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坦桑尼亚青少年对堕胎的态度:在健康主题调查研究中创新视频短片。

Tanzanian adolescents' attitudes toward abortion: innovating video vignettes in survey research on health topics.

机构信息

Institute for Social Research and Data Innovation, University of Minnesota Twin Cities, 225 - 19th Avenue South, Minneapolis, MN, 55455, USA.

Hubert H. Humphrey School of Public Affairs, University of Minnesota Twin Cities, 301 - 19th Avenue South, Minneapolis, MN, 55455, USA.

出版信息

Reprod Health. 2024 May 21;21(1):66. doi: 10.1186/s12978-024-01809-x.

DOI:10.1186/s12978-024-01809-x
PMID:38773597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11110338/
Abstract

BACKGROUND

The purpose of this study was to pilot an innovative cartoon video vignette survey methodology to learn about young people's perspectives on abortion and sexual relationships in Tanzania. The Animating Children's Views methodology used videos shown on tablets to engage young people in conversations. Such conversations are complicated because abortion is highly stigmatized, inaccessible, and illegal in Tanzania.

METHODS

The cartoon video vignette methodology was conducted as a part of a quantitative survey using tablet computers. Hypothetical situations and euphemistic expressions were tested in order to engage adolescents on sensitive topics in low-risk ways. Qualitative interviews and focus groups validated and further explored the perspectives of the young respondents.

RESULTS

Results indicate that 12-17 year-olds usually understand euphemistic expressions for abortion and are aware of social stigma and contradictory norms surrounding abortion from as young as age twelve. Despite the risks involved with abortion, this study finds adolescents sometimes view abortion as a reasonable solution to allow a girl to remain in school. Additional findings show that as adolescents wrestle with how to respond to a schoolgirl's pregnancy, they are considering both the (un)affordability of healthcare services and also expectations for gender roles.

CONCLUSIONS

Digital data collection, such as the Animating Children's Views cartoon video vignettes used in this study, allows researchers to better understand girls' and boys' own perspectives on their experiences and reproductive health.

摘要

背景

本研究旨在试点创新的卡通视频短片调查方法,以了解坦桑尼亚年轻人对堕胎和性关系的看法。使用平板电脑播放视频的“动画儿童观点”方法使年轻人能够参与对话。由于在坦桑尼亚堕胎被高度污名化、难以获得和非法,因此此类对话很复杂。

方法

卡通视频短片方法是使用平板电脑进行定量调查的一部分。为了以低风险的方式以委婉的方式与青少年探讨敏感话题,对假设情况和委婉表达进行了测试。定性访谈和焦点小组验证并进一步探讨了年轻受访者的观点。

结果

结果表明,12-17 岁的青少年通常理解堕胎的委婉表达,并在 12 岁时就意识到围绕堕胎的社会污名和矛盾规范。尽管堕胎存在风险,但本研究发现青少年有时认为堕胎是允许女孩继续上学的合理解决方案。其他研究结果表明,随着青少年努力应对女学生怀孕的问题,他们不仅考虑了医疗保健服务的(不)负担能力,还考虑了对性别角色的期望。

结论

数字数据收集,如本研究中使用的“动画儿童观点”卡通视频短片,可以让研究人员更好地了解女孩和男孩对自己经历和生殖健康的看法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/11110338/f4ac8ca34ba7/12978_2024_1809_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/11110338/598578b536f3/12978_2024_1809_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/11110338/f4ac8ca34ba7/12978_2024_1809_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/11110338/598578b536f3/12978_2024_1809_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5012/11110338/f4ac8ca34ba7/12978_2024_1809_Fig2_HTML.jpg

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Induced abortion incidence and safety in Côte d'Ivoire.科特迪瓦的人工流产发生率和安全性。
PLoS One. 2020 May 7;15(5):e0232364. doi: 10.1371/journal.pone.0232364. eCollection 2020.
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Prevalence and correlates of sexual intercourse among sexually active in-school adolescents: an analysis of five sub-Sahara African countries for the adolescent's sexual health policy implications.
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Health, life and rights: a discourse analysis of a hybrid abortion regime in Tanzania.健康、生命与权利:坦桑尼亚混合堕胎体制的话语分析
Int J Equity Health. 2019 Sep 27;18(1):135. doi: 10.1186/s12939-019-1039-6.
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A scoping review on sexual and reproductive health behaviors among Tanzanian adolescents.一项关于坦桑尼亚青少年性与生殖健康行为的范围综述。
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