Sex Education in Delhi

Attitude Towards Sex Education Amongst Adolescents in Delhi Ajanta Anindita (P09066) Eresh Sabharwal (P09080) Rahul Agrawal (P09102) Personnel Management & Industrial Relations, XLRI School of Business and Human Resources Jamshedpur, Jharkhand, India Abstract Purpose - The purpose of the study is two-fold. First, it tries to investigate the effect of attitude adolescents posses towards sex and sex education on their level of sex awareness. Also, it tries to establish whether gender is a moderator of the relationship between adolescents ? attitude and sex awareness. Design/Methodology/Approach - A questionnaire was given to the students of schools and colleges in Delhi asking their attitudes towards sex, attitude towards sex education and their level of sex awareness. The results of this questionnaire were then analyzed to validate the study. Findings - Positive correlation was found between the attitudes and the level of sex awareness. Also, partial mediation effect of the attitude towards sex education was proved. Another important finding was that the beta coefficient of attitude towards sex and sex awareness was egative in case of males but positive in case of females, showing the effect of gender as a moderator. Research Limitations/Implications - The limitations of the research were that no existing study of attitude towards sex education of adolescents was done. Also, our research was targeted only towards the urban population which can be stretched to rural population as a part of future researches. Future research can also include a higher difficulty level questionnaire testing sex awareness among adolescents. Practical Implications - Sex education is very necessary for the students in India because they eceive information from different media s whic? h is incomplete and incorrect. Originality/Value - The study is one of the first to test the attitude of adolescents towards sex education bringing out the importance of sex education in today s society.? Keywords - Sex awareness, Attitude towards sex, Sex education Paper type - Research Paper Introduction In India, adolescents receive most sex related information from media and peers. Schools have not played an active role in providing sex education to the students. It is very important for the students to know about sex and the bodily and health effects that sex causes. India has the highest number of HIV/AIDS infectants in the world. Adolescents are the most vulnerable to such sexually transmitted diseases, and more so with the lack of knowledge that they possess. Even the knowledge that the adolescents possess is incomplete and inaccurate as it is received from secondary sources. Sex awareness is affected by the attitude of adolescents towards sex and sex education. Several authors have tried to define attitude in several different ways. Shaw and Wright (1967) opined that attitude entails an existing predisposition to respond to social objects, hich in interactions with situational and other dispositional variables, guides and directs the overt behavior of the individual. In India sex is considered as a taboo. Most families do not feel comfortable talking about sex. Females face societal restrictions till they are married. All these factors heavily affect the attitude that adolescents share towards sex. We have also tried to measure the attitude of adolescents towards sex education as it is considered a great help to impart sex awareness among students from an early age in their life. Sex education in schools oes not only give the students the information they require about sex at the correct time but also give them complete and correct information as it comes through the right source. Gender has been taken as a moderator which affects sex awareness. The societal obligation that exists in India gives existence to a different kind of attitude towards sex between boys and girls. Even though boys and girls live in the same society study in same institutions, there are various restrictions that are put on the females which are exhibited in their attitudes. The aim of the study s to verify the mediation effect of gender on the three related components, namely attitude towards sex, attitude towards sex education and level of sex awareness. Research Background and Hypothesis Attitude towards sex education Sex Education is an instrument which schools in many countries have included as a means to impart knowledge among the students about sex and its related impact on health. In India, sex education is a means still to show its dominance in schools. Adolescents today require basic knowledge about reproductive biology so as to develop better understanding about their own body and health. Sex education in schools becomes all the more important because this information needs to come through the correct medium. Adolescents receive information about this from almost everywhere, especially mediums which do not give them correct and complete information. Ignorance in such matters is exacerbated through low school