1. Problems Related to Sex and to Public & Private Health Sexually transmitted diseases Unplanned pregnancies Sexual assaults and rape Child sexual abuse Sexual dysfunctions

2. Statistics --18.9 STIs annually --9.1m among 15-24 year olds --42m people with HIV worldwide --$6.5b annual cost Weinstock et al; Chesson et al Perspectives on Sexual and Reproductive Health Jan/Feb, 2004

3. Sex and Health As a “Risk” Behavior –STDs (see link on my homepage) –Unwanted pregnancies

4. Condom Use Figure 8-2: Ogden text 3 rd ed Lindemann’s stage theory –Natural –Peer Prescription –Expert Decision-making models

5. Condom Use Sheeran et al. model Suggests combining stage and developmental models Small group activity using Sheeran’s “Four factors”: –Background –Intrapersonal –Interpersonal –Situational –(add a fifth: Cultural)

6. Interventions Condom ads Sex ed What would be most effective?