Physiologically, the most marked changes in girls begin at age 13 and in boys at age 15. From puberty, the changes in girls are most pronounced, while in boys they are less marked. (Both these changes and the changes in both sexes are pronounced, of course.)
Adolescents who are overweight or obese are at greater risk of having their puberty accelerated. It has been theorized that this is due to increased peripheral levels of insulin, which also correlates with elevated levels of sex hormones in the body. Insulin's main function is to allow other hormones to enter the cells, and in the process it causes fat cells to grow. Obesity also leads to insulin resistance, a condition whereby blood sugar levels remain normal but the hormone is not able to effectively move glucose into cells. This condition may lead to less energy being used for growth and development.
However, in instances where people with paraphilic disorders offend and are convicted of sexual offences, they can be assessed for their needs in terms of treatment and may then be treated or released from prison. For example, some studies suggest that there is a need for sexual offenders to be treated before they are released from prison. Because some people with paraphilic disorders show a high level of sexual interest and behaviour towards children and adolescents, and sometimes towards adults and older people, some people with paraphilic disorders may pose a higher risk of offending than others. Some people with paraphilic disorders have also committed sexual assaults on other people, such as rape or sexual violence, and these people are also considered to be in need of treatment. For example, King et al. (2013) found that, in a sample of people with paraphilic disorders, 9.2% of participants had committed acts of sexual violence, 6.7% had raped and 11.5% had both raped and committed sexual violence.
Parents, teachers, and youth counsellors are becoming increasingly aware of the need for comprehensive sex education and they are using a wide range of approaches to reach adolescents in a variety of contexts and settings. Additionally, there is now a wide range of educational programmes available for parents and schools that cover the same issues such as the need to help children and adolescents understand their bodies and how to make healthy choices and avoid risky behaviours.
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