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Tips for talking to your child about sexual health
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Supporters of abstinence-only, abstinence-based and comprehensive sexuality education alike, agree that parents should be the primary sexuality educators of their children. Easier said than done! This may be an especially tough role for those adults whose parents left them in the dark. You may be thinking, "I turned out alright, so my child will find his or her own way too."

But sexuality education isn't as easy today. Adolescents are overloaded with messages from TV and peers, many of which send the wrong messages about sex, body image, and self-respect. So start talking openly and honestly with your kids, no matter how difficult or uncomfortable it is for you or your kids. Kids want and expect the information to come from you… so get talking! Here are some tips to get you started.



Tips for talking to your child about sexual health


Start Early

Many parents feel that if they give their child information about sex before they're ready, their teenagers are going to have sex sooner. Nothing could be further from the truth. Studies consistently show that if teenagers are prepared with information regarding healthy relationships, values, sexually transmitted diseases (STDs) and contraception, they are more likely to delay sexual intercourse and will know how to protect themselves when they do make the choice to become sexually active1. According to a World Health Organization review of 35 studies, no evidence was found that sexuality education programs lead to earlier or increased sexual activity among teens2.

Sexuality education can start as early as birth when the topics tend to be a little easier. Start by not overreacting if you find your toddler exploring their genitals when playing in the tub and using proper terminology when addressing body parts.

If your little one isn't so little anymore, remember, it's never too late to start talking about sex and sexuality. For teenagers, sexuality education starts with small steps that show your teen that you are open and willing to talk about the tough stuff. If they feel that you are comfortable talking, they are more likely to come to you the next time they have a question. You may not know how to answer every question, but answer as best as you can. Remember that it's ok to say, "I don't know but I'll find out for you," or you can find out together. Try exploring our Links section.

By talking to your children before they start dating and pursuing relationships, they will be able to establish their sexual boundaries early on, rather than " in the heat of the moment." They will be aware of the pros and cons of sexual relationships and have better information with which to make informed decisions. For example, a recent survey of 751 African American youth found that adolescents who (a) believed their mother disapproved of premarital sex or (b) said they were satisfied with the relationship they had with their mother were more likely to abstain from sexual intercourse or to have sexual intercourse less frequently. For those adolescents who were sexually active, they were found to use contraception more frequently3.

Initiate Conversations

Teenagers have just as much fear as you do when it comes to talking about sex; so don't wait for them to volunteer. Find "teachable moments". It can be a conversation about something on TV or a song from their favorite radio station while riding in the car. There are so many references to sex and characters participating in sexual activity on many prime-time shows; it's not too hard to find a place to start. When characters on your teenager's favorite TV show have sex, try a conversation on protected sex, since condoms are rarely mentioned on TV. Help them understand that in real life, there can be physical and emotional consequences that aren't usually seen in these shows, and problems they may encounter will take more than an hour to solve.


Share your values

According to a recent study by the Kaiser Family Foundation, most parents want their children to receive information on a variety of subjects including contraception and condom use, sexually transmitted disease, sexual orientation, safer sex practices, abortion, communication and coping skills, and the emotional aspects of sexual relationships4. While some school sexual health classes address the facts surrounding teen pregnancy and sexually transmitted diseases, you may feel more comfortable addressing many of these other topics at home.

Talking about sexuality at home allows you to integrate your own values into their education. Many families hold religious beliefs surrounding sex and sexuality, so here's your opportunity to let your children know where you stand. Clear messages from you about your values and feelings regarding sexual activity can have a big impact on your child's decision making. Allow your child to accept the values they agree with, but as they get older, remember that they may develop their own values that may vary from yours.

It's also important to help them establish goals for the future, whether it's college, the military, or finding a job. Help them see how their choices today regarding sex can alter the goals they have established.


Be Open and Listen

Issues related to sex are not always easy for either party to talk about. Teens say that parents as most influential when it comes to sexual opinions, beliefs, and attitudes. Children who perceive their parents to be friendly and attentive report less sexual activity throughout their high school and college years5. Be available, honest, attentive, and praise your children for coming to you to talk about sexuality. If your child asks about homosexuality, try to be accepting and not pass judgment. They may be questioning themselves and may already be receiving messages from parts of society that are not accepting. A parent's acceptance of a child's sexual orientation can be the most beneficial contribution to the mental health of the child. For some parents whose values may be unaccepting of this lifestyle, this may be difficult. Remember that research shows that being gay is not a choice6. Besides, no matter what, they will always be your child.


It's okay to say, "I don't know"

It is important to know that you do not need to be a sexual health expert. It's OK if you don't know all of the answers to your children's questions; it's better to say, "I don't know", than to give misleading information. Don't be afraid to do some research before talking to your children on issues you are unsure of or on issues you think they may ask about. You could also turn it into a project to do together. Look up questions you don't have answers to on the Internet or in books. This will help illustrate to your child where additional resources are and how they can access them. Also, don't be afraid to practice your responses. You can practice in front of a mirror, with your spouse or partner, or with friends. Your ability to speak comfortably about sexual health will make your children more comfortable asking questions and discussing sensitive issues.


