Genuis S J, Genuis S K
Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Canada.
Clin Pediatr (Phila). 1996 Jan;35(1):10-7. doi: 10.1177/000992289603500103.
The worldwide epidemic of sexually transmitted diseases (STDs) presents a major public health challenge to medical practitioners and educators as they seek to implement preventive educational strategies in the adolescent population. The serious consequences of many STDs and the insufficient impact of condom promotion in this high-risk group have led to increasing recognition that sexual intercourse is medically unwise for young adolescents. As a result of this recognition, some educators have proposed that adolescent sexuality education focus on the explicit teaching of noncoital sexual activities, sometimes called outercourse. This paper explores the emergence of this educational strategy, the assertion that noncoital sexual activities will positively impact the rising incidence of STDs and unplanned pregnancy in teenagers, and the hypothetical benefits of adolescent noncoital sex.
性传播疾病（STD）在全球范围内的流行给医学从业者和教育工作者带来了重大的公共卫生挑战，因为他们试图在青少年群体中实施预防性教育策略。许多性传播疾病的严重后果以及避孕套推广在这个高危群体中效果不佳，使得人们越来越认识到，对于青少年来说，发生性行为在医学上是不明智的。基于这一认识，一些教育工作者提议，青少年性教育应侧重于明确教授非性交性行为，有时也称为边缘性行为。本文探讨了这一教育策略的出现、非性交性行为将对青少年性传播疾病发病率上升和意外怀孕产生积极影响的观点，以及青少年非性交性行为的假设益处。
