Jamaica Gleaner

SPEAK WITH THEM!

Promotings afe health sexual in adolescent­s

- Dr Abigail Harrison & Dr Althea Bailey/Contributo­rs

March 18-24 is being recognised as

Global Teen Health Week, aimed at raising the profile of adolescent health. Below is an article from the Paediatric­s Associatio­n of Jamaica.

OFTEN WHEN we hear the words ‘adolescent sexual health’, we think, how do we prevent our teenagers from having sex, getting pregnant and contractin­g sexually transmitte­d infections (STIs). While reasonable goals, parents should consider that adolescent sexual health is really about ensuring that young people develop into healthy sexual beings.

Sexuality is a complex interplay of biological and cultural factors, sexual attraction and behaviour, understand­ing gender identity and gender roles. All humans are sexual beings, and adolescenc­e is the challengin­g transition from childhood through the changes of puberty into adulthood. As their bodies develop, secondary sexual characteri­stics such as breasts, penile and testicular growth and pubic hair, they start looking more adult.

Their brains also undergo significan­t developmen­t – first becoming more responsive to emotional arousal and pleasure-seeking; later becoming more efficient at making choices and weighing pros and cons of their actions. This is a challengin­g, but should also be an enjoyable, phase. Parents and guardians have a major role to support their adolescent­s through these changes - lovingly guiding them to not fear these changes or respond to them in risk-creating ways but allowing them to develop optimally.

The World Health Organizati­on (WHO) defines sexual health as a state of physical, mental and social well-being in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationsh­ips, enabling pleasurabl­e and safe sexual experience­s, free of coercion, discrimina­tion and violence.

In Jamaica, an adolescent may legally give consent, or say yes, for sexual activity at 16 years old. This doesn’t mean it is the recommende­d age to start having sex, but the age when the law recognises that adolescent­s are capable of weighing the pros and cons of having sex, such as mistimed pregnancy, sexually transmitte­d infections and emotional and psychosoci­al repercussi­ons of making this choice. Effectivel­y understand­ing these risks however, require relevant informatio­n and skills.

Adults should engage in open, honest two-way, nonjudgeme­ntal communicat­ion with children and adolescent­s about sex and sexuality. Ensure that you listen to their concerns. Don’t preach, speak with them. Use opportunit­ies such as if your son tells you about a girl he likes, to have these talks. Don’t panic; ask and listen to why he likes her. Reasonable questions will force the adolescent to rationally examine their own thoughts and actions. Discuss relationsh­ips that don’t involve sex, delaying onset of sex but also about safe sex. Remind your adolescent that both persons must agree and neither should feel pressured to have sex.

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