Awareness of pubertal body changes among primary school children aged 10-14 years in Eastern Uganda; challenges and opportunities.
Awareness of pubertal body changes among primary school children aged 10-14 years in Eastern Uganda; challenges and opportunities.
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DOI：
10.1186/s12978-022-01466-y
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发表时间：
2022-08-19
影响因子：
3.4
通讯作者：
Atuyambe, Lynn
中科院分区：
文献类型：
--
作者：
Bunoti, Sarah Nantono;Tumwesigye, Nazarius Mbona;Atuyambe, Lynn
关键词：
在全球范围内，教育年轻人青春期身体变化的项目至关重要。在一些社区，在学校教授性教育一直是争论的话题。这可能就是为什么10-14岁的儿童获得性健康和生殖健康信息和资源仍然是一个挑战。我们对10-14岁的学龄儿童进行了定性研究设计。数据是从乌干达东部有意选择的16所小学的19个焦点小组讨论中收集的。对数据进行转录、编码和主题分析。我们确定农村学校的女孩比城市学校的女孩更了解自己的身体变化。城市学校男生对青春期身体变化的了解程度高于农村学校男生。我们进一步发现，女孩在她们自己和男孩之间经历了与青春期相关的挑战，包括缺乏剃须刀，剃须时疼痛，强奸，不良的男女关系，意外早孕，有限的资金购买卫生巾，月经疼痛等。男孩也表示，他们经历过类似的挑战，包括没有剃须刀、刮胡子时和刮胡子后疼痛、身高变化、女孩被强奸、男女关系不好、同辈压力、艾滋病毒和其他性传播疾病、基础设施有限、声音变化、难闻的体味等。女孩和男孩通过利用老师、父母和朋友的建议，努力克服与青春期有关的挑战。了解青春期身体变化的男孩和女孩有机会应对与青春期有关的挑战。同样，每个孩子都有权获得与青春期有关的信息，无论在学校还是在校外。儿童对自己青春期身体变化的了解，对于他们成年后的“积极”性健康至关重要。在本研究中，我们旨在确定小学生对青春期身体变化、青春期相关挑战的认识，以及他们在青春期应对挑战的机会。数据收集自对乌干达金贾城市和农村学校10至14岁的男孩和女孩进行的19项fgd。我们的研究发现，农村学校的女孩比城市学校的女孩更能意识到自己的身体变化，这可能是因为农村学校的女孩比城市学校的女孩有更多的近亲交往。女孩和男孩都经历过与青春期相关的挑战，包括没有剃须刀、刮胡子时疼痛、强奸、“糟糕的”男女关系、意外早孕、经济支持有限、经期疼痛、同辈压力、性传播疾病、声音变化、难闻的体味等。与女孩不同，我们发现城市学校的男孩比农村学校的男孩更了解青春期身体的变化。总的来说，我们的参与者通过利用他们的老师、父母和朋友的建议来应对青春期相关的挑战。然而，意识到青春期身体变化的男孩和女孩很容易通过与青春期相关的挑战。因此，这意味着努力使年轻人，特别是10-14岁的年轻人认识到与青春期有关的挑战，可能会对一个人成年后的性健康产生积极影响。
Globally, programs that educate young people about pubertal body changes are vital. In some communities, teaching sexual education in schools has been the subject of debate. This is probably why access to sexual and reproductive health information and resources is still a challenge to children aged 10–14 years. We conducted a qualitative study design among school children aged 10–14 years. Data were collected from 19 focus group discussions (FGDs) in 16 primary schools purposively selected from Eastern Uganda. Data were transcribed, coded and thematically analysed. We established that girls in rural schools were aware of their body changes than those from urban schools. Boys in urban schools were knowledgeable of pubertal body changes than those from rural schools. We further found that girls experienced pubertal-related challenges amongst themselves and boys including lack of shavers, pain while shaving, rape, bad boy–girl relationships, unwanted early pregnancies, limited funds to buy pads, menstrual pain, etc. Boys too indicated that they experienced similar challenges and these included lack of shavers, pain during and after shaving, changes in height, raping of girls, bad boy–girl relationships, peer pressure, HIV and other STIs, limited infrastructure, voice changes, bad body odour etc. Girls and boys endeavoured to overcome pubertal-related challenges by utilising advise from teachers, parents and friends. Boys and girls who were knowledgeable about puberty body changes possessed opportunities that enable them to cope with pubertal-related challenges. Alike, every child is entitled to pubertal-related information irrespective of being-in-school or out-of-school. Children’s understanding of their pubertal body changes is vital in as far as “positive” sexual health is concerned in their adulthood. In this study, we aimed at determining awareness of pubertal body changes, pubertal-related challenges faced by primary school children and opportunities for them to navigate through challenges during puberty. Data was collected from 19 FGDs conducted among boys and girls aged between 10 and 14 years from urban and rural schools in Jinja, Uganda. Our study found that girls in rural schools were aware of their body changes than those from urban schools probably due to the fact that girls in rural schools interact with many close relatives compared to those from urban schools. Pubertal-related challenges experienced by both girls and boys included lack of shavers, pain while shaving, rape, “bad” boy–girl relationships, unwanted early pregnancies, limited financial support, menstrual pain, peer pressure, sexually transmitted diseases, changes in voices, bad body odour etc. Unlike in girls, we found that boys in urban schools were knowledgeable of pubertal body changes than those from rural schools. Over all, our participants navigated through pubertal-related challenges by utilising advise from mainly their teachers, parents and friends. However, boys and girls who were aware of puberty body changes easily navigated through pubertal-related challenges. This therefore means that efforts to create awareness of pubertal-related challenges among young people especially those aged 10–14 years may yield positive results in one’s sexual health during adulthood.
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影响因子：
3.4
作者：
McGranahan M;Bruno-McClung E;Nakyeyune J;Nsibirwa DA;Baguma C;Ogwang C;Serunjogi F;Nakalembe J;Kayaga M;Sekalala S;Oyebode O
通讯作者：
Oyebode O
影响因子：
3.4
作者：
Kemigisha E;Bruce K;Nyakato VN;Ruzaaza GN;Ninsiima AB;Mlahagwa W;Leye E;Coene G;Michielsen K
通讯作者：
Michielsen K
影响因子：
3.4
作者：
Ahumuza SE;Matovu JK;Ddamulira JB;Muhanguzi FK
通讯作者：
Muhanguzi FK
影响因子：
3.3
作者：
Igras SM;Macieira M;Murphy E;Lundgren R
通讯作者：
Lundgren R
影响因子：
3.6
作者：
Mendle, Jane;Beltz, Adriene M.;Dorn, Lorah D.
通讯作者：
Dorn, Lorah D.