Addressing sexual and reproductive health and rights with men in prisons: co-production and feasibility testing of a relationship, sexuality and future fatherhood education programme.

Addressing sexual and reproductive health and rights with men in prisons: co-production and feasibility testing of a relationship, sexuality and future fatherhood education programme.
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DOI:
10.1108/ijph-02-2022-0008
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发表时间:
2022-07-18
影响因子:
1.4
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中科院分区:
其他
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被监禁的年轻男性罪犯面临着性健康较差、青春期为人父母的风险,缺乏形成关系和性教育(RSE)的机会以及积极的男性榜样。本文的目的是报告与年轻男性罪犯共同制作和测试一个新颖的、改变性别的RSE方案的过程,以鼓励积极健康的关系、性别平等和未来的积极父亲。采用基于权利的参与式方法,作者与两个英国监狱地点的青少年罪犯和服务提供者共同制作了一个RSE方案,采用了以下顺序的研究设计:需求分析、联合制作和可行性试验。该方案的核心部分以循证RSE、性别变革和行为改变理论为基础。一项需求分析强调了男性对RSE的兴趣,以及电影剧和同龄人小组活动的吸引力。在联合制作阶段,与年轻人一起开发剧本,以制作量身定做的电影剧和相关活动。这次联合制作产生了《如果我是爸爸》,这是一个为期八周的节目,包括短片和活动,主题是男子气概、人际关系、性健康和未来的父亲身份。该方案的可行性试验证明了在两个监狱地点分娩的可接受性和可行性。该方案需要进一步的执行和评价研究。这份文件的贡献是制定了一个以证据为基础、用户知情的性别变革方案,旨在促进年轻男性罪犯的性健康和生殖健康,在他们自己及其伴侣和(未来)子女的生活中促进积极的性健康和生殖健康和福祉。
Young incarcerated male offenders are at risk of poorer sexual health, adolescent parenthood and lack opportunities for formative relationship and sexuality education (RSE) as well as positive male role models. The purpose of this paper is to report the process of co-production and feasibility testing of a novel, gender-transformative RSE programme with young male offenders to encourage positive healthy relationships, gender equality, and future positive fatherhood. Using a rights-based participatory approach, the authors co-produced an RSE programme with young offenders and service providers at two UK prison sites using a sequential research design of: needs analysis, co-production and a feasibility pilot. Core components of the programme are grounded in evidence-based RSE, gender-transformative and behaviour change theory. A needs analysis highlighted the men’s interest in RSE along with the appeal of film drama and peer-group-based activities. In the co-production stage, scripts were developed with the young men to generate tailored film dramas and associated activities. This co-production led to “If I Were a Dad”, an eight-week programme comprising short films and activities addressing masculinities, relationships, sexual health and future fatherhood. A feasibility pilot of the programme demonstrated acceptability and feasibility of delivery in two prison sites. The programme warrants further implementation and evaluation studies. The contribution of this paper is the generation of an evidence-based, user-informed, gender-transformative programme designed to promote SRHR of young male offenders to foster positive sexual and reproductive health and well-being in their own lives and that of their partners and (future) children.