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The Christian Medical Fellowship: Uniting & equipping Christian doctors & nurses to live & speak for Jesus Christ.
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Christian Medical Fellowship
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      • the Christian Medical Fellowship unites and equips Christian doctors and nurses to live and speak for Jesus Christ. We were formed in 1949. We currently have 4,000 doctors, 500 medical and nursing students, and 450 nurses and midwives as members.
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      • U-turn on a gravel background

        the BMA does a U-turn over Cass

        May 19, 2026
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        Heartsink

        April 30, 2026
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        ‘which of these was a neighbour?’: The House of Lords vote on abortion and the need for mercy

        March 30, 2026
        Read more
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        12may(may 12)12:00 pm09jun(jun 9)1:30 pm FeaturedRepeating EventGlobal Training Modules 2025-6

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        Are you working in Global Health and Mission? Are you a generalist? CMF Global is hosting a series of interactive online training modules. These will be collaborative, with teaching, questions and

        Event Details

        Are you working in Global Health and Mission?

        Are you a generalist?

        CMF Global is hosting a series of interactive online training modules. These will be collaborative, with teaching, questions and feedback. The tutorials are led by General Practitioners and Specialists with experience in working with limited resources in a rural context.

        Date Time Topic
        Tuesday 12 May 2026 12.00-13.30 Schistosomiasis
        Tuesday 9 June 2026 12.00-13.30 Common urological problems

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        May 12, 2026 12:00 pm - june 9, 2026 1:30 pm(GMT+01:00)

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        Future Event Times in this Repeating Event Series

        may 12, 2026 12:00 pm - june 9, 2026 1:30 pmjune 9, 2026 12:00 pm - june 9, 2026 1:30 pm

        Logos Hope - Excel Centre London, WaterfrontExcel Centre London, Logos Hope, Logos Lounge,

        03jul6:30 pm9:00 pmHealthcare Professionals & God's Global Purposes exhibition and networking event (aboard Logos Hope)

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        BOOK ONLINE We are excited to invite you to the Healthcare Professionals & God’s Global Purposes exhibition and

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        We are excited to invite you to the Healthcare Professionals & God’s Global Purposes exhibition and networking event, aboard Operation Mobilisation’s Logos Hope ship in London! This event is part of Logos Hope’s Waves of Hope tour across the UK.

        The seminar is designed for Christian healthcare professionals who are exploring how their skills and calling can serve God’s global mission. Discover how your career can be used to support ministry and mission work around the world. This gathering will bring together experienced practitioners and mission agencies to help you discover and learn about opportunities ranging from short-term mission trips to longer-term roles, and explore how God might be leading you to integrate your profession with Kingdom impact.

        During the evening, Dr Hannah Williams will give a short talk on her experience as a doctor and a mum working and witnessing in palliative care in a Central Asian country.

        Come be encouraged, informed, and challenged to consider how your healthcare vocation could play a part in your future ministry.

         

        Calling all exhibitors! If you wish to be an exhibitor at this event, please contact globalcoordinator@cmf.org.uk, and we’ll be in touch.

         

        In partnership with Operation Mobilisation and Global Connections.

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        Time

        July 3, 2026 6:30 pm - 9:00 pm(GMT+00:00)

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        Logos Hope - Excel Centre London, Waterfront

        Excel Centre London, Logos Hope, Logos Lounge,

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        Operation Mobilisation

        Operation Mobilisation (OM) serves Christians by connecting them with global mission opportunities to discover, develop and apply their God-given gifts as they step out to serve Him.

        Logos Hope - Excel Centre London, Waterfront

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        25sep(sep 25)5:00 pm18mar(mar 18)5:00 pmGlobal Track 2026-28

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        Join CMF’s 18‑month Global Track, running from September 2026 to March 2028! The track is designed for medics, nurses, midwives and allied health professionals who are exploring or preparing for work

        Event Details

        Join CMF’s 18‑month Global Track, running from September 2026 to March 2028!

        The track is designed for medics, nurses, midwives and allied health professionals who are exploring or preparing for work in global health and mission.

        We especially welcome students in the final three years of their course, as well as graduates in the early stages of their careers, as the programme is structured to fit comfortably alongside ongoing studies, placements or work commitments.

        This will be our sixth cohort, building on years of experience delivering the programme.

