Sexual intercourse, age of initiation and contraception among adolescents in Ireland: findings from the Health Behaviour in School-aged Children (HBSC) Ireland study

Background: The need to tackle sexual health problems and promote positive sexual health has been acknowledged in Irish health policy. Young people’s sexual behaviour however remains under-researched with limited national data available. Methods: This study presents the first nationally representative and internationally comparable data on young people’s sexual health behaviours in Ireland. Self-complete questionnaire data were collected from 4494 schoolchildren aged 15-18 as part of a broader examination of health behaviour and their context. The prevalence of sexual initiation, very early sexual initiation (<14 years) and non-condom use at last intercourse are reported and used as outcomes in separate multilevel logistic regression models examining associations between sociodemographic characteristics, lifestyle characteristics and young people’s sexual behaviours. Results: Overall, 25.7% of boys and 21.2% of girls were sexually initiated. Older age was consistently predictive of initiation for both boys and girls, as were alcohol, tobacco and cannabis involvement, living in poorer neighbourhoods and having good communication with friends. Involvement in music and drama was protective. Very early sexual initiation (<14 years) was reported by 22.8% of sexually initiated boys and 13.4% of the sexually initiated girls, and was consistently associated with rural living, cannabis involvement, bullying others and attending fewer health check-ups for both. Boys’ very early initiation was predicted by alcohol involvement, receiving unhealthy food from parents and taking medication for psychological symptoms, whereas better communication with friends and more experience of health symptoms were protective. Girls’ very early initiation was predicted by belonging to a non-Traveller community, whereas taking medication for physical symptoms was protective. Condom use was reported by 80% of sexually initiated students at last intercourse. Boys’ condom use was associated with older age, higher social class, bullying others and self-care behaviours. For girls, condom use was predicted by belonging to a non-Traveller community, healthy food consumption, higher quality of life and being bullied, whereas taking medication for physical and psychological symptoms was associated with non-condom use. Conclusions: These nationally representative research findings highlight the importance of focusing on young people as a distinct population subgroup with unique influences on their sexual health requiring targeted interventions and policy

Short report HBSC Ireland 2014. Alcohol and cannabis use in school-children in Ireland.

The Health Behaviour in School-aged Children (HBSC) study is a cross-national research study conducted in collaboration with the World Health Organisation (WHO) Regional Office for Europe and runs on a four-year cycle. In 2014, Ireland participated for the fifth time in the HBSC study (www.nuigalway.ie/hbsc). The overall aims of the HBSC study are to gain new insight into, and increase our understanding of young people’s health and well-being, health behaviours and their social context. HBSC collects data on key indicators of health, health attitudes, and health behaviours, as well as the context of health for young people. The study is a school-based survey with information collected from students through self-completion questionnaires in classrooms. HBSC Ireland 2014 was funded by the Department of Health. This short report presents a brief analysis of alcohol and cannabis intake among Irish school-children, aged 13-17, across the country broken down by age and gender. Overall, data from 7,320 school-children aged 13-17 were analysed

Scoping review of case management in the treatment of drug and alcohol misuse, 2003–2013.

This is the final report of a scoping review commissioned by the HRB National Drugs Library. The objective of the review was to examine the peer-reviewed non-experimental literature on case management and substance use published between 2003 and 2013, and to answer specific research questions based on the literature. These comprised questions on the nature of case management, the outcomes that have been studied, and gaps in the literature

Barriers and recommendations for parent–child conversations about pornography

Introduction: Parents consistently report being worried about the impact of online pornography on their adolescent and pre-adolescent children’s development. Yet, most parents do not discuss pornography as part of parent–child conversations about sexuality. The current study sought to identify the barriers to parent–child conversations about pornography. Methods: We present two studies. The first study employed one-to-one interviews to explore parents’ (n = 14) beliefs about their role in their child’s pornography education. The second study involved the quantitative assessment of Study 1 findings in a sample of parents of pre-adolescent and adolescent children (n = 408). Results: Findings indicate that three overarching themes prevent parents from addressing pornography with their adolescent children, parents’ practical ability to discuss pornography, their attitudes toward discussing pornography, and the perceived positive impact of addressing pornography with their adolescent children. Practical ability was most often reported as the greatest barrier to parents engaging in parent–child conversations about pornography. Most notably, parents reported hesitancy in discussing pornography because they did not know how to define pornography or how to address pornography in an age-appropriate way. Fathers were also significantly less likely to believe that talking about pornography was socially acceptable. Discussion: We discuss the implications of these findings and present recommendations for developing a parents’ pornography education resource

Ethical review and children’s research in Ireland.

A substantial increase in research into the lives of children has been experienced over the last 20 years in many countries, including Ireland. This increase is not only in the amount of research undertaken, but also in the multidisciplinary range of such research. Research with children involves working with potentially vulnerable participants, who not only require specific protection but also have the capacity for independent agency that necessitates respect from researchers. With the increase in research, there has been a related increase in awareness by the research community of the need to ensure that all research with children is carried out to the highest ethical standards. Until recently, ethical review of research was left to the discretion of the researchers, who were generally considered sufficiently trustworthy to safeguard their participants’ rights and well-being by virtue of their education and professional standing. Over the last two decades, however, it has become more common to convene Research Ethics Committees to review research proposals with the goal of ensuring that ethical requirements are fulfilled and to provide ethical oversight to researchers. This has resulted in an increase in the number of Research Ethics Committees operating worldwide, including in Ireland. In relation to children’s research, ethical review attempts to ensure that research projects have provisions in place that will enable researchers to do justice to the duties of both protection and respect of child participants. However, a variety of problematic issues have been highlighted. Research with children into the ethics of children’s research has identified tensions between balancing risk and benefit, on the one hand, and autonomy, competence and parental authority, on the other. The reliability and validity of review by Research Ethics Committee has also been brought into question: not only are requirements vastly different between countries (Hearnshaw, 2004), but there is ample evidence to show that decision-making by different Research Ethics Committees In the same country can differ significantly (Garfield, 1995), even when they are governed by the same authority (Angell et al, 2006). In order to counter this variability, it has been argued that increased regulation needs to be put in place and this has happened in some countries

Parents' Support and Knowledge of Their Daughters' Lives, and Females' Early Sexual Initiation In Nine European Countries

The association between early sexual initiation and parenting practices (e.g., support and knowledge) has not been tested in multiple European population-based samples using the same instrument

Expanding the role of young people in research: Towards a better understanding of their lives

The participation of young people in the research process can be empowering for the participants and valuable for the research outcomes. This paper presents the methods used and outcomes of involving youth in the development of priorities for the Health Behaviour in School-aged Children study in Ireland.Two participative workshops were conducted with young people: the first focused on identifiying what is important for people to understand about young people’s lives; the second served to expand and prioritise the themes identified, for the purpose of developing questionnaire items. Following idea generation, discussion and voting four themes emerged as priorities. These were; ‘Diversity and Individuality’, ‘Independence’, ‘Mental Health’ and ‘Bullying’.The process enabled young people to prioritise dimensions of their lives that deserved further quantitative research attention. The findings of the study identify the potential of such a methodology to transform the path of any research project concerning young people