Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran.
Nursing and Midwifery Care Research Centre, School of Nursing and Midwifery, Tehran University of Medical Sciences, P.O. Box: 1419733171, Tehran, Iran.
Reprod Health. 2022 Feb 24;19(1):51. doi: 10.1186/s12978-021-01299-1.
The modern Iran is a blend of tradition and modernity, but its dominant culture is still traditional and takes pride in female virginity. On the other hand, the influential factors such as modernity, education, social networks, global communication, influence from advanced Western societies, have obviously led to the emergence of a freer sexual attitude associated with less significance of virginity. Since the traditional, cultural and religious significance of virginity among Iranian girls can shape their sexual behaviors, therefore, the aim of the present study is development of strategies to promote healthy sexuality based on Iranian girls perspective about the role of virginity in the construction of their sexuality.
METHODS/DESIGN: This is a two-stage study; an explanatory sequential mixed-methods follow-up design will be employed in the first stage, which consists of two quantitative and qualitative phases. The first phase is the cross-sectional survey that will be conducted on 700 single girls born in the 1970s, 1980s and 1990s. The sample will be selected using the cluster sampling method in the health centers of Tabriz-Iran. The determined sample size will be divided among the selected health centers based on the quota criterion, and eligible households will be selected randomly from the said centers using the SIB website (sib.tbzmed.ac.ir). To collect the required data in the quantitative phase, we will use a researcher-made questionnaire to evaluate the girls' views about virginity and its influential factors, designed based on the theory of "social construction of sexuality". After quantitative data collection and analysis, the findings inform qualitative data collection and analysis. The qualitative phase of the study will be conducted on girls living in Tabriz using in-depth and semi-structured individual interviews and purposive sampling method to collect the required qualitative data. The collected data will be analyzed using the conventional content analysis approach. The findings of two phase will be integrated for further explanation and interpretation to be used in the second stage. In the second phase of this study, a nominal group meeting will be held with the participation of reproductive and sexual health experts. The strategies extracted from the results of the first phase and review the texts in this meeting will be provided to experts and after receiving the opinions and ideas of the relevant group of experts and prioritizing them, appropriate strategies to improve and promote the healthy sexuality of Iranian girls will be presented.
This study is one of the few studies conducted in the field of sexual health and culture in Iran, that using a "mixed-methods" approach to determine and explain the role of virginity in the construction of the sexuality from the Iranian girls perspective. We hope that this study can present evidence-based documents from the latest physical, psychological and social developments in young Iranian girls' sexuality and that the presented healthy sexuality promotion strategies, which will be based on Iranian socio-cultural developments, can provide the basic information required for policy-making and planning for young girls' sexual health. It is also hoped that the findings of this study will be useful in culture-based sexuality education and support for reproductive and sexual health care for the young Iranian generation.
现代伊朗是传统与现代的融合，但它的主流文化仍然是传统的，以女性贞操为荣。另一方面，现代性、教育、社交网络、全球交流、受先进西方社会的影响等因素，显然导致了与贞操意义的降低相关的更自由的性态度的出现。由于伊朗女孩的贞操在传统、文化和宗教意义上可以塑造她们的性行为，因此，本研究的目的是根据伊朗女孩对贞操在构建她们的性行为中的作用的看法，制定促进健康性行为的策略。
方法/设计：这是一项两阶段的研究；第一阶段将采用解释性顺序混合方法后续设计，包括两个定量和定性阶段。第一阶段是横断面调查，将在 1970 年代、1980 年代和 1990 年代出生的 700 名单身女孩中进行。采用整群抽样法在伊朗大不里士的卫生中心进行抽样。根据配额标准，将确定的样本量分配到选定的卫生中心，然后使用 SIB 网站（sib.tbzmed.ac.ir）从这些中心随机选择合格的家庭。在定量阶段收集数据时，我们将使用研究者制作的问卷评估女孩对贞操及其影响因素的看法，该问卷是根据“性的社会建构”理论设计的。在收集定量数据并进行分析后，研究结果将为定性数据的收集和分析提供信息。该研究的定性阶段将在大不里士的女孩中进行，采用深入的半结构式个人访谈和目的抽样法收集所需的定性数据。收集的数据将采用常规内容分析方法进行分析。两个阶段的研究结果将进行整合，以进一步解释和解释，用于第二阶段。在第二阶段，将举行一个名义群体会议，生殖和性健康专家将参加会议。将从第一阶段的结果中提取策略，并在会议上审查这些文本，然后向专家组征求意见和想法，并对其进行优先排序，最后提出改善和促进伊朗女孩健康性行为的适当策略。
这是伊朗性健康和文化领域为数不多的研究之一，它采用“混合方法”来确定和解释从伊朗女孩的角度来看，贞操在构建她们的性行为中的作用。我们希望本研究能够提供伊朗年轻女孩性健康方面最新的身心社会发展方面的循证文献，并且所提出的基于伊朗社会文化发展的健康性行为促进策略能够为年轻女孩的性健康提供决策和规划所需的基本信息。我们还希望本研究的结果能够为基于文化的性教育以及对伊朗年轻一代的生殖和性健康护理提供帮助。
