Sex and sexuality are both topics of immense social and personal importance, owing their openness or constraint in large part to the society in which they are discussed. In homogenous groups it may be possible to reach firm consensus on what is, or is not, appropriate to consider a sexual norm and use an overarching set of religious or spiritual morals to reaffirm this decision. However, in western society and specifically in the United States, a theme of integration and amalgamation of wildly different cultures has presented an interesting case study in searching for common ground on basic social issues. Notable amongst these is the question of sexual education and the role of government, religion, and family in determining the way and extent to which information is presented to individuals during their formative years. However, suspiciously absent in these discussions is the role of trained medical practitioners in vetting these curricula and participating in the education process.
Conflict(s) of Interest
The author does not have any stated or potential conflicts of interest and has received no financial incentive for this publication.
References with DOI
1. Muller-Jahncke WD. [Ludwig Haberlandt (l885-l932) and the development of hormonal contraception]. Z Gesamte Inn Med. 1988;43(15): 420-2.
2. About Margaret Sanger. Margaret Sanger Papers Project 2010 [cited 2013 September 30, 2013]; Available from: http://www.nyu.edu/projects/sanger/secure/aboutms/.
3. Isidori AMet al. Mechanisms in endocrinology: The spectrum of haemostatic abnormalities in glucocorticoid excess and defect. Eur J Endocrinol. 2015;173(3): R101-13. ttps://doi.org/10.1530/eje-15-0308
4. Donovan P. School-based sexuality education: the issues and challenges. Fam Plann Perspect. 1998;30(4): 188-93. https://doi.org/10.2307/2991682
5. Mayer R. 1996-97 trends in opposition to comprehensive sexuality education in public schools in the United States. SIECUS Rep. 1997;25(6):20-6.
6. Legislatures, N.C.o.S. State Policies on Sex Education in Schools. 2013 September 13, 2013 [cited 2013 September 30, 2013]; Available from: http://www.ncsl.org/issues-research/health/state-policies-on-sexeducation-in-schools.aspx#1.
7. Blake SM et al. Local school district adoption of state-recommended policies on HIV prevention education. Prev Med. 2005;40(2): 239-48. https://doi.org/10.1016/j.ypmed.2004.05.028
8. Dorman, J. The Hippocratic Oath. Journal of American College Health. 1995;44(2):84-88. https://doi.org/10.1080/07448481.1995.9937519
9. Sritharan KGR, Fritz Z, Wong D, Rollin M, Dunning J, Wayne B, Morgan P, Sheehan C. Medical oaths and declarations. BMJ. 2000;323(7327):1440-1. https://doi.org/10.1136/bmj.323.7327.1440
10. Bener A, Ghuloum S. Gender difference on patients' satisfaction and expectation towards mental health care. Niger J Clin Pract. 2013;16(3): 285-91. https://doi.org/10.4103/1119-3077.113448
11. Kuzari D, Biderman A, and Cwikel J. Attitudes of women with breast cancer regarding the doctor-patient relationship. Eur J Cancer Care (Engl). 2013;22(5):589-96. https://doi.org/10.1111/ecc.12063
12. Pennbrant S. A trustful relationship--the importance for relatives to actively participate in the meeting with the physician. Int J Qual Stud Health Well-being. 2013;8:20608. https://doi.org/10.3402/qhw.v8i0.20608
13. Weaver H. Partnership not paternalism. Nurs Times. 2013;109(27):25.
14. Chawla N, Arora NK. Why do some patients prefer to leave decisions up to the doctor: lack of self-efficacy or a matter of trust? J Cancer Surviv. 2013. https://doi.org/10.1007/s11764-013-0298-2
