讲座如何改变青少年危险性行为？PPT课件.ppt

讲讲座如何改座如何改变变青少年危青少年危险险性性行行为为？RealReasonsBeyondtheYouthProblemsDnesBnhegyiYTLSymposium,Beijing,China,4thFebruary,2005BD/YTL05WhyDoWeNeedFamilyLifeandSexualHealthPromotionProgramsIsnotitsomethingnatural,whichneednottobespeakenabout?Isnotitthenaturalandtraditionalmissionoftheparents,thefamily?BD/YTL05Itshouldhavetobebutunfortunatelyitisnotanymore!AdultsinourChangingWorldEnormouspoliticalandsocialchangeswereexperiencedinHungaryduringthelate80s,early90sThepresenceofpoliticshasplayedanimportantpartineverydaylifeChangingvalues:underestimationofmoralvaluessignificantoverestimationofmaterialvaluesTheimpoverishmentinmorelayersofthesocietyAsaresultofthesechangesa“boomingsex-industry”,prostitution,drugabusedevelopedTheuncontrolledpresenceofglobalizedmediaprovidedexamplesforbrutality,abuseofsexualityBD/YTL05AdultsAdaptation”1.Answertothenewchallengeoverwork,lowrankwork”,unofficialwork”,saving-complaintenhancedmentalburden,ruinoffamilyandhumanrelationships(ofcourse,manyofthemcouldadaptsuccessfully)2.Iftheadaptationisunsuccessfulunemployment,dissatisfactionwiththecircumstances,familysubstituteactivity,alcoholism,collapseoffamily.BD/YTL05YoungPeopleintheChangingWorldTheyouthspositionismoredifficult-morevulnerableRoleofthefamilylesscommunication,understandingRoleoftheschool,achievement-orientated,itgivesinformationratherthaneducationAge-groupeffect,friends,mates,shopping(plaza)-life”changingvalues,belongingtosomewhereMovies,disco,electronicgamesafake,visualizedworld,violenceItgivesescapefromfacingreality!BD/YTL05RoleoftheFamilyConventionalfunctionofthefamilybutthetraditionalfamilyhasbeenchangedroleofwomen-familymodel:bothparentseconomicallyactive-28%ofthefamilieshavebeenbroken-cheatingandabusesagainstchildrendisfunctionalfamily-lackofrealcommunication-lackofpositiveideal“ShallIhavearealfamily?”unrealisticaimsBD/YTL05InsidetheFamilyBD/YTL05Gl,K:Szakkzpiskolaifelmrs,1998TheSchoolTraditionally,theschoolhasnevertakenpartinthesexualeducationItgivesknowledge,imposesrecitates,givesmarksItcannotassureequalchanceforthestudentsOvershadowed:personalitydevelopmentself-appraisementappreciationotherscommunicationformingcommunitypreparestudentsforfamilylifeBD/YTL05WhomIPassedMyPastimeWith?BD/YTL05Gl,K:Szakkzpiskolaifelmrs,1998WhomIDiscussSexualMatters?BD/YTL05Dobk.:FiatalokAIDSIsmeretei(Szakdolgozat,2004)SeekingforSolutionsBelongingtosomewherenewcommunitiesLackofcommunication-substitutes(e.g.alcohol,drugs,etc.)Contemporarypressureyouhavenotdoneyet.?Externalimpactsmedia,pornography,prostitutionBD/YTL05Facts.DrugConsumptioninHungaryintensityofdrugconsumptionhasbeenraisedamonginthesecondaryschoolstudents-drugconsumptionhaschanged-marihuana,partydrugsthemostpartofthetreatedpeoplederivesfromtheopiateconsumerstherateoftheintravenousdruguserwas23,6%inthehealthinstitutionsin200037,in200140,in200246drugrelateddeathcaseshavebeenrecordedin2003numberofdrugrelatedcrimeraisedby25,7%marihuanabecamethemostfashionabledrug,THCcontenthaverisenfrom2to6%BD/YTL05Age,GenderDistributionAmongIDUsBD/YTL05UjhelyiE,etal:EMCCDjelents2004InjectingDrugUsers,Reported,ExaminedBD/YTL05UjhelyiE,etal:EMCCDjelents2004IncidenceofHepatitisC,BandHIVInfectionAmongIDUsBD/YTL05UjhelyiE,etal:EMCCDjelents2004SyphilisCasesinHungaryBD/YTL05ReportoftheNIVD,2003BD/YTL05FemaleandConnateSyphilisReportoftheNIVD,2003DiagnosedHIVInfections,AIDSCasesandDeathinHungarySource:EPINFO200411:102-6BD/YTL 05TheRisksofExtra-martialSexUnwantedpregnancySexuallytransmitteddiseases(morethan30)venerealdiseases(syphilis,gonorrhea)viral,bacterialwithcomplicationspelvicinflammatorydisease-sterility(e.g.Chlamydiainfection)genitalherpespainful,relapsingViralhepatitis(HBV,HCV)HIV/AIDSBD/YTL05CornerstonesofYTLBD/YTL05Self-recognition,self-esteemSocialrelations,communicationEstimatingothersUnderstandingothers,listentoothersSincerenessTosetuprealisticaims”WhatdoIwanttoachieveinmylifeHowcanIfindthereal,thebelovedone,howcanIraiseafamilyRealisationof“dangeroussituations”HowtoavoidthemHowtosayNOYTLsDrugPreventionProgramHowtoavoidsituationsleadingtodrug-abuse Howtosayno Whatarethesingsofdrug-abuse Thesepiecesofinformationarenotonlyforteenagers,butforparents,teachersaswellBD/YTL05BD/YTL05ThankYou!Diagnosed,600personsNotdiagnosed211.PreventionofnewHIVinfectionsPreventionprogramsforyouthPreventionprogramsforhighriskbehaviourpersons,groups,ie.MSM,sex-workers,IDUsSocial,medicalcare,cousellingforHIVinfectedpersons2.DiagnoseofestablishedHIVinfectionsLowtresholdserviceforHIVcounsellingandtestingPostgradualcoursesforhealthcareworkersPromotionofVCTAimsoftheAIDSPreventionprogramBD/HIVinf032500-3000personsPoolofHIVinfectedpersons