Suggested Citation: Shah, H. (2021, July 11). The ABCs of
Sex Education- Attitudes, Benefits, and Challenges. Queer Academia. URL.
According to population projections,
the youth population of the country (15-24 years) is set to increase to 25.1
crores in 2021 (National Commission On Population, 2020). Adolescence and young
adulthood is a time for change, where individuals begin to develop romantic and
sexual relationships, explore their identity and learn about themselves.
However, in order to undergo these experiences in a safe and positive manner, adolescents
require a comprehensive understanding of what they are dealing with. At this
point, sex education becomes extremely important.
Planned Parenthood (n.d.) defines
sex education as “teaching and learning about a broad variety of topics related
to sex and sexuality, exploring values and beliefs about those topics and
gaining the skills that are needed to navigate relationships and manage one’s
own sexual health”. A comprehensive sexual education has been linked with
holistic development of youth including biological and psychological benefits
(Fernandes and Junnarkar, 2019).
Sex education has a rocky history in
India. Though the central government has attempted in the past to make sex
education a part of national curriculum, through the Adolescent Education
Programme (AEP), in 2005, objections arose from political figures, as well as
activists and philosophers, on the grounds that sex education goes against
Indian values, and corrupts the mind of the youth with western ideologies. By
2007, the AEP was banned from multiple states including Madhya Pradesh,
Maharashtra, Gujarat, Karnataka, Kerala and Uttar Pradesh, with the inclusion
of yoga instead of sex education in a few of the states’ curricula (Sawhney,
n.d.). Though it is now slowly becoming a part of curriculum, the taboo on the
word ‘sex’ and all that it implies has made it difficult for comprehensive sex
education to make a lasting hold in India.
Political views on sex education are
only one aspect of the story. Multiple surveys have looked into the beliefs
that teachers in India have towards sex education and it's inclusion in the
curriculum. For instance, a study by Bhasin and Aggarwal (1999) collected the
views of senior-secondary teachers in Delhi towards sex education. They found
that 73.3% of 476 teachers were in favour of imparting sex education, while
21.4% were against it. Two leading reasons for not imparting sex education were
that it was against Indian values, and that it leads to promiscuity. In terms
of content of sex education, reproductive anatomy, menstruation, family
planning and contraceptive use and STD and HIV awareness were considered most
important. However, integral components such as masturbation, premarital sex,
teenage pregnancy, homosexuality and sex related crimes were thought to be
unimportant. In 2017, Kumar and Sasikala surveyed the views of teachers in
Tamil Nadu on the content of sex education, and found that while teachers were
in favour of imparting information about reproductive and sexual health,
including STDs and AIDS, they believed that information about contraceptives,
pregnancy and sexual orientations was unimportant for higher secondary
students. In another study, Toor (2016) found that while teachers are in favour
of sex education, they feel the need to be properly trained to impart it.
With educational institutions
lacking the curriculum and training to provide sex education, adolescents
should be receiving this vital knowledge from other older, important figures in
their lives, namely their parents. However, research (Mahajan and Sharma, 2005;
O’Sullivan et al., 2018) shows that most
Indian parents are either uncomfortable with the ‘birds and bees’ conversation
or even if they are comfortable, the conversations are not comprehensive in
nature. O’Sullivan et al. (2018) conducted an online survey with working Indian
adults from a middle-class background and found more support for school-based
sex education, compared to parent-based. The breadth of information to be
imparted was found to be narrow, with topics such as homosexuality, sexual
coercion, sexual pleasure and sexual behavior being restricted. In terms of
parent-imparted sex education, similar trends were seen in terms of content,
and parents were seen as encouraging about discussing sex-related themes (O’Sullivan
et al., 2018). However, this study focused on middle class, urban centered
individuals. Mahajan and Sharma (2005) found differences in Jammu, between
urban and rural mothers’ opinions about teaching reproductive and sexual health
to their adolescent daughters, with 100% of the rural mothers stating that they
feel uncomfortable in discussing these matters with their daughters.
Perhaps the most important
stakeholder in this conversation are the adolescents receiving sex education.
When surveyed about their knowledge of STDs and AIDS, it was found that the
majority of urban, adolescent school girls in Delhi were unaware of symptoms
and consequences of different types of STIs, such as syphilis and herpes. A
third of the sample held incorrect views about transmission and symptoms of
AIDS, including the belief that it is curable. Just as importantly, 53% of the
respondents had never received classes about safe sex or sexual diseases, and
87% of them agreed that there should be classes related to these topics in
school, as for a majority of them, this information is gathered through the
internet, books/magazines, friends and media (McManus and Dhar, 2008). Research
finds a chasm between the proportion of unmarried women that believe sex
education to be important and want it and the proportion that actually receive
it (80.9% versus 48.5%) (Tripathi and Sekher, 2013).
