American University of Beirut, Beirut, Lebanon.
Qual Health Res. 2021 Apr;31(5):983-998. doi: 10.1177/1049732321989685.
Providing adolescent girls with sexual and reproductive health (SRH) information protects them from risks and improves their well-being. This qualitative study, conducted in Lebanon, examined Syrian refugee adolescent girls' access to SRH information about and experiences with puberty and menarche, sex, marriage, contraception, and pregnancy. We gathered data through three focus group discussions (FGDs) with unmarried adolescent girls, 11 in-depth interviews with early-married adolescents, and two FGDs with mothers. Our findings highlighted that adolescent participants received inadequate SRH information shortly before or at the time of menarche and sexual initiation, resulting in experiences characterized by anxiety and fear. They also revealed discordance between girls' views of mothers as a preferred source of information and mothers' reluctance to communicate with their daughters about SRH. We advance that mothers are important entry points for future interventions in this refugee population and offer recommendations aimed to improve adolescent girls' SRH and rights.
为青春期少女提供性与生殖健康(SRH)信息可以保护她们免受风险,并提高她们的幸福感。这项在黎巴嫩开展的定性研究,调查了叙利亚难民青春期少女获取关于青春期和初潮、性、婚姻、避孕和怀孕的 SRH 信息的途径,以及她们的相关经历。我们通过与未婚少女进行的三次焦点小组讨论(FGD)、与早婚少女的 11 次深入访谈以及与母亲的两次 FGD 收集了数据。研究结果表明,青春期参与者在初潮和性开始前不久或当时获得的 SRH 信息不足,导致她们经历了焦虑和恐惧。研究还揭示了女孩们认为母亲是首选信息来源与母亲不愿与女儿交流 SRH 之间的矛盾。我们认为,母亲是未来在这一难民群体中开展干预的重要切入点,并提出了旨在改善青春期少女 SRH 和权利的建议。