Sex and fertility education is essential to enable people to make informed choices. School is an important source of education, so we examined the current curriculum relating to sex and fertility education in England and compared it with students' accounts of their experiences. We analysed the Awarding Body GCSE science and biology specifications…

In the period following a global pandemic, the promotion of health and wellbeing is a priority area for schools. This accompanies growing calls for health and wellbeing education to be delivered through a whole-child/whole-school approach that connects across subject areas. While it may be clear to most people that a purely scientific sexuality…

In this paper, we present an analysis of "pleasure" in sex and relationships education (SRE) in England. Drawing together two distinct sources of data and different but complementary analytical frameworks, we argue that pleasure is largely absent within SRE and that this discursive silence serves to produce highly gendered and…

Historical studies have shown that, since its beginnings, sex education in England has mostly focused on "damage limitation", emphasising only the dangerous inevitability of pregnancy and childbirth after unprotected sex and the hazards of sexually transmitted diseases. This approach is largely based on restrictive notions of teenage…

Rates of sexually transmitted infections and teenage pregnancy amongst the under-16s are causing increasing concern. There is limited evidence about the sexual behaviour and sex education preferences of this age group, especially of those from Black and minority ethnic groups. This study aimed to provide data on early heterosexual risk behaviour,…

An early-twentieth-century movement for social purity in England, Canada and the United States aimed to eradicate prostitution, the double standard of sexual morals and their dreaded corollary, the venereal diseases. Social purists suggested that "purity education" for children was the best pedagogical prophylaxis against such…

Objective: To describe the development of the National Institute for Health and Clinical Excellence (NICE) evidence-based guidance on one-to-one interventions for prevention of STIs and under 18 conceptions, as a focus for an integrated approach to sexual health services. Method: Documentation of the process for developing NICE guidance that is…

Objective: To describe patterns and reasons of attendance and young people's views of the drop-in service. Design: Analysis of a prospective database, questionnaire survey and qualitative interviews and discussions. Setting: Sexual health drop-in clinics in 16 secondary schools (including three pupil-referral units) in deprived areas of a city in…

Policy and practice on sex and relationships education (SRE) in England often has the stated objectives of delaying sexual activity, reducing sexually transmitted infections and lowering rates of teenage conception. Underlying these objectives is the desire to support young people in making "informed choices" and developing the skills…

This article is based on research commissioned by the UK Government's Teenage Pregnancy Unit. The Living on the Edge (LOTE) study qualitatively explored factors that shape young people's experiences and attitudes towards sexual behaviour and young parenthood in three linked seaside and rural areas in England. It identifies embarrassment as a key…

This article examines the quantity and content of sex and relationship education (SRE) delivered to students in Years 9-11 (aged 13-16 years) in 12 coeducational state secondary schools in England during 1997-2000. Teachers reported the delivery of an average of seven (range 0-12) sessions of SRE across the three years, with no SRE delivered in up…

Defining and therefore evaluating the effectiveness of school sex education is problematic because of its location at the site of struggle between competing discourses. Those discourses--summarised here as "moralistic," "harm reductionist" and "empowering"--each emphasise a different conceptualisation of sex…

Rational choice models of teenage sexual behaviour lead to radically different predictions than do models that assume such behaviour is random. Existing empirical evidence has not been able to distinguish conclusively between these competing models. I use regional data from England between 1998 and 2001 to examine the impact of recent increases in…

Objective: To assess the sexual health knowledge of teachers who contribute to secondary school sexual health education in order to determine whether teachers are adequately prepared to implement present government education and public health policies. Design: Results were obtained from a questionnaire as part of a two-phase intervention study.…

In the UK there are high rates of sexually transmitted infections and unintended pregnancies amongst young people. There is limited and contradictory evidence that current sexual health education interventions are effective or that they improve access to appropriate sexual health services. This paper describes the outcome of focus group work with…