attendance, attitudes that prohibit discussion about sexual matters and lack of sex education (Bott & Jejeebhoy 2003; McCauley & Salter 1995). There have been studies in the past which demonstrate lack of knowledge among adolescent regarding reproductive biology (Gupta 1988). There are potential ifficulties in incorporating sex education in the education policies of a state. According to authors like Beattie and Meredith (1989), sex education is a potential are of political discredit. . Oz (1991), Kirby et al. (1979) and Sonenstein and Pittman (1984) mentioned these difficulties in the USA. In Europe, Csincsak et al. (1994) referred to the same difficulties that Lo? pez (1990) had also identified in Spain. The European countries where sex education was more integrated into the educational policies were the Scandinavian countries (Meredith 1990). Sex Education in South- Asian countries has never really picked-up. In India, there have been talks of making sex education a mandatory part of the course curriculum but it is a very tough proposition. As per the current state, there are a very few schools (mostly in the urban parts of the country) where sex education is being provided. This dismal state should work as an initiator for the education ministry to make sex education a part of the course so that the students learn about the same from legitimate sources rather that sources which give them incorrect and incomplete information. Instrument: We have used a questionnaire on a Likert scale (5-point scale ranging from strongly isagree to strongly agree) which was used in the study on Validity of a scale to measure teachers attitudes towards sex education (Helena and Gonc, 2006). The questionnaire was used ? on teachers but here we are trying to study the attitude of adolescents towards sex education with the same set of questions. Such a study about attitude towards sex education among adolescents in India is lacking at present and hence we have tried to bridge this gap through our study. Sex Awareness Sex Awareness, literally means the awareness about sex and related issues. The related issues ould range from the bodily effects of sex to the various health concerns that it can cause. Adolescents, in general have various sources to learn about sex. The sources range from school, peers, family to media. In India, peers play a very important role while imparting knowledge about sex to each other. According to some studies, male adolescents gather a major chunk of information about sexuality and reproduction mechanisms from their peers or the media. Yet, there is also willingness in them to learn more about the same topics from other more suitable sources. Another study showed that although the level of knowledge about puberty, menstruation, sex organs, reproduction, contraception, pregnancy, RTIs, HIV were low among young adolescents, older adolescents had better knowledge about the same. According to a particular study which was carried out by the Centre for Population Studies in 2003, more than 90% of the adolescents of the semi-urban areas around Kolkata had awareness about HIV/AIDS, nearly 50% had knowledge about the mechanisms through which the virus is transmitted and most of them were aware of at least one reversible birth control methods. A survey conducted by The NACO National Behavioral Surveillance indicated that 30% of the male adolescents in the age group of 15-19 years had knowledge about how the HIV virus is transmitted. This shows that the knowledge levels are not extremely low among the adolescents in India but still need a considerable amount of improvement. Another reason for the increasing importance to imbibe sex awareness among adolescents is the extremely low national average age of marriage for women in India which currently is 16. 4 years. Instrument: To measure the awareness about sex among adolescents a simple open-ended uestionnaire is used which has been taken up from the paper: “Adolescent Male Reproductive Health: Awareness and Behavior among Peri-Urban and Rural Boys in West Bengal, India (Mohan Das and Ray 2007). ” The answers have been rated on a 5 point scale with 1 for a wrong answer and 5 for the correct answer, so as to measure how well aware one is about sex and related issues. Attitude towards Sex In India, most adolescents are not very comfortable talking about sex with their family, which exhibits the fact that sex is considered a taboo in our country. According to a study done by International Herald Tribune (2006), even talking about sex is considered to be a taboo in wide parts of the country. The attitude of adolescents towards sex has changed over the years. The Family planning Association of India has conducted two surveys among people of the age of 15- 29 years twice in the years 1990 and 1993 in 13 and 16 cities, respectively. In 1990, 67% of all males and 87% of all females surveyed disapproved of sexual relations. Whereas in 1993, survey showed that the proportion had decreased, especially among the males. There are various omponents that