Transcript Sex and Sexuality

Sex and Sexuality
A Community’s Guide
Project ACE
Who are we?
 A collaborative effort that includes
business people, government officials,
law enforcement leaders, social service
professionals, K-16 educators.
 Using a community-based assets driven
approach to change attitudes and
behavior.
 Seeking to encourage Action, foster
Commitment, and offer Education for the
purpose of helping young people in our
region make healthier choices with regard
to six challenging issues in their lives…
The Project ACE’s Topics:
• Methamphetamine & other
drugs
• Suicide
• Alcohol
• Violence
• Gambling
• Sex and Sexuality
Why we care?
• Because we are concerned about young
people in southwest North Dakota.
• We recognize the critically important role
young people will play in the future
successes and vitality of North Dakota.
Community Partners
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Badlands Human Service Center
Bureau of Criminal Investigation
Community Action Partnership
Department of Public Instruction
Dickinson Ministerial Association
Dickinson Police Department
Dickinson State University
Domestic Violence & Rape Crisis Center
Elected Officials
North Dakota Highway Patrol
Quality Quick Print
Region VIII School
Rural Crime and Justice Center
SW Judicial District Juvenile Court
St. Joseph’s Hospital & Health Care Center
Stark County Sheriff’s Department
Stark County Social Services
Southwestern District Health Unit
West Dakota Parent & Family Resource Center
• Are you prepared …
• As a parent are you comfortable in
talking with your children?
• As sexual partners are you comfortable
discussing sexual issues with your
partner?
WHAT
Definitions:
• Sex
• Gender- Born either male or female
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Sexuality
• Is a natural and healthy part of living
• Involves more than sex, and sex involves more than
intercourse
• In our sexual growth process, what we do with the
knowledge we have learned determines who we are
• Factors influencing sexuality include: sexual knowledge,
beliefs, attitudes, values, ethnicity, spiritual, cultural,
moral concerns and influences of behaviors of other
individuals in our lives (parents, peers, teachers/coach).
• It includes not only anatomy, physiology, and
biochemistry of the reproductive system, but also identity
orientation, roles, personality, thoughts, feelings, and
relationships.
• Sexual Activity
Is how we respond to our sexuality:
oral, manual, anal, and vaginal intercourse;
penetration of any of the bodies orifices.
Dating vs. Hooking-Up
• Dating involves going on dates in the early
stages of a relationship to get to know each other.
• Hooking-up getting together to have sex. Often
means “no-strings attached.” Neither parties
consider any possible consequences of their
actions. No emotional involvement or attachment.
Instant gratification for both partners is a priority.
Also known as “Friends with Benefits.”
Youth are sexually active in their homes and
others homes during the daytime without fear
of being seen, or feeling remorse if others
were to find out.
Active time for sexually active youth is from
3:30-5:00p.m. before parents are home from
work.
Lunch hour combined with a study hall creates
a two hour window for sexual activity.
• Widowed or divorced people may use
hooking up as a means to be sexually
active without the complications of dating.
• Young adults have found an easier mean
to fulfill sexual needs without commitment
through hooking-up vs. dating.
SO WHAT
National Sexual Activity Statistics
• Younger people begin having intercourse earlier,
marry later, and have more life partners.
• More than half of women and almost three-forth
of men age 15-19 have had sexual intercourse.
• More than 4 in 10 adults have had 5 or more
sexual partners in their lifetime.
• The median number of lifetime sexual partners by
age 60 is 2 for women and 6 for men.
• One in 5 people had a new sexual partner in the
past 12 months.
• 10% of married women and 25% of men have had
an affair.
Youth National & State Statistics
High School Students 9-12th grade:
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Have had sexual intercourse during their lifetime.
Nationally 47%
North Dakota 43%
Seniors 57%
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Have had sexual intercourse for the first time before 13 yrs of age.
Nationally 7%
North Dakota 4%
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Have had sexual intercourse during their lifetime with ≥4 sex partners.
Nationally 14%
North Dakota 19%
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Have had sexual intercourse during the 3 months preceding the survey.
Nationally 34 %
North Dakota 46%
Excerpts from the 2003-05 National Youth Survey (YRBS).
Youth National & State Statistics
High School Students 9-12th grade:
• Reported they or their partner used birth control
pills to prevent pregnancy.
Nationally 17%
North Dakota 22%
• Reported they or their partner used condoms to
prevent pregnancy.
Nationally 63%
North Dakota 66%
• Have engaged in sexual behaviors.
Nationally 42%
North Dakota 44%
Youth National & State Statistics
• Drank alcohol or used drugs prior to last sexual
intercourse.
North Dakota 30%
• Felt that sexual abstinence is not important at this
time of their life.
North Dakota 25%
• Discussed AIDS/HIV in North Dakota at:
School 90%
Home 40%
Sexually Transmitted Infections
Gonorrhea in North Dakota
Gonorrhea cases increased from 103 cases in 2003 to 111 in 2004.
