Sexual Seeking Research Articles

Age, sex, sensation-seeking, and road-crossing: How does risk context impact children’s street-crossing?

Objective Child pedestrian injuries are a significant public health problem, largely because children have underdeveloped cognitive-perceptual capacity to judge traffic unsupervised. This study used a virtual reality (VR) environment to examine the impact of children’s age, as well as sex and sensation-seeking personality, on pedestrian behavior in different risk contexts. Methods 405 Norwegian children (7–10-year-olds) engaged in street-crossing scenarios within a VR environment. Children crossed a bicycle path and urban roadway six times, each with increasing density and complexity of traffic. Hits and near hits were recorded. Self-reported sensation-seeking personality was assessed. Results Children were more likely to experience crashes in the tasks that offered higher probability risk. Overall, 106 children crossed safely in all tasks. Dangerous crossings were associated with male sex, higher thrill and intensity seeking personality, and denser traffic. Age was not related to any traffic safety outcomes. Conclusion As expected, children were struck by vehicles more often in complex traffic contexts than in less complex ones. The results support previous findings and suggest that boys and sensation seekers have elevated risk of pedestrian injury, and that individual differences in children, rather than age alone, must be considered when determining if children are capable of safely negotiating traffic unsupervised.

Autonomy, power, and place: Ethical considerations at the intersections of substance use care, and the sex trade.

Substance use disorder (SUD) care among women in the sex trade poses multiple ethical challenges. We propose a framework with three lenses-autonomy, power, and place-that can inform and help improve more ethical clinical care for people who trade sex seeking SUD treatment. A relational perspective on autonomy, an analysis of power relations in the clinic, and a geographical analysis can inform how we create space for people with experience in the sex trade in substance use treatment facilities and beyond. We conclude with some practical applications of this framework, all while integrating a composite clinical vignette throughout our analysis. This analysis addresses a clinical and ethical gap in ways to provide better care for women in the sex trade, an understudied and chronically marginalized population deserving of care that meets them where they are.

Temporal Changes in Sexually Transmitted Infections in a Cohort of Men Who Have Sex with Men Living with HIV: Sex Partner Seeking and Behavioral Correlates.

With "undetectable equals untransmittable," continued engagement in condomless sex has prolonged STI risk in people living with HIV. This study examined the pattern and relationship between STI diagnosis and sex partner-seeking practice over time in a cohort of men who have sex with men (MSM) attending the HIV specialist clinic in Hong Kong. Participants' STI diagnosis record since HIV diagnosis was retrieved and their frequency of seeking sex partners (A) before, (B) after HIV diagnosis, and (C) following extended period (5-10years), through eight different settings, was assessed in two rounds of survey, along with their risk behavioral profile. Multivariable regression models were employed to study the factors associated with STI diagnosis and partner-seeking frequency, while their temporal relationships over the three time points (A-C) were examined using cross-lagged panel model. Of 345 subjects recruited, STI incidence dropped from 252 to 187 cases/1000 person-years during 2015-2019. Totally 139/212 MSM (66%) had ≥ 1 episode of STI within the 10-year period after HIV diagnosis, giving an 11-20% annual prevalence. The reduced frequency of seeking sex partner was well preserved following diagnosis with a rebound specifically noted in the use of mobile application, the patrons of which were more likely to be co-infected with STI in 2019. Chemsex, concurrent partnership, and casual sex were risk factors shared between frequent partner-seeking practice and STI diagnosis. A robust autoregressive effect for partner-seeking frequency was also identified, and which significantly predicted STI risk in the long term. To enhance HIV care, the co-administration of STI/behavioral surveillance should be emphasized.

‘Listen to your fear’: how fear discourse (re)produces gendered sexual subjectivities

This article explores the interrelations between gender and fear, based on the hypothesis of sexual fear being produced as a feminised emotion in discourse. Empirical analyses of historically contingent constructions of sexual fears from 1961–2021 in the advice pages of the popular German youth magazine Bravo show how fear has been produced as a central technique governing feminine sexuality, by far surmounting the importance of either feminine love or desire. The results point to historically specific constructions of feminised sexual dangers, developing from premarital pregnancy in the 1960s, emotional suffering because of premature coitus in the 1980s and 1990s, to digitalised sexual practices in the 21st century. Feminised constructions of sexual risks and fears render feminine subjects as passive, vulnerable and in need of protection while simultaneously producing masculine subjects as actively sex seeking and potentially dangerous. The results also indicate that discursive delegitimisation of feminine sexual fear may equally contribute to re-establishing sexual inequality by pressuring girls to be sexually available. I argue, therefore, that it is not sufficient to analyse constructions of gendered subjects as being either fearful or fearless. Instead, the reconstruction of discursive model practices governing subjects to manage sexual fears is key to disentangling the complex nexus of gender and fear. The investigation of historical transformations of sexual fear discourses contributes to tracing both dynamics and continuities in gendered power relations, thereby illustrating the central role of fear in classic sociological research themes of inequality and power relations.