affect the attitude of adolescents towards sex. Evidence has shown that adolescents with more liberal attitudes towards sexuality are more likely to experience premarital sex (Rakesh 1992). A study conducted by Mohan Ghule et al (2007) showed that majority of the students of rural college in Maharashtra, India expressed conservative attitudes towards premarital sexuality. At the same time, a study done by Goparaju (1993) showed that the college students reported liberal attitudes to pre-marital sex. Religious beliefs also play an important role on the attitude towards sex. The negative influence of self-religiosity on attitudes towards sex clearly show that individuals who perceive themselves as more religious display conservative attitudes towards sex. (Rangaiyan 1996) . Another component that affects one s attitude towards ? sex is the kind of social upbringing. Young people living in urban areas have a more liberal attitude towards sexuality and are more likely to engage in pre-marital sexual inter-course as compared to their rural counterparts. (Promote et al. 1987; Orubuloye et al. 1991). Instrument: The questionnaire chosen uses a 5-point likert scale to judge the attitude of dolescents towards sex. The questionnaire was used in the study Attitude Towards Premarital Sex among Rural College Youth in Maharashtra, India (Ghule, Balaiah and Joshi 2007). The questionnaire tests the attitude that both boys and girls have towards sex and if societal obligations and restrictions do play a part on such an attitude. Moderator: Boys and Girls We want to study the mediation affect of gender on the level of sex awareness that adolescents exhibit in India. Numerous studies have shown that the level of sex awareness exhibits variations when the two genders are compared. In different cultures, men and women are governed by different practices, social norms, values, symbols and representations. They are taught to be this way right from their childhood. This influences their expressions of masculinity and femininity. Generally, men are taught to be tough, aggressive, and dominant and risk taking whereas women are taught to be docile and well mannered. Males have been found to be more likely to engage in premarital sex and to have more positive attitudes towards premarital sex than do females (Carrol et al. 1985; Hendrick et al. 1985; Cernada et al. 986; Alexander et al. 1989; Rangaiyan 1996; Abraham 2001). The Indian society has always seen females being imposed restrictions upon. Most parents prefer their daughters going in convent schools (although this notion is taking a change in the past few years), not allowing them to socialize with the other sex and getting them married as soon as they attain reproductive age. The mediation effect between the two genders will validate whether or not the studies regarding the societal restrictions put on women and sex being considered a taboo especially for the females are true. Attitude towards Sex and Sex Awareness Human sexual behavior is instinctive as well as learnt which is why societal values and norms interfere with this behavior. Cultural myths and taboos result in sexual ignorance. (Avasthi A. K. , et al. , 1992). Adolescence, which is a transition between childhood and adulthood, is marked by reproductive development, which is why adolescents need to be aware of the physiological and emotional changes their bodies undergo. However, most adolescents in India lack reproductive health knowledge mostly due to various socio-cultural factors. (Das B. M. et al, 007). This lack of awareness eventually contributes to the spread of STDs such as AIDS (Kumar A. , et al, 1997). Starting from childhood, males and females are socialized by different sets of practices and norms. Boys are expected to be aggressive and tough which automatically drives them to high risk sexual behavior, which poses potential risk for them as well as their sexual partners. (Das B. M. et al, 2007). Such attitudes towards sexuality eventually affect sex awareness, especially among adolescents. Adolescents in India are either sexually unaware or clouded in myths deep-rooted in Indian culture. Reproductive health needs and sexual urges of adolescents though different from those of adults are poorly understood. (Das B. M. et al, 2007). A society s sexual behavior is controlled by the extent to which social control and self? - restraint is valued by the society. Of late, in India, social and community controls have weakened, giving way to greater individual freedom. This autonomy though available to all classes of men, is limited, in the case of women, only to upper and middle classes to a certain extent. However such social values restraining sexuality have not been replaced by sexual ducation (HIV and AIDS Prevention and Care). This results in unsafe sexual practices, without increasing awareness. (Ambati, B. K. et al, 1997) It just leads to increasing cases of sexual assaults on women and girls, which are conducive to the spread of AIDS in women (HIV and AIDS Prevention and Care). Parents