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School based sex education delivered before the minimum school leaving age remains the most effective way of universally comprehensively and uniformly targeting adolescent population 1 Worldwide approximately half of 16-year-olds are sexually active and have partner turnover which facilitates the spread of STIs is at its highest amongst young people 2 Approximately 60 of all new HIV cases are among young people 3 and more than 90 of these infections are due to sexual transmission 4 Despite a marked increase in contraceptive use at first intercourse 78 of adolescent in the USA used a contraceptive at first intercourse in 1995 compared to 48 in 1982 Consistent condom use is generally low amongst young people 5 In the USA for instance 25 of sexually active adolescence contract a STI each year and more than half of all new HIV infections occur among persons under the age 25 representing about 20000 new HIV cases each year 6 Moreover it is estimated that about a quarter of HIV infected individuals in the United States are undiagnosed and unaware that they have HIV 7 In addition 10 of all adolescents and 19 of sexually active adolescents in the United States become pregnant each year 70 These statistics demonstrate the need for more effective sexual health education for young people The prevalence of sexually transmitted infections STIs is increasing in the teenage group Sexually active young people are vulnerable to STIs and prevalence among the young is increasing 20-30 of females diagnosed with an STI have another within 18 months 8 Data from UK studies by Schofield 1965 and Farrell 1978 on numbers of 16 to 19 year olds reporting having intercourse before the age of 16 together with data from a more recent and very large study by Welling et al 1994 involving interviews with over 18000 adults and young people over the age of 16 to investigate sexual behaviour in Britain indicated that approximately one in five under
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