Sexual Health Care, Sexual Behaviors and Functioning, and Female Genital Cutting: Perspectives From Somali Women Living in the United States
Sexual Health Care, Sexual Behaviors and Functioning, and Female Genital Cutting: Perspectives From Somali Women Living in the United States
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DOI：
10.1080/00224499.2015.1008966
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发表时间：
2016-01-01
影响因子：
3.6
通讯作者：
Robinson, Beatrice Bean E.
中科院分区：
文献类型：
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作者：
Connor, Jennifer Jo;Hunt, Shanda;Robinson, Beatrice Bean E.
我们调查了30名索马里女性难民的性价值观，态度和行为，生活在明尼苏达州的一个大都市地区，通过收集探索性的性健康信息的基础上的组成部分的性健康模型的组件假定是健康的人类性行为的重要方面。一名索马里出生的双语面试官用英语或索马里语进行了半结构化面试; 22名参与者选择用索马里语进行面试。访谈被翻译，转录，并使用描述性统计和主题分析进行分析。我们的研究结果强调了性保守的文化，重视性亲密，女性和男性的性快感，以及婚姻中的隐私;阴道性交是唯一认可的性行为;以及伊斯兰宗教在指导性行为方面的重要性。与人类免疫缺陷病毒（HIV）相关的调查结果显示，在移民艾滋病毒检测，对安全套使用的混合态度，以及对艾滋病毒传播模式的适度了解。切割女性生殖器是影响索马里妇女性功能的一个普遍因素，在过渡时期，人们对这种有争议的做法持态度。我们建议卫生专业人员主动与索马里妇女讨论性保健和安全性行为，性行为/功能，以及性健康可能面临的挑战，因为他们可能不太可能在未经许可和相当大的鼓励的情况下讨论这些问题。
We investigated the sexual values, attitudes, and behaviors of 30 Somali female refugees living in a large metropolitan area of Minnesota by collecting exploratory sexual health information based on the components of the sexual health model-components posited to be essential aspects of healthy human sexuality. A Somali-born bilingual interviewer conducted the semistructured interviews in English or Somali; 22 participants chose to be interviewed in Somali. Interviews were translated, transcribed, and analyzed using descriptive statistics and thematic analyses. Our study findings highlighted a sexually conservative culture that values sexual intimacy, female and male sexual pleasure, and privacy in marriage; vaginal sexual intercourse as the only sanctioned sexual behavior; and the importance of Islamic religion in guiding sexual practices. Findings related to human immunodeficiency virus (HIV) revealed HIV testing at immigration, mixed attitudes toward condom use, and moderate knowledge about HIV transmission modes. Female genital cutting (FGC) was a pervasive factor affecting sexual functioning in Somali women, with attitudes about the controversial practice in transition. We recommend that health professionals take the initiative to discuss sexual health care and safer sex, sexual behaviors/functioning, and likely challenges to sexual health with Somali women-as they may be unlikely to broach these subjects without permission and considerable encouragement.