出生时被指定为女性的年轻成年性少数顺性别女性和非二元性别人士的性健康信息来源、需求及偏好
Sexual Health Information Sources, Needs, and Preferences of Young Adult Sexual Minority Cisgender Women and Non-Binary Individuals Assigned Female at Birth.
作者信息
Baker Allison M, Jahn Jaquelyn L, Tan Andy S L, Katz-Wise Sabra L, Viswanath Kasisomayajula, Bishop Rachel A, Agénor Madina
机构信息
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Division of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
出版信息
Sex Res Social Policy. 2021 Sep;18(3):775-787. doi: 10.1007/s13178-020-00501-6. Epub 2020 Sep 11.
BACKGROUND
Young adult sexual minority women (SMW) have unique sexual health needs and higher rates of some poor sexual health outcomes compared to their heterosexual peers. Unequal access to relevant sexual health information may contribute to sexual orientation disparities in sexual health among women, but research on sexual health communication among SMW is sparse.
METHODS
In-depth interviews conducted in 2016-2017 investigated sexual health communication in a sample of 29 racially/ethnically diverse cisgender women and non-binary individuals assigned female at birth who were between 19 and 36 years of age and identified as a sexual minority. Data were analyzed using a thematic analysis approach that involved inductive and deductive coding to identify themes.
RESULTS
Three broad themes were identified: 1) sources of sexual health information; 2) sexual health information needs; and 3) preferences for sexual health information delivery. Participants discussed and critiqued the Internet, other mass media, health care providers, school-based sex education, family, and peers/partners as sources of sexual health information. Participants expressed a need for customized, non-heteronormative information pertaining to sexually transmitted infection risk and prevention. They preferred receiving information from health care providers, the Internet, and other mass media, and some also suggested school-based sex education and peer education as methods for delivering information.
CONCLUSIONS
Participants expressed clear desires for relevant, high-quality sexual health information delivered through a variety of channels, especially the Internet, other mass media, and health care providers.
POLICY IMPLICATIONS
Findings call for policies that improve provision of sexual health information through health care providers, online resources, and school-based sex education.
背景
与异性恋同龄人相比，年轻成年性少数女性（SMW）有独特的性健康需求，且某些不良性健康结果的发生率更高。获得相关性健康信息的机会不平等可能导致女性在性健康方面的性取向差异，但关于SMW性健康交流的研究很少。
方法
2016 - 2017年进行的深入访谈调查了29名年龄在19至36岁之间、自我认同为性少数群体的种族/民族多样的顺性别女性以及出生时被指定为女性的非二元性别人士的性健康交流情况。使用主题分析方法对数据进行分析，该方法包括归纳和演绎编码以识别主题。
结果
确定了三个广泛的主题：1）性健康信息来源；2）性健康信息需求；3）性健康信息传递偏好。参与者讨论并批评了互联网、其他大众媒体、医疗保健提供者、学校性教育、家庭以及同伴/伴侣作为性健康信息来源。参与者表示需要有关性传播感染风险和预防的定制化、非异性恋规范的信息。他们更喜欢从医疗保健提供者、互联网和其他大众媒体获取信息，一些人还建议将学校性教育和同伴教育作为信息传递方式。
结论
参与者明确表示希望通过多种渠道，特别是互联网、其他大众媒体和医疗保健提供者，获得相关的高质量性健康信息。
政策启示
研究结果呼吁制定政策，通过医疗保健提供者、在线资源和学校性教育来改善性健康信息的提供。
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