[Adolescence and "sexual health"]

Sexual health is a substantial part of the general social, cultural and personal well-being of adolescents. Sustainable sexual education is only likely if the general self-confidence and competence of adolescents are strengthened and if programmes are integrated into the socio-cultural context of communal development. Health professionals may diagnose existing problems but they are seldom competent in resolving the underlying social dilemmas. Nevertheless, the health system offers a unique opportunity of addressing adolescents and influencing their behaviour patterns. The risk approach in the prevention of sexually transmitted infections and unwanted pregnancies often ignores the pressing personal fears, anxieties and problems seen by the adolescents themselves. An integrated approach to Sexual Health should consider the views of adolescents as a priority and offer opportunities to address personal questions, worries and anxieties. Rather than medical experts, adolescents need mediators and professional guides to find their own way through the social and health network. They need to consult persons who can respond to their intimate concerns and give independent evidence-based information on health procedures and prevention.