Madlala Siphiwe T, Sibiya Maureen N, Ngxongo Thembelihle S P
Free State School of Nursing, Free State Province.
Afr J Prim Health Care Fam Med. 2018 Jun 14;10(1):e1-e7. doi: 10.4102/phcfm.v10i1.1358.
Teenage pregnancy is a socio-economic challenge and a serious public health problem for communities in South Africa. It is, therefore, imperative that effective interventions and programmes be implemented to address this problem. A number of research studies have been conducted on teenage pregnancy in South Africa, but their focus was mainly on teenage girls excluding young men's involvement in teenage pregnancy.
The aim of the study was to determine the perceptions of young men between the ages of 18 and 23 years towards teenage pregnancy.
A qualitative, explorative semi-structured interview descriptive design was used toconduct the study. The study was guided by the Johnson's Behavioral System Model. Purposive sampling was used to select 10 participants with whom semi-structured interviews were conducted. Thematic analysis of data were performed.
The study was conducted in Free State School of Nursing's two main campuses.
The findings of this study revealed that young men were not involved in reproductive health programmes aiming to prevent teenage pregnancies. Father and son's poor communication on issues related to sex and teenage pregnancy contributes to unprotected sexual intercourse resulting in teenage pregnancy. Cultural and traditional practices such as the withdrawal method, not using contraceptives, and misleading teachings at the initiation schools contribute to risk factors of teenage pregnancy.
There is still a gap in reproductive health that needs to be filled by involving young men to reduce teenage pregnancies. Involving young men in reproductive health programmes could lead to a decreased number of teenage pregnancies. Factors, such as cultural and traditional practices, and father and son sexual health education, need to be taken into consideration to prevent teenage pregnancies.
青少年怀孕是南非社区面临的一项社会经济挑战和严重的公共卫生问题。因此，必须实施有效的干预措施和方案来解决这一问题。南非已经开展了多项关于青少年怀孕的研究，但这些研究主要关注青少年女孩，未涉及年轻男性在青少年怀孕中的参与情况。
本研究的目的是确定18至23岁年轻男性对青少年怀孕的看法。
采用定性、探索性半结构化访谈描述性设计进行研究。该研究以约翰逊行为系统模型为指导。采用目的抽样法选取10名参与者进行半结构化访谈。对数据进行了主题分析。
研究在自由州护理学院的两个主要校区进行。
本研究结果显示，年轻男性未参与旨在预防青少年怀孕的生殖健康项目。父子之间在性和青少年怀孕相关问题上沟通不畅，导致无保护性行为，进而造成青少年怀孕。诸如体外射精法、不使用避孕药具以及启蒙学校的误导性教导等文化和传统习俗，是青少年怀孕的危险因素。
在生殖健康方面仍存在差距，需要让年轻男性参与进来以减少青少年怀孕。让年轻男性参与生殖健康项目可能会减少青少年怀孕的数量。为预防青少年怀孕，需要考虑文化和传统习俗以及父子性健康教育等因素。