        What’s Included
        • Residential & In‑Person Training: An introductory weekend residential with teaching, five Saturday training days at CMF HQ led by global health mission speakers, and a cross‑cultural training day in the UK.
        • Online Learning: Four two‑hour Wednesday evening webinars, and two assignments to help you reflect and apply your learning.
        • CMF Global Summer Mission Conference: Your place includes conference access with lectures, practical skills sessions, and workshops on healthcare in resource‑poor settings.
        • Mentoring: You’ll be paired with a mentor experienced in overseas missions for personalised support throughout the programme.
        • Vision Trip: Join one of three short‑term mission vision trips. If you can’t make these dates, we can consider your elective or another short-term mission trip instead.
        Course Fee

        £500

        Please note that this fee doesn’t include your travel, accommodation or extra days at the Global Summer Mission Conference, or the costs connected with your vision trip.
        We can provide a support letter if you’d like to invite prayer or financial support from your church, family, or friends.

        How to Apply
        Applications for the Global Track are now open, and close on Friday 10 April, 5 PM BST.

        To apply, email globaltrack@cmf.org.uk to request the application form.

         

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        Time

        September 25, 2026 5:00 pm - march 18, 2028 5:00 pm(GMT+00:00)

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        The Neptune22 Marine Terrace, Criccieth LL52 0EF

        28sep(sep 28)6:00 pm02oct(oct 2)10:00 amMedicine, Mission and Me 2026

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        BOOK ONLINE Come and join us for 4 nights in Criccieth, where the mountains meet the sea, to consider the needs in the world today, learn

        Event Details

        Come and join us for 4 nights in Criccieth, where the mountains meet the sea, to consider the needs in the world today, learn more about what the Bible teaches about mission and see what God is doing.

        We’ll think about what it means to make disciples and how to demonstrate God’s love in practical action. There will be the opportunity to work through practical questions, learn from each other and think through how we could be involved now and in the future. There will be time for Bible study, prayer, praise, learning in groups, wild swimming, walks and personal reflection.

        Who is it for?
        Christian students and health care professionals and their spouses/partners wanting to learn more about mission and considering how they may get involved in the future.

        MMM26 Programme

        Facilitators:
        Organised by Christian Medical Fellowship’s Global team and joined by guests with a broad experience of cross-cultural mission work and medicine in different contexts.

        Accommodation and things to do:
        The Neptune is a beautifully positioned larg
        e house with sea views towards Snowdonia and across the Irish Sea. It overlooks a beach where you can swim, even in September (although you may prefer to bring a wetsuit!). See the Neptune self-catering guest house: www.theneptune.org.uk

        There is plenty of B&B and self-catering accommodation available locally should you prefer that. Criccieth is a popular holiday destination with beaches, coffee shops, art galleries, an ice cream parlour and a castle. Within a short drive there is the Snowdonia National Park and opportunities for watersports.

        Cost

        Doctors and Dentists £390
        Nurses/Midwives/AHP £280
        Married couples £580
        Students (you will be required to share a room) £200

        This includes food, accommodation and course costs.

        Getting there
        You would need to book your own travel to arrive on Monday and leave on Friday.
        Address: 22 Marine Terrace, Criccieth, Gwynedd LL52 0EF.
        By train the nearest mainline station is Bangor, Gwynedd, we will endeavour to help with lifts from the station (40 mins away).
        Via Manchester Airport – you can offset the carbon at climatestewards.org

        Enquiries to: globalcoordinator@cmf.org.uk

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        Time

        September 28, 2026 6:00 pm - october 2, 2026 10:00 am(GMT+00:00)

        Location

        The Neptune

        22 Marine Terrace, Criccieth LL52 0EF

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CMF file 79 – teenage sex & sexual identity

The last CMF File on teenage sex was written 18 years ago, and it remains a very helpful resource. Many of its insights hold true because human nature, our basic biology, and God’s word have not changed.

