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调整性健康研究方法以满足低收入和中等收入国家少女的需求:来自墨西哥的研究结果

Tailoring Sexual Health Research Practices to Meet the Needs of Adolescent Girls in Low- and Middle-Income Countries: Findings from Mexico.

作者信息

Servin Argentina E, Macklin Ruth, Wilkerson Sara, Rocha-Jiménez Teresita, Rangel Gudelia M, O'Bryan Sophie E, Fisher Celia B

机构信息

Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego, 9500 Gilman Drive, MC 0507, La Jolla, CA 92093, USA.

Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA.

出版信息

Adolescents. 2024 Mar;4(1):158-170. doi: 10.3390/adolescents4010011. Epub 2024 Mar 7.

Abstract

Sexual and reproductive health (SRH) research is essential for the development of population-tailored evidence-based policies and programs that support sexual health among adolescent girls. However, ethical challenges create barriers to girls' participation in low- and middle-income countries (LMICs). From February to September 2019, girls aged 16-20 ( = 30) who participated in the study in Tijuana, Baja California (ClinicalTrials: NCT03660514) responded to in-depth interviews (IDs) on the perceived risks and benefits of participating in studies which address gender-based violence, unintended pregnancy, and STIs. Emergent themes indicated the need to ensure that consent and incentive procedures are tailored to the developmental level of participants, while highlighting the importance of researcher-participant relationships, and demonstrating how research can serve as an opportunity to empower girls to express their sexual health medical needs. Understanding adolescent girls' voices is a critical step in ensuring that consent to participate SRH research is tailored to the developmental needs of participants, is culturally competent, and has a participant-centered approach.

摘要

性与生殖健康(SRH)研究对于制定适合人群的循证政策和项目至关重要,这些政策和项目旨在支持少女的性健康。然而,伦理挑战给低收入和中等收入国家(LMICs)的女孩参与研究造成了障碍。2019年2月至9月,年龄在16至20岁(n = 30)、参与了下加利福尼亚州蒂华纳市某项研究(临床试验编号:NCT03660514)的女孩,就参与针对性别暴力、意外怀孕和性传播感染的研究的感知风险和益处接受了深度访谈(ID)。新出现的主题表明,需要确保同意和激励程序适合参与者的发育水平,同时强调研究者与参与者关系的重要性,并展示研究如何能够成为一个让女孩有能力表达其性健康医疗需求的契机。了解少女的声音是确保参与性与生殖健康研究的同意程序适合参与者的发育需求、具备文化胜任力且以参与者为中心的关键一步。

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