title: Gendered attitudes towards sexual relationships among adolescents attending nurse led sexual health clinics in England: a qualitative study.
abstract: OBJECTIVE
  This study aimed to explore gender differences in attitudes towards sexual relationships of adolescent attending nurse led sexual health clinics.
  
  
  BACKGROUND
  Nurse led sexual health clinics are at the forefront of promoting adolescent sexual health. To provide sensitive, effective and non-judgemental care, nurses need to understand the complexities of adolescent sexual behaviour and the social factors that influence sexual relationships. Design. A qualitative, exploratory research design was used.
  
  
  METHODS
  Ten focus groups (five male and five female) involving sexual health clinic attendees aged between 14-16 years were conducted. Focus groups were asked to comment on four sexual relationship 'case studies'. Group discussions were recorded and transcribed. Data were subject to thematic analysis.
  
  
  RESULTS
  Three themes emerged from the data analysis. 'Empathy' reflected how young women were more likely to try to see their partner's point of view. 'Complexity' also reflected that young women were more aware of the complex nature of relationships than were the male participants. 'Language' related to how young males used aggressive language in the context of relationships - a feature absent from female participants' discourse.
  
  
  CONCLUSIONS
  Male and female attitudes clearly differ. Female responses are more complex and empathic because of the more complex nature of the social pressures that sexualise young women. Young males are not as subject to these social forces. Young men are socialized into behaviour that can place females under pressure to have sex - this pressure can include the use of alcohol. RELEVANCE TO CLINICAL PRACTISE: Nurses working in sexual health should attempt to encourage empathic thinking in male clients. Females should be educated to deal with the social pressures they may face from their partners. Practitioners should also recognise the problematic role alcohol can play within sexual relationships.
authors.affiliation: University of Sheffield - Nursing, Sheffield, UK. m.hayter@sheffield.ac.uk
authors.forename: Mark
authors.initials: M
authors.lastname: Hayter
authors.forename: Christina
authors.initials: C
authors.lastname: Harrison
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000554:Ambulatory Care Facilities; D001290:Attitude; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D036301:Qualitative Research; D012725:Sexual Behavior