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母婴二元对话中关于避孕和避孕套的信息:知识、风险与有效性

Messages About Contraception and Condoms in Mother-Adolescent Dyadic Conversations: Knowledge, Risks, and Effectiveness.

作者信息

McCallister Camille J, Akers Aletha Y, Worlds Ashley D, Morrison Penelope K

机构信息

Medical student, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Medical Director of Adolescent Gynecology Consultative Service, Assistant Professor of Obstetrics & Gynecology & Pediatrics, The Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

出版信息

J Pediatr Adolesc Gynecol. 2019 Aug;32(4):395-401. doi: 10.1016/j.jpag.2019.02.117. Epub 2019 Feb 16.

DOI:10.1016/j.jpag.2019.02.117
PMID:30779964
Abstract

STUDY OBJECTIVE

Little is known about the content of parental discussions with young adolescents about reproductive health topics. We sought to characterize the messages mothers share about contraception and condoms.

DESIGN

Recruitment occurred between January 2012 and May 2013. Mothers and their 12- to 14-year-old adolescent son or daughter were invited to participate in a semistructured conversation about everyday issues and health topics, including reproductive health topics. Discussions were audio-recorded, transcribed, and a grounded theory approach to content analysis was performed. Content analysis was performed to characterize maternal messages regarding contraception and condoms.

SETTING

Urban city in western Pennsylvania.

PARTICIPANTS

Twenty-five dyads; 14 mother-daughter dyads and 11 mother-son dyads.

INTERVENTIONS

None.

MAIN OUTCOME MEASURES

Maternal reproductive health messages during conversations with early adolescent children.

RESULTS

Four key themes emerged. Theme 1 focused on general facts about condoms and contraceptive methods, how each works, and how to obtain them. Theme 2 emphasized the consequences of sexual behaviors and the advantages of safe sex. Theme 3 conveyed the effectiveness of condoms and contraceptive methods for preventing pregnancy and sexually transmitted infections. Theme 4 described where adolescents could get more information about condoms and contraception.

CONCLUSION

Mothers convey a broad range of information about contraceptives and condoms to young adolescents.

摘要

研究目的

关于父母与青少年早期就生殖健康话题展开的讨论内容,我们所知甚少。我们试图描述母亲们分享的有关避孕和避孕套的信息。

设计

招募工作于2012年1月至2013年5月期间进行。母亲及其12至14岁的青少年子女被邀请参与一场关于日常问题和健康话题(包括生殖健康话题)的半结构化对话。讨论进行了录音、转录,并采用扎根理论方法进行内容分析。进行内容分析以描述母亲们关于避孕和避孕套的信息。

地点

宾夕法尼亚州西部的城市。

参与者

25对组合;14对母女组合和11对母子组合。

干预措施

无。

主要观察指标

母亲与青少年早期孩子对话期间的生殖健康信息。

结果

出现了四个关键主题。主题1聚焦于避孕套和避孕方法的一般事实、每种方法的作用方式以及如何获取它们。主题2强调性行为的后果以及安全性行为的益处。主题3传达了避孕套和避孕方法在预防怀孕和性传播感染方面的有效性。主题4描述了青少年可以从何处获取更多关于避孕套和避孕的信息。

结论

母亲们向青少年早期孩子传达了关于避孕药具和避孕套的广泛信息。

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