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加纳的亲子性与生殖健康信息交流

Parent-adolescent sexual and reproductive health information communication in Ghana.

作者信息

Agyei Frank Bediako, Kaura Doreen K, Bell Janet D

机构信息

Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

出版信息

Reprod Health. 2025 Feb 19;22(1):25. doi: 10.1186/s12978-025-01961-y.

DOI:10.1186/s12978-025-01961-y
PMID:39972503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11837287/
Abstract

BACKGROUND

A culturally sensitive sexual and reproductive health (SRH) information communication intervention which is effective can improve SRH information communication (IC) between parents and their adolescents. This facilitates adolescents' informed SRH decisions to optimise positive SRH outcomes.

AIM

The aim of this article was to integrate the findings from a systematic review and a qualitative study on sexual and reproductive health information communication and the considerations to make in adapting an effective parent-adolescent SRH information communication intervention from the systematic review findings.

METHODS

Explanatory sequential Mixed Methods Research was used; first, a quantitative Systematic Review was conducted in lower-and-middle-income countries, utilising Joanna Briggs Institute (JBI) software for reviews. The systematic review findings were then explained, utilizing an exploratory qualitative design in the second phase of the study. A purposive sample of ten parent-adolescent pairs was selected from Asante Akyem North Municipality of Ghana and all participants were interviewed individually. The sample was based on the demographics highlighted in the systematic review. A semi-structured interview guide was developed from the findings of the systematic review.

RESULTS

The results confirmed that effective SRH information communication interventions are associated with parent-adolescent SRH information communication skills. SRH communication is also influenced by the SRH information parents and adolescents have and the personal and social motivation to communicate the information. The method of intervention delivery, the experts involved, and the place of delivery were also identified as important issues to consider in adapting and implementing an intervention.

CONCLUSION

The study has provided information on the components of a culturally sensitive SRH information communication intervention. The contextual information gathered, which explained the systematic review findings, will be helpful in the adaptation of SRH information communication intervention.

摘要

背景

一种具有文化敏感性且有效的性与生殖健康(SRH)信息传播干预措施能够改善父母与青少年之间的SRH信息交流。这有助于青少年在充分知情的情况下做出SRH决策,以优化积极的SRH结果。

目的

本文旨在整合一项关于性与生殖健康信息传播的系统评价和定性研究的结果,以及根据系统评价结果对有效的亲子SRH信息传播干预措施进行调整时应考虑的因素。

方法

采用解释性序列混合方法研究;首先,在低收入和中等收入国家进行了一项定量系统评价,使用乔安娜·布里格斯研究所(JBI)的综述软件。然后,在研究的第二阶段,利用探索性定性设计对系统评价结果进行解释。从加纳阿桑特·阿凯姆北市选取了十对亲子作为目的抽样样本,所有参与者均接受了单独访谈。该样本基于系统评价中突出显示的人口统计学特征。根据系统评价结果制定了一份半结构化访谈指南。

结果

结果证实,有效的SRH信息传播干预措施与亲子SRH信息传播技能相关。SRH交流还受到父母和青少年所拥有的SRH信息以及交流该信息的个人和社会动机的影响。干预措施的实施方式、所涉及的专家以及实施地点也被确定为在调整和实施干预措施时需要考虑的重要问题。

结论

该研究提供了关于具有文化敏感性的SRH信息传播干预措施组成部分的信息。所收集的背景信息对系统评价结果进行了解释,将有助于SRH信息传播干预措施的调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8440/11837287/839ffaf73305/12978_2025_1961_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8440/11837287/84cd935a0432/12978_2025_1961_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8440/11837287/839ffaf73305/12978_2025_1961_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8440/11837287/84cd935a0432/12978_2025_1961_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8440/11837287/839ffaf73305/12978_2025_1961_Fig2_HTML.jpg

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本文引用的文献

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Int J Sex Health. 2022 Aug 10;34(4):550-566. doi: 10.1080/19317611.2022.2108532. eCollection 2022.
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Effectiveness of a community-based intervention (Konga model) to address factors contributing to low viral load suppression among children living with HIV in Tanzania: a preliminary, cluster, randomized clinical trial report.社区干预(Konga 模式)对提高坦桑尼亚儿童 HIV 感染者病毒载量抑制率的效果:一项初步的、集群随机临床试验报告。
BMC Public Health. 2023 Jul 3;23(1):1280. doi: 10.1186/s12889-023-16181-x.
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Analysis of national and subnational prevalence of adolescent pregnancy and changes in the associated sexual behaviours and sociodemographic determinants across three decades in Ghana, 1988-2019.
分析 1988-2019 年 30 年来加纳全国和次国家青少年怀孕率及其相关性行为和社会人口决定因素的变化。
BMJ Open. 2023 Mar 17;13(3):e068117. doi: 10.1136/bmjopen-2022-068117.
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Sexual Health and Relationship Abuse Interventions in Pediatric Primary Care: A Systematic Review.儿科初级保健中的性健康和关系虐待干预措施:系统评价。
J Adolesc Health. 2023 Apr;72(4):487-501. doi: 10.1016/j.jadohealth.2022.11.011. Epub 2023 Jan 7.
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Parent-adolescent communication on adolescent sexual and reproductive health in sub-Saharan Africa: a qualitative review and thematic synthesis.撒哈拉以南非洲青少年性与生殖健康领域的家长-青少年沟通:定性评价与主题综合分析。
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