Visual Gender Stereotypes (Advertisement, Social Media)

Visual Gender Stereotypes (Advertisement, Social Media)

Body Emotional Investment and Emotion Dysregulation in a Sample of Adolescents with Gender Dysphoria Seeking Sex Reassignment

Adolescents with gender dysphoria (GD) often have internalizing symptoms, but the relationship with affective bodily investment and emotion dysregulation is actually under-investigated. The aims of this study are: (1) the comparison of Self-Administrated Psychiatric Scales for Children and Adolescents’ (SAFA), Body Investment Scale’s (BIS), and Difficulties in Emotion Regulation Scale’s (DERS) scores between GD adolescents (n = 30) and cisgenders (n = 30), (2) finding correlations between body investment and emotion regulation in the GD sample, (3) evaluating the link between these dimensions and internalizing symptomatology of GD adolescents. In addition to the significant impairment in emotion regulation and a negative body investment in the GD sample, Spearman’s correlation analyses showed a relationship between worse body protection and impaired emotion regulation, and binary logistic regressions of these dimensions on each SAFA domain evidenced that they may have a role in the increased probability of pathological scores for depression. Our results focused on the role played by emotion regulation and emotional investment in the body in the exacerbating and maintenance of internalizing symptoms, in particular depression, and self-harming behaviors in GD adolescents.

Gender Differences in Seeking Health Care and Postintervention Pain Outcomes in Foot and Ankle Orthopedic Patients

Background:A significant portion of the adults suffer from foot and ankle pain. The sex differences that exist throughout health care, pain management, and orthopedics may further complicate treatment strategies. The purpose of this study was to determine if there were any differences in women and men in health care seeking behavior and symptom chronicity in a West Texas orthopedic population with foot and ankle conditions.Materials and Methods:Data from 137 patients were collected in a retrospective chart review. Data were analyzed to determine if there were sex differences in time to primary care provider (PCP) after ankle injury, referral time from PCP to orthopedic surgeon consult, time from orthopedic consult to surgical intervention (if applicable), and chronicity of symptoms.Results:Women had a significantly higher percentage of chronic injuries than men (30.7% vs. 10.9%), but there were no sex differences in time to PCP from the time of injury, time from PCP visit to orthopedic consult, and time from orthopedic consult to surgical intervention. There were also no differences in those same time frames when compared by chronicity of symptoms (acute injury vs. chronic injury). Finally, we did not find any differences in pain scores between sexes or chronicity of symptoms.Conclusions:This study suggests that conventional health seeking sex differences may not apply to the foot and ankle patient population in West Texas and surrounding rural areas. Continuing to examine patterns in sex differences may lead to the development of more efficient and tailored treatment approaches and better outcomes.

Geosocial Networking Smartphone App Use and High-Risk Sexual Behaviors Among Men Who Have Sex With Men Attending University in China: Cross-sectional Study.