However, while these foundations remain constant, the environment in which young people are growing up has changed dramatically. Sex remains one of the most important aspects of teenage life, but the part it plays and the way teenagers think about it has undergone a significant shift. This file, which can be read alongside its predecessor, seeks to map out this new and complex sexual landscape so that compassion and truth can continue to guide those who care for today’s young people.

enduring pressures

In Teenage Sex (CMF file 37), 1 Dr Trevor Stammers described the significant pressures facing young people in 2008. Many of his observations remain strikingly relevant today, and in some areas, these have intensified. He noted the ‘relentless media pressure to have sex as early as possible’, and this was before smartphones and when social media was in its infancy. The government’s Teenage Pregnancy Strategy had been in action for eight years, promoting access to contraception and improved sex and relationships education. However,  as he argues, these measures were not as effective as  reported, in some cases actually increasing teenage sexual activity rather than reducing it. 2

Dr Stammers also looks at some of the concerning consequences of teenage sex that continue to be significant issues today:sexually transmitted infections

The number of new diagnoses of sexually transmitted diseases (STIs) has continued to remain high (only decreasing during Covid lockdowns, when opportunities for casual sex were reduced and screening was also reduced). For some conditions, the numbers have continued to increase.

HPV

Human papillomavirus is a common cause of genital and anal warts and can cause cervical cancer as well as anal and head and neck cancers. The HPV vaccine has been offered to girls aged 12-13 since 2008 and boys aged 12-13 since 2019. This programme has been somewhat controversial due to concerns about risk versus benefit, as well as the ethics of vaccinating 12-13-year-olds against a sexually transmitted infection. 4 There is some evidence that rates of cervical cancer are decreasing in the age group of women who have been vaccinated.

abortion

The number of abortions in under-18s was steadily decreasing (although it is difficult to know what impact the availability of the ‘morning after pill’ has had on this), but increased again in 2022 (the most recent UK statistics available). The number of under-18s undergoing abortion, having had one or more previous abortions, remains static at around eight per cent.

psychological consequences

Dr Stammers highlighted some of the evidence that early and casual sexual experiences are often looked back on with regret and can affect the potential for successful committed relationships in the future. 5

mapping changes to the sexual landscape

We have seen that many of the concerns raised in the 2008 file remain just as pressing. It is therefore important to consider some of the changes in society that have occurred over the last 17 years. The pressure to engage in sexual intimacy remains very real, but there are now other aspects that previous generations did not have to contend with.

the digital revolution

Introduction of smartphones: The first iPhone was introduced in 2007, and the iPad in 2010. Those born between 1997 and 2010 are known as Generation Z or iGen and have never known life without the Internet and being constantly connected to people. Those born from 2010 onwards (known as Generation Alpha) have grown up using them from a very young age. They are the first generation of children who never knew a time when social media did not exist. This has changed the landscape on sex and sexuality in several ways:

■    Online pornography and other explicit content – before the existence of the World Wide Web (1990s onwards), pornography was limited to magazines, books, and videos, all of which had to be purchased from a shop. As the Internet became more widespread, pornography and explicit content could be accessed in the privacy of the home and even the bedroom. The introduction of smartphones means that teenagers (and even young children) potentially have near-constant access. Extreme sexual behaviours viewed in pornography have become increasingly normalised. 6

■    Social media – widespread use began in the early 2000s with sites such as Facebook and YouTube. The emergence of smartphones and tablets, along with the increasing number and variety of social media platforms, means that teenagers (and younger children) are almost constantly in touch with vast numbers of people. Friendships and relationships are increasingly conducted virtually, and the dangers of grooming and sexual exploitation are very real. In addition, algorithms mean that content is individually targeted. 7

■    Influencers – these content creators have access to wide audiences and can share information to persuade people. Increasingly, teenagers use influencers as their sole source of information, trusting all that they say. 8

■    Messaging – as people increasingly conduct friendships and relationships online, including through the use of gaming platforms, the rise of ‘sexting’ and sending ‘nudes’ is being seen in teenagers and younger children. This opens children up to potential harm, especially if they are targeted by adults posing as children or if conversations with peers are shared with others. 9 It also affects the way teens develop friendships and relationships. ‘Interactions in cyberspace often lead to accelerated intimacy and a sense of identity that may differ from one’s offline persona.’ 10

Covid:

The restrictions that were enforced between 2020 and 2021 meant that children and young people were confined to their homes for prolonged periods, with all learning and ‘socialising’ taking place online. This situation magnified the various aspects already mentioned, and it is likely that habits formed during periods of lockdown will have far-reaching implications. 11,12

cultural shifts in ‘sexual and gender identities’

