Sexuality, 7(3), 177-196. https://doi.org/10.1080/19419899.2016.1168312
  • DeCuir-Gunby, J. T., Marshall, P. L., & McCulloch, A. W. (2011). Developing and using a codebook for the analysis of interview data: An example from a professional development research project. Field Methods, 23(2), 136-155. https://doi.org/10.1177/1525822X10388468
  • European Centre for Disease Prevention and Control/WHO Regional Office for Europe. (2019). HIV/AIDS surveillance in Europe 2019–2018 data. https://www.ecdc.europa.eu/en/publications-data/hivaids-surveillance-europe-2019-2018-data
  • European Expert Group on Sexuality Education. (2016). Sexuality education–what is it?. Sex Education,16(4), 427-431. https://doi.org/10.1080/14681811.2015.1100599
  • Goldman, J. D., & Bradley, G. L. (2001). Sexuality education across the lifecycle in the new millennium. Sex Education, 1(3), 197-217. https://doi.org/10.1080/14681811.2015.1100599
  • Grose, R. G., Grabe, S., & Kohfeldt, D. (2014). Sexual education, gender ideology, and youth sexual empowerment. The Journal of Sex Research, 51(7), 742-753. https://doi.org/10.1080/00224499.2013.809511
  • Guest, G., MacQueen, K. M., & Namey, E. E. (2012). Applied thematic analysis. SAGE Publications. https://dx.doi.org/10.4135/9781483384436
  • Hernández, R., Fernández, C., &Baptista, P. (2014). Metodología de la Investigación(6th ed.). Mc. Graw Hill.
  • Hubert, M., Bajos, N., & Sandfort, T. (2020). Sexual behaviour and HIV/AIDS in Europe: Comparisons of national surveys. Routledge.
  • Jamison, D. T., Summers, L. H., Alleyne, G., Arrow, K. J., Berkley, S., Binagwaho, A., ... & Ghosh, G. (2013). Global health 2035: a world converging within a generation.The Lancet, 382(9908), 1898-1955. https://doi.org/10.1016/S0140-6736(13)62105-4
  • Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Queen, B., ... & Lim, C. (2018). Youth risk behaviour surveillance—United States, 2017. MMWR Surveillance Summaries, 67(8), 1-114. http://dx.doi.org/10.15585/mmwr.ss6708a1
  • Kaufman, M. R., Grilo, G., Williams, A., Marea, C. X., Fentaye, F. W., Abebe Gebretsadik, L., & Yedenekal, S. A. (2019). The intersection of gender-based violence and risky sexual behaviour among university students in Ethiopia: a qualitative study. Psychology & Sexuality, 11(3), 198-211. https://doi.org/10.1080/19419899.2019.1667418
  • Kjellgren, C. (2019). Perspectives of young adult males who displayed harmful sexual behaviour during adolescence on motive and treatment, Journal of Sexual Aggression, 25(2), 116-130. https://doi.org/10.1080/13552600.2018.1563647
  • Lambie, I., & Price, M. (2015). Transitioning youth with sexually harmful behaviour back into the community. Journal of Sexual Aggression, 21(2), 244–265. https://doi.org/10.1080/13552600.2013.873829
  • Lawal, A. M., & Olley, B. O. (2017). Psychosocial factors predicting risky sexual behaviour among long distance truck drivers in Lagos, Nigeria. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 14(1), 213-221. https://doi.org/10.1080/17290376.2017.1405838
  • Lin, Y. L., & Lin, Y. C. (2018). Effectiveness of the sexual attitude restructuring curriculum amongst Taiwanese graduate students. Sex Education, 18(2), 140-156. https://doi.org/10.1080/14681811.2017.1410698
  • Lincoln, Y. S.,& Guba, E.G. (1985). Naturalistic inquiry.SAGE.
  • Meader, N., King, K., Moe-Byrne, T., Wright, K., Graham, H., Petticrew, M., ... & Sowden, A. J. (2016). A systematic review on the clustering and co-occurrence of multiple risk behaviours. BMC Public Health, 16(1), 657. https://doi.org/10.1186/s12889-016-3373-6
  • Meho, L. I. (2006). E‐mail interviewing in qualitative research: A methodological discussion. Journal of the American Society for Information Science and Technology, 57(10), 1284-1295. https://doi.org/10.1002/asi.20416
  • Mudhovozi, P. (2011). Unsafe Sexual Behaviour, Reasons for Consequences and Preventive Methods Among College Students. Journal of Psychology in Africa, 21(4), 573-575. https://doi.org/10.1080/14330237.2011.10820499
  • Nadal, K. L., Davidoff, K. C., Davis, L. S., Wong, Y., Marshall, D., & McKenzie, V. (2015). A qualitative approach to intersectional microaggressions: Understanding influences of race, ethnicity, gender, sexuality, and religion. Qualitative Psychology,2(2), 147. https://doi.org/10.1037/qup0000026
  • Ndumiso D. N., SibusisoM., Thobile Z., Jamila K. A.,& Suresh B. N. K. (2016). Qualitative evaluation of selected social factors that impact sexual risk-taking behaviour among African students in Kwazulu-Natal, South Africa, SAHARA-J: Journal of Social Aspects of HIV/AIDS, 13(1), 96-105. https://doi.org/10.1080/17290376.2016.1218792
  • Opdenakker, R. (2006). Advantages and disadvantages of four interview techniques in qualitative research. In Forum qualitative sozialforschung/forum: Qualitative Social Research,7(4). Art. 11. http://nbn-resolving.de/urn:nbn:de:0114-fqs0604118.
