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贝宁青少年早期性行为决定因素的社会生态学分析:一项定性研究。

Socioecological analysis of determinants of early adolescent sexuality in Benin: a qualitative study.

机构信息

Institut de Formation et de Recherche Interdisciplinaires en Sciences de la Santé et de l´Education (IFRISSE), Ouagadougou, Burkina Faso.

Institut National Medico-Sanitaire, Université d´Abomey Calavi, Cotonou, Benin.

出版信息

Pan Afr Med J. 2023 Mar 17;44:137. doi: 10.11604/pamj.2023.44.137.35978. eCollection 2023.


DOI:10.11604/pamj.2023.44.137.35978
PMID:37333779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10276335/
Abstract

INTRODUCTION: early adolescent sexuality is associated with an increase in risky sexual behaviour, unwanted pregnancies, and the occurrence of sexually transmitted infections. However, despite the efforts of governments and their partners, the implementation and effectiveness of appropriate and adapted services to improve adolescent sexual and reproductive health are lagging. Therefore, this study aimed to document determinants of early adolescent sexuality in the central district of Tchaourou in Benin based on a socio-ecological approach. METHODS: an explorative and descriptive qualitative study was conducted using focus groups and individual interviews based on the socio-ecological model. Participants included adolescents, parents, teachers, and community leaders in Tchaourou. RESULTS: the number of participants in each focus group was 8 (32). There were 20 girls and 12 boys aged 10-19 years, of whom 16 were students (7 females and nine males) and 16 were apprentice dressmakers and hairdressers. In addition, five participants attended individual interviews (two community leaders, one religious' leader, one teacher and one parent). Four themes were identified that influence early sexuality among adolescents and grouped into individual determinants related to knowledge about early sexuality; interpersonal determinants related to adolescents' function, including the influence of family and peers; community and organizational determinants related to where harmful sociocultural norms; political determinants comprising the disadvantaged socioeconomic status of the communities where adolescents live. CONCLUSION: many factors at multiple social levels influence early adolescent sexuality in the commune of Tchaourou in Benin. Therefore, interventions directed at these various levels are needed urgently.

摘要

简介:青少年早期的性行为与增加风险性行为、意外怀孕和性传播感染的发生有关。然而,尽管政府及其合作伙伴做出了努力,但适当和适应的服务的实施和有效性仍在滞后,以改善青少年的性健康和生殖健康。因此,本研究旨在根据社会生态学方法,记录贝宁 Tchaourou 中心区青少年早期性行为的决定因素。

方法:采用焦点小组和个人访谈的探索性和描述性定性研究,基于社会生态学模型。参与者包括 Tchaourou 的青少年、父母、教师和社区领袖。

结果:每个焦点小组的参与者人数为 8 人(32 人)。有 20 名女孩和 12 名 10-19 岁的男孩,其中 16 名是学生(7 名女性和 9 名男性),16 名是学徒裁缝和理发师。此外,有五名参与者参加了个人访谈(两名社区领袖、一名宗教领袖、一名教师和一名家长)。确定了四个影响青少年早期性行为的主题,并将其分为与青少年早期性行为相关的个人决定因素,包括对早期性行为的知识;与青少年功能相关的人际决定因素,包括家庭和同伴的影响;与有害社会文化规范相关的社区和组织决定因素;包括青少年居住社区不利的社会经济地位在内的政治决定因素。

结论:在贝宁的 Tchaourou 社区,许多因素在多个社会层面上影响青少年早期的性行为。因此,迫切需要针对这些不同层面的干预措施。

相似文献

[1]
Socioecological analysis of determinants of early adolescent sexuality in Benin: a qualitative study.

Pan Afr Med J. 2023

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[5]
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[6]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
Early Sexual Debut and the Effects on Well-Being among South African Adolescent Girls and Young Women Aged 15 to 24 Years.

Int J Sex Health. 2021-3-9

[2]
Trends and country-level variation in age at first sex in sub-Saharan Africa among birth cohorts entering adulthood between 1985 and 2020.

BMC Public Health. 2022-6-4

[3]
Interventions to Promote a Healthy Sexuality among School Adolescents: A Scoping Review.

J Pers Med. 2021-11-7

[4]
Parent-adolescent communication on adolescent sexual and reproductive health in sub-Saharan Africa: a qualitative review and thematic synthesis.

Reprod Health. 2021-10-10

[5]
Effective educational interventions for the promotion of sexual and reproductive health and rights for school-age children in low- and middle-income countries: a systematic review protocol.

Syst Rev. 2020-9-18

[6]
The role of community leaders on adolescent's HIV and sexual reproductive health and rights in Mulanje, Malawi.

Reprod Health. 2020-5-14

[7]
A Triadic Intervention for Adolescent Sexual Health: A Randomized Clinical Trial.

Pediatrics. 2020-5

[8]
[Sexual behaviour of the school-going youth in the city of Likasi, Democratic Republic of Congo].

Pan Afr Med J. 2018-9-14

[9]
Development of Contextually-relevant Sexuality Education: Lessons from a Comprehensive Review of Adolescent Sexuality Education Across Cultures.

Int J Environ Res Public Health. 2019-2-20

[10]
Social cohesion, social trust, social participation and sexual behaviors of adolescents in rural Tanzania.

BMC Public Health. 2019-2-14

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