1. Tailoring sexual education Olga Loeber loeber@contraception-esc.com

2. What are our goals in sexual behaviour ? Are these the same in the different countries? Are these the same for our children as for ourselves? What do we want to achieve in sexuality education? How do we aspire to do this?

4. Consistent use contraception last partner 15-19 years 78% Never use contraception last partner 15-19 years 8,5% Use of contraception At moment of interview

5. Later I want one child and lots of men

6. Teenage births by age and ethnic background

7. There is an increasing trend of STI and HIV, in the Netherlands and other countries of Europe

8. Source: RIVM the Netherlands

9. Results survey adolescents n=4900, age 12-25 years, 2005 Contraception 1st time sex: 90%♂♂ -93% ♀♀ Double Dutch 1st time sex ♀♀ : 46% use pill, 79% use condom, 37% use both Never use of condom with last partner 1995: 27% 2005: 17% > 75% ♀♀ with sexual experience use the pill

10. Results survey adolescents continued Interaction competence (scale 1-5): 4.3 Feelings of shame (scale 1-5): 1.9 Satisfaction in last relationship (scale 1- 5): 4.1

11. Results survey adolescents continued Problems and risks: 18% ♀♀ and 4% ♂♂ have experience with sexual coercion (especially homosexual boys: 26%) Girls have more sexual problems: pain (57%) loss of libido (16%) anorgasm (25%), even though they are more satisfied than boys with their sex life.

12. Results survey adolescents continued Problems and risks: Young starters (7% of 12-14 y) more risks Acceptance of homosexuality is low Some groups have more risks: Caribbean,Islamic, strict Christian, lower education

13. Results survey adolescents continued Most important sources of information: 1.School 2.Parents 3.Magazines (mainly girls) 4.Friends 5.Internet (mainly boys) 6.Television

14. How do two little hedgehogs do it? Very carefully!!! The END

15. Fear, Guilt and Shame

17. Rights Acceptance Participation

18. Thank you for your attention