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The purpose of this paper is to examine the relationship between sexual health principles and the procurement of sexual services. Most that has been written about sex work has been done so from the perspective of deviancy; in contrast, recent work examining the practice of sex work has explored and evidenced how emotional and intimacy needs are met through procurement. Recognising the conventional aspects of procuring sexual services, this paper seeks to examine and understand this social practice through applying Braun-Harvey and Vigorito’s (2015) six principles of sexual health.

Based on a mixed method approach, this paper presents findings from a survey consisting of a sample of 309 men who procure sexual services and 20 interviews from a sub-sample of the men who were surveyed and female sex workers who provide such services.

The findings illustrate the reasons for men’s procurement of sexual services, which corroborate with the accounts of women who sell the services and reflect how the procurement of sexual services align with principles of sexual health, which, in turn, challenge the stigma of buying sex.

The practical implications of this study are: provision of examining and understanding sex work through the principles of sexual health; provision of a framework to examine and understand sex work in a less stigmatising way; support for the growth of sexual health and criminal justice research; and provision of a platform for further research examining sexual health, sex work and decriminalisation.

This study is unique as it brings together principles of sexual health as a tool for examining the procurement of sexual services, a practice that is demonised in many parts of the globe. A consequence of this study is its presentation of a novel understanding for the social practice of procurement that aides in both challenging the stigmatisation and criminalisation of sex work.

The purpose of this paper is to explain the sexual and reproductive health needs, barriers to accessing services as well as the expectations of the youth who do not use the services provided by the Youth Counseling and Health Service Centres in Ankara Province, Turkey.

The study is based on the results of 12 focus group discussions conducted with young people in the 8th (14‐ to 15‐year‐old) and 12th (aged 17‐ to 18‐year‐old) grades who are not service users.

The findings suggest that gender, socio‐economic level of the family, religion, the condition of the facilities and the visibility of the centres are factors affecting service usage.

The paper analyses factors that affect the use of services, such as male vs female, primary school vs high school, centre vs periphery, and shows how religion, region, gender, education and socio‐economic dimensions have to be taken into account in understanding the sensitivity of sexuality‐related issues among adolescents.

The article reviews the policy, legislation and literature on sex and relationships for people with learning disability, through a search of electronic databases, journals and other resources. It reviews the rights of people with learning disabilities to a sexual life and their views of service responses, sexual offences legislation and the link between sexual knowledge and practice. It also explores sexual orientation and preference among people with learning disabilities, differences between the genders and sexual offending, including consideration of ‘victimless’ offences. It concludes that the balance between empowering and protecting people with learning disabilities is challenging but important. Interventions to promote safer, healthier sexual behaviour need to address more than improving knowledge. We need to find out more about what people with learning disabilities think about their sexual experiences and how they are supported in this area.

The aim of this paper is to report the process, findings and implications of a three‐year evaluation of integrated health centres (IHCs) established in three secondary schools in Cornwall by the School‐Based Integrated Health Centres (SBIHC) partnership.

When the partners had completed the capital works, an evaluation strategy was designed for 2009‐2012 to identify the extent to which each of the IHCs was meeting the aims set for the IHCs, and each IHC and school was contributing to the aims of the SBIHC project. Formative and summative evaluation used annual case studies to apply data progressively regarding: the use, users and operations of each IHC; students’ perceptions of the user‐friendliness of the IHCs; indicators of the general health and well‐being of students and their sexual and mental health; students’ exposure to crime, substance abuse and poverty; and students’ academic achievement, attendances and exclusions. This process culminated in this paper which reports and discusses findings, suggests implications for practice, theory and research and proposes future directions for the partnership.

