Shows featured a variety of sexual messages, including characters talking about when they wanted to have sex and how to use sex to keep a relationship alive. Girls who were not attending school were The pregnant teenager may then miscarry , have an abortion , or carry the child to full term. They were trying to balance maintaining a good reputation with trying to maintain a romantic relationship and wanting to behave in adult-like ways. From the HIV rates to the contemplations of teen parenthood in America, Houston depicts a society in which America and the Netherlands differ. Generally, most problems were not experienced on a chronic basis.
They felt that they had given something up and did not feel like this action was recognized. In general, girls said they felt less pressure from peers to begin having sex, while boys reported feeling more pressure. Most Dutch parents practice vigilant leniency,  in which they have a strong familial bond and are open to letting their children make their own decisions. In a sample of fifteen year olds from 24 countries, most participants self-reported that they had not experienced sexual intercourse. In urban areas, With cultural norms opposing extramarital sexual behavior "these implications may acquire threatening dimensions for the society and the nation". Girls felt they had less control over their sexuality when they saw men objectifying women and not valuing commitment. Early treatment is important for preventing medical complications and infertility. Girls with a poor self-image may see sex as a way to become 'popular', according to the researchers". Teenagers feel more comfortable about their sexuality and engage in discussion with their parents about it. The study concluded that the way media portrays sex has a huge effect on adolescent sexuality. Girls who were not attending school were However, they often felt disempowered because of this; they often did not feel like they actually received what they expected in return and this made them feel like they had less power in their relationship. Most problems listed by the girls were not persistent problems. They were comfortable setting sexual limits and therefore held more control over their sexuality. More urban girls than rural girls discussed sex with their friends. These factors were not listed as affecting boys as much. Because of this, they often expected something in return such as increased emotional intimacy with their partners or the virginity of their partner. For those girls whose friends were having a physical relationship with a boy, Those who did not may have felt "the subject of sexuality in itself is considered an 'adult issue' and a taboo or it may be that some respondents were wary of revealing such personal information. Prevention of STIs should be a priority for all health care providers for adolescents. However, there are additional medical concerns for younger mothers, particularly those under 15 and those living in developing countries. These factors affect girls and boys differently. She found that some girls, when faced with the option of choosing "heterosexual", "same-sex attracted" or "bisexual", preferred not to choose a label because their feelings do not fit into any of those categories. Schools may affect girls more than boys because strong emphasis is placed on girls to date boys, and many school activities place high importance on heterosexuality such as cheerleading. Boys viewed having sex as social capital.
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