The social context of sexual health and sexual risk for urban adolescent girls in the United States.
The social context of sexual health and sexual risk for urban adolescent girls in the United States.
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DOI：
10.1080/01612840802641735
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发表时间：
2009-07-01
影响因子：
2.1
通讯作者：
Boente, Alyssa
中科院分区：
文献类型：
--
作者：
Teitelman, Anne M;Bohinski, Julia M;Boente, Alyssa
包括艾滋病毒和少女怀孕在内的性传播感染导致美国女孩的发病率和死亡率相当高。针对这些持续存在的疫情，需要进一步加强预防工作。为了促进女孩的性健康并最有效地降低性风险，了解影响女孩性欲发展的社会因素非常重要。这项研究的目的是通过探索女孩对她们了解性、性行为和关系的社会背景的看法，开始填补文献中的空白。使用编码和内容分析来识别对非裔美国和欧美女孩的 33 次个人访谈的模式和主题。参与者认为家人、朋友/同龄人、伴侣、学校和媒体是了解性健康的最常见来源。女孩们从各个来源寻找不同类型的信息。许多女孩在性健康方面经历过相互矛盾的信息，并努力整合社会生活不同领域中出现的关于性、性行为和关系的不同文化参考。女孩常常不得不经历她们的性发育历程，几乎没有反思自己的想法、感受、欲望和决定的空间。医疗保健提供者，尤其是心理健康领域的医疗保健提供者，最有能力促进女孩的身体、发育和情感性健康。
Sexually transmitted infections including HIV and teenage pregnancy have resulted in considerable morbidity and mortality among girls in the United States. There is a need to further strengthen prevention efforts against these persistent epidemics. In order to promote girls' sexual health and most effectively reduce sexual risk, it is important to understand the social factors that influence the development of a girl's sexuality. The purpose of this study was to begin to fill a void in the literature by exploring girls' perspectives about the social context in which they learn about sex, sexuality, and relationships. Coding and content analysis was used to identify patterns and themes in 33 individual interviews with African American and Euro-American girls. Participants identified family, friends/peers, partners, school, and the media as the most common sources for learning about sexual health. Girls sought out different types of information from each source. Many girls experienced conflicting messages about their sexual health and struggled to integrate the disparate cultural references to sex, sexuality, and relationships that emerged from these different spheres of social life. Girls often had to navigate the journey of their sexual development with little room for reflection about their own thoughts, feelings, desires, and decisions. Health care providers, especially those in mental health, are in an optimal position to promote girls' physical, developmental, and emotional sexual health.