hardly discuss sexual issues with their wards. Hence, adolescents rely on peers, media and fiction for information related to sexuality, which might not always be accurate. Knowledge of sexually transmitted diseases is limited. (Patil S. S. , et al. ) Attitude towards Sex and Attitude towards Sex Education The sexually conservative nature of Indian society inhibits educational efforts, especially since discussing sexual issues at a personal level is discouraged. (Ambati, B. K. et al, 1997) (Bhan N. B. , et al. 2004) showed that hesitance in talking about reproductive health results in a poor level of sex knowledge (i. e. knowledge regarding HIV, AIDS and menarche) among girls. Adolescents usually are expressive about their sexual desires, mostly when talking about crushes. Sexual fantasies used as a source of arousal for masturbation. However fear of the consequences of iscovery on reputation inhibits adolescents from seeking out correct information about these issues. (Bhugra D. et al. , 2007) They are mostly concerned about masturbation and nocturnal ejection. (Patil S. S. , et al) Social taboos against open discussion of sexuality lead to a lack of awareness among the general public, minimal skills and training among health professionals. (Garg S. et al. , 2007. ) As a result, India is currently facing an emergence of STIs and HIV. Any program to raise awareness of STIs and HIV needs to keep in mind the underlying attitude of the society towards ex, since this affects attitude towards sexual education. The effectiveness of sexual education is highly inhibited by a negative attitude towards it. Indian socialization process is such that boys are expected to be independent and self- reliant. This makes them ignore reproductive health problems and rely on self-treatments. (Das B. M. , et al. , 2007) Females have a more negative attitude towards sexuality as compared to males. (Avasthi A. K. , et al. , 1992. ) Adolescent girls find the concept of homosexuality horrifying and the practice of masturbation unacceptable; they believe in myths that masturbation ould lead to impotence and weakness. (Bhugra D. et al. , 2007) Such lack of openness about sexual issues also extends to half-hearted acceptance of sex education. On the positive side, the fact that premarital sex is considered a taboo ensures that girls are aware of contraception for fear of discovery. In fact fear of pregnancy, parental trust and expectations, and societal pressures stops many youngsters from indulging in premarital sex. (Bhugra D. et al. , 2007). In this case, societal pressure ensures a positive attitude when it comes to issues such as pregnancy, transmission of STDs, etc. However, at times adolescents, especially boys overcome societal attitude to sex in gathering basic sexual and reproductive information. They resort to indirect methods like fiction, peer interaction, media, etc. (Bhugra D. et al. , 2007). However, these sources aren t? always accurate which in turn clouds sexual education. There is an urgent need to encourage flow of information via more direct sources. Attitude towards Sex Education and Sex Awareness The topic of introducing sex education in school has been debated over and over again. The controversy surrounding this reflects the attitude of the society towards sexual education. In short, sex education requires a positive attitude of professionals delivering these courses. (Reis M. H. A. , et al. , 2006. ) This would go a long way in increasing the effectiveness of these programs thereby increasing sex awareness. An educational intervention program carried out among rural adolescent girls in Karnataka indicated the potential of such programs in increasing reproductive health knowledge among this segment. (Rao R. S. P. , et al. , 2008. ) Adolescent pregnancies contribute to 10-15% of total pregnancies in India, largely due to early marriages. Among the two genders, girls are more vulnerable because they can be coerced for unprotected sex and because they are biologically more susceptible to STDs including HIV infection. Early childbearing also has an adverse impact on their long-term economic potential. Thus sexual education goes a long way in improving sexual awareness. Despite the controversy surrounding effectiveness of health education, it has been established that it at least leads to increased awareness among adolescent girls empowering them to take care of their own reproductive health. (Rao R. S. P. , et al. , 2008. ) For diseases like HIV with no cure, education is very important; prevention being the only route. (Ambati, B. K. , et al. , 1997) The Medical Termination of Pregnancy Act legalized abortion in India, the intention being to reduce illegal abortion and consequent maternal mortality. However, unsafe abortions levels are still high, especially among low-income rural women and adolescents. (Johnston H. B. , 2002. ) It is essential to target and educate adolescents about reproductive health issues. Knowledge about major routes of HIV transmission is high without any intervention