Why Girls Choose Not to Use Barriers to Prevent Sexually Transmitted Infection During Female-to-Female Sex
Why Girls Choose Not to Use Barriers to Prevent Sexually Transmitted Infection During Female-to-Female Sex
复制标题
DOI：
10.1016/j.jadohealth.2017.10.005
复制
发表时间：
2018-04-01
影响因子：
7.6
通讯作者：
Ybarra, Michele L.
中科院分区：
文献类型：
--
作者：
Doull, Marion;Wolowic, Jennifer;Ybarra, Michele L.
目的：使用来自美国女同性恋、双性恋和其他性少数青春期女孩的全国性定性研究的数据，本研究调查了她们对性传播感染（STI）风险的认识和使用屏障的机会。2方法：在线异步焦点小组与14-18岁的女同性恋和双性恋（LB）女孩进行。女孩们被分配到网上小组的基础上，他们自我认定的性别身份，以及他们是否有性经验或没有。两名主持人提出问题，并为在线讨论提供便利。研究小组的多名成员进行的解释性描述分析被用来对结果进行分类。结果：女孩决定不与女性伴侣使用障碍的关键因素包括快乐、性伴侣的性别、缺乏性风险知识或女性对女性性活动的障碍使用，以及使用性传播感染检测作为预防工具。解决知识和获取差距是改善性健康的重要第一步。预防工作的重点应该是帮助LB女孩了解她们在异性和同性关系中传播性传播感染的风险。量身定制的信息，以超越异性恋规范的脚本是至关重要的参与LB女孩和装备他们的技能和知识，无论他们的合作伙伴的性别有更安全的性行为。(c)2017年青少年健康和医学协会。All rights reserved.
Purpose: Using data from a national qualitative study of lesbian, bisexual, and other sexual minority adolescent girls in the U.S., this study examined their awareness of the risk of sexually transmitted infection (STI) and opportunities for barrier use.Methods: Online asynchronous focus groups were conducted with lesbian and bisexual (LB) girls ages 14-18 years. Girls were assigned to online groups based on their self-identified sexual identity and whether they were sexually experienced or not. Two moderators posed questions and facilitated online discussions. Interpretive description analysis conducted by multiple members of the research team was used to categorize the results.Results: Key factors in girls' decisions not to use barriers with female partners concerned pleasure, sex of sexual partner, lack of knowledge of sexual risk or of barrier use for female-to-female sexual activities, and use of STI testing as a prevention tool.Conclusions: Addressing knowledge and access gaps is an important first step for improving sexual health. Prevention priorities should focus on helping LB girls understand their risk of STI transmission in both opposite and same-sex relationships. Tailoring messaging to move beyond heteronormative scripts is critical to engaging LB girls and equipping them with the skills and knowledge to have safer sex regardless of the sex of their partner. (c) 2017 Society for Adolescent Health and Medicine. All rights reserved.