Women and Health Initiative; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
School of Nursing, University of Jordan, Amman, Jordan.
BMJ Open. 2019 Jan 28;9(1):e027266. doi: 10.1136/bmjopen-2018-027266.
Youth in Jordan constitute 20.4% of the population, and many face considerable challenges in addressing their sexual and reproductive health (SRH) needs, such as those related to the prevention of unintended pregnancy and sexually transmitted infections, early marriage and sexual coercion and violence. The findings of previous studies indicate that Jordanian youth require reproductive health-related support, information and services; however, there remains very limited data as to how youth envision their SRH challenges and needs. This protocol outlines the design of a qualitative study using a participatory research methodology called concept mapping. This methodology enables participants to develop a conceptual framework for how they envision their sexual and reproductive health needs.
This study will use concept mapping, which consists of a structured and iterative participatory research process that engages participants over three data collection sessions in order to generate the information needed to create a visual display of their ideas pertaining their SRH needs, issues and concerns, and how these ideas relate to each other. Each data collection session focuses on a different activity, including brainstorming, pile sorting and interpretation of the results. Data will be analysed using hierarchical cluster analysis and multidimensional scaling. Transcriptions of group discussions will be coded and analysed to add depth to the study results. Two hundred and eighty-eight males and females of Jordanian or Syrian descent living in Jordan will be recruited from four communities across Jordan.
This study meets the requirements of the Declaration of Helsinki and has been approved by the Institutional Review Boards at the Harvard T.H. Chan School of Public Health and the University of Jordan. Study findings will be presented in peer-reviewed, international journals and made available to local programme managers, policy-makers and stakeholders through local dissemination efforts.
在约旦，年轻人占总人口的 20.4%，他们在满足性与生殖健康（SRH）需求方面面临着诸多挑战，例如预防非意愿妊娠和性传播感染、早婚以及性胁迫和暴力等问题。先前研究的结果表明，约旦青年需要生殖健康相关的支持、信息和服务；然而，关于青年如何设想他们的 SRH 挑战和需求，数据非常有限。本研究方案概述了一项使用参与式研究方法（称为概念映射）的定性研究的设计。这种方法使参与者能够为他们如何设想自己的性与生殖健康需求制定一个概念框架。
本研究将使用概念映射，这是一种由三个数据收集会议组成的结构化和迭代的参与式研究过程，旨在生成参与者的信息，以创建一个视觉显示，展示他们与 SRH 需求、问题和关注点相关的想法，以及这些想法如何相互关联。每个数据收集会议都侧重于不同的活动，包括头脑风暴、堆排序和结果解释。数据将使用层次聚类分析和多维尺度分析进行分析。小组讨论的转录本将进行编码和分析，以加深研究结果。将从约旦的四个社区招募 288 名约旦或叙利亚血统的男性和女性，他们将生活在约旦。
本研究符合《赫尔辛基宣言》的要求，并已获得哈佛 T.H.陈公共卫生学院和约旦大学机构审查委员会的批准。研究结果将在同行评议的国际期刊上发表，并通过当地传播工作提供给当地方案管理人员、政策制定者和利益相关者。
