Unwanted pregnancy and sexually transmitted infection among young women in rural Kenya
Unwanted pregnancy and sexually transmitted infection among young women in rural Kenya
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DOI：
10.1080/1369105031000106365
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发表时间：
2004-01-01
影响因子：
2.2
通讯作者：
Nzioka, C
中科院分区：
文献类型：
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作者：
Nzioka, C
在肯尼亚，过早的初次性行为和婚前性行为越来越普遍，这使女孩面临意外怀孕和感染性传播疾病和艾滋病毒/艾滋病的风险。关于避孕套和其他避孕药具的保护价值的知识水平很高，但无保护的性行为仍然很普遍。在此背景下，本文探讨了年轻女性应对这些风险的策略。定性数据来自肯尼亚东部马奎尼区与15至19岁在校女生进行的8个焦点小组讨论。调查结果表明，尽管人们知道避孕套和其他避孕药具的保护价值，但由于无法获得这些方法、担心避孕药具的副作用以及女孩希望忠于其宗教信仰，女孩使用这些方法受到阻碍。大多数女孩还求助于使用传统方法，例如其效力和功效未经证实的方法。这些调查结果表明，有必要使农村地区的女孩更容易获得避孕套，并进行正确使用“自然”计划生育方法的教育。年轻妇女也可以从如何在性谈判中更加自信的培训中受益。
Early sexual debut and premarital sex are increasingly common features of female adolescence in Kenya-putting girls at the risk of unwanted pregnancy and infection by sexually transmitted infections and HIV/AIDS. Levels of knowledge concerning the protective value of condoms and other contraceptives are high, but unprotected sex is still common. Against this background, this paper examines the strategies used by young women to deal with these risks. Qualitative data were obtained from eight focus group discussions conducted with school attending girls aged between 15 and 19 years in Makueni District of Eastern Kenya. Findings suggest that, despite knowledge of the protective value of condoms and other contraceptives, the use of these methods by girls is hampered by inability to access them, the fear of the side effects of contraceptives, and the desire by girls to remain faithful to their religious calling. Most girls also resort to the use of traditional methods such whose potency and efficacy is unproven. These findings suggest the need to make condoms more easily accessible to girls in rural areas, and also for education in the proper use of 'natural' family planning methods. Young women may also benefit from training in how to be more assertive in sexual negotiations.