All three schools engaged students closely in the design and decoration of their IHCs. Student ownership was extended into the selection of Coordinators and into centre management and governance. Budehaven Community School appointed a National Health Service (NHS)‐trained Coordinator for their IHC, The Haven, a mental health worker funded for one year by the NHS. After 2009‐2010, his responsibilities were shared by the NHS‐trained Receptionist and the Manager, an Assistant Headteacher. During Year 3, Budehaven added a “co‐location” building, Kevren. About 37 professionals are now located in or visit The Haven and Kevren. Student footfall doubled to about 4,000 in the second year and increased by another 25 per cent in the third year. The wide range of general, mental and sexual health services were highly valued by the students. The Crayon, the IHC in Hayle Community School, achieved a similar footfall over three years. It started with a Receptionist and the Pupil Welfare Officer. The Manager, a Deputy Headteacher, and the Headteacher moving most student support services into the IHC at the end of Year 1. From then on the Crayon had three full‐time professionals. By the end of Year 3, the Crayon had reached the limits of its facilities. A solely positive association was found between IHC usage and measured improvements to mental health and academic progress. The IHC in Penair School, Bywva, developed a wide range of general, sexual and mental health services, attracted a similarly strong footfall, and also reached capacity in Year 3. Penair refined their IHC's line management by an Assistant Headteacher and coordination by a Lead.

This paper offers a new conceptual model of the SBIHC model of health care centred on the reciprocity and integrity of relationships between students and professionals.

Positive sexual growth is a key developmental challenge for all children and adolescents. An acquired brain injury (ABI) can create major hurdles to achieving this goal. A conceptual model will be outlined that suggests sexual growth is achieved by progress across six domains, namely: social competence versus social isolation; identity formation, individuation and independence versus dependence and lack of individual identity; physical development versus physical challenge; sexually informed and educated versus sexually ignorant and uneducated; sexually experienced versus sexually inexperienced; and sexually appropriate behaviour versus sexually inappropriate behaviour. The ability to form successful peer relationships is a key mediating factor in the developmental process. Drawing on this model, a number of strategies will be outlined that support the positive sexual development of children and adolescents after ABI.

The purpose of this research is to understand the vulnerabilities of male youth in the sex trade in Manila, Philippines. Using purposive and a modified respondent-driven sampling methodology, interviews were conducted with 51 young males working as masseurs in the Metro Manila area exploring a wide range of their experiences and vulnerabilities throughout the work including physical, sexual and emotional violence. The mixed method, mostly qualitative research is based on similar surveys conducted throughout the South and South Asia regions.

Research on sexual exploitation of boys and men has largely focused on sexual health and prevention of HIV (Human Rights Watch Philippines, 2004). This research uniquely focuses on a broader range of vulnerabilities for males in the sex trade.

Qualitative discussions reveal instances of forced sex that can take a variety of forms, including physical force and/or violence or coercion involving bribes, verbal abuse or other forms of pressure to provide sexual services. Data also demonstrate stigma and discrimination outside of sex work. This study provides a qualitative assessment of the broader male-to-male sex industry within the Metro-Manila area, including escort services and both direct and indirect male sex work.

For observers, who consider male sexual abuse to be free of violence or discrimination, this provides evidence to the contrary and considerations for organizations that are able to provide funding to support their needs. Education of those involved in addressing the prevention of sexual exploitation should include gendered differences.

In response to rising prevalence of sexually transmitted infection (STI) among teenagers, this study was designed to examine teenage perceptions of sex education, access to services, and attitudes relevant to STI.

A focus group study was conducted in three schools to discuss the sexual health needs of teenagers. Four single sex groups of 14‐15 year olds (two male and two female) comprising six to nine participants met for two one‐hour sessions. Interviews were recorded, transcribed and analysed by two researchers.

Sex education was reported to vary considerably in quality and content both between and within schools. Participants felt that this was due to some teachers being embarrassed, resulting in didactic delivery and lack of discussion. Most participants had received very little information about STI, including how it could be avoided or what to do if infection was suspected. Many felt that it would be useful to have an organised visit to a sexual health/contraceptive clinic as part of the curriculum and that it would also be helpful if clinic staff contributed to their sex education.

Teachers selected participants based on their maturity and willingness to take part, which may have resulted in failure to include those in greatest need of sexual health services.

