预测卫生保健从业者对性健康和生殖健康及权利的规范态度和实践的因素:对参加能力建设项目的低收入国家参与者进行的横断面研究。

Predictors of health care practitioners' normative attitudes and practices towards sexual and reproductive health and rights: a cross-sectional study of participants from low-income countries enrolled in a capacity-building program.

机构信息

Social Medicine and Global Health, Department of Clinical Sciences, Lund University , Malmö, Sweden.

Department of Obstetrics and Gynecology, St. Francis Hospital Nsambya , Kampala city, Uganda.

出版信息

Glob Health Action. 2020 Dec 31;13(1):1829827. doi: 10.1080/16549716.2020.1829827.

Abstract

: Sexual and Reproductive Health and Rights (SRHR) is a concept of human rights applied to sexuality and reproduction. Suboptimal access to SRHR services in many low-income countries results in poor health outcomes. Sustainable development goals (3.7 and 5.6) give a new impetus to the aspiration of universal access to high-quality SRHR services. Indispensable stakeholders in this process are healthcare practitioners who, through their actions or inactions, determine a population's health choices. Often times, healthcare practitioners' SRHR decisions are rooted in religious and cultural influences. We seek to understand whether religious and cultural influences differ significantly according to individuals' characteristics and work environment. : The purpose of this study was to examine the role of healthcare practitioners' individual characteristics and their work environment in predicting normative SRHR attitudes and behaviours (practices). We hypothesized that religion and culture could be significant predictors of SRHR attitudes and practices. : A quantitative cross-sectional study of 115 participants from ten low-income countries attending a capacity-building programme at Lund University Sweden was conducted. Linear regression models were used to assess for the predictive values of different individual characteristics and workplace environment factors for normative SRHR attitudes and SRHR practices. : Self-rated SRHR knowledge was the strongest predictor for both normative SRHR attitudes and normative SRHR practices. However, when adjusted for other individual characteristics, self-rated knowledge lost its significant association with SRHR practices, instead normative SRHR attitudes and active knowledge-seeking behaviour independently predicted normative SRHR practices. Contrary to our hypothesis, importance of religion or culture in an individual's life was not correlated with the measured SRHR attitudes and practices. : Healthcare practitioners' cultural and religious beliefs, which are often depicted as barriers for implementing full coverage of SRHR services, seem to be modified by active knowledge-seeking behaviour and accumulated working experience with SRHR over time.

摘要

性与生殖健康及权利(SRHR)是指将人权概念应用于性行为和生殖领域。在许多低收入国家,SRHR 服务获取不足导致健康状况不佳。可持续发展目标(目标 3.7 和 5.6)为普及高质量 SRHR 服务的目标提供了新的动力。医疗保健从业者是这一进程中不可或缺的利益相关者,他们的行动或不作为决定了人们的健康选择。医疗保健从业者的 SRHR 决策往往根植于宗教和文化影响。我们试图了解个人特征和工作环境是否会对宗教和文化影响产生显著差异。

本研究旨在探讨医疗保健从业者的个体特征及其工作环境对预测规范的 SRHR 态度和行为(实践)的作用。我们假设宗教和文化可能是 SRHR 态度和实践的重要预测因素。

本研究是在瑞典隆德大学举办的一项能力建设计划中,对来自十个低收入国家的 115 名参与者进行的横断面研究。采用线性回归模型评估不同个体特征和工作环境因素对规范的 SRHR 态度和规范的 SRHR 实践的预测价值。

自我评估的 SRHR 知识是规范的 SRHR 态度和规范的 SRHR 实践的最强预测因素。然而,在调整其他个体特征后,自我评估的知识与 SRHR 实践的关联失去了显著性,相反,规范的 SRHR 态度和积极寻求知识的行为独立预测规范的 SRHR 实践。与我们的假设相反,宗教或文化在个人生活中的重要性与测量的 SRHR 态度和实践无关。

医疗保健从业者的文化和宗教信仰,通常被描绘为实施全面 SRHR 服务的障碍,但随着时间的推移,积极寻求知识的行为和积累的 SRHR 工作经验似乎会对其产生影响。

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