UCLA School of Nursing, Los Angeles, CA, USA.
J Pediatr Nurs. 2012 Oct;27(5):443-50. doi: 10.1016/j.pedn.2011.06.003. Epub 2011 Jul 19.
Adolescents in foster care are at risk for unplanned pregnancy and sexually transmitted infections, including HIV infection. A study using a qualitative method was conducted to describe how and where foster youth receive reproductive health and risk reduction information to prevent pregnancy and sexually transmitted infections. Participants also were asked to describe their relationship with their primary health care provider while they were in foster care. Nineteen young adults, recently emancipated from foster care, participated in individual interviews. Using grounded theory as the method of analysis, three thematic categories were generated: discomfort visiting and disclosing, receiving and not receiving the bare essentials, and learning prevention from community others. Recommendations include primary health care providers providing a confidential space for foster youth to disclose sexual activity and more opportunities for foster youth to receive reproductive and risk prevention information in the school setting.
寄养中的青少年面临意外怀孕和性传播感染（包括 HIV 感染）的风险。本研究采用定性方法，旨在描述寄养青少年获取生殖健康和降低风险信息以预防怀孕和性传播感染的途径和地点。参与者还被要求描述他们在寄养期间与主要医疗保健提供者的关系。19 名最近刚从寄养中解放出来的年轻人参加了个人访谈。采用扎根理论作为分析方法，生成了三个主题类别：探访和披露的不适、接受和未接受基本信息、以及从社区其他人那里学习预防知识。建议包括初级保健提供者为寄养青少年提供一个保密的空间来披露性行为，以及在学校环境中为寄养青少年提供更多接受生殖和风险预防信息的机会。
