There are many ways that comprehensive sexual health is defined and it is often up to the writer or reader to complete the definition for themselves. However, for these purposes I will be defining how the word comprehensive is going to be used.
Defining Comprehensive Sexual Health:
- Human Development
- Puberty
- Sexual Orientation
- Gender Identity
- Reproduction
- Social Culture
- Sex as perceived by the public
- Gender roles
- Diversity
- Relationships
- Communication
- What is a positive and a negative relationship both sexually and non-sexually
- Dating
- Family relationships
- Romantic relationships
- Decision making
- Sexual Behavior
- Ever evolving sexual identities over time
- Differing desires
- Abstiance (is a form of sexual health and should be taught ALONGSIDE other forms of birth control and sexual health)
- Sexual Health
- STI/STD
- Contraceptives (The Pill, IUD, Female/Male condoms, The Implant, Spermicide Cream)
- Pregnancy
- Abortions
In the United States of America there are 50 states, however, only 24 of them are required by law to teach sex ed and within those 24 there are few requirements on what they need to say which leads to misinformation being spread according to Planned Parenthood. This misinformation is so detrimental to both the development of kids and their peers; it leaves them questioning themselves and results in them being scared to ask questions from their family or teachers.
As an educational institution, schools, public or private, should be held responsible for providing students with accurate and truthful information about their bodies and sex. Just as a history teacher would not teach that WWII did not happen, health educators should not be ignoring the topic of sex and impact that uneducated sexual activity has on students and their partners.
The National Association of School Nurses illustrates this wonderfully in a brief showcasing that evidence-based educational programs are beneficial to students in the long run. They state that healthy students are more likely to achieve academic success and if they are provided with the tools and education to succeed. They say that this is especially true for LGBTQ+ students.
“These findings demonstrate that LGB youth report a higher incidence of bullying at school or online, physical and sexual dating violence, drug and alcohol use, and suicide-related behaviors than their straight peers” according to the NASN.
This is an interesting topic because often LGTBQ+ sexual health is not taught in schools even if they are providing a ‘progressive’ sex edcuation in the other facets. It is not comprehensive unless it includes all aspects of secual health that students may encounter in their lives, whether it be themselves personally or someone they meet which would provide them the skills to have constructive conversations about identity that has a solid foundation of understanding. By educating on LGBTQ+ sexual health it aids in eliminating the shame culture that is associated with talking about sex but specifically LGBTQ+ sex and keeps people from this community from being othered within soceity.
Not only does a lack of education or absitnance only education impact students willingness and comfortableness to discuss sex outside of the classroom and promots shame culture, it fails to teach them how to stay safe when/if they chose to engage in any sort of sexal act. Which increases their chances of contracting a sexually transmitted infection of disease.
Without comprehensive sexual health, not only is the educational aspect lost, but shame culture continues to be perpetuated. However, American University Professor Lauren Weis says that comprehensive sexual health often ignores the positives of sexual encounters and says that it is a systemic problem within society that we tend to ignore this fact.
“Whatever one’s sexual identity, enjoyments, desires there is a culture in which we stigmatize discussions of sex and sexuality produces shame no matter what a person enjoys.” Weis says.
Weis highlights the fact that in order to truly achieve comphrensive sexual health, school curriculms should focus not just on the risks of sex, but the positive, enjoyable moments with it as well to remove the negative connotations associated wiht sex overall. Though comprehensive sexual health it is moving in the right direction, it still has aspects that could be given more attention or adjustments that make it more inclusive and less stigmatized by ‘progressive’ society.
American University Freshman Annmarie Melsheimer said that her Sexual Education, at her all girls catholic high school, did not stop at abstinence education but evolved into natural forms of birth control with failed to address many of the actual issues associated with uneducated and unprotected sex.
“We had a morality class and they taught us natural family planning. My interpretation of it is that it’s, no contraceptives of any kind, no condoms, nothing. You plan it around your period and when you’re ovulating and that’s how you get pregnant. And then when you don’t want to get pregnant, have sex on the off times,” Melsheimer said. “Whenever God wants you to have a child, then he’ll let you have a child. If you’re not planning on it and you do like it’s God’s plan.”
Teaching women to trust their bodies and to understand the messages it is sending to them is great but natural family planning is not a good nor effective form of birth control. When students fail to understand not only the consequences but a general overarching understanding of their bodies and see themselves as sexual beings shame culture is brought to the forefront. Apart from the shame associated with this, Natural Family Planning has issues of its own that are not addressed by many. The success rate of Natural Planning at preventing pregnancies is approximately 90% according to familydoctor.org but is still not a fullproof plan to prevent pregancy and it ignores the impact that unprotected sex has for the spread of STI’s and STD’s. However, Natural Family Planning is a form of birth control that conforms to many religious expectations and is a good form if you do not wish to use contraceptives. But students should be provided with all of the options that are available to them instead of being pushed into a box or being told that there are only two paths that are available to you.
Clearly the benefits of comprehensive sexual health outweigh the negatives in the breadth of information that is able to be touched on with comphrenive sed ed and the numerous positive impacts that it has on not only the physical well being of the students but their mental health as well. There are still many things that need to be addressed within comprehensive sexual health, such as changing the social narrative and perspective on shame culture; but comphrensive sexual health as many students see it today has a much greater positive impact on the students than other forms or sex ed such as absitiance only or none at all.
If you feel so inclined please consider donating to Planned Parenthood to help them educate our communities as well as providing healthcare.