Centre Hospitalier Universitaire de La Réunion Sites Sud Saint-Pierre, Saint-Pierre, Réunion
Cabinet FAHAM, Saint-Paul, France.
BMJ Open. 2023 Nov 24;13(11):e073835. doi: 10.1136/bmjopen-2023-073835.
Adolescence and early adulthood are often critical periods of sexual development. The discovery of sexual intercourse can lead to sexual risk-taking which may impact the incidence of sexually transmitted infections (STIs) and unwanted pregnancies. Despite available sexual health services on Reunion Island, sexual health indicators for adolescents are very poor showing a high number of teenage pregnancies and abortions, low use of contraception and an upsurge of STIs. In contrast, this French region is equipped with many services and resources that enable young adults to make informed sexual health choices. This study protocol describes the methodology to describe adolescent experiences of using sexual health services on Reunion Island.
A monocentric descriptive qualitative study using a phenomenological approach will be conducted from December 2022 to August 2023 and will be based on face-to-face semistructured interviews with participants aged 15-19 years and residing on Reunion Island. Recruitment will be distributed at various educational institutions and sexual health centres and will be facilitated by the 'snowball' and 'word-of-mouth' effect. Data analysis will be independently carried out by three investigators to increase reliability. An interpretative phenomenological analysis will be performed.
Ethics approval was obtained from the Ethics Committee of the Hospital Center University De Bordeaux (CER-BDX-2022-55). Data generated do not fall within the field of biological or medical knowledge nor into the category of Research Involving the Human Person as defined in Articles L. 1121-1 and R. 1121-1 of the Public Health Code in France. All participants will receive information about the study in verbal and written forms and will give their oral consent before enrolment. Results will be published in a peer-reviewed journal as well as presented and disseminated at the Regional Health Agency of Reunion Island, conferences and in meetings with school directors.
青春期和成年早期通常是性发育的关键时期。性行为的发现可能导致性冒险，从而影响性传播感染（STI）和意外怀孕的发生率。尽管留尼汪岛提供了许多性健康服务，但青少年的性健康指标非常差，表现为大量青少年怀孕和堕胎、避孕措施使用率低以及性传播感染的激增。相比之下，这个法国地区配备了许多服务和资源，使年轻人能够做出明智的性健康选择。本研究方案描述了描述留尼汪岛青少年使用性健康服务体验的方法。
一项采用现象学方法的单中心描述性定性研究将于 2022 年 12 月至 2023 年 8 月进行，将基于对 15-19 岁、居住在留尼汪岛的参与者进行面对面半结构化访谈。招募将在各种教育机构和性健康中心进行，并通过“滚雪球”和“口碑”效应来促进。数据分析将由三名调查员独立进行，以提高可靠性。将进行解释性现象学分析。
已获得波尔多大学医疗中心伦理委员会（CER-BDX-2022-55）的伦理批准。产生的数据不属于生物或医学知识领域，也不属于法国公共卫生法典第 L. 1121-1 条和 R. 1121-1 条定义的“涉及人类的研究”类别。所有参与者将在口头和书面形式收到有关研究的信息，并在注册前口头同意。研究结果将发表在同行评议的期刊上，并在留尼汪岛区域卫生局、会议以及与学校负责人的会议上展示和传播。
