Urban young women's preferences for intervention strategies to promote physical and mental health preconception: A Healthy Life Trajectories Initiative (HeLTI)
Urban young women's preferences for intervention strategies to promote physical and mental health preconception: A Healthy Life Trajectories Initiative (HeLTI)
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DOI：
10.1016/j.pmedr.2019.100846
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发表时间：
2019-06-01
影响因子：
2.8
通讯作者：
Norris, S. A.
中科院分区：
文献类型：
--
作者：
Draper, C. E.;Bosire, E.;Norris, S. A.
本研究的目的是定性调查年轻女性的偏好孕前干预策略，以促进身心健康，在快速转型，城市环境。与来自南非索韦托的年轻女性（n= 29，18-24岁）进行了四次半结构化焦点小组讨论。定性数据按专题进行分析。确定了两个主题：（1）干预措施受益者的挑战和需求;（2）对干预战略的偏好（内容和交付）。与会者提到的挑战可分为与社会压力、身份和社会经济环境有关的挑战。心理健康支持似乎比身体健康更需要，这体现在他们对干预内容的偏好上，尽管也提到了一些身体健康主题（健康饮食和避孕）。参与者对干预材料的偏好各不相同，从印刷到电子和移动的资源。他们对干预活动的偏好范围从教育课程到有趣和互动的实践活动，以及他们可以带回家的活动。社区卫生工作者（CHWs）的首选代理交付的干预措施，虽然与会者强调的重要性，CHWs有适当的人际交往能力和自己的生活经验。一些妇女喜欢与CHW进行一对一的会议，而另一些妇女则喜欢小组会议。虽然认识到家庭会议的价值，但年轻女性对这种方法不那么热情。这些发现为制定有效的干预措施以优化非洲城市年轻女性的孕前健康提供了宝贵的形成数据。在处理青年妇女面临的主要身心健康问题时，应承认这些背景现实。
This study aimed to qualitatively investigate young women's preferences for preconception intervention strategies to promote physical and mental health in a rapidly transitioning, urban setting. Four semi-structured focus group discussions were conducted with young women (n= 29, 18-24 years old) from Soweto, South Africa. Qualitative data were thematically analysed. Two main themes were identified: 1) challenges and needs of intervention beneficiaries; and 2) preferences for intervention strategies (content and delivery). The challenges participants mentioned could be classified as those relating to social pressure, identity, and socioeconomic circumstances. Mental health support appeared to be a greater need than physical health, and this featured in their preferences for intervention content, although a number of physical health topics were also mentioned (healthy eating and contraception). Participants had mixed preferences for intervention materials, ranging from printed to electronic and mobile resources. Their preferences for intervention activities ranged from educational sessions, to fun and interactive practical activities, and activities they could take home. Community health workers (CHWs) were the preferred agent of delivery for interventions, though participants emphasised the importance of CHWs having appropriate interpersonal skills and own life experience. Some women preferred one-on-one sessions with a CHW, while others preferred group sessions. While recognising the value of family sessions, young women were less enthusiastic about this approach. These findings provide valuable formative data for developing effective interventions to optimise young women's preconception health in urban Africa. These contextual realities should be acknowledged when addressing key physical and mental health issues facing young women.