LGBTQIA+: A It seems that there is an ever-growing array of sexual and gender identities to choose from or to identify as. A person’s perceived sexuality or gender is deemed to be key to their identity, and the message is often that in order to be truly happy a person has to embrace that identity and live it out in whatever way they choose. Children and teenagers are encouraged to be allies of the LGBTQIA+ community, although are not fully seen as being part of this esteemed community unless they themselves identify as something other than heterosexual and ‘cisgender’. B

Children who have not gone through puberty will not have experienced sexual attraction yet, and so when asked how they identify will frequently answer with bisexual or asexual, particularly in a society where to be ‘straight’ is seen as boring or through the lens of intersectionality as having privilege or power (these are seen as negative because privilege and power are perceived as the marks of oppressors).

Experiencing some attraction for those of the same sex is very common as children go through puberty, but only a minority will go on to exclusively experience same-sex attraction into adulthood. It is well documented that during adolescence, and even into adulthood, there is fluidity and uncertainty in sexual attraction, identity, and behaviour. 13

Interestingly, young people increasingly identify as ‘queer’, C which is an umbrella term for people who do not identify as heterosexual or as cisgender. They may frequently change how they identify within that umbrella and will often identify as bisexual, pansexual, or gender fluid, signifying an apparent shift away from fixed sexual attraction.

Pride: The first Pride march took place in London in 1972. By the 1990s, Pride had become a festival and a parade rather than just a march, and over recent years, the number of Pride events has increased, with over 180 taking place in 2024. June is designated Pride Month, and rainbow flags can be seen everywhere celebrating all things LGBTQIA+. Schools frequently celebrate Pride and encourage children to attend Pride events despite increasingly reports of explicit sexual behaviours as part of these events. 14

changing educational and moral frameworks

Relationships and Sex Education (RSE): The rise of ‘comprehensive sexuality education’ has resulted in increasingly explicit teaching in schools, with the assumption that teenagers are sexually active (or soon will be), and that what is important is a ‘sex positive’ message and an emphasis on consent. Sex-positive messaging frowns upon making any moral or ethical judgments about any type of sexual activity. It encourages an emphasis on individual pleasure and personal preference, and therefore tends to downplay the potential harms of different types of sexual activity. 15,16

Consent: This is seen as the crucial teaching point for children and teens in order for them to develop healthy relationships, and yet the sex education forum says this: ‘Consent is complex and nuanced, even for adults’. 17 Even in the realm of medical consent, we are aware of the difficulties around understanding potential consequences of a medical procedure, especially when in pain. In the area of teenagers and sex, the concept of giving and receiving consent when hormones, emotions, and peer pressure are involved is almost impossible.

STIs: Increasingly, teens are led to believe that STIs are an unavoidable part of life, that ‘safe sex’ will reduce the likelihood of catching them, but that they need to be screened regularly and treated as necessary. 18

shift in moral direction from adults

Overall, there are many who seek to normalise teen sexual behaviour, to provide access to information and resources, with the goal of transforming the social conditions that make teen sexual activity dangerous, rather than acknowledging the inherent dangers of teen sexual activity and therefore discouraging it. Too often, the adults in positions of authority and influence over children and teenagers are encouraging teenagers (sometimes without intending to) to be sexually active (whether that be in real life or online). There is a plethora of online material that not only normalises teen sexual behaviour, but also normalises harmful and extreme sexual practices. One such website BISH 19 gives advice on ‘sex and love’ for teenagers and normalises all kinds of kink and rough sex, for example, ‘If you are wanting to do spanking, or choking there are some specific ways to make these safer. You should definitely read this on safer BDSM from my Kink article.’ 20

Sex is presented as recreational, for personal pleasure and to be indulged in freely. Sex as procreative and for the mutual benefit of a married couple almost never enters into the conversation.

if current trends continue?

As we have seen, there have been many changes over the past few years which have significantly impacted on sex and sexuality, especially in teenagers and young adults. These changes have resulted in a massive shift away from Christian sexual ethics as the basis on which society viewed sexual morality (even if teens rebelled against this), and marriage as an ideal for most people. Carl Trueman says in his book Stange New World, ‘The sexual revolution does not simply represent a growth in the routine transgression of traditional sexual codes…Rather, it is the repudiation of the very idea of such codes in their entirety.’ 21

The situation we now find ourselves in, and which is increasingly seeping into the church, is one where sexuality is seen as core to our identity and that our wellbeing is dependent on being able to be true to ourselves. We live in a world where feelings are deemed far more important that reality or truth, where there are no absolutes, and therefore no moral code, other than allowing others to be true to themselves.

