赞比亚农村地区干预试验中的青少年规范和性关系。
Norms and sexual relations among adolescents in the context of an intervention trial in rural Zambia.
机构信息
Chr. Michelsen Institute, Bergen, Norway.
Centre for Intervention Science in Maternal and Child Health (CISMAC), University of Bergen, Bergen, Norway.
出版信息
Glob Public Health. 2022 Aug;17(8):1652-1664. doi: 10.1080/17441692.2021.1947343. Epub 2021 Jul 1.
High levels of adolescent pregnancy and child marriage rates in low- and middle-income countries is an issue of concern to many stakeholders, including in Zambia where almost one-third of women give birth before age 18. The aim of this paper is to explore and analyse social norms concerning adolescents' sexual behaviour within the context of an intervention trial in rural communities in southern Zambia. It is based on a qualitative study applying individual interviews, focus group discussions and participatory research methods. We apply the distinction between injunctive and descriptive norms to demonstrate that adolescent girls are caught between conflicting norms. Injunctive norms express that premarital sex, contraceptive use, and discussions about sex between adults and youths are socially condemned. At the same time poor girls are reported to feel pressure towards having sexual relations for the economic benefits such relations can bring, and this practice is considered so common that it amounts to a descriptive norm. Norms and structural conditions combine to create a disabling and disempowering environment for adolescent sexual and reproductive health, which limits girls' agency and exposes them to unwanted pregnancies.
在中低收入国家,青少年怀孕和早婚率居高不下,这是许多利益攸关方关注的问题,包括赞比亚,赞比亚近三分之一的妇女在 18 岁之前生育。本文旨在探讨和分析赞比亚南部农村社区干预试验背景下青少年性行为的社会规范。这是基于一项定性研究,采用个人访谈、焦点小组讨论和参与式研究方法。我们应用指令性规范和描述性规范之间的区别,表明青少年女孩处于相互冲突的规范之间。指令性规范表示,婚前性行为、避孕措施以及成年人和青少年之间关于性的讨论在社会上是被谴责的。与此同时,据报道,贫困女孩感到压力,需要发生性关系,以获得这种关系带来的经济利益,而这种行为被认为是如此普遍,以至于它构成了一种描述性规范。规范和结构条件相结合,为青少年的性健康和生殖健康创造了一个使他们丧失能力和无权的环境,限制了女孩的能动性,并使她们面临意外怀孕的风险。