講座如何改變青少年危險性行為？RealReasonsBeyondtheYouthProblems

DénesBánhegyi

YTLSymposium,Beijing,China,4thFebruary,2005

BD/YTL05WhyDoWeNeedFamilyLifeandSexualHealthPromotionPrograms

Isnotitsomethingnatural,whichneednottobespeakenabout?

Isnotitthenaturalandtraditional

missionoftheparents,thefamily?

BD/YTL05Itshouldhavetobebutunfortunatelyitisnotanymore!AdultsinourChangingWorldEnormouspoliticalandsocialchangeswereexperiencedinHungaryduringthelate80’s,early90’sThepresenceofpoliticshasplayedanimportantpartineverydaylifeChangingvalues:underestimationofmoralvalues–significantoverestimationofmaterialvaluesTheimpoverishmentinmorelayersofthesocietyAsaresultofthesechangesa“boomingsex-industry”,prostitution,drugabusedevelopedTheuncontrolledpresenceofglobalizedmediaprovidedexamplesforbrutality,abuseofsexuality

BD/YTL05Adults’?Adaptation”1.Answertothenewchallenge

overwork,?lowrankwork”,?unofficialwork”, saving-complaint

enhancedmentalburden,ruinoffamilyandhumanrelationships (ofcourse,manyofthemcouldadaptsuccessfully)2.Iftheadaptationisunsuccessful

unemployment,dissatisfactionwiththecircumstances,family…

substituteactivity,alcoholism,collapseoffamily...BD/YTL05YoungPeopleintheChangingWorldTheyouth’spositionismoredifficult-morevulnerableRoleofthefamily–lesscommunication,understandingRoleoftheschool,achievement-orientated,itgivesinformationratherthaneducationAge-groupeffect,friends,mates,?shopping(plaza)-life” changingvalues,belongingtosomewhereMovies,disco,electronicgames afake,visualizedworld,violence

Itgivesescapefromfacingreality!BD/YTL05RoleoftheFamily

Conventionalfunctionofthefamilybutthetraditionalfamilyhasbeenchanged–roleofwomen

-familymodel:bothparentseconomicallyactive -28%ofthefamilieshavebeenbroken -cheatingandabusesagainstchildren disfunctionalfamily -lackofrealcommunication -lackofpositiveideal“ShallIhavearealfamily?”–unrealisticaimsBD/YTL05InsidetheFamilyBD/YTL05Gál,K:Szakk?zépiskolaifelmérés,1998TheSchoolTraditionally,theschoolhasnevertakenpartinthesexualeducationItgivesknowledge,imposesrecitates,givesmarksItcannotassureequalchanceforthestudentsOvershadowed:

personalitydevelopment

self-appraisement–appreciationothers

communication

formingcommunity preparestudentsforfamilylifeBD/YTL05WhomIPassedMyPastimeWith?BD/YTL05Gál,K:Szakk?zépiskolaifelmérés,1998WhomIDiscussSexualMatters?

BD/YTL05Dobók.:FiatalokAIDSIsmeretei(Szakdolgozat,2004)SeekingforSolutions

Belongingtosomewhere–newcommunities Lackofcommunication-substitutes(e.g.alcohol,drugs,etc.) Contemporarypressure –youhavenotdoneyet….? Externalimpacts–media,pornography,prostitutionBD/YTL05Facts...

DrugConsumptioninHungary…intensityofdrugconsumptionhasbeenraisedamonginthesecondaryschoolstudents-drugconsumptionhaschanged-marihuana,partydrugs…themostpartofthetreatedpeoplederivesfromtheopiateconsumers…therateoftheintravenousdruguserwas23,6%inthehealthinstitutions…in200037,in200140,in200246

drugrelateddeathcaseshavebeenrecorded…in2003numberofdrugrelatedcrimeraisedby25,7%…marihuanabecamethemostfashionabledrug,THCcontenthaverisenfrom2to6%BD/YTL05Age,GenderDistributionAmongIDUsBD/YTL05UjhelyiE,etal:EMCCDjelentés2004InjectingDrugUsers,Reported,ExaminedBD/YTL05UjhelyiE,etal:EMCCDjelentés2004IncidenceofHepatitisC,BandHIVInfectionAmongIDUsBD/YTL05UjhelyiE,etal:EMCCDjelentés2004SyphilisCasesinHungaryBD/YTL05ReportoftheNIVD,2003BD/YTL05FemaleandConnateSyphilisReportoftheNIVD,2003DiagnosedHIVInfections,AIDSCasesandDeathinHungarySource:EPINFO200411:102-6BD/YTL05TheRisksofExtra-martialSexUnwantedpregnancySexuallytransmitteddiseases(morethan30) venerealdiseases(syphilis,gonorrhea) viral,bacterialwithcomplications pelvicinflammatorydisease-sterility(e.g. Chlamydiainfection) genitalherpes–painful,relapsingViralhepatitis(HBV,HCV)HIV/AIDSBD/YTL05CornerstonesofYTLBD/YTL05Self-recognition,self-esteem

Socialrelations,communication

Estimatingothers

Understandingothers,listentoothers

Sincereness

Tosetup?realisticaims”

WhatdoIwanttoachieveinmylife

HowcanIfindthereal,thebelovedone,how

canIraiseafamilyRealisationof“dangeroussituations”HowtoavoidthemHowtosayNOYTL’sDrugPreventionProgram

Howtoavoidsituationsleadingtodrug-abuse

Howtosayno

Whatarethesingsofdrug-abuse

Thesepiecesofinformationarenotonly

forteenagers,butforparents,teachers

aswell

BD/YTL05BD/YTL05ThankYou!Diagnosed,~600personsNotdiagnosed211.PreventionofnewHIVinfections

PreventionprogramsforyouthPreventionprogramsforhighrisk behaviourpersons,groups, ie.MSM,sex- workers,IDUsSocial,medicalcare,cousellingforHIV infected