Abstract

BackgroundSexual health education in the United Kingdom is of variable quality, typically focusing on the biological aspects of sex rather than on communication, relationships, and sexual pleasure. The Internet offers a unique opportunity to provide sexual health education to young people, since they can be difficult to engage but frequently use the Internet as a health information resource.ObjectivesTo explore through qualitative research young people’s views on what elements of a sexual health website would be appealing and engaging, and their views on the content, design, and interactive features of the Sexunzipped intervention website.MethodsWe recruited 67 young people aged 16–22 years in London, UK. We held 21 focus groups and 6 one-to-one interviews to establish sexual health priorities, views on website look and feel, and what features of a sexual heath website would attract and engage them. Two researchers facilitated the focus groups, using a semistructured topic guide to lead the discussions and asking open questions to elicit a range of views. The discussions and interviews were audio recorded and detailed notes were made on key topics from the audio recording. Young people’s views influenced design templates for the content and interactive features of Sexunzipped.ResultsYoung people particularly wanted straightforward information on sexual pleasure, sexually transmitted infections and pregnancy, how to communicate with partners, how to develop skills in giving pleasure, and emotions involved in sex and relationships. Focus group participants wanted social interaction with other young people online and wanted to see themselves reflected in some way such as through images or videos.ConclusionsWhile it is challenging to meet all of young people’s technological and design requirements, consultation with the target audience is valuable and necessary in developing an online sexual health intervention. Young people are willing to talk about sensitive issues, enjoy the discussions, and can offer key insights that influence intervention development.

Highlights

  • Sexual and reproductive health and well-being are that “enhance[s] personality, communication and love”.essential if people are to have responsible, safe, andIt went further by stating that “fundamental to this consatisfying sexual lives

  • Different approaches are needed in different record highs in the late 1980s, programmes targeting sex settings, and it was noted that a large proportion of establishments managed to create a 100% condom use health and education services are delivered through standard by 2000

  • In Sweden, which has among the situation and context have a strong influence on sex lowest rates of unintended pregnancy and abortion in education, and very often become a barrier, especially in the world, sexual health education is provided in developing countries

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Summary

Introduction

Sexual and reproductive health and well-being are that “enhance[s] personality, communication and love”.essential if people are to have responsible, safe, andIt went further by stating that “fundamental to this consatisfying sexual lives. Sexual health requires a positive cept are the right to sexual information and the right to approach to human sexuality and an understanding of pleasure”. The complex factors that shape human sexual behaviour. These factors affect whether the expression of sexuality. In response to the changing environment, WHO, in colleads to sexual health and well-being or to sexual behavlaboration with the World Association for Sexology (WAS), iours that put people at risk or make them vulnerable to began a collaborative process[1] to reflect on the state sexual and reproductive ill-health. The past three decades have seen dramatic changes in group of experts from around the world to discuss the understanding of human sexuality and sexual behaviour.

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