Teenagers need more comprehensive sex education at an earlier age, delivered by individuals who are expert in the subject and comfortable in its delivery. Information alone is not enough but should be linked to accessible user‐friendly services for contraception and general sexual health.

This paper provides information on teenage sexual health needs in general and to the field of STI in particular.

Evidence from Australia and worldwide has highlighted the ongoing marginalisation, discrimination, abuse, violence and neglect of people with disability. One of the main areas of concern is that despite such evidence there remain fundamental barriers for people with disability to report violence and/or access supports. Significantly few studies have canvased the perspectives of people with intellectual disability (ID), family members or disability service providers. Accordingly as a first step, the purpose of this paper is to explore the perceptions of disability and violence-response professionals’ regarding the barriers and facilitators of effective support for people with ID reporting sexual violence and accessing mainstream supports.

A qualitative research design informed the basis of this study. Semi-structured interviews were conducted with seven participants who held roles within disability services and mainstream violence response. Interviews were recorded and transcribed. These transcripts were then analysed individually using a combination of thematic analysis and discourse analysis to bring to light the social and material structures within service systems in terms of how they disempower or empower supports for people with ID.

Participants from both services reported that professionals (particularly those outside the disability sector) lacked awareness of practical ways in which they could support people with ID to report and access services outside of disability-specific services. Participants also felt the capacity for people with ID to have a voice about what happens in the “aftermath” of reporting sexual violence was rarely acknowledged. Participants called for education and development of resources which could guide professional practice across disability and wider violence-response services. Participants saw investment in building interagency relationships across sectors as key to supporting the citizenship of people with ID.

This study suggests that there is a strong need for better community engagement and understanding of the multi-faceted issues surrounding responses to violence concerning people with ID. The findings of this study also outline implications for practice and policy which may be of interest to professionals both within disability and wider violence-response sectors in Australia and internationally.

The purpose of this paper is to document the experience of current and former methamphetamine users on their crystal meth use patterns and on their use of services related to their chemsex practice.

For qualitative component, two focus groups were formed with nine current users of methamphetamine and eight former users. Thematic analysis was performed to know their experiences.

All participants were already engaging in chemsex with various substances before they first started using methamphetamine. Methamphetamine use led some to slam (methamphetamine or mephedrone injection). Some participants report that their sexual experiences were intensified early in their chemsex practice. They reported feeling more confident with their partners, feeling like they are sexually attractive and overcoming their barriers to sexuality. The intensification of methamphetamine use and, in particular, injection change the positive perception of sexual life. Thus, for some participants, substance use takes more space and their sexual experiences become less satisfactory.

Participants report the services that address the phenomenon of chemsex are still scarce in Quebec province. In addition, the few services available aim to relearn a sober sexuality. However, the mourning of the positive aspects of chemsex on sexual experiences seems still very little discussed. Greater consideration of positive chemsex experiences is needed in services that address this issue.

This project documented the perception of pleasure related to sexual practices among regular methamphetamine users. Their perception of pleasure will help develop services adapted to their reality.

The purpose of this paper is to outline the development of a resource designed to support practitioners, who are not sexual health specialists, but who work with young people who may be at risk of teenage pregnancy or parenthood. Its aim was to enable practitioners to carry out an assessment using a screening tool, and to use educational interventions designed to reduce risk-taking behaviour or refer to a sexual health specialist. A research project to examine the perceptions of practitioners who had used the resource is reported.

The resource was based on a local needs assessment and developed by a multi-agency working group. The research utilised an online questionnaire and telephone interviews with practitioners.

Practitioners reported using the screening tool with young people with an average age of 13.1 years. They thought the educational interventions provided knowledge and helped with communication, self-awareness, reflection, confidence, attitudes and values clarification.

The project was based in one county in England. A sample of 17 per cent of the practitioners responded to the questionnaire, and they might be biased towards those who had engaged most, or most positively, with the resource. Three practitioners undertook interviews. The views and behaviours of young people are yet to be evaluated.

Within a climate of limited resources, the findings suggest that the project is providing an acceptable proportionate universalist, early sexual health intervention for young people.