gendered bathroom symbols filled with flower print on a blue background
Position Statement
Ensuring Equity for Youth by Applying Gender Transformative Approaches

Gender transformative approaches are the best practice for countering rigid gender norms and promoting gender equity. 

Adopted by
the Healthy Teen Network Board of Directors on
September 21, 2017


Healthy Teen Network believes that organizations that deliver sexuality education and sexual and reproductive health services should apply gender transformative approaches to their service delivery. When so doing, professionals who provide sexuality education, clinical, and supportive services to youth should be cognizant of the environment and social norms within which the youth reside and remain respectful of their cultures while attempting to mitigate potential negative effects of strict binary gender roles.


Gender, the social and cultural assignment of people into male and female categories, is an important determinant of sexual risk taking behaviors.1 Gender beliefs that promote sexual conquests among young men as ‘manly’ and sexual activity among young women as ‘what you do to keep your man’ are debilitating to both genders and result in risky sexual behaviors, thus increasing the risk for sexually transmitted infections (STI) and unplanned pregnancies.

Gender socialization begins at birth with clothing color and toy selection based on gender (e.g., blue baby clothes for boys and pink for girls), and continues into adolescent development. Young people receive messages at school, through media, and from their peers, parents, and communities to act in certain ways because of their assigned gender. While some gender role assignments can be relatively benign, others can have very real and significant impacts on youth behavior.

Rigid, binary gender roles can have harmful effects on youth health and well-being, especially with regard to their sexual and reproductive health. Traditional gender roles are not in themselves harmful but can be if held to rigidly and perceived as the only way one can behave.

Overwhelmingly, youth who are parents want to be good parents and provide financially for their children.

Gender transformative approaches are the best practice for countering rigid gender norms and promoting gender equity. Gender transformative approaches recognize that gender norms are malleable and that young people can be trained/retrained to demonstrate traditional gender roles, such as toughness for men and too much attention on appearance for women, in healthier ways. Offering healthier expressions of traditional traits, such as toughness (for example running a marathon versus fighting) can accommodate culture while building healthier behaviors overall. These approaches are often ecological in nature,2 and thus aligned with Healthy Teen Network’s Youth 360° approach to youth health and well-being.

Supporting Information

There is extensive research to support that traditional male and female gender roles lead to sexual risk taking behavior.

Male Gender Roles: Young men are often taught to be tough, competitive, self-reliant and risk-takers.3 These traits may not in themselves be harmful,  however, if young men think they have to act this way all the time, or they are not taught how to exert these traits in a positive manner, then they can have very real emotional and physical effects.

Data from the Annual Survey of Adolescent Males, a nationally representative sample of adolescent males, ages 15-194 5 6 7 tell us that young men who abide by strict gender norms, compared to their peers who do not, are more likely to report:

  • More sexual partners in the previous year;
  • More negative attitudes toward condoms;
  • Less condom use;
  • Less of a belief that it is a male responsibility to prevent pregnancy;
  • More of a belief that pregnancy validates masculinity;
  • Fewer intimate relationship at last intercourse (i.e. more intercourse outside of relationships);
  • More of a belief that male/female relationships are adversarial, and
  • More homophobic attitudes.

Female Gender Roles: While one could argue that women and girls are less restricted to specific gender roles that they once were and compared to their male counterparts, we still have a great deal of room for improvement, and not just within more traditional cultures. One only has to consider the sustained emphasis on women’s appearance, and the continued labeling of girls as either virgins or sluts to recognize that gender norms persist. Jewkes and Morrell (2010) termed the feminine gender norm of accommodating to the interests and desires of men above ourselves as “acquiescent femininity.” Acquiescent femininity works in tandem with traditional male gender norms. Data from multiple studies8 9 10 11 12 13 14 15 report that women who subscribe to more acquiescent female norms state they are:

  • Less likely to be educated on sexual health issues;
  • Less likely to plan for sex;
  • More likely to have an unintended pregnancy;
  • More likely to give birth at a young age;
  • Less likely to use condoms consistently;
  • Less likely to be able to negotiate safer sex;
  • Less likely to have the self-efficacy to avoid HIV;
  • Less likely enjoy their first sexual encounter, and
  • More likely to experience an abusive relationship.
1 Rolleri, Lori (2013). Gender Norms and Sexual Health Behaviors. Research fACTS and Findings. Act for Youth Center for Excellence. Available at http://actforyouth.net/.

2 ACQUIRE Project (2008). Engaging boys and men in gender transformation: The group education manual. New York, NY: Engender Health.

3 Rolleri, Lori (2013). Gender Norms and Sexual Health Behaviors. Research fACTS and Findings. Act for Youth Center for Excellence. Available at http://actforyouth.net/.

4 Pleck, J. H., & O’Donnell, L. N. (2001). Gender attitudes and health risk behaviors in urban African American and Latino early adolescents. Maternal and Child Health Journal, 5(4),265-272.

5 Pleck, J. H., Sonenstein, F. L., & Ku, L. C. (1990). Contraceptive attitudes and intention to use condoms in sexually experienced and inexperienced adolescent males. Journal of Family Issues, 11(3), 294-312.

6 Pleck, J. H., Sonenstein, F. L., & Ku, L. C. (1993). Masculinity ideology: Its impact in adolescent males heterosexual relationships. Journal of Social Issues, 49(3), 11-29.

7 Marcell, A. V., Ford, C. A., Pleck, J. H., & Sonenstein, F. L. (2007). Masculine beliefs, parental communication and male adolescents’ health care use. Pediatrics, 119, 966-975.

8 Jewkes, R., & Morrell, R. (2010). Gender and sexuality: Emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. Journal of the International AIDS Society, 13(6).

9 Connel, R. (1987). Gender and power: Society, the person and sexual politics. Palo Alto, CA: University of California Press.

10 Heise, L., Ellsberg, M., & Gottemoeller, M. (1999). Ending violence against women. (Population Reports, Series L, No. 11). Baltimore, MD: Population Information Program, Johns Hopkins University School of Public Health.

11 Stewart, J. (2003). The mommy track: The consequences of gender ideology and aspiration on age at first motherhood. Journal of Sociology and Social Welfare, 30(2), 3-30.

12 Ickovics, J. R., & Rodin, R. ( 1992). Women and AIDS in the United States: Epidemiology natural history and mediation mechanisms. Health Psychology, 11, 1-16.

13 Nahom D, Wells E, Gillmore MR, Hoppe M, Morrison DM, Archibald M, Murowchick E, Wilsdon A, Graham L. Differences by gender and sexual experience in adolescent sexual behavior: implications for education and HIV prevention. J Sch Health. 2001 Apr;71(4):153-8. doi: 10.1111/j.1746-1561.2001.tb01314.x. PMID: 11354983.

14 Ott, M., Bell, D., & Fortenberry, J.D. (2011). Developmental change in masculinity sexual behavior and STI risk among adolescent boys. Sexually Transmitted Infections, 87, A53-A54.

15 Wingood, G. M., & DiClemente, R. J. (2000). Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective intervention for women. Health Education & Behaviors, 27(5), 539-565.