“青少年追求完美的外表”：严重肥胖青少年的约会、性态度和性经历。
'Teenagers are into perfect-looking things': Dating, sexual attitudes and experiences of adolescents with severe obesity.
机构信息
Department of General Paediatrics, Children's Health Ireland at Temple Street, Dublin, Ireland.
Department of Psychology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
出版信息
Child Care Health Dev. 2022 May;48(3):406-414. doi: 10.1111/cch.12940. Epub 2021 Dec 13.
BACKGROUND
This qualitative study explored the dating and sexual health attitudes and behaviours among adolescents with severe obesity (body mass index [BMI] > 99th%) attending a multidisciplinary weight-management programme.
METHODS
Semi-structured interviews were conducted with 19 participants (12 females, 7 males; M = 16.8) and analysed through reflective thematic analysis.
RESULTS
Participants described polarized dating behaviours in which dating and sexual relationships were either avoided due to this not being a priority, lack of time, feared rejection, and/or body size as perceived barrier or in contrast, when approached, involved greater sexual risk.
CONCLUSIONS
These findings have numerous implications including the need for increased education on the romantic developmental challenges faced by adolescents with severe obesity, the importance of ongoing screening of high-risk sexual behaviours and body dissatisfaction from frontline care providers, and the ability to support referrals to psychosocial services when appropriate.
背景
本定性研究探讨了参加多学科体重管理计划的重度肥胖青少年（体重指数 [BMI]>>99 百分位）的约会和性健康态度和行为。
方法
对 19 名参与者（12 名女性，7 名男性；M=>16.8）进行了半结构化访谈，并通过反思性主题分析进行了分析。
结果
参与者描述了两极分化的约会行为，要么因为这不是优先事项、缺乏时间、害怕被拒绝和/或被视为障碍的体型而避免约会和性关系，要么相反，当被接近时，涉及更大的性风险。
结论
这些发现有许多影响，包括需要加强对重度肥胖青少年在浪漫发展方面所面临挑战的教育，前线护理人员对高危性行为和身体不满进行持续筛查的重要性，以及在适当情况下支持转介到心理社会服务的能力。
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