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Recently in "Sex Education" authors have raised concern with regards to Comprehensive Sexuality Education (CSE) in resource-poor countries as part of Western European development aid policy. It has been argued that the agency-focused and rights-based nature of 'northern' sexuality education puts too much responsibility on young people's shoulders and disregards their insecurity and shame, as well as local culture more generally. By promoting a rights-based approach to CSE in countries in the South, European development organisations would risk being insensitive to local collective concerns, networks, sensitivities and affects, not least those based in religion. In addition to concerns related to CSE content, concern has been expressed about the unequal relationships between stakeholders from the global north versus the global south in the shaping of youth sexuality education. The issues raised are important and call for further elaboration and discussion, which is what we intend to initiate here. The viewpoints we present relate, among others, to the balance between structure and agency focused perspectives in CSE; the multiplicity of needs with regard to sexual agency; the precariousness of international partnerships; ongoing national and international controversies over sexual rights; and the absolute necessity for multicomponent approaches and careful community building as part of CSE implementation and scale-up.

Today, more than half of the world population is under the age of 25 years and one in four is under age 18. The urgency of expanding access to Comprehensive Sexuality Education (CSE) notably for children and young people in Africa and Asia is greater than ever before. However, many challenges to the implementation and delivery of CSE in resource poor settings have been identified in the literature. CSE's effectiveness could be strongly improved if these challenges were better met. This paper aims to contribute to those much-needed improvements by sharing lessons learned from a decade of implementation of one particular CSE programme, "The World Starts With Me," among various populations in 11 low income countries in Africa and Asia. The aims, content, reach and effectiveness of the programme are described. Next, the challenges for implementation and delivery at student, teacher, school and context level are discussed with reference to the wider knowledge base in this area. Finally, suggestions are provided for ways forward including the increased sensitivity of programmes for normative and practical barriers to sexual health, further advancement towards gender transformativity, a far-reaching expansion of comprehensive forms of teacher training and coaching, and a serious stepping-up of multilevel "whole school" approaches.

Differences in sexual functioning of adolescents with and without autism spectrum disorder (ASD) are understudied. In the current study, self-reported sexual behaviours, interests and attitudes of 50 adolescent boys, aged 15-18, with at least average intelligence and diagnosed with ASD, were compared with a matched general population control group of 90 boys. Results demonstrated substantial similarity between the groups in terms of sexual behaviours. The only significant difference was that boys with ASD reacted more tolerant towards homosexuality compared to the control group. Results reveal that sexuality is a normative part of adolescent development in high-functioning boys with ASD. Hence, attention should be given to this topic in education and mental health care.

This study investigated age- and gender-specific associations between parental support and parental knowledge of the child's whereabouts, on the one hand, and sexual experience and sexual health (the ability to have safe and pleasurable sexual experiences) on the other hand. A representative Dutch sample of 1,263 males and 1,353 females (aged 12-25 years), who had previously engaged in sexual intercourse, completed a questionnaire that included measures of these constructs. Both parental support and knowledge were positively associated with contraceptive use, social skills in sexual interactions, sexual satisfaction, and delay of sexual debut. Findings also revealed that the majority of correlations between parental support and sexual experience and sexual health are attributable to the relationship between a supportive family environment and parental knowledge of the child's whereabouts. Parental knowledge thus appeared to be more important for healthy sexual development than parental support.

The Netherlands is often recognized for its approach to adolescent sexual health, noted by the country's low rates of teen pregnancy and high contraceptive use among young people. Different studies have compared the sexual health outcomes of youth in The Netherlands with those of young people in other developed countries, and, to varying degrees, have discussed determinants related to the observed differences. Many have concluded that comprehensive sexuality education is one of the key factors contributing to the positive sexual health outcomes in The Netherlands, but few studies have looked at how Dutch sex education policy is translated into action. There is a lack of information on the content of Dutch sexuality education materials and programs. Such information is necessary for a better understanding of sexuality education in The Netherlands. This article presents a comparison of sexual health outcomes of young people in The Netherlands and the United States using the latest available data. This is followed by results of a content analysis of sexuality education materials in The Netherlands and a case study of a widely used Dutch high school sexuality program. (Contains 2 tables, 3 figures, and 2 notes.)

Byline: Hanneke Graaf (1), Ine Vanwesenbeeck (1), Liesbeth Woertman (2), Loes Keijsers (3), Suzanne Meijer (4), Wim Meeus (3) Keywords: Parenting; Sexual health; Sexual self-efficacy; Contraception Abstract: This study investigated age- and gender-specific associations between parental support and parental knowledge of the child's whereabouts, on the one hand, and sexual experience and sexual health (the ability to have safe and pleasurable sexual experiences) on the other hand. A representative Dutch sample of 1,263 males and 1,353 females (aged 12--25 years), who had previously engaged in sexual intercourse, completed a questionnaire that included measures of these constructs. Both parental support and knowledge were positively associated with contraceptive use, social skills in sexual interactions, sexual satisfaction, and delay of sexual debut. Findings also revealed that the majority of correlations between parental support and sexual experience and sexual health are attributable to the relationship between a supportive family environment and parental knowledge of the child's whereabouts. Parental knowledge thus appeared to be more important for healthy sexual development than parental support. Author Affiliation: (1) Research Department, Rutgers Nisso Groep, P.O. Box 9022, 3506 GA, Utrecht, The Netherlands (2) Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands (3) Departement of Pedagogical and Educational Sciences, Utrecht University, Utrecht, The Netherlands (4) Youth Department, STI Aids Netherlands, Amsterdam, The Netherlands Article History: Registration Date: 29/12/2008 Received Date: 08/09/2008 Accepted Date: 29/12/2008 Online Date: 09/01/2009

Some authors suggest that the public stance toward homosexuality can influence the prevalence of same-sex experiences (e.g., Butler, 2005). Since the Dutch stance toward homosexuality has become more positive during the last decades, it was hypothesized that the current Dutch prevalences of same-sex experiences are higher than in other times and countries. This hypothesis was investigated using the data of a recent Dutch population study, and comparing these results to those from previous and international studies. The current Dutch figures were indeed higher than recent figures from other countries. Among women, the recent figures were also higher than those found in previous Dutch studies. The prevalence of same-sex experiences among Dutch males stayed the same. These results and the methodological aspects of the study are discussed. KEYWORDS same-sex sex, same-sex attraction, sexual identity, prevalences, homosexuality DOI: 10.1080/00918360903275401