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ADOLESCENT SEXUAL AND REPRODUCTIVE HEALTH IN CANADA: A REPORT CARD IN 2004

It has been known for over 100 years that providing healthy food and social support at school is one method of improving attendance and enabling young people from disadvantaged backgrounds to benefit from the education provided. Healthy young people who attend school tend to learn better and good education leads to healthier people. Sometimes the difference between cause and effect may not be clear. Moreover, there may be intermediate factors or more complex routes, such as good education leading to better economic development, which may result in people having more control over their lives and thus experiencing better health. We. | The Canadian Journal of Human Sexuality Vol. 13 2 Summer2004 w 67 ADOLESCENT SEXUAL AND REPRODUCTIVE HEALTH IN CANADA A REPORT CARD IN 2004 SIECCAN The Sex Information and Education Council of Canada Toronto Ontario Acknowledgement SIECCAN gratefully acknowledges an unrestricted development grant from Organon Canada Ltd. which assisted the preparation of this resource document. This report was prepared by Alexander McKay PhD Research Coordinator the Sex Information and Education Council of Canada SIECCAN 850 Coxwell Avenue Toronto ON M4C 5R1. Tel 416-466-5304 e-mail sieccan@web.ca web site www.sieccan.org. INTRODUCTION The promotion of adolescent sexual health involves equipping young people with the relevant knowledge motivation and behavioural skills to enhance sexual health and avoid sexual health related problems Fisher Fisher 1998 Health Canada 2003 . A broad conceptualization of adolescent sexual health implies attention to a wide range of issues including sexual attitudes sexual behaviours and the personal and social factors that influence them. The sexual health indicators used in this document are minimalist in scope focusing on epidemiological and behavioural indicators related to the avoidance of negative sexual health outcomes such as unintended pregnancy and sexually transmitted infections STI . Identifying trends in these outcomes as well as the behaviours that contribute to the direction of these trends e.g. contraceptive use number of sexual partners can provide health care providers and educators with key points of reference for addressing the sexual health of adolescents. However readers should bear in mind that the avoidance of negative outcomes is only part of a comprehensive picture of adolescent sexual health which also includes positive outcomes such as non-exploitive sexual satisfaction and rewarding relationships Health Canada 2003 . In order to provide an up-to-date national picture of adolescent sexual health in Canada as it applies to .