15. Ham P, Allen C. Adolescent health screening and counseling. Am Fam Physician. 2012;86(12):1109-16.
16. Salerno J et al. Identifying relationships between high-risk sexual behaviors and screening positive for chlamydia and gonorrhea in school-wide screening events. J Sch Health. 2013;83(2):99-104. https://doi.org/10.1111/josh.12004
17. Anderson KM et al. Attitudes, experience, and anticipation of sex among 5th graders in an urban setting: does gender matter? Matern Child Health J. 2011;15 Suppl 1:S54-64. https://doi.org/10.1007/s10995-011-0879-5
18. Donaldson AAet al. Receipt of sexual health information from parents, teachers, and healthcare providers by sexually experienced U.S. adolescents. J Adolesc Health. 2013;53(2):235-40. https://doi.org/10.1016/j.jadohealth.2013.03.017
19. Chandra-Mouli V et al. Invest in adolescents and young people: it pays. Reprod Health. 2013;10(1):51. https://doi.org/10.1186/1742-4755-10-51
20. Giorgio MM et al. Using chat and text technologies to answer sexual and reproductive health questions: planned parenthood pilot study. J Med Internet Res. 2013;15(9):e203. https://doi.org/10.2196/jmir.2619
21. Trieu SL, Bratton S, Marshak H. Sexual and reproductive health behaviors of California community college students. J Am Coll Health. 2011;59(8):744-50. https://doi.org/10.1080/07448481.2010.540764
22. Markham CM et al. Sexual risk avoidance and sexual risk reduction interventions for middle school youth: a randomized controlled trial. J Adolesc Health. 2012;50(3):279-88. https://doi.org/10.1016/j.jadohealth.2011.07.010
23. Kimmel A et al. 'I make sure I am safe and I make sure I have myself in every way possible': African-American youth perspectives on sexuality education. Sex Educ. 2013;13(2):172-185. https://doi.org/10.1080/14681811.2012.709840
24. Ronis T et al. A pilot study of reproductive health counseling in a pediatric rheumatology clinic. Arthritis Care Res (Hoboken). 2013. https://doi.org/10.1002/acr.22159
25. Cardom R, Rostosky S, Danner F. Does "It Get Better" for Depressed Sexual Minority Youth in Young Adulthood? J Adolesc Health. 2013. https://doi.org/10.1016/j.jadohealth.2013.07.023
26. Bachmann LH et al. Impact of a computer-assisted, provider-delivered intervention on sexual risk behaviors in HIV-positive men who have sex with men (MSM) in a primary care setting. AIDS Educ Prev. 2013;25(2):87-101. https://doi.org/10.1521/aeap.2013.25.2.87
27. Cavazos-Rehg PA, Krauss MJ., Spitznagel EL, Iguchi M, Schootman M, Cottler L, Grucza RA, Bierut LJ. Associations between sexuality education in schools and adolescent birthrates: a state-level longitudinal model. Arch Pediatr Adolesc Med. 2012;166(2):134-40. https://doi.org/10.1001/archpediatrics.2011.657
28. Nair MK et al. ARSH 1: Reproductive and Sexual Health Problems of Adolescents and Young Adults: A Cross Sectional Community Survey on Knowledge, Attitude and Practice. Indian J Pediatr. 2013. https://doi.org/10.1007/s12098-013-1136-2
29. Roberge S et al. Prevention of pre-eclampsia by low-molecular weight heparin in addition to aspirin: a meta-analysis. Ultrasound Obstet Gynecol. 2015. https://doi.org/10.1002/uog.15789
30. Obama rallies doctors for health care reform. 2009.
31. Physicians of the 113th Congress. 2013.
32. Frick AP et al. Prediction of large for gestational age neonates: Screening by maternal factors and biomarkers in the three trimesters of pregnancy. Ultrasound Obstet Gynecol. 2015. https://doi.org/10.1002/uog.15780
33. Harmon K. Obama calls on doctors at AMA meeting to set aside fears and support health reform. Scientific American. 2009.
34. Wilkerson A. I want to hold your hand: abstinence curricula, bioethics, and the silencing of desire. J Med Humanit. 2013;34(2):101-8. https://doi.org/10.1007/s10912-013-9213-0
35. Leiblum SR. An established medical school human sexuality curriculum: description and evaluation. Sexual and Relationship Therapy. 2001;16(1). https://doi.org/10.1080/14681990020021566
36. Schnarch DM,Jones K. Efficacy of sex education courses in medical school. J Sex Marital Ther. 1981;7(4):307-17. https://doi.org/10.1080/00926238108405432
37. Rhodes DL et al. Influence of professional preparation and class structure on sexuality topics taught in middle and high schools. J Sch Health. 2013;83(5)343-9. https://doi.org/10.1111/josh.12037
38. Coleman E et al. Summit on medical school education in sexual health: report of an expert consultation. J Sex Med. 2013;10(4):924-38. https://doi.org/10.1111/jsm.12142
39. Najarkolaei FR et al. Promoting sexual abstinence intention among female university students: A quasiexperimental study. J Res Med Sci. 2013;18(1):37-43.
40. Obeidat RF, Homish GG Lally RM. Shared decision making among individuals with cancer in nonWestern cultures: a literature review. Oncol Nurs Forum. 2013;40(5):454-63. https://doi.org/10.1188/13.onf.454-463
41. von Puckler A. A patient's perspective of partnership in the treatment of multiple sclerosis: MS regimes-An orchestrated approach. J Neurol Sci. 2013. https://doi.org/10.1016/j.jns.2013.08.025
42. Iannotti RJ, Wang J. Trends in Physical Activity, Sedentary Behavior, Diet, and BMI Among US Adolescents, 2001-2009. Pediatrics. 2013. https://doi.org/10.1542/peds.2013-1488
43. Kadanakuppe S, Aradhya S. Survey of patient opinion on tobacco cessation counseling and services in a dental teaching institution and hospital. Oral Health Prev Dent. 2013;11(2):175-80.
44. Niu X et al. Cancer survival disparities by health insurance status. Cancer Med. 2013;2(3):403-11. https://doi.org/10.1002/cam4.84
45. Frank E, Coughlin SS, Elon L. Sex-related knowledge, attitudes, and behaviors of U.S. medical students. Obstet Gynecol. 2008;112(2 Pt 1):311-9. https://doi.org/10.1097/aog.0b013e3181809645
46. Solursh DS et al. The human sexuality education of physicians in North American medical schools. Int J Impot Res. 2003;15 Suppl 5:S41-5. https://doi.org/10.1038/sj.ijir.3901071
47. Shindel AW, Parish SJ. Sexuality education in North American medical schools: current status and future directions. J Sex Med. 2013;10(1)3-17; quiz 18. https://doi.org/10.1111/j.1743-6109.2012.02987.x
"Medicine outside the Clinic: The Growing Need for Physicians in Sexual Education Policy,"
Marshall Journal of Medicine:
4, Article 13.
Available at: http://mds.marshall.edu/mjm/vol2/iss4/13