BackgroundGay apps are smartphone-based geosocial networking apps where many men who have sex with men (MSM) socialize and seek sex partners. Existing studies showed that gay app use is associated with greater odds of high-risk sexual behaviors and potentially more HIV infections. However, little is known about this behavior among young MSM.ObjectiveWe conducted this study to understand gay app use and its influencing factors among MSM attending university in China.MethodsFrom January to March 2019, participants were recruited from 4 regions with large populations of college students in China: Chongqing, Guangdong, Shandong, and Tianjin. The eligibility criteria were MSM aged 16 years or older, self-identified as a university student, and being HIV negative. A self-administered online structured questionnaire was used to collect data on sociodemographic information, sexual behaviors, gay app use, substance use, and HIV testing history. We performed multivariable log-binomial regression to assess correlates of seeking sex partners via gay apps.ResultsA total of 447 MSM attending university with an average age of 20.4 (SD 1.5) years were recruited. Almost all participants (439/447, 98.2%) reported gay app use at some point in their life, and 240/439 (53.7%) reported ever seeking sex partners via gay apps. Blued (428/439, 97.5%) was the most popular gay app. Higher proportions of sexual risk behaviors (including seeking sex partners via apps [P<.001], engaging in group sex [P<.001], having multiple sex partners [P<.001], unawareness of sex partners’ HIV status [P<.001], and using recreational drugs during sex [P<.02]) were positively associated with the increase in the frequency of gay app use. In multivariable analysis, participants who used gay apps to seek sex partners might be more likely to have multiple sex partners in the past 3 months (adjusted prevalence ratio [APR] 1.53, 95% CI 1.33-1.76; P<.001), engage in group sex in the past 3 months (APR 1.55, 95% CI 1.35-1.78; P<.001), and have sex partners with unknown or positive HIV status (APR 1.72, 95% CI 1.46-2.01; P<.001).ConclusionsSeeking sex partners via gay apps may associate with the increased high-risk sexual behaviors among MSM attending university. The causality between seeking sex partners via gay apps and increased high-risk sexual behaviors should be further investigated so as to inform potential policies for HIV prevention.Trial RegistrationChinese Clinical Trial Registry ChiCTR1900020645; http://www.chictr.org.cn/showprojen.aspx?proj=34741

Design fiction exploration of romantic interaction with virtual humans in virtual reality1

This article discusses the possibilities and potential issues with romantic and sexual interaction with virtual humans in virtual reality, using the design fiction Into thin air as a starting point for these reflections. Design fiction, a dramatized story by engineers/designers, speculate and critically reflect on advantages and risks with future technology. The primary purpose of the design fiction story utilized in this investigation is to highlight the advantages with air ship traveling (concerning climate impact), but since this was a concept that was difficult to dramatize, I choose to have that as a background setting, and instead foreground a bitter-sweet story about seeking love and sex in different virtual reality simulations during the time onboard an air ship. In most cases these attempts at sexual encounters are with actual women, but in one sequence I bring in the concept of virtual humans. The user wears a full-body haptic feedback suit, so he/she can see, hear and feel the virtual agent. In the design fiction and in this article, I speculate that such virtual agents could be created by including three agents to choose between (automatically generated by algorithms); A) a generic blend of celebrities, B) a recreation of the user’s high school love interest, and C) a recreation of a woman the user just had flirted with. In this article I compare this design fiction scenario with real-life VR applications, trying to explore the feasibility of different virtual human scenarios. Virtual reality developers have so far avoided sexual or romantic content in their experiences, possibly to a large extent because the major distribution platform – Oculus – is controlled by Facebook. Facebook have quite strict regulations concerning what is deemed as appropriate as content, and thus curates the available experiences quite strictly. Some experiences subtly hint at romantic encounters, such as the dating simulators Falling in love and Focus on you. I argue that these two experiences are highly limited and linear. In order to create a more complex and convincing romantic/sexual encounter, the virtual agents would need to be driven by a dialog system and AI. One attempt in that direction is the smartphone app Replika, a chat and voice based virtual agent that tries to give the impression of a caring friend (who can venture into text based sexual encounters). The conclusion is that it seems likely that the VR dating simulations will gradually evolve and become more convincing, primarily depending on Facebook’s control over the market, and the slow but steady progress in dialog systems. The possibility to physically/virtually interact with the beloved virtual agents and have satisfying intercourse seems possible, but not something to expect in the near future. Link to the design fiction: https://chalmersuniversity.box.com/s/xmo1dkihicfxgo6qo4zb2onez45m49fl

Having sex with partners met online among bachelors in China: application of the theory of planned behavior

Due to a sex ratio imbalance and marriage squeeze in China, many males of marriageable ages cannot find wives. To meet their sexual needs, those bachelors tend to use the internet to find sexual partners in recent years. However, studies on the psychosocial mechanisms underlying having sex with partners met online are scarce. This study examined the relationship between attitude, subjective norms, perceived behavior control, and having sex with online partners based on the Theory of Planned Behavior (TPB). The data were obtained from a cross-sectional survey of bachelors (with rural household registration, at least 28 years old and never married) (N = 735) in several regions of China. Logistic regression models show that attitudes and subjective norms were significantly associated with having sex with online partners. The mediation analysis further indicated that the intention of seeking sex partners online partially mediated the relationships across attitudes, subjective norms, and having sex with partners online. This study provides a better understanding of factors associated with having sex with partners met online. It also extends research concerning a population that is understudied. Additionally, it shows the applicability of the TBP model in explaining the factors associated with having sex with partners.

