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Internationally, as well as here in the UK, the concept of 'peer pressure' is widely used in analysing the factors influencing young people's experiences of sex and pregnancy - illustrated, for instance, by the following strapline from a recent English government-funded teenage pregnancy national media campaign: 'Should I let my friends control my sex life?' Through a focused interrogation of relevant literature alongside findings from two studies recently conducted by the authors, this paper critically examines some of the complexities of the concept of 'peer pressure', and how it may reveal itself in different contexts. Focusing on young people's narratives of sex and pregnancy, it argues that notions of 'peer pressure' may be inadequate to enable a full appreciation of the range of real pressures that two different groups of young people - those in public care, and a wider cross-section of youth living in the same geographical area - experience. The paper concludes by suggesting that a more sophisticated understanding of how (peer) pressure might operate requires that the concept be contextualised and seen as interacting with other factors influencing young people's experiences of sex and pregnancy. The implications of this analysis in relation to sex and relationships education are discussed. [ABSTRACT FROM AUTHOR]

Many countries have adopted abstinence guidelines for pregnant women, due to uncertainty around the risk of harm caused by small amounts of alcohol. There is a lack of research exploring frontline midwives' attitudes towards alcohol use during pregnancy and comparisons of practices in different countries. Sixteen semi-structured interviews were conducted with midwives working in Liverpool, England (n = 7) and Örebro County, Sweden (n = 9). Data were analysed inductively, using thematic analysis with thematic networks. The findings show that all midwives believed pregnant women should be advised not to consume any alcohol during pregnancy and there is a need to tailor their approach to the individual. A key concern among midwives in both countries was how to advise about alcohol exposure that occurs before the pregnancy is known to the woman. English midwives discussed the uncertainty around the risk of consuming small amounts of alcohol, whereas Swedish midwives believed any amount of alcohol was associated with risk. Discussing alcohol was viewed as part of the health professional's role, but routine questions for all women were perceived to aid discussions about alcohol. Future research should further explore the impact of wider social and political environment on midwives' attitudes around risks with prenatal alcohol use. [ABSTRACT FROM AUTHOR]