Despite the many barriers to it, sex
education is an extremely important aspect of social, physical and emotional
development. Providing comprehensive information to youth has shown to have
more pros than cons. For instance, in a review of the effectiveness of sex
education, Ross et al. (2021) found that certain school-based interventions can
reduce risky sexual behavior, increase protective behaviors such as condom use,
delay sex initiation and reduce the number of sexual partners, which is
particularly helpful in reducing transmission of STIs and HIV/AIDS. These
behaviours are linked to HIV/AIDS and STI incidence and prevalence, as well as
unwanted pregnancies, in the long run, and therefore, may help control risky
sexual behavior (Ross et al., 2021). Beyond physical benefits, providing sex
education has multiple psycho-social benefits, including increasing women’s
self-efficacy in relation to safe sex practices (BA et al., 2008), reducing
physical dating violence among boys and increasing condom use (Wolfe et al.,
2009) and leading to more positive communication about sex with parents,
positive attitudes about sexual rights in a relationship, and improved
self-efficacy to assert oneself in risky sexual situations, for both male and
female students (Constantine et al., 2015). In a country like India, where 6%
of adults suffer from sexually transmitted infections (Patel and Mazumdar,
2019), a total of 23.49 lakh individuals live with AIDS (National AIDS Control Organization, 2020)
and where there are 88 new rape cases every day (“India Sees 88 Rape…” | India News - Times of India, n.d.), such
outcomes of sex education can change India’s social and health scenario.
No curriculum can be considered
complete without sex education, and sex education cannot be considered complete
without portions dedicated to non-heterosexual relations, gender and identity.
Research in the past (Bhasin and Aggarwal, 1999; Kumar and Sasikala, 2017; O’Sullivan et al.,
2018) has shown that Indians object to the content of sex education that relates to
different sexual orientations, but the benefits of an LGBTQ inclusive education cannot be
ignored. Proulx et al. (2019) introduced
an LGBTQ inclusive sex education in 11 states in the U.S. They found
that with every 10% rise in the proportion of schools providing inclusive
education, there was a significant reduction in depressive symptoms among
bisexual students, reduction in bullying experienced by gay and lesbian youth,
and overall protection from suicidal thoughts and planning, and depressive
symptoms. A review by Gegenfurtner and Gebhardt (2017) conclude that there are
strong genetic links in sexual orientation, and as such providing LGBTQ
inclusive sex education does not lead to more practice of homosexuality (a
concern for many), and that inclusive
education reduces transphobic and homophobic bullying experienced by sexual
minorities. In a qualitative interview with trans youth in America, researchers
found the participants to be dissatisfied with the inadequate and often
stigmatizing information about sexual orientations, that led to delays in
understanding gender and identity, feeling unprepared and hesitant during sexual
encounters, more negative, non-consensual sexual encounters, and internalized
shame, further leading to psychological outcomes, such as body dysmorphia. The
participants also believed that inclusive sex education would lead to greater
normalization and reduced bullying (Hobaica et al., 2019). In another study
seeking recommendations on sexual education provided, from trans youth in
America, Bradford et al. (2018) found that participants found current education
to be cisnormative, lacking in topics related to sexual minorities, as well as
topics related to all young people such as dating and emotional aspects of
relationships. Participants wanted diversity not only in content, but also in
the people delivering the sex education, to be able to communicate with members
of their own and other sexual orientations (Bradford et al. 2018).
These findings provide concrete evidence for the need of a comprehensive sex education in the curriculum of Indian schools. This is not just a matter of education, but is the right of every human being. As stated appropriately, in the Declaration of Sexual Rights, a revised version published in 2014, by the World Association for Sexual Health, “Everyone has the right to education and comprehensive sexuality education. Comprehensive sexuality education must be age appropriate, scientifically accurate, culturally competent, and grounded in human rights, gender equality, and a positive approach to sexuality and pleasure.” (World Association for Sexual Health, 2014).
References
Bradford, N. J., DeWitt, J., Decker,
J., Berg, D. R., Spencer, K. G., & Ross, M. W. (2019). Sex education and
transgender youth: ‘Trust Means Material By and For Queer and Trans People.’ Sex Education, 19(1), 84–98. https://doi.org/10.1080/14681811.2018.1478808
Constantine, N. A.,
Jerman, P., Berglas, N. F., Angulo-Olaiz, F., Chou, C. P., & Rohrbach, L.
A. (2015). Short-term effects of a rights-based sexuality education curriculum
for high-school students: a cluster-randomized trial. BMC public health, 15,
293. https://doi.org/10.1186/s12889-015-1625-5
Fernandes, D., & Junnarkar, M.
(2019). Comprehensive Sex Education: Holistic Approach to Biological,
Psychological and Social Development of Adolescents. International Journal of School Health, 6(2), 1-4.
Gegenfurtner, A., & Gebhardt, M.
(2017). Sexuality education including lesbian, gay, bisexual, and transgender
(LGBT) issues in schools. Educational
Research Review, 22, 215–222. https://doi.org/10.1016/j.edurev.2017.10.002
Hobaica, S., Schofield, K., &
Kwon, P. (2019). “Here’s Your Anatomy…Good Luck”: Transgender Individuals in
Cisnormative Sex Education. American
Journal of Sexuality Education, 14(3),
358–387.
https://doi.org/10.1080/15546128.2019.1585308
India sees 88 rape cases a day; conviction rate below 30% |
India News—Times of India. (n.d.). Retrieved June 29, 2021, from
https://timesofindia.indiatimes.com/india/india-sees-88-rape-cases-a-day-but-conviction-rate-below-30/articleshow/78526440.cms
Kumar Bhasin, S., Aggarwal, O.P.