mostly due to exposure to media. Patil S. S. , at al. ) This is indicative of the fact that sexual educational programs along these lines could increase sexual awareness. Methods Sample A sample of 180 respondents consisting of 108 boys and 72 girls from schools and colleges of Delhi has been taken for the study. The survey was sent to 250 students of which 180 finally responded back, i. e. a response rate of 72% was achieved. Among the 180 responses, 30 responses were received from personal interviews whereas 150 responses were received from e- mails. The questionnaire was given mostly to urban schools and colleges in Delhi. Measures The above three constructs were measured as follows: Attitude towards Sex : Likert Scale (1=strongly disagree, 5=strongly agree) Attitude towards Sex Education is measured by a likert scale with questionnaire taken from the study „Validity of a scale to measure teachers attitudes towards sex education (Helena and ? ? Gonc, 2006). Attitude towards Sex Education: Likert Scale (1=strongly disagree, 5=strongly agree) Attitude towards Sex is measured by a likert scale with the questionnaire taken from the study „Attitude Towards Premarital Sex among Rural College Youth in Maharashtra, India (Ghule, ? Balaiah and Joshi 2007). Sex Awareness: Open-ended questions (1=incorrect answer, 5=correct answer) Sex Awareness is measured by open ended questions with the questionnaire taken from the study “Adolescent Male Reproductive Health: Awareness and Behavior among Peri-Urban and Rural Boys in West Bengal, India ? (Mohan Das and Ray 2007). ” Analysis & Results Data Reliability Analysis The following table indicates the measures of internal consistency. Item Cronbach s ? coefficient? No. Of Items Attitude To Sex 0. 722 12 Attitude To Sex Education 0. 798 10 Sex Awareness 0. 765 10 Data validity measures As can be seen, all the variables are internally consistent since their values are greater than 0. 7. Correlation Analysis The following table indicates correlation between the values. Sl. no Constructs Mean SD Pearson Correlation Sig. (2-tailed) Attitude To Sex Attitude To Sex Education Sex Awareness 1 Attitude To Sex 31. 93 4. 558 0. 722 2 Attitude To Sex Education 42. 15 2. 769 0. 724 0. 798 3 Sex Awareness 40. 733 5. 835 0. 925 0. 883 0. 765 Correlation coefficients All the constructs are positively and strongly correlated to each other, which confirm the empirical evidences on these relationships. Sexual awareness is strongly related to attitude to sex as well as attitude to sex education. Mediation Analysis The table below indicates linear regression result obtained by analysis. Step Variable Beta R2 1. Independent Variable: Attitude to sex Dependent Variable: Sex Awareness 0. 925 0. 854 2. Independent Variable: Attitude to sex Dependent Variable: Attitude to sex education 0. 724 0. 522 3. Independent Variable: Attitude to sex education Dependent Variable: Sex Awareness 0. 883 0. 778 4. Independent Variable: Attitude to sex, Attitude to sex education Dependent Variable: Sex Awareness 0. 600 . 448 0. 950 Linear regression results All the results obtained in this test are statistically significant, level of significance being considerably less than 0. 05 in each case. Step 1 indicates that attitude to sex is significantly related to sex awareness (beta = 0. 925, R 2 = 0. 854). Hence, there is an effect that could be mediated. Step 2 indicates that attitude to sex is significantly related to attitude to sex education (beta = 0. 724, R2 = 0. 522). Thus, antecedent variable is significantly related to the mediator. Step 3 shows a strong link between mediator and sex awareness. (beta = 0. 83, R 2 = 0. 778). Step 4 indicates that sex awareness depends upon both attitude to sex and attitude to sex education (R2 = 0. 950). The relationship between attitude to sex and sex awareness is lower (beta = 0. 600 as compared to earlier beta = 0. 925) when attitude to sex education is included in the model. This indicates that attitude to sex education acts as mediator. However, since the relationship between attitude to sex and sex awareness is highly significant, the mediation effect is partial, not complete. Thus, the model holds good with attitude to sex education having a partial mediating effect. Carrying out Sobel Testfor mediation using online Sobel calculator, Sobel test statistic of 10. 9 was obtained which is much larger than 1. 96. Hence, mediation is significant. Moderation Analysis The following are results of regression analysis carried out separately on females and males. Step Variable Females Males Beta R2 beta R2 1. Independent Variable: Attitude to sex Dependent Variable: Sex Awareness 0. 830 0. 685 -0. 304 0. 084 2. Independent Variable: Attitude to sex Dependent Variable: Attitude to sex education 0. 908 0. 822 -0. 659 0. 428 3. Independent Variable: Attitude to sex education Dependent Variable: Sex Awareness 0. 808 0. 647 0. 771 0. 590 4. Independent Variable: Attitude to sex, Attitude to sex education Dependent Variable: Sex Awareness 0. 552 0. 306 0. 