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开普敦青少年女孩的性与生殖健康信息需求及障碍

Adolescent girls' sexual and reproductive health information needs and barriers in Cape Town.

作者信息

Holtman Natheerah, Bimerew Million, Mthimunye Katlego

机构信息

School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.

Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle, United Kingdom.

出版信息

Health SA. 2024 Oct 10;29:2650. doi: 10.4102/hsag.v29i0.2650. eCollection 2024.

Abstract

BACKGROUND

The sexual and reproductive health (SRH) information needs of adolescent girls in developing countries are not being met.

AIM

The study explored the sexual and reproductive health information needs, information-seeking behaviour and barriers among adolescent girls in the Western Cape, South Africa.

SETTING

The study was conducted in the South eastern sub district of Cape Town metropole.

METHODS

The study was conducted at one of the high schools in a highly populated area in the Cape Town metropole. Semi-structured interviews were conducted with 17 adolescent girls aged 16-17 years, who were recruited using purposive sampling techniques. The interviews were audio recorded and transcribed verbatim. Data were analysed using an inductive thematic analysis framework.

RESULTS

Three themes emerged from the data: (1) adolescent girls exhibit limited awareness and comprehension of sexual and reproductive health; (2) the information-seeking behaviours of adolescent girls regarding sexual and reproductive health and (3) barriers to seeking information.

CONCLUSION

The establishment of primary healthcare facilities that are friendly to adolescents, combined with impactful reproductive health education and improved parent-adolescent girl relations, is crucial for promoting sexual and reproductive health among adolescent girls.

CONTRIBUTION

The study offered valuable insights into the SRH information needs, information-seeking behaviour and barriers faced by adolescent girls in accessing SRH information sources and services. These barriers include lack of knowledge about SRH and contraception, challenges within family dynamics, difficulties accessing friendly healthcare services and encountering negative attitudes from healthcare professionals.

摘要

背景

发展中国家少女的性与生殖健康(SRH)信息需求未得到满足。

目的

本研究探讨了南非西开普省少女的性与生殖健康信息需求、信息寻求行为及障碍。

地点

研究在开普敦都市圈东南部的一个分区进行。

方法

研究在开普敦都市圈一个人口密集地区的一所高中开展。采用目的抽样技术招募了17名年龄在16 - 17岁的少女,对她们进行了半结构化访谈。访谈进行了录音并逐字转录。数据使用归纳主题分析框架进行分析。

结果

数据中出现了三个主题:(1)少女对性与生殖健康的认识和理解有限;(2)少女在性与生殖健康方面的信息寻求行为;(3)信息寻求的障碍。

结论

建立对青少年友好的初级医疗保健设施,结合有效的生殖健康教育以及改善父母与少女的关系,对于促进少女的性与生殖健康至关重要。

贡献

该研究为少女在获取性与生殖健康信息来源和服务方面的性与生殖健康信息需求、信息寻求行为及障碍提供了宝贵见解。这些障碍包括缺乏性与生殖健康及避孕知识、家庭关系中的挑战、难以获得友好的医疗服务以及遭遇医疗专业人员的负面态度。

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