Perceptions of teachers regarding sex education in national capital territory
of Delhi. Indian J Pediatr 66,
527–531 (1999). https://doi.org/10.1007/BF02727162
Kumar, V. S., & Sasikala, T. S.
(2017). Attitude of school teachers towards sex education in Srirangam Taluka,
Trichy district. Special issue–Organized
by Department of Social Work, Bishop Heber College, 7(17), 93-97.
Mahajan, P., & Sharma, N.
(2005). Parents Attitude Towards Imparting Sex Education to Their Adolescent
Girls. The Anthropologist, 7(3), 197–199. https://doi.org/10.1080/09720073.2005.11890907
McManus, A., Dhar, L. Study of
knowledge, perception and attitude of adolescent girls towards STIs/HIV, safer
sex and sex education: (A cross sectional survey of urban adolescent school girls
in South Delhi, India). BMC Women's
Health 8, 12 (2008). https://doi.org/10.1186/1472-6874-8-12
National AIDS Control Organization
& ICMR-National Institute of Medical Statistics (2020). India HIV Estimates
2019: Report. New Delhi: NACO, Ministry of Health and Family Welfare,
Government of India
National Commission On Population (2020).
Population Projections for India and States 2011-2036. New Delhi: National
Commission On Population, Ministry Of Health & Family Welfare, Government
of India
O’Sullivan, L., Byers, E., &
Mitra, K. (2018). Sexual and reproductive health education attitudes and
experience in India: How much support is there for comprehensive sex education?
Findings from an Internet survey. Sex
Education, 19, 1–17. https://doi.org/10.1080/14681811.2018.1506915
Patel, N. J., & Mazumdar, V. S.
(2019). The Current Status of Sexually Transmitted Infections/Reproductive
Tract Infections in Vadodara City: Health-care Provider Perspective. Indian Journal of Community Medicine :
Official Publication of Indian Association of Preventive & Social Medicine,
44(3), 247–251.
https://doi.org/10.4103/ijcm.IJCM_382_18
Proulx, C. N., Coulter, R. W. S.,
Egan, J. E., Matthews, D. D., & Mair, C. (2019). Associations of
LGBTQ-inclusive sex education with mental health outcomes and school-based
victimization in U.S. high school students. The
Journal of Adolescent Health : Official Publication of the Society for
Adolescent Medicine, 64(5),
608–614.
https://doi.org/10.1016/j.jadohealth.2018.11.012
Ross, Ross, D., ed, Dick, Bruce,
Ferguson, Jane, UNICEF, F., UNFPA, F., & OMS, O. (2021). Preventing HIV/AIDS in young people: A
systematic review of the evidence from developing countries. UNAIDS interagency
task team on HIV and young people.
Sawhney, I. S. (n.d.). Indian politicians want no sex in sex
education [Text]. Scroll.In; https://scroll.in. Retrieved June 29, 2021,
from
http://scroll.in/article/672379/indian-politicians-want-no-sex-in-sex-education
Toor, K. K. (2012). A study of the
attitude of teachers, parents and adolescents towards sex education. MIER Journal of Educational Studies Trends
& Practices, 177-189.
Tripathi, N., & Sekher, T. V.
(2013). Youth in India Ready for Sex Education? Emerging Evidence from National
Surveys. PLOS ONE, 8(8), e71584. https://doi.org/10.1371/journal.pone.0071584
Weinstein, R. B., Walsh, J. L.,
& Ward, L. M. (2008). Testing a New Measure of Sexual Health Knowledge and
Its Connections to Students’ Sex Education, Communication, Confidence, and
Condom Use. International Journal of
Sexual Health, 20(3), 212–221. https://doi.org/10.1080/19317610802240279
What is Sex Education? | Sex Ed Definition and QA. (n.d.). Retrieved June 29, 2021,
from https://www.plannedparenthood.org/learn/for-educators/what-sex-education
Wolfe, D. A., Crooks, C., Jaffe, P.,
Chiodo, D., Hughes, R., Ellis, W., Stitt, L., & Donner, A. (2009). A
school-based program to prevent adolescent dating violence: A cluster
randomized trial. Archives of Pediatrics
& Adolescent Medicine, 163(8),
692–699.
https://doi.org/10.1001/archpediatrics.2009.69
World Association for Sexual Health. (2014). Declaration of sexual rights.
Written by: Heer Shah
Reviewed by: Smriti Gupta, Aashi Singh and Kanav Sahgal
About the Author: Heer is a student
of psychology, interested in the relationship between physical and
psychological health, and is soon going to be pursuing a postgraduate degree in
Health Psychology.
Really well researched and written! Excellent article.
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