Children and teens are under increasing pressure to declare a sexual identity as well as a gender identity based on their feelings. They are often told on the one hand that how they feel is who they are, that this is fixed and central to their identity, and yet, on the other hand, increasingly teenagers are expressing sexual and gender identities that are fluid – changing from day to day or even hour to hour. They are also under pressure to believe that following their feelings and desires is crucial to their wellbeing.

responding to the current sexual landscape

  1. emerging critiques

In recent years, some voices, not speaking from a Christian perspective, have begun to realise the harms of current attitudes towards sex, and especially to teenage sex. Louise Perry 22 and Mary Harrington 23 are among those who are advocating a return to a morality-based approach to sex, including saving sex for marriage.

Louise Perry says: ‘What we need today is a new morality, a new set of virtues: the sexual revolution failed, but women and children were the greatest losers’. 24

  1. God’s good design

It is not difficult to see how far from God’s good design for sex society has strayed. Louise Perry calls for ‘a new morality’ but perhaps we need a republication of the eternal moral order. As Nancy Pearcey says in her book, Love Thy Body, ‘The biblical ethic says our sexual identity has the high honor of being part of the moral structure of the universe’. 25

We don’t need to invent a new morality; we can instead look to the God who created us, the good and perfect God who created us in his image to fulfil his purposes. It is only as we understand who God is that we can make sense of who we are and how we are to live.

Jesus said, ‘“Haven’t you read,” he replied, “that at the beginning the Creator ‘made them male and female,’ and said, ‘For this reason a man will leave his father and mother and be united to his wife, and the two will become one flesh’? So they are no longer two, but one flesh. Therefore what God has joined together, let no one separate.’”’ (Matthew 19:4-6)

So, what is God’s good design?

  1. Created in God’s image.
  2. Created male and female – equal but different.
  3. Sex belongs within a lifelong committed relationship between one man and one woman.
  4. Children are a gift from God.
  5. Self-control is a fruit of the Spirit.

Genesis 1 and 2 set out clearly God’s design and purpose. This is reiterated by Jesus and Paul, who explain that marriage is a picture of Christ and the church. Romantic and sexual relationships are not primarily about the happiness or pleasure of the individual, but point to the great truth of the eternal future when the church will be brought into unity under Jesus Christ.

Our sexual desires do not determine our identity; God does. God designed sex for procreation and to strengthen the bond between husband and wife as they delight in each other. Sex is a wonderful gift from God given to us to enjoy; however, in a fallen world, it is often misused, which sadly results in hurt and damage physically, emotionally, and spiritually.

  1. what can we do?

How do you feel when you read this and consider the damage that is being done to children and teenagers by societal attitudes to sex and identity? Perhaps you just want to bury your head in the sand and pretend it isn’t happening? Maybe you think I’m being alarmist? (However, accounts of the escapades of people like Bonnie Blue 26 illustrate the situation.) Or maybe you want to do what you can to protect children and teenagers and help them to understand the goodness of God’s design for our bodies and for sexual intimacy, but just don’t know what to do?

Here are some general principles:

  1. Be well informed – it is important to understand both the truth (biological, medical, and biblical), as well as the prevailing culture, and to appreciate that preteens and teens are exposed to all sorts of things online that they genuinely believe are true. It is also important to be aware of what they are being taught (and not taught) at school.
  2. Ask questions – listen to what children and teenagers say about what they believe and how they feel. Be genuinely interested in them and hear about what is important to them.
  1. Challenge – exactly how you do this will depend very much on the specific situation and the individual. You might do it by asking questions or by posing a different opinion or a different set of facts. Remember that many teenagers (especially those outside the church) have never been told that saving sex for marriage is even a valid option. Many in churches may have been told what the Bible says about marriage and sex, but may not be aware of the evidence that points to the goodness of this design for the whole of humanity.
  1. Be positive – whenever you can, promote the goodness of marriage. Talk about marriage, don’t be afraid or ashamed of the wonderful biblical and biological truths. Be a positive role model to children and teenagers, whether you are single or married. Live out God’s goodness yourself and be willing to share that with others.

