Ghiasi Ashraf, Keramat Afsaneh, Farjamfar Maryam, Vakilian Katayon
Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Reproductive Studies and Women's Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran.
J Pediatr Adolesc Gynecol. 2020 Feb;33(1):58-63. doi: 10.1016/j.jpag.2019.08.012. Epub 2019 Aug 27.
To date, no study has reported barriers to accessing pregnancy-related health information among married women younger than the age of 19 years. Indeed, the voice of the girls being married is absent in the literature. We sought to explore the barriers to accessing pregnancy-related health information from the perspective of Iranian married adolescent women.
Qualitative study.
The research was conducted in Mashhad city (health care centers) and Shahrood County (a maternity teaching hospital, and urban/rural health care centers) in Iran.
PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Twenty-four married adolescent women aged 14-19 years were recruited through purposive sampling. Individual in-depth interviews were tape-recorded, transcribed verbatim, and analyzed using conventional content analysis. Prolonged engagement with participants, maximum-variation sampling, member checking, peer deferring, and external audit were used to enhance the rigor of the study.
The results showed 3 categories: "structural barriers," "individual barriers," and "sociocultural barriers." The structural barriers category consisted of 2 subcategories, namely, poor quality of education and counseling in the health care centers, and transportation barriers. The 2 subcategories of the individual barriers category consisted of affective barriers and cognitive barriers. The sociocultural barriers category included the following 2 subcategories: husband's decision-making power and fear of being labeled infertile.
The barriers identified in this study should be considered when designing educational interventions for married adolescent women. Moreover, further research is needed to enhance current knowledge on this topic.
迄今为止，尚无研究报告19岁以下已婚女性获取与怀孕相关健康信息的障碍。实际上，文献中缺少已婚少女的声音。我们试图从伊朗已婚青少年女性的角度探讨获取与怀孕相关健康信息的障碍。
定性研究。
研究在伊朗的马什哈德市（医疗保健中心）和沙赫鲁德县（一家产科教学医院以及城乡医疗保健中心）进行。
参与者、干预措施及主要结局指标：通过目的抽样招募了24名年龄在14 - 19岁的已婚青少年女性。对个人进行深入访谈并录音，逐字转录，然后使用传统内容分析法进行分析。通过与参与者长期接触、最大差异抽样、成员核对、同行审核和外部审计来提高研究的严谨性。
结果显示有3类障碍：“结构障碍”、“个人障碍”和“社会文化障碍”。结构障碍类别包括2个子类别，即医疗保健中心教育和咨询质量差以及交通障碍。个人障碍类别包括情感障碍和认知障碍2个子类别。社会文化障碍类别包括以下2个子类别：丈夫的决策权和害怕被贴上不孕的标签。
在为已婚青少年女性设计教育干预措施时应考虑本研究中确定的障碍。此外，需要进一步研究以增进对该主题的现有认识。
