Healthcare providers' perspectives on pregnancy experiences among sexual and gender minority youth.
Healthcare providers' perspectives on pregnancy experiences among sexual and gender minority youth.
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DOI：
10.1016/j.srhc.2022.100702
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发表时间：
2022-06
期刊：
影响因子：
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通讯作者：
Katz-Wise SL
中科院分区：
文献类型：
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作者：
Tabaac AR;Godwin EG;Jonestrask C;Charlton BM;Katz-Wise SL
采访为青少年人口服务的医疗保健提供者，了解他们对影响性和性别少数（SGM）青少年怀孕经历的因素的看法，包括关于性，关系和怀孕的决策。作为性取向、性别认同和怀孕经历（SLOPE）研究的一部分，对10名美国女性进行了半结构化访谈。有为SGM青少年和怀孕青少年提供护理经验的医疗保健提供者。访谈问题检查供应商的经验，照顾这一人口，包括他们的风险和保护因素影响SGM青年的怀孕预防，避免和决策过程的看法。录音访谈数据进行了分析，使用沉浸/结晶和主题分析方法。从医疗服务提供者的成绩单中确定了三个主题：1）关于青少年怀孕和性行为的文化规范，2）人际关系和家庭支持，3）性教育，性和生殖保健的获得，以及性健康公平。结合性健康教育和医疗保健服务，医疗保健提供者描述了许多社会背景，如同龄人，家庭和社区，相互作用，并与青少年的发展，形成怀孕前的做法和怀孕决策过程。未来的研究，实践和关于青少年怀孕的性健康信息将受益于承认社会身份和地位，结构性偏见之间的复杂相互作用，以及社区和人际因素的微妙多样性，包括性保健环境中的因素，如提供者-患者沟通和性教育交付-这塑造了SGM青年的约会和性经验。
To interview healthcare providers who serve adolescent populations to learn their perspectives on the factors that influence the continuum of sexual and gender minority (SGM) youth’s pregnancy expaeriences, including decision-making about sex, relationships, and pregnancy. As part of the SexuaL Orientation, Gender Identity, and Pregnancy Experiences (SLOPE) Study, semi-structured interviews were conducted with 10 U.S.-based healthcare providers who had experience providing care for both SGM youth and pregnant youth. Interview questions examined providers’ experiences caring for this population, including their perceptions of the risk and protective factors influencing SGM youth’s pregnancy prevention, avoidance, and decision-making processes. Audio-recorded interview data were analyzed using immersion/crystallization and thematic analysis methods. Three themes were identified from the healthcare providers’ transcripts: 1) Cultural norms about adolescent pregnancy and sexuality, 2) Interpersonal relationships and family support, 3) Sex education, sexual and reproductive healthcare access, and sexual health equity. In conjunction with sexual health education and healthcare access, healthcare providers described many social contexts—like peers, family, and communities—that interact with each other and with adolescent development to shape pre-conception practices and pregnancy decision-making processes. Future research, practice, and sexual health messaging about adolescent pregnancy would benefit from acknowledging the complex interplay among social identities and positions, structural prejudice, and the nuanced diversity in community and interpersonal factors—including those in sexual healthcare settings, like provider-patient communication and sex education delivery—that shape SGM youth’s dating and sexuality experiences.