697 0. 360 1. 008 0. 661 Moderation effect - regression analysis 1 When the same linear regression analysis is carried out separately on adolescent boys and girls, the results obtained are different for both the groups. For females, the partial mediation model still holds good. (beta = 0. 830 for attitude to sex and sex awareness, beta = 0. 552 when attitude to sex is also included in the relationship) However for males, the results change drastically. Attitude to sex is not a driving factor for sex awareness in this case (beta = -0. 304, R 2 = 0. 084). Though, when attitude to sex education is included in the analysis, some relation is observed between attitude to sex and sex awareness (beta = 0. 360, R 2 = 0. 661), which is primarily because attitude to sex education is strongly related to sex awareness. (beta = 0. 771, R 2 = 0. 590). Thus, sex education can enhance sex awareness in boys even though attitude to sex has no effect. Discussion and Implications The study has been able to verify the positive correlation between the various constructs, namely he attitude towards sex, attitude towards sex education and sex awareness with the moderator effect of gender. This shows that there is a link between the attitude that adolescents possess towards sex and the level of awareness they have. The study has shown a very interesting trend that a majority of the adolescents think of sex education as important and would like to impart it in the school curriculum. This presses on the need of our education system to include sex education as a part of the education that is provided in the schools itself, so that the youth is able to learn about it from an early stage in life. Sex education has been implemented well in other nations and various studies show that the level of sex awareness in such countries is much higher than that in our country. There have been enough talks about including sex education as a part of the course curriculum and now it is time that the education system incorporates this change. Another very striking development of this study is that because the adolescents are not been given information from the right sources, they are receiving incomplete and incorrect information from various mediums. The adolescents mostly receive sex related information from eers and media. This makes it all the more important for us to provide the students with the right channel and medium to get information about sex and its related issues. India is largely affected by various sexually transmitted diseases and to prevent this growth , sex awareness is a must. The societal restrictions that the Indian culture has had on the females are also exhibited with the differences in attitude towards sex among the two genders. Families need to loosen the restrictions that it has made on females so that they can also grow and be aware about the world as much as their male counterparts. Families need to be more liberal about discussing sex with children and should not consider sex as a taboo. Limitations and Conclusion Firstly the study was concentrated only to the urban section of students in Delhi and this does not show the general attitude of adolescents all over, especially those in the rural parts of the country, whose upbringing and social values are totally different from those of the urban population. This can work as moderator for future studies which can focus upon the difference in attitudes and awareness about sex of the two different classes- rural and urban. There are various studies that have been done for the same. Urban adolescents have better knowledge about the matters related to reproductive health and also the laws related to abortion and marriageable age. A gap that we found in the available studies was the non-existence of a study of the attitude towards sex education of students in India. Studies have been done regarding the level of sex awareness and attitude towards sex, but the attitude of adolescents towards sex education has never been studied. We have used the scales and the questionnaire from a study done in Portugal egarding the attitude of school teachers towards sex education. The set of questions are competent enough to be used for students as their main aim lies in measuring the attitude (whether positive or negative) of respondents towards sex education. Another limitation of our study was that we have used very basic questions to measure the level of sex awareness among students. The questions test the basic knowledge of adolescents about reproduction and sexual organs. A higher difficulty level questionnaire could also have been prepared but as we were apprehensive about the acceptance of these questions by ur respondents, we restricted our study to a basic level of questionnaire. In summary, despite the above limitations the study explains the relationship between the attitude towards sex and sex awareness among adolescents. It also explains the partial mediation affect of the attitude towards sex education of the adolescents. The moderator effect of gender exhibits