  • Paiva, V., & Silva, V. N. (2015). Facing negative reactions to sexuality education through a Multicultural Human Rights framework. Reproductive Health Matters,23(46), 96-106. https://doi.org/10.1016/j.rhm.2015.11.015
  • Parker, R., Wellings, K., & Lazarus, J. V. (2009). Sexuality education in Europe: An overview of current policies. Sex Education,9(3), 227-242. https://doi.org/10.1080/14681810903059060
  • Pringle, J., Mills, K. L., McAteer, J., Jepson, R., Hogg, E., Anand, N., & Blakemore, S. J. (2017). The physiology of adolescent sexual behaviour: a systematic review. Cogent social sciences,3(1), 1-14. https://doi.org/10.1080/23311886.2017.1368858
  • Public Health Agency of Canada. (2015). Report on sexually transmitted infections in Canada: 2012.Centre for Communicable Diseases and Infection Control, Government of Canada. https://www.canada.ca/en/public-health/services/infectious-diseases/surveillance-epidemiology-sexually-transmitted-infections-hep-b-c/report-2012/report-on-sexually-transmitted-infections-canada-2012-8.html
  • Ratislavová, K., & Ratislav, J. (2014). Asynchronous email interview as a qualitative research method in the humanities. Human Affairs, 24(4), 452-460. https://doi.org/10.2478/s13374-014-0240-y
  • Ruiz-Olabuénaga, J. I. (2012). Theory and practice of qualitative research. (5th ed.). Deusto University.
  • Schick, V., Herbenick, D., Reece, M., Sanders, S. A., Dodge, B., Middlestadt, S. E., & Fortenberry, J. D. (2010). Sexual behaviours, condom use, and sexual health of Americans over 50: implications for sexual health promotion for older adults. The Journal of Sexual Medicine, 7(5),315-329. https://doi.org/10.1111/j.1743-6109.2010.02013.x
  • Simon, W. (2017).Sexual conduct: The social sources of human sexuality. (2nd digital ed.). Routledge. https://doi.org/10.4324/9781315129242Steadman, M., Crookston, B., Page, R., & Hall, C. (2014). Parental attitudes regarding school-based sexuality education in Utah. American Journal of Sexuality Education, 9(3), 347-369. https://doi.org/10.1080/15546128.2014.944737
  • Stevens, S., Thompson, E. M., Vinson, J., Greene, A., Powell, C., Licona, A. C., & Russell, S. (2013). Informing sexuality education through youth-generated anonymous questions. Sex Education, 13(1), S84-S98. https://doi.org/10.1080/14681811.2013.781020
  • UNESCO United Nations Educational, Scientific and Cultural Organization (2018). Internationaltechnicalguidanceonsexualityeducation.Anevidenceinformedapproach(2nd digital ed.).UNESDOC. https://unesdoc.unesco.org/ark:/48223/pf0000260770
  • Wagenaar, C., Florence, M., Adams, S., & Savahl, S. (2018). Factors influencing the relationship between alcohol consumption and risky sexual behaviour among young people: A Systematic Review. Cogent Psychology,5(1), 1-26. https://doi.org/10.1080/23311908.2018.1483049
  • WAS –World AssociationforSexual Health (2014).Declaration of sexual rights. https://worldsexualhealth.net/wp-content/uploads/2013/08/Declaration-of-Sexual-Rights-2014-plain-text.pdf
  • Walker, L. J. (2014). Sex differences in moral reasoning. InW.M.Kurtines, J. Gewirtz & J.L. Lamb (Eds.), Handbook of moral behaviour and development, (pp.333-364). Taylor and Francis. https://doi.org/10.4324/9781315807287
  • World Health Organization. (2006). Defining sexual health: report of a technical consultation on sexual health. https://www.who.int/reproductivehealth/publications/sexual_health/defining_sh/en/
  • World Health Organization. (2019). Sexually transmitted infections (STIs). https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)