"Smart boys" and "sweet girls" - sex education needs in Thai teenagers: a mixed-method study
"Smart boys" and "sweet girls" - sex education needs in Thai teenagers: a mixed-method study
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DOI：
10.1016/s0140-6736(06)69836-x
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发表时间：
2006-12-09
期刊：
影响因子：
168.9
通讯作者：
Boynton, Petra
中科院分区：
文献类型：
--
作者：
Vuttanont, Uraiwan;Greenhalgh, Trisha;Boynton, Petra
背景在泰国，经济繁荣的快速增长伴随着传统文化和宗教价值观的侵蚀，并对年轻人的性健康产生负面影响。我们调查了泰国清迈青少年、家长、教师和政策制定者对性和性教育的知识、态度、规范和价值观，以期为性教育政策提供信息。方法：对关键利益相关者进行叙述性访谈，并对关键政策文件进行分析；对2301名青少年进行问卷调查；对20个青少年焦点群体进行问卷调查；对351名家长进行问卷调查；对两个家长焦点小组进行问卷调查。定性和定量数据分别按主题进行评估，然后分别进行组合。统计分析，结果我们注意到对泰国青少年的性态度和行为的五个重要影响：模棱两可的社会角色导致身份混淆；性意识和好奇心增强；知识和生活技能方面的关键差距；父母投入有限；冲动和冒险。男性青少年渴望成为“聪明的男孩”，他们的地位取决于性行为和征服的故事。传统上被限制和保护为“甜美女孩”的少女，在没有父母支持的情况下管理着一种新的约会概念，几乎没有生活技能来使她们能够在潜在的强制情况下控制自己的欲望或谈判。这项大型探索性研究的解释结果提出了五种可以改进性教育的方法：对教师的有针对性的培训和支持；青少年的同伴主导的性教育；基于故事的情景以促进应用学习；教育材料的本地开发；以及使用性健康培训专业人员来满足学生、教师和家长的学习需求。
Background In Thailand, rapid increases in economic prosperity have been accompanied by erosion of traditional cultural and religious values and by negative effects on sexual health of young people. We investigated knowledge, attitudes, norms, and values of teenagers, parents, teachers, and policymakers in relation to sex and sex education in Chiang Mai, Thailand, with a view to informing sex education policy.Methods We selected six secondary schools for maximum variation in socioeconomic background, religious background, and location. Methods were: narrative interviews with key stakeholders, and analysis of key policy documents; questionnaire survey of 2301 teenagers; 20 focus groups of teenagers; questionnaire survey of 351 parents; and two focus groups of parents. Qualitative and quantitative data were assessed separately with thematic and respectively then combined. statistical analysis,,Findings We noted five important influences on Thai teenagers' sexual attitudes and behaviour: ambiguous social roles leading to confused identity; heightened sexual awareness and curiosity; key gaps in knowledge and life skills; limited parental input; and impulsivity and risk-taking. Male teenagers aspire to be "smart boys", whose status depends on stories of sexual performance and conquests. Female teenagers, traditionally constrained and protected as "sweet girls", are managing a new concept of dating without their parents' support, and with few life skills to enable them to manage their desires or negotiate in potentially coercive situations. School-based sex education is biologically focused and inconsistently delivered.Interpretation Results of this large exploratory study suggest five approaches that could be developed to improve sex education: targeted training and support for teachers; peer-led sex education by teenagers; story-based scenarios to promote applied learning; local development of educational materials; and use of trained sexual health professionals to address learning needs of pupils, teachers, and parents.