the differences that still exist between the attitudes of the two genders towards sex owing to the culture and society we are a part of. References Adjahoto, E. O. , Hodonou, K. A. , De souza, A. D. , & Tete, V. K. (2000), Teenage knowledge about sex. Sante, 10, 195–199. Abraham, L. (2001), “Understanding youth sexuality: A study of college students in Mumbai City, India”, Journal of Social Work, 62(2), April 2001. Alexander, C. S. , Ensminger, M. E. , Kim, Y. J. , Smith, B. J. , Johnson, K. E. , & Dolam, L. J. (1989), “Early sexual activity among adolescents in small towns and rural areas: Race and gender patterns”, Family Planning Perspectives, 21, 261–266. Ali, M. , Bhatti, M. A. , & Ushijima, H. (2004), “Reproductive health needs of adolescent boys in rural Pakistan: An exploratory study”, Tohoku Journal of Experimental Medicine, 204, 7- 25. Ambati, B. K. , Ambati, J. , Rao, A. M. , (1997), “Dynamics of knowledge and attitudes about AIDS among the educated in southern India”, AIDS Care, Vol. 9, Issue 3. Avasthi A. K. , et al. , (1992), “Construction and Standardization of a Sex Knowledge and Attitude Questionnaire (SKAQ)”, for North Indian Population. Indian J. Psychiat, 34(1), 24-27. Beattie, A. & Meredith, P. (1989), The other curriculum (London, International Planned Parenthood Federation). Bhan N. B. , Mahajan P. , Sondhi M. , (2004), “Awareness Regarding Sex Knowledge Among Adolescent Girls (16-20 years)”, Anthropologist, 6(2): 101-103. Bhugra D. et al. (2007), “Sexual attitudes and practices in North India: A qualitative study”, Sexual and Relationship Therapy, Vol 22. No. 1. Bott, S. , & Jejeebhoy, S. (2003), Adolescent sexual and reproductive health in south Asia: an overview of the findings from the 2000 Mumbai conference. Bruce, J. , Lloyd, C. B. , & Leonard, A. (1995), “Families in focus: New perspectives on mothers, fathers, and children”, New York: Population Council. Carrol, J. L. , Volk, K. D. , & Hyde, J. S. (1985), “Differences between males and females in motives for engaging in sexual intercourse”, Archives of Sexual Behaviour, 14, 131–139 Cernada, G. P. , Chang, M. -C. , Lin, H. -S. , Sun, T. -H. , & Chen Cernada, C. -C. (1986), “Implications for adolescents sex education in Taiwan ”, Studies in Family Planning, 17(4), 181–187. Csincsak, M. , Bourdeaudhuij, I. & Van Oost, P. (1994), “School-based sex education in Flanders:problems, barriers and perceived needs for future practice ”, Health Education Research, 9(4), 473–483. Das B. M. , Ray S. , (2007), “Adolescent Male Reproductive Health: Awareness and Behavior among Peri-urban and R ural boys in West Bengal, India”, International Journal Of Men’s Health, Vol. 6, No. 2. Family Planning Association of India (FPAI). 1990), Attitude and perceptions of educated urban youth to marriages & sex, Bombay SECRT (Sex Education Counselling Research Training), Family Planning Association of India. Garg S. et al. , (2007), “Prevalence and awareness about sexually transmitted infections among males in urban slums of Delhi”, Indian J Med Sci, Vol. 61, No. 5. Ghule, Balaiah, Joshi (2007), Attitude Towards Premarital Sex among Rural College Youth in Maharashtra, India. Goparaju, L. (1993), “Unplanned, unsafe: Male students sexual behavior”, Paper Presented at the Workshop on Sexual Aspects of AIDS/STD Prevention in India, Tata Institute of Social Sciences, Mumbai Gupta, S. D. (1988), A study of reproductive health awareness and behavior amongst adolescents: Multicentric study. New Delhi: Indian Council of Medical Research. Hendrick, S. , Hendrick, C. , Sampion-Foote, M. J. , & Foote, F. H. (1985), “Gender differences in sexual attitudes”, Journal of Personality and Social Psychology, 49, 1630–1642. International Institute for Population Sciences (IIPS). (2000), National family health survey (NFHS- 2), India. Mumbai: IIPS. Johnston H. B. , (2002), “Abortion Practice in India: A review of literature”, Centre for Enquiry into Health and Allied Themes (CEHAT). Kapamadzija, A. , Bjelica, A. , & Segedi, D. (2000), “Sex, knowledge and behavior on male high school students”, Medicinski Pregled, 53, 595–599. Kirby, D. , Alter, J. & Scales, P. (1979), An analysis of U. S. sex education programs and evaluation methods (Report No. CDC-2021-79-DK-FRI) (US Department of Health, Education and Welfare). Kumar A. , et al. , (1997), “Heterosexual behaviour and condom usage in an urban population of Delhi, India” AIDS Care, Vol. 9, Issue 3 Societal Influences on HIV and AIDS transmission and prevention. HIV and AIDS Prevention and Care Lamas, M. 1996), “Antropologia feminista y la categoria de genero [Feminist anthropology and gender analysis]”, M. Lamas (Ed. ), Genero: La construccion cultural de la diferencia sexual, (pp. 97–126). Lo? pez, F. (1990), Conceito e objectivos da educac? a? o sexual, Sexualidade & Planeamento Familiar, 47&48, 14–15. Masilamani, R. (2003). “Building a supportive environment for adolescent reproductive health programmes: Essential programme components”, S. Bott & S. J. Jeejebhoy (Eds. ), Towards adulthood: Exploring