Factors Associated With Online Sex Partners Among Gay, Bisexual and Other Men Who Have Sex With Men: Results From a National Survey.

Associations between online sex seeking and increased risk for sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) among men who have sex with men (MSM) typically rely on convenience samples. We examined Internet and mobile app use for finding sex partners among a nationally representative sample of MSM. We analyzed 2011 to 2017 data from the National Survey of Family Growth, a nationally representative sample of the civilian, non-institutionalized US population (15-44 years). The analytic sample was comprised of men who reported 1 or more same-sex partners in the past year. We also assessed associations between online sex-seeking and STI risk, sexual health care behaviors, and condom use. Of 13,320 male respondents, 442 (3.0%) reported sex with a man in the past year, of whom 215 (46.3%) had met a partner online. Between MSM who met partners online and those who did not, we found no differences by age, education, race/ethnicity or socioeconomic status. Men who have sex with men with online partners were more likely to identify as gay (68.4% vs 49.5%, P = 0.0124). They also reported more sex partners overall (M = 3.04 vs 1.60, P < 0.0001), and multiple insertive (46.3% vs 8.5%, P < 0.0001) and receptive (33.2% vs 15.4%, P = 0.0055) anal sex partners, in the past year. They were also more likely to receive sexual risk assessments (56.0% vs 40.4%, P = 0.0129), STI testing (57.4% vs 35.3%, P = 0.0002), and STI treatment (17.8% vs 8.7%, P = 0.0152) in the past year. We found no differences in condom use. Men who have sex with men who report using online sources to find sex partners are more likely than other MSM to report behaviors that increase risk for STI/HIV but are also more likely to engage in behaviors that may mitigate further transmission, such as STI testing.

Sensation seeking, impulsivity, and aggression moderate sex effects on adolescent laboratory binging.

Sex, comprising biological and gender-related distinctions, is a known risk factor for alcohol use disorders. Moreover, sensation seeking, impulsivity, and aggression have been found to predict binge drinking and to reflect behavioral disinhibition. We tested effects of these disinhibited traits on binging during intravenous alcohol self-administration (ivASA), a method that eliminates sex differences in the pharmacokinetics of alcohol. Eighty-five German social drinkers (49 men) completed 3 questionnaires assessing sensation seeking, impulsivity, and aggression, as well as an ivASA session at ages 18-19. Sixty-five of them were retested at ages 21-22. Participants reported real-life drinking problems and the number of binge days in the 45 days preceding lab testing. Analyses employed continuous data and median splits to examine associations between disinhibited traits and the portion of women and men in the sample who achieved a breath alcohol concentration of 80 mg% during ivASA ("binge fraction"). At ages 18-19, and only if scoring low on sensation seeking, impulsivity, or aggression, women had significantly lower binge fractions during ivASA than men. Further, low compared to high impulsivity or aggression predicted lower binge fractions in women but not in men. Neither first- nor second-wave disinhibited traits significantly predicted binge fractions at ages 21-22. We perceive that personality traits reflecting behavioral disinhibition might be a strong indicator of drinking problems, specifically among young women. Targeted brief interventions might therefore be used in educational or clinical settings to inform such women about their increased risk and the potential health and behavioral problems associated with binge drinking. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Domain-specific consideration of future consequences and early alcohol use: a bivariate and person-centered analysis

Research into temporal psychology, and in particular its relationship with health behaviors, has grown exponentially in recent years. Accordingly, studies have shown that how individuals think and feel about the past, present, and future, is significantly related to alcohol-use behaviors. This has been shown to be particularly true where studies have applied person-centered analyses rather than just bivariate analyses. The present study sought to examine the relationship between scores on one temporal psychology measure (The Domain-Specific Consideration of Future Consequences [CFC] scale) and alcohol use behaviors in a large sample of adolescents in the United Kingdom (N = 2,199; 42.4% female). Scores on the CFC measure were operationalized both domain-specifically, and by means of cluster analyses. In bivariate analyses, reduced likelihood of past month consumption of a full drink and Heavy Episodic Drinking were significantly associated with CFC-scores, but did not appear to be domain-specific. In unadjusted analyses, CFC cluster membership was significantly related to alcohol use variables. However, when adjusted for sex, location, and sensation seeking, the result for Heavy Episodic Drinking became non-significant. Results are discussed in the context of current temporal psychology.

