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尼日利亚年轻人在性与生殖健康服务利用方面的障碍:基于社会生态模型的定性探索

Barriers to Utilization of Sexual and Reproductive Health Services among Young People in Nigeria: A Qualitative Exploration Using the Socioecological Model.

作者信息

Olajubu Aanuoluwapo Omobolanle, Olowokere Adekemi Eunice, Naanyu Violet

机构信息

Obafemi Awolowo University, Ile-Ife, Nigeria.

Moi University, Eldoret, Kenya.

出版信息

Glob Qual Nurs Res. 2025 Jan 1;12:23333936241310186. doi: 10.1177/23333936241310186. eCollection 2025 Jan-Dec.

DOI:10.1177/23333936241310186
PMID:39758890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11694304/
Abstract

Underutilization of sexual and reproductive health services among young people is associated with many adverse sexual and reproductive health-related outcomes and morbidity. Guided by the socioecological model, this study undertook a qualitative exploration of the barriers limiting young peoples' uptake of sexual and reproductive health services in Osun State, Nigeria. Fifty-eight young people (aged 15-24 years) from two universities and one community in Osun State were selected and involved in six focus group discussions. A thematic analysis was performed using NVivo software version 12. Intrapersonal, interpersonal, institutional, and community-level barriers were identified from the focus group discussions, aligning with the socioecological model framework. The study identified various interwoven barriers to the utilization of sexual and reproductive health information and services. The interrelatedness of the factors at different levels underscores the need to design and implement multifaceted policies and interventions aimed at improving young people's access to and utilization of sexual and reproductive health services.

摘要

年轻人对性与生殖健康服务的利用不足与许多不良的性与生殖健康相关后果及发病率有关。本研究以社会生态模型为指导,对尼日利亚奥孙州限制年轻人获取性与生殖健康服务的障碍进行了定性探索。从奥孙州的两所大学和一个社区选取了58名年轻人(年龄在15 - 24岁之间),参与了六次焦点小组讨论。使用NVivo 12软件进行了主题分析。从焦点小组讨论中确定了个人、人际、机构和社区层面的障碍,这与社会生态模型框架一致。该研究确定了利用性与生殖健康信息和服务的各种相互交织的障碍。不同层面因素的相互关联性凸显了设计和实施多方面政策及干预措施的必要性,旨在改善年轻人获取和利用性与生殖健康服务的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e7e/11694304/f3d5120643ef/10.1177_23333936241310186-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e7e/11694304/f3d5120643ef/10.1177_23333936241310186-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e7e/11694304/f3d5120643ef/10.1177_23333936241310186-fig1.jpg

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Socio-Ecological Analysis of Barriers to Access and Utilization of Adolescent Sexual and Reproductive Health Services in Sub-Saharan Africa: A Qualitative Systematic Review.撒哈拉以南非洲地区青少年性与生殖健康服务获取及利用障碍的社会生态分析:一项定性系统综述
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Challenges to Accessing and Utilizing Adolescent Sexual and Reproductive Health and Rights Services in Rwanda.
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