Although the teenage pregnancy rates in the UK are falling in the 16 to 19
year old range, they are still rising in the 13 to 15 year olds. Overall, t
hey remain one of the highest within Western Europe. Teenagers continue to
present a challenge to the health services due to the increase in their sex
ual risk caking behaviour the earlier age at which they are starting sexual
activity and a reluctance to utilise services available to them. In an att
empt to develop current services and make them more 'user friendly', a sexu
al health needs assessment was carried out on teenagers, part of which look
ed at their attitudes towards risk taking sexual behaviour and their declar
ed sexual behaviour. A quantitative survey, using a questionnaire in school
s, was answered by 1500 pupils aged between 13 and 18 years old, and showed
that the majority of teenagers had declared some form of sexual contact wi
th a partner with a degree of sexual activity increasing with age. Twenty p
er cent of 13 year olds reported that they had already had either full or o
ral sexual intercourse with a partner Feeling peer pressure, not knowing th
e facts about sexual risk taking and a declared intent that would increase
the likelihood of putting themselves or others at risk sexually were signif
icantly more likely in the younger teenage boys surveyed.
This study confirms that there remain many different factors involved in te
enagers' decision-making processes, about their developing attitudes toward
s sex and their resultant behaviour Despite a lack of maturity, such opinio
ns and attitudes are bringing about definite views and sexual behaviour pat
terns in teenagers as young as 12 or 13 years old who are becoming fully se
xually active. In particular teenage boys are becoming fully sexually activ
e at a younger age than the girls and are taking risks in doing so. They ar
e being influenced by peer pressure, condoning promiscuity and are declarin
g the intent to practice unsafe sexual intercourse. Their level of maturity
would appear to be inadequate for them to comprehend the implications and
consequences of their actions. This study has shown a need for developing a
dequate education and provision of sexual health services for teenagers, pa
rticularly for teenage bays, and that this may go some way in helping to ad
dress the imbalances found.