Health Services Management, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Health Policy, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
BMC Public Health. 2020 May 19;20(1):717. doi: 10.1186/s12889-020-08873-5.
BACKGROUND: Premarital sex can increase the risk of sexually transmitted diseases (STDs) in adolescents, and lack of premarital sex can be considered as a reliable policy for STD prevention, which is used by some countries such as Iran. Since the success of this policy is related to the concept of virginity, the present study was conducted to determine the concept of virginity from the perspective of Iranian adolescents. METHODS: In this qualitative study with phenomenological approach, the research team visited public places, including parks and coffee shops, and interviewed a number of 15-19-year-old adolescents. The data were collected using in-depth interviews with semi-structured questions and analysed using thematic analysis method. RESULTS: Several themes, including virginity as the lack of emotional relationship with the opposite sex, lack of physical contact, nonpenetrative relationship, virginity as a myth, virginity as a commitment, having an intact hymen, and not knowing the meaning of virginity, were extracted from the data. CONCLUSION: The most reliable policy on STD prevention is the lack of premarital sex. The success of this policy is related to the concept of virginity. The findings of this study showed that the participants did not consider physical contact as the breach of virginity. This may indicate that the policy of not having sex before marriage or lack of premarital sex is not enough and Iranian adolescents are at risk of STDs. Therefore, policymakers must take steps towards modifying the concept of virginity in the adolescents' value system and provide and implement educational programs on sexual health for adolescents.
背景:婚前性行为会增加青少年感染性传播疾病(STDs)的风险,而保持处子之身可以被视为预防 STD 的可靠政策,一些国家,如伊朗,就采用了这种政策。由于该政策的成功与否与贞操观息息相关,因此本研究旨在从伊朗青少年的角度来确定贞操观的概念。
方法:本研究采用现象学定性研究方法,研究团队在公园和咖啡馆等公共场所采访了一些 15-19 岁的青少年。通过半结构化问题的深入访谈收集数据,并采用主题分析方法进行分析。
结果:从数据中提取出几个主题,包括贞操是指与异性没有情感关系、没有身体接触、非插入性关系、贞操是一种神话、贞操是一种承诺、处女膜完整和不知道贞操的含义。
结论:预防 STD 的最可靠政策是禁止婚前性行为。该政策的成功与否与贞操观有关。本研究结果表明,参与者并不认为身体接触是贞操的破裂。这可能表明,禁止婚前性行为或缺乏婚前性行为的政策还不够完善,伊朗青少年仍有感染 STD 的风险。因此,政策制定者必须采取措施改变青少年价值观体系中的贞操观,并为青少年提供和实施性健康教育计划。
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