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南非年轻大学生父母的早期生育经历:一项定性研究。

Early childbearing experiences of young university student-parents in South Africa: A qualitative study.

作者信息

Ngcobo Seluleko Eric, Shumba Kemist

机构信息

Department of Social Sciences, Faculty of Humanities and Social Sciences Oxford Brookes University Oxford UK.

Discipline of Health Promotion School of Applied Human Sciences University of KwaZulu-Natal Durban South Africa.

出版信息

Public Health Chall. 2023 Jan 12;2(1):e51. doi: 10.1002/puh2.51. eCollection 2023 Mar.

Abstract

BACKGROUND

Early childbearing is a major concern especially in developing countries. This study sought to understand student-parents' perspectives of early childbearing, describe their individual experiences and identify the types of support required for such young parents.

METHODS

This was an exploratory qualitative study with semi-structured in-depth interviews among 20 purposively selected participants. All the participants were young parent-students at the University of KwaZulu-Natal in Durban, South Africa. The interviews were conducted in 2018.

RESULTS

The young parent-students identified a lack of adequate information and knowledge about safe sex, contraceptive methods and prevention of pregnancies that led to early childbearing. The common misinformation that prevented the adoption of contraception methods were societal beliefs among men promoting early childbearing, coupled with the negative attitudes of healthcare workers in providing adequate information and reproductive health services. Both male and female parents suffered life-changing consequences after early childbearing leading to financial burdens to support their new-born and the interruption of their education. Government financial schemes and bursaries helped these young parents to financially support their new-born, whereas family support in terms of taking care of the new-born allowed them to continue with education. In addition, most participants identified having a child as a motivation for pursuing higher education. There is a need for Life Orientation programmes to be tailor-made to provide adequate knowledge and sensitise the youth on appropriate life choices and access to contraceptives.

CONCLUSION

Early childbearing resulted from a lack of adequate knowledge on safe sex and contraceptive methods, poor access to contraceptives, the negative attitudes of healthcare workers in proving adequate sexual and reproductive health services to the youth. Schemes to financially support the young parents and support from family members were key to helping the young parents to continue with university education.

摘要

背景

早育是一个主要问题,尤其是在发展中国家。本研究旨在了解学生家长对早育的看法,描述他们的个人经历,并确定这类年轻父母所需的支持类型。

方法

这是一项探索性定性研究,对20名经过有目的挑选的参与者进行了半结构化深度访谈。所有参与者都是南非德班夸祖鲁 - 纳塔尔大学的年轻学生家长。访谈于2018年进行。

结果

年轻学生家长指出,缺乏关于安全性行为、避孕方法和预防怀孕的充分信息和知识导致了早育。阻碍采用避孕方法的常见错误信息包括男性中促进早育的社会观念,以及医护人员在提供充分信息和生殖健康服务方面的消极态度。早育后,男性和女性家长都遭受了改变生活的后果,导致要承担抚养新生儿的经济负担以及学业中断。政府的财政计划和助学金帮助这些年轻家长在经济上支持他们的新生儿,而家人在照顾新生儿方面的支持使他们能够继续学业。此外,大多数参与者认为生孩子是追求高等教育的动力。需要量身定制生活指导计划,以提供充分的知识,并使年轻人对适当的生活选择和获得避孕措施有更深入的认识。

结论

早育是由于缺乏关于安全性行为和避孕方法的充分知识、难以获得避孕措施、医护人员在为年轻人提供充分的性健康和生殖健康服务方面的消极态度所致。为年轻家长提供经济支持的计划以及家庭成员的支持是帮助年轻家长继续接受大学教育的关键。

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