Nightmare Distress Questionnaire: associated factors.

The diagnosis of a nightmare disorder is based on clinically significant distress caused by the nightmares, eg, sleep or mood disturbances during the day. The question what factors might be associated with nightmare distress in addition to nightmares frequency is not well studied. Overall, 1,474 persons (893 women, 581 men) completed an online survey. Nightmare distress was measured with the Nightmare Distress Questionnaire. The findings indicated that nightmare distress, measured by the Nightmare Distress Questionnaire, correlated with a variety of factors in addition to nightmare frequency: neuroticism, female sex, low education, extraversion, low agreeableness, and sensation seeking. Moreover, the percentage of replicative trauma-related nightmares was also associated with higher nightmare distress. A large variety of factors are associated with nightmare distress, a finding that is of clinical importance. The construct harm avoidance, however, was not helpful in explaining interindividual differences in nightmare distress. Furthermore, the relationship between nightmare distress and other factors, eg, education or agreeableness, is not yet understood.

PrEP in India’s HIV Prevention Policy in the Era of Social Media and Sex Positivity

Introduction:The global revolution of online social media and connectivity had a tremendous effect on sexual behavior in both developed and developing countries. This global change is influencing the societal structure and existing social principles. Moreover, it has a significant impact on the epidemiology of different infectious diseases, especially HIV.Discussion:India is one of the most diverse democratic countries that has undergone a social-cultural transition in the last decade. However, having the second-highest HIV infection rate in the world, India does not have any other new prevention tools in their national HIV prevention strategy. Pre-Exposure Prophylaxis (PrEP), a boon of HIV prevention widely used in different countries, is still not implemented in India. The concept of “Digital India” by the Government of India is giving wide access of internet to the people of India. Furthermore, people are exposed to social media, and that is impacting their sex seeking behavior. Interestingly, recent legal changes in India promotes sex positivity. It also calls for introspection on existing HIV preventive strategies.Conclusions:Given the current scenario of PrEP and other existing preventive measurements of HIV, further research is needed to determine the acceptance and efficacy of PrEP and improve engagement in care for individuals in India. Various international studies recommend effective implication of PrEP to reduce the rate and economic burden of HIV infection.

059 Speeding Assessment in Couples' Sex Therapy using an Online Self-assessment Tool

Current standards for comprehensive assessment of sexual problems recommend a biopsychosocial evaluation of both partners (Brotto et al., 2016). Given the diversity of problems that might be present in couples seeking sex therapy, this process can consume many clinical hours. Shortening that process through questionnaires can be a valuable adjunct. In sex research, objective measures are desired though still difficult to obtain (McClelland, 2012). Subjective experience, however, is what usually leads couples to seek therapy.

Looming Vulnerability and Smoking Cessation Attempts.

The looming vulnerability model holds that people become anxious when they perceive threats as growing larger and accelerating toward them in space and time. Preliminary research suggested that a guided imagery induction designed to activate a sense that health consequences of smoking are a looming threat led more smokers to attempt to quit. This study tested the effect on quit attempts in a larger sample and examined age, sex, and sensation seeking as moderators. Adult smokers (≥10 cigarettes/day) screened for risk of anxiety or mood disorders (N = 278, 52% male; 77% African American) were randomly assigned to receive (1) looming vulnerability or (2) neutral guided imagery exercises. At a 4-week follow-up, they reported quit attempts, smoking rate, self-efficacy, outcome expectancies, and contemplation status. Those in the looming condition (17%) were no more likely than those in the control condition (20%) to make a quit attempt. There were no significant group differences in expectancies, contemplation, or follow-up smoking rate, and no significant moderators. The looming induction was the same one used in earlier work in which it had stronger effects. Those who respond to it with increased urgency about quitting smoking might be offset by others who are more reactant and deny the message. Inconsistencies across studies may reflect differences in inclusion criteria, such that the present sample was on average heavier smokers with longer smoking history and more severe nicotine dependence, yet higher self-efficacy. An induction designed to activate a sense that the health consequences of smoking constitute a looming vulnerability failed to increase quit attempts or reduce smoking rate among adult daily smokers. Inconsistencies across studies might reflect varying sample characteristics resulting from changes in screening criteria.

Stigma and Web-Based Sex Seeking Among Men Who Have Sex With Men and Transgender Women in Tijuana, Mexico: Cross-Sectional Study.

