ABSTRACT

The sexual behaviour of US youth places them at risk of negative outcomes such as sexually transmitted infections and unintended pregnancy. The US Centres for Disease Control recommend a positive and respectful approach to sexuality and relationships to improve these outcomes. Yet, sexuality education across the country, especially in the US South, remains insufficient. Peer sexuality education programmes are a method to improve knowledge and influence risky sexual behaviours. However, support for such programmes is often limited in higher education. Partnerships across different types of higher education institutions may enhance feasibility through resource sharing. This study analysed data from focus group discussions with faculty/staff and students (6 groups, n = 18 faculty/staff, n = 21 students) at three different higher education institutions in North Carolina. Participants provided perspectives on institution-specific facilitators and barriers to discussing sexual health on campus. Perceived facilitators and barriers were similar between the predominantly white institution and the historically Black college/university, while the community college presented unique logistical issues that should be considered when developing peer sexuality education programmes.

摘要

美国青年的性行为使他们面临负面后果的风险，例如性传播感染和意外怀孕。美国疾病控制中心建议对性行为和性关系采取积极和尊重的态度，以改善这些结果。但是，全国各地，尤其是美国南部的性教育仍然不足。同伴性教育计划是一种提高知识并影响危险性行为的方法。但是，在高等教育中，对此类计划的支持通常很有限。不同类型的高等教育机构之间的合作伙伴关系可以通过资源共享来增强可行性。这项研究分析了与教职员工和学生进行的焦点小组讨论的数据（6组，n = 18名教职员工，n = 21名学生）在北卡罗来纳州的三所不同的高等教育机构。参与者提供了针对特定机构的促进者的观点以及讨论校园性健康的障碍。在以白人为主的机构和历史悠久的黑人学院/大学之间，感知到的促进因素和障碍是相似的，而社区大学则提出了独特的后勤问题，在制定同伴性教育计划时应考虑这些问题。