66% were females
29 cases were reported among 25-29 year olds.
26 cases were reported among 20 - 24 year olds.
34 cases reported among 15-19 year olds.
Chlamydia in North Dakota
Chlamydia cases increased to 1,835 cases in 2004 compared to 1,655 in 2003.
67% were female
25-29 year old age group reported 268 cases.
20-24 year old age group led all age groups with 863 of the cases.
15-19 year old age group was second with 557 cases.
HIV in North Dakota
Through 2004 – 343 HIV/AIDS cases were reported in North Dakota.
85% were male
15% were female
59% Diagnosed as AIDS
37% have died
68% were between ages 20-39 at diagnosis
15 New cases in ND last year
5 of 15 already classified as AIDS
130 persons have died from HIV in ND
Impacts of Sexually Transmitted Diseases
• U.S. has the highest rates of STI’s in the industrialized world with
15 million new cases occurring annually.
• 340 million cases of curable STI’s occur each year in the U.S.
(1 in 10 people test positive).
• Annual U.S. cost of treating Pelvic Inflammatory Disease (PID)
and its consequences is $4.2 million per year.
• Infertility caused by PID costs upwards of $1 billion per year in the
U.S.
• 20 million Americans have HPV with 6.2 million new cases/year.
90% unaware they have the disease.
• Many STI’s are viral, you acquire them for life and there is no cure.
Pregnancy
Nationally in 2000
822,000 women become pregnant before they were 19 yrs.
One third of these were than 15-17 years old.
20,000 were less than 15 years.
500,000 gave birth.
Of the births 9,000 were 14 years or less.
North Dakota in 2000
1,080 pregnancies occurred in teenagers.
Ten girls 14 years and under became pregnant.
710 teenage girls gave birth.
1 in 25 teenage girls became pregnant.
In our Region 31% of all births are to single moms.
Pregnancy
SW ND
2004
Region 8
31 females < 19 years became pregnant
23 of these gave birth
Stark County
2004
23 females < 19 years became pregnant
17 of these gave birth
Impacts of Pregnancy
Average cost of prenatal care and delivery $6,000
and for Cesarean $10,000
Average cost for Well Baby checks with immunizations $3,000
Average cost of Supplies (diapers, cloths, equipment) $5,400
WIC Program $4,300
OPOP Program $250
TANIF (AFDC) & Food Stamps $37,000
Family Planning Services maybe free depending on income
level.
Impacts on Psychological Health
Emotional Pressure and Stresses
• Women are much more likely to say their first
intercourse was as a result of peer pressure.
• Having sexual intercourse at an earlier age is directly
linked to multiple sexual partners.
• Dating earlier in life to “fit in.”
• Using alcohol and drugs earlier in life impacts
relationships and their meaning.
• Unhealthy and unwanted choices being made before
developmentally ready.
NOW WHAT
Parental Involvement
GET INVOLVED with your children, schools, and
community.
VISIT with your children; know WHO their friends are
and WHERE they are going. Get involved with
activities such as clubs, dance, drama, sports, music.
COMMUNICATE with your children and know their
language, and what their words mean.
MONITOR television. Know what your children are
watching, block age-inappropriate channels and
individual programming. What are the commercials
they are watching. What message are they receiving
from the TV.
Monitor their Internet use, block web sites, chat
rooms, e-mail’s. Learn the term “Cyber bullying.”
Parental Involvement
by your own behaviors, and be aware of
your own words and actions.
SET EXAMPLES
MANAGE YOUR CHILDREN’S BEHAVIORS & SET BOUNDARIES;
car use, friends, disposable monies, computers, TV,
phone use, cell phone, tattoo/piercing.
Parent Involvement
REINFORCE good values,
“Look in the mirror…Do you like what you see?”
Self Involvement
Safer Sex Practices
Condoms used correctly 100% of the time, will help decrease
the transmission of HIV, gonorrhea, chlamydia, trichomonas.
Condoms will not prevent transmission of herpes, genital
warts, syphilis, pubic lice or scabies.
Preventing contact with a STI is safest.
Abstinence
• Long term mutually monogamous relationship with an
uninfected person
Testing for STI’s, including HIV, for both partners should be done
before initiating sexual intercourse.
If a person chooses to have sex with a partner whose infection
status is unknown or who is infected, condoms should be
used.
Community Involvement
GET EDUCATED… Get involved by knowing what’s
going on in the community we are all apart of. Keep
abreast of what ‘else’ lives in the community with you,
and what to be looking for.
GET READY… Find out what programs and resources
are in your community and KNOW exactly how to
access them at any time of need.
GET GOING…To help yourself, a neighbor, a family
member, a friend, or a co-worker, to keep your
community healthy and thriving.
GET THE MESSAGE….NEVER LOSE IT !