The sexual and reproductive health of young people in the Arab countries and Iran

The sexual and reproductive health of young people in the Arab countries and Iran
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DOI:
10.1016/s0968-8080(05)25181-9
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发表时间:
2005-05-01
影响因子:
--
通讯作者:
Shepard, B
Shepard, B
中科院分区:
医学3区
文献类型:
--
作者:
DeJong, J;Jawad, R;Shepard, B

文献摘要

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本文回顾了阿拉伯国家和伊朗10-24岁年轻人的性健康和生殖健康状况,基于已发表和未发表的文献以及对该地区主要在非政府组织和国际机构工作的51名关键信息提供者的采访。除突尼斯和伊朗外,很少有国家政府方案处理青年人的性健康和生殖健康问题,而且缺乏基于人口的数据来指导这些方案。虽然大力强调家庭单位的完整性和力量具有保护作用,但年轻人缺乏获得信息的机会。包括这些主题的教育课程很少,即使有,教师也经常跳过相关部分,因为他们没有准备好。卫生服务提供者既不认识到这一年龄组的需要,也不欢迎年轻人,特别是未婚青年。教育和就业的增加意味着结婚年龄在上升,但也有报道称存在不受保护的婚姻形式。围绕性问题讨论的禁忌仍然是一个关键的制约因素,关于意外怀孕和堕胎、暴力侵害妇女行为以及性传播感染/艾滋病毒/艾滋病的数据也很有限。在非政府组织模式和现有努力的基础上,有必要制定国家方案,支持本区域青年人的福祉。(c)2005年《生殖健康问题》。All rights reserved.
This article reviews the sexual and reproductive health Situation of young people aged 10-24 in the Arab states and Iran, based on published and unpublished literature and interviews with 51 key informants working mostly in NGOs and international agencies in the region. There are few national government programmes addressing young people's sexual and reproductive health, with the exceptions of Tunisia and Iran, and a lack of population-based data to guide such programmes. Although the strong emphasis on the integrity and strength of the family unit has a protective effect, young people lack access to information. Education curricula that include these topics are rare and where they do exist, relevant sections ore frequently skipped over by teachers, who are unprepared. Health service providers neither recognise the needs of this age group nor make young people welcome, particularly those who are unmarried. Increased education and employment mean the age at marriage is rising, but unprotected forms of marriage ore also reported. Taboos surrounding discussion of sexuality remain a key constraint, and data on unwanted pregnancy and abortion, violence against women, and STIs/HIV/AIDS ore limited. Building on NGO models and existing efforts, there is G need for the development of national programmes to support the well-being of young people in this region. (c) 2005 Reproductive Health Matters. All rights reserved.