 

 

Author details

  • Julie Maxwell

    With over 20 years of experience as a Community Paediatrician, Julie now works for Lovewise, a charity helping parents, youth groups, and schools teach children and young people about marriage, sex, and relationships from a Christian perspective.

    View all posts

Related Publication


  • CMF file 79 – teenage sex & sexual identity

References

Glossary

LGBTQIA: Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, and also Intersex, Asexual/Aromantic/Agender, etc. Oxford English Dictionary, ‘LGBTIQ (adj.),’ March 2026, doi: 10.1093/OED/2847855715.

Cisgender: A person whose sense of personal identity and gender corresponds to his or her sex at birth. Oxford English Dictionary, ‘cisgender (n.),’ December 2023, doi: 10.1093/OED/1390624916.

Queer: Of a person: having a sexual or gender identity that does not correspond to, or that challenges, traditional (esp. heteronormative) ideas of sexuality or gender. Oxford English Dictionary, ‘queer (adj.1), sense 3.b,’ March 2026, doi: 10.1093/OED/2958900538.

references (accessed April 2026)

  1. Stammers T. Teenage sex. CMF file, 37. 2008. cmf.li/3LVaWzR
  2. Paton D, Wright L. The effect of spending cuts on teen pregnancy. Journal of Health Economics. 54; 2017:135-146. doi:10.1016/j.jhealeco.2017.05.002
  3. Sexually transmitted infections and screening for chlamydia in England: 2024 report. UK Health Security Agency. 4 December 2024. bit.ly/4sBcxKI
  4. White M. Pros, cons, and ethics of HPV vaccine in teens—Why such controversy? Transl Androl Urol. 2014 Dec;3(4):429–434. doi 10.3978/j.issn.2223-4683.2014.11.02
  5. Stammers T. 2008. Op.cit.
  6. ‘A lot of it is actually just abuse’- Young people and pornography. Children’s Commissioner. 31 January 2023. bit.ly/4thfPUw
  7. Ashata G. Digital Dynamics: Investigating the Impact of Social Media on Sexual Behavior. IDOSR JOURNAL OF COMMUNICATION AND ENGLISH 9(2) 2024;1-6. doi: 10.59298/IDOSR/JCE/92.16.202412
  8. Engel E, et al. Social media influencers and adolescents’ health: A scoping review of the research field, Social Science & Medicine, 340: 2024; 116387, doi: 10.1016/j.socscimed.2023.116387.
  9. Safeguarding, sexting and sharing nudes: Advice for schools and organisations working with children and young people. NSPCC Learning. 26 June 2025. bit.ly/4sEB5Cv
  10. Ashata G. 2024. Op cit.
  11. Stavridou A. et al. Sexual Activity in Adolescents and Young Adults through COVID-19 Pandemic. Children (Basel). 2021 Jul 5;8(7):577. doi: 10.3390/children8070577
  12. Kostopoulou E. Impact of COVID-19 on adolescent sexual life and attitudes: have we considered all the possible secondary effects of the pandemic? Eur J Pediatr. 2023 Jun;182(6):2459-2469. doi: 10.1007/s00431-023-04878-5
  13. Diamond L. Sexual Fluidity in Male and Females. Curr Sex Health Rep. 8, 22026;8: 249-256. doi: 10.1007/s11930-016-0092-z
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  15. Ellery B. Council-funded sex education tells pupils ‘ask for consent before choking’. The Times. 20 April 2025. bit.ly/4sIbcSn
  16. Cates M. What is being taught in Relationships and Sex Education in our schools? A call for a government review. New Social Covenant. 2023. bit.ly/4tqYJ6s
  17. Why is it so important to start teaching about consent and privacy with key stage 1 children? Sex Education Forum. 25 January 2024. bit.ly/4tNSGJ3
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  22. Perry L. A New Guide to Sex in the 21st Century: The Young Adult Adaptation of ‘The Case Against the Sexual Revolution. Cambridge: Polity. 2025
  23. Harrington M. Feminism against Progress. London: Forum 2024
  24. Pearcey N. Love Thy Body. Ada, MI: Baker Books. 2019.
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