Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Sex Reprod Healthc. 2022 Jun;32:100702. doi: 10.1016/j.srhc.2022.100702. Epub 2022 Feb 17.
To interview healthcare providers who serve adolescent populations to learn their perspectives on the factors that influence the continuum of sexual and gender minority (SGM) youth's pregnancy expaeriences, including decision-making about sex, relationships, and pregnancy.
As part of the SexuaL Orientation, Gender Identity, and Pregnancy Experiences (SLOPE) Study, semi-structured interviews were conducted with 10 U.S.-based healthcare providers who had experience providing care for both SGM youth and pregnant youth. Interview questions examined providers' experiences caring for this population, including their perceptions of the risk and protective factors influencing SGM youth's pregnancy prevention, avoidance, and decision-making processes. Audio-recorded interview data were analyzed using immersion/crystallization and thematic analysis methods.
Three themes were identified from the healthcare providers' transcripts1) Cultural norms about adolescent pregnancy and sexuality, 2) Interpersonal relationships and family support, 3) Sex education, sexual and reproductive healthcare access, and sexual health equity.
In conjunction with sexual health education and healthcare access, healthcare providers described many social contexts-like peers, family, and communities-that interact with each other and with adolescent development to shape pre-conception practices and pregnancy decision-making processes. Future research, practice, and sexual health messaging about adolescent pregnancy would benefit from acknowledging the complex interplay among social identities and positions, structural prejudice, and the nuanced diversity in community and interpersonal factors-including those in sexual healthcare settings, like provider-patient communication and sex education delivery-that shape SGM youth's dating and sexuality experiences.
采访服务于青少年群体的医疗保健提供者，了解他们对影响性少数群体和跨性别青少年（SGM）怀孕经历连续性的因素的看法，包括性行为、关系和怀孕的决策。
作为性取向、性别认同和怀孕经历（SLOPE）研究的一部分，对 10 名美国医疗保健提供者进行了半结构化访谈，这些提供者具有为 SGM 青少年和怀孕青少年提供护理的经验。访谈问题考察了提供者为这一人群提供护理的经验，包括他们对影响 SGM 青少年怀孕预防、避免和决策过程的风险和保护因素的看法。使用沉浸式/结晶和主题分析方法分析录音采访数据。
从医疗保健提供者的转录本中确定了三个主题 1）关于青少年怀孕和性的文化规范，2）人际关系和家庭支持，3）性教育、性和生殖保健的获取以及性健康公平。
除了性健康教育和获得保健外，医疗保健提供者还描述了许多社会环境——如同龄人、家庭和社区——它们相互作用，与青少年的发展相互作用，塑造了受孕前的实践和怀孕决策过程。关于青少年怀孕的未来研究、实践和性健康信息传递将受益于承认社会身份和地位、结构性偏见以及社区和人际关系因素中的细微多样性之间的复杂相互作用，包括性保健环境中的提供者-患者沟通和性教育传递，这些因素影响 SGM 青少年的约会和性行为经历。