BackgroundStigma toward sexual and gender minorities is an important structural driver of HIV epidemics among men who have sex with men (MSM) and transgender women (TW) globally. Sex-seeking websites and apps are popular among MSM and TW. Interventions delivered via Web-based sex-seeking platforms may be particularly effective for engaging MSM and TW in HIV prevention and treatment services in settings with widespread stigma toward these vulnerable populations.ObjectiveTo assess the potential utility of this approach, the objectives of our study were to determine the prevalence of Web-based sex seeking and examine the effect of factors that shape or are influenced by stigma toward sexual and gender minorities on Web-based sex seeking among MSM and TW in Tijuana, Mexico.MethodsFrom 2015 to 2018, 529 MSM and 32 TW were recruited through venue-based and respondent-driven sampling. Interviewer-administered surveys collected information on Web-based sex seeking (past 4 months) and factors that shape or are influenced by stigma toward sexual and gender minorities (among MSM and TW: traditional machismo, internalized stigma related to same-sex sexual behavior or gender identity, and outness related to same-sex sexual behavior or gender identity; among MSM only: sexual orientation and history of discrimination related to same-sex sexual behavior). A total of 5 separate multivariable logistic regression models were used to examine the effect of each stigma measure on Web-based sex seeking.ResultsA total of 29.4% (165/561) of our sample reported seeking sex partners on the Web. Web-based sex seeking was negatively associated with greater endorsement of traditional machismo values (adjusted odds ratio [AOR] 0.36, 95% CI 0.19 to 0.69) and greater levels of internalized stigma (AOR 0.96, 95% CI 0.94 to 0.99). Web-based sex seeking was positively associated with identifying as gay (AOR 2.13, 95% CI 1.36 to 3.33), greater outness (AOR 1.17, 95% CI 1.06 to 1.28), and a history of discrimination (AOR 1.83, 95% CI 1.08 to 3.08).ConclusionsWeb-based sex-seeking is relatively common among MSM and TW in Tijuana, suggesting that it may be feasible to leverage Web-based sex-seeking platforms to engage these vulnerable populations in HIV prevention and treatment services. However, HIV interventions delivered through Web-based sex-seeking platforms may have limited reach among those most affected by stigma toward sexual and gender minorities (ie, those who express greater endorsement of traditional machismo values, greater levels of internalized stigma, lesser outness, and nongay identification), given that within our sample they were least likely to seek sex on the Web.

Stigma and Mobile App Use Among Young Black Men Who Have Sex With Men.

Young black men who have sex with men (YBMSM) are disproportionately affected by HIV. Intersectional stigmas are associated with increased HIV vulnerability, and worse outcomes for YBMSM with HIV. YBMSM find sex partners through sexual networking apps, but stigma on apps has been poorly studied. We conducted cross-sectional analysis of 324 YBMSM seeking sex partners through apps to assess stigma experiences in eight dimensions compared to non-users (N = 150). We conducted detailed stratified analyses to identify granular stigma data. App users had higher median scores than non-users in perceived HIV discrimination, perceived HIV stigma, experienced sexual minority stigma, racial discrimination, and perceived homophobia. We demonstrate higher levels of intersectional stigmas among app users than non-users, but did not find an overall increase in stigma with increasing app use. Considering the prominent role of apps in YBMSM sexual networking, interventions that reduce stigma on apps are needed.

Parents’ and teachers’ perspectives on children’s sexual health education: a qualitative study in Makwanpur Nepal

Sex education is taught to secondary school students in Nepal. Nevertheless, there are concerns that the school-based sexual health education is not effective and adequate to address young people’s necessities. We carried out a qualitative study comprising key informant interviews with teachers (n=8) and parents (n=6) in Makwanpur district in Nepal. Interviews were recorded, transcribed and translated into English. Thematic analysis was performed to identify patterns or themes within the qualitative data. Most participants (both teachers and parents) had thought of delivering sex education preferably from grade seven to avoid the effects of globalised mass media and the internet. The practical aspects of school sex education programme and the importance of parent-child communication were of major concerns. Comprehensive training to health teachers, an informal approach to teaching sex education and seeking outside health professionals, such as health facilitators were the frequently reported issues. There is a need to offer sexual health services along with sex education to protect young people from potential dangers of STIs including HIV infection. Particularly, health teachers should be trained properly to mitigate the social and cultural impacts, and to allow a smooth sex education discussion in the classroom. The curriculum for sex education should be relevant, engaging and developmentally suitable with clear progressive avenues for learning experience.