the sexual and reproductive health of adolescents in South Asia, 156-158. McCauley, A. P. , & Satter, C. 1995), “Meeting the needs of young people”, Population Reports, Series J, 41, 1-43. Meredith, P. (1990), “A education sexual nos pa?? ses europeus”, Sexualidade & Planeamento Familiar, 47&48, 11–13. National AIDS Control Organisation (NACO) & UNICEF. (2002), Knowledge, attitudes and practices of young adults (15-24 years). O Neil, J.? , Good, G. , & Holmes, S. (1995), “Fifteen years of theory and research on men s ? gender role conflict; new paradigms of empirical research”, In R. Levant. & W. Pollack (Eds. ),A new psychology of men, 164-206 Ortner, S. , & Whitehead, H. (1996), “Indagaciones acerca de los significados sexuales Explorations of sexual meanings]”, M. Lamas (Ed. ), Genero: La construccion cultural de la diferencia sexual, 97–126. Orubuloye, I. O. , Caldwell, C. , & Caldwell, P. (1991), “Sexual networking in Ekiti District of Nigeria”, Studies in Family Planning, 22(2), 61–73. Oz, S. (1991), “Attitudes toward family life education: a survey of Israeli Arab teachers”, Adolescence, 26(104), 899. Patil, S. S. , Chaturvedi, R. , & Malkar, M. (2002), “Sexuality and sexual behavior in male adolescent students”. Bombay Hospital Journal, 4. Retrieved March 16, 2006, https://www. bhj. org/journal_4404_oct/review_664. htm Promote, P. Chamrutrithirong, A. , Bennett, A. , Jitnagtanapataya, L. , Isarabhakdi, P. (1987), “Rural adolescent sexuality and the determinants of provincial urban premarital adolescent sex ”, Institute for Population and Social Research, Mahidol University, Bangkok. Rakesh, A. (1992). Premarital sexual attitudes and behaviour among adolescent girls. Jaipur: Print Well Publishers. Rangaiyan, G. (1996). “Sexuality & sexual behaviour in the age of AIDS: A study among college youth in Mumbai”, Ph. D. Dissertation (Unpublished), International Institute for Population Sciences (IIPS), Mumbai. Rao R. S. P. et al. (2005), “Acceptability and Effectiveness of a Breast Health Awareness Programme for Rural Women in India”, Indian J Med Sci, Vol. 59, No. 9. Reis M. H. A. , Vilar D. G. R. , (2006), “Validity of a scale to measure teachers ? attitudes towards sex education”, Sex Education, Vol. 6, No. 2. Santhya, K. G. , & Jejeebhoy, S. J. (2003), “Sexual and reproductive health needs of married adolescent girls”, Economic and Political Weekly, 38, 4370–4377. Scott, J. (1996), “El genero: Una categoria util para el analisis historico [Gender: A useful category for historical analysis] ”, M. Lamas (Ed. ), Genero: La construccion cultural de a diferencia sexual, 97–126. Shaw, M. C. , & Wright, J. M. (1967), Scales for the measurement of attitudes. New York, U. S. A. :McGraw Hiu Book Co. Sonenstein, R. & Pittman, K. (1984), The availability of sex education in large city school districts, Family Planning Perspectives, 16, 19–25. Verma, R. (1997), “Reproductive health issues, focus on men”, IASSI Quarterly, 16, 172-82. Zheng, X. (1997), “A survey of graduate student s knowledge, views and behavior with respect? to reproductive health”, Chinese Journal of Population Science, 9, 123-133. Appendix Questionnaire Attitude towards Sex Question 1 2 3 4 5 Virginity is a female students’ most valuable Possession If I love a girl/boy, I would do anything with her/him. While it is natural for men to have multiple sexual relations, it is morally incorrect for women to do so. Premarital sexual relations often equip persons for more stable and happier marriages Extramarital sexual relations is not bad. I am embarrassed to talk about sex with friends Religious groups shouldn’t attempt to impose their standards on sexual behavior. Easy access to birth control information and devices increases premarital sexual activities. My parents influence has inhibited me sexually. My friends mostly have sex for recreation/fun I like to look at sexy pictures of naked persons. My friends don’t think safe sex important. Attitude towards Sex Education Questions 1 2 3 4 5 School sex education is very important for children and youth. School sex education promotes earlier sexual involvement Sexuality is learned through life experiences and not in school. Only biology teachers should provide sex education School sex education should be obligatory. School sex education is an effective way to prevent HIV/AIDS Sex education is an effective way to prevent abortion. Sex education should be provided by parents not by school. With all the information in the media, school sex education is no longer necessary. All teachers are responsible for sex education Sex Awareness • What are the male and female sex organs • Where is Semen formed • What is the function of sperm • What is a major way to cause pregnancy • Does intercourse always lead to conception • Is abortion legal in our country • What is the statutory age of marriage for boys • What is the statutory age of marriage for girls • Have you ever experienced masturbation • Have you ever experienced sexual intercourse

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