Discussion Highlights These data show a marked increase over recent decades in the proportion of young people citing school as their main source of information about sex, with a corresponding decrease in the proportion reporting friends men and first sexual partners and mothers women. The increase in reporting of school as the principal source of information about sex is encouraging as school-based sex education has the potential to reduce inequalities in the provision of information. The school nursing service may play an important role in SRE. The National Curriculum in England: Conclusion School lessons have, over the past 20 years, become the main source of information about sexual matters for increasing proportions of young people in Britain.
Further research is also needed to understand how young people would like to receive information about sex from health professionals, for example, in a one-to-one setting or through school SRE. This should be considered in the context of the changing social climate of young people's lives but our research suggests that a gap remains between what young people want to know about sex and what is covered by current requirements for SRE. The sample of young people is large, providing robust estimates from men and women in Natsal-3 and a total of young people from all three surveys in whom we have explored change over time. Conclusion School lessons have, over the past 20 years, become the main source of information about sexual matters for increasing proportions of young people in Britain. The Healthy Schools Programme, which placed importance on good PSHE in schools, changed in with responsibility for implementation and monitoring now at school or locality level, with no requirement or national support for local implementation. We are able to examine change over time as these surveys employed the same methods and measures. Using data from the three surveys to examine change over time as opposed to looking at change across the life course in one survey is likely to minimise recall and recasting biases. Between — and — there has only been a modest decrease in the proportion of men reporting needing more information about sex figure 2 B and in women, no decrease. Sex and HIV education programs: This may lead to less focus on PSHE within schools. We also do not know about the quality of the information that young people received. The response rate for the latest survey Natsal-3 was This suggests that the quality and breadth of SRE in schools needs to be improved, particularly since young people in our survey most frequently reported wanting this additional information from school. Predominantly, young people wanted this additional information from school, parents and health professionals. Personal, social, health and economic education PSHE. The move, in England, to placing responsibility for public health, including the commissioning of sexual health services, within local authorities 44 , 45 may provide the opportunity for closer coordination between PSHE and sexual health services. Strengths and weaknesses with respect to other studies and important differences in results A larger proportion of young people in our study reported school as their primary information source than reported school as one of their three main sources in an internet-based survey of young people in the UK. The school nursing service may play an important role in SRE. Results of other studies and reports support this. J Adolesc Health ; Another limitation is that we used a predefined list of topics to determine further information needs, which may not have reflected adequately the range of topics of interest to young people today. The proportion of men and women who reported needing biological information has increased but, since Natsal-2, undertaken in —, there has been a decrease in the proportion reporting needing risk-reduction or psychosexual information. Nevertheless, the majority continue to report needing more information on a broad range of topics, most of which are not covered by current requirements for SRE. Preferred sources of this information are school, parents and health professionals, despite the latter two being less frequently reported as information sources, particularly by men. Parents and health professionals were relatively rarely cited as a main source of information in spite of being commonly reported as a preferred source, particularly for men. The National Curriculum in England: Many unanswered questions remain around the influence of pornography on young people.
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