Honesty is the best policy

Although you will never be able to walk in your children's shoes and make their decisions for them, it will help them to know that you are supportive. You don't need to share every detail of your past with your child, but consider taking a look at the decisions you made and remembering why you made them. Did you wait until marriage to have sex? If not, evaluate what information would have been useful at that time in your life and share it with your child. This may help them make a more informed choice when it's their turn. Acknowledging to your child that there are things you wished you had done differently may encourage them to think long and hard about what they really want.

It's also important for parents to take a look at their current behaviors and see how they may influence their child's behaviors. Parents aren't perfect, and it's OK to admit that to your child. If there are behaviors they are seeing from you that aren't necessarily healthy, talk openly about them. Help them understand that you want better for them.


Once just isn't enough


The first talk is usually the most difficult. But each time you talk, the conversation may come a little easier as your comfort level and confidence grow. Just like a toddler's questions about a topic become more specific as they grow older, teen comprehension of sexual health increases each time it is brought up. As teens get older, the information they are able to process and retain becomes more complex. They may also pay more attention to certain topics when they feel it affects their lives. For example, they may not see the importance of protecting themselves against sexually transmitted diseases until one of their friends is affected. So keep talking, reinforce the values and issues you feel are important. By the time the really tough issues come up, you'll be a pro!


Literature Cited

1. Adolescence and abstinence fact sheet. The SIECUS Report, 26(1). http://www.siecus.org/pubs/fact/fact0001.html
2. Grunseit, A. and Kippax, S. (1993). Effects of sex education. World Health Organization
3. J. Jaccard, et al. (1996). "Maternal correlates of adolescent sexual and contraceptive behavior." Family Planning Perspectives, 28(4), 159-165 & 185
4. Kaiser Family Foundation. (2000). "Sex education in America: A view from inside the nation's classrooms". Menlo Park, CA: Henry J. Kaiser Family Foundation
5. J.W. Simanski. (1998) "The birds and the bees: An analysis of advice given to parents through popular press." Adolescence Magazine, Spring
6. Pillard, Richard C. and J. M. Bailey. (1998). "Human sexual orientation has a heritable component." Human Biology 70(2): 347-65


Definitions

Abstinence: Not having vaginal, anal or oral sex (intercourse).

Abstinence-Only Education: Curriculum that stresses "no sex until Marriage".

Abstinence-Based Education: Curriculum that stresses abstinence, but also presents information on sexually transmitted diseases (STDs) and pregnancy.

Comprehensive Sexuality Education: Education that provides information on a range of sexual health issues, including abstinence, contraception and condoms, sexually transmitted diseases (STDs), pregnancy, and communication skills

Heritable: Genetic


Additional Resources

National Parent Information Network: www.npin.org

Advocates for Youth: www.advocatesforyouth.org

Parents, Families and Friends of Lesbians and Gays: www.pflag.org

Sexuality Information and Education Council of the United States: www.siecus.org

Planned Parenthood: www.plannedparenthood.org

Mothers' Voices United to End AIDS: www.mvoices.org

Talk With Your Kids: www.talkingwithkids.org

National Education Association's Health Information Network: www.neahin.org

National Campaign to Prevent Teen Pregnancy: http://www.teenpregnancy.org/parent/default.asp


Research Articles

Blake, S., Simkin, L., Ledsky, R., Perkins, C., & Calabrese, J. (2001). Effects of a parent-child communications intervention on young adolescents' risk for early onset of sexual intercourse. Family Planning Perspecitives, 33(2): 55-61.
http://www.guttmacher.org/pubs/journals/3305201.html

Has There Been a Talk About Sex? Teenagers and Their Mothers Often Disagree, (2000). Family Planning Perspectives, 32(4). http://www.guttmacher.org/pubs/journals/3219900.html

Holtzman, D. & Rubinson, R. (1995). Parent and peer communication effects on AIDS- related behavior among U.S. high school students. Family Planning Perspectives, 27(5): 235-240 & 268. http://www.guttmacher.org/pubs/journals/2723595.html

Markham, C., Tortoloero, S., Escobar-Chaves, L., Parcel, G., Harrist, R., & Addy, R., (2003). Family connectedness and sexual risk-taking among urban youth attending alternative high schools. Perspectives on Sexual and Reproductive Health, 35(4): 174-179. http://www.guttmacher.org/pubs/journals/3517403.html

Snegroff, S., (1995). Communicating about sexuality: A school/community program for parents and children, Journal of Health Education, 26(1): 49-51

Whitaker, D., Miller, K., May, D., & Levin, M. (1999). Teenage partners' communication about sexual risk and condom use: The importance of parent-teenager discussions. Family Planning Perspectives, 31(3): 117-121. http://www.guttmacher.org/pubs/journals/2723595.html

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