Parents' Experiences and Sexual Topics Discussed with Adolescents in the Accra Metropolis, Ghana: A Qualitative Study
Parents' Experiences and Sexual Topics Discussed with Adolescents in the Accra Metropolis, Ghana: A Qualitative Study
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DOI：
10.1155/2018/5784902
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发表时间：
2018-11-01
影响因子：
4.1
通讯作者：
Adanu, Richard M. K.
中科院分区：
文献类型：
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作者：
Baku, Elizabeth AKu;Agbemafle, Isaac;Adanu, Richard M. K.
背景传统上，关于性的讨论在谚语中被淡化，并且是专门针对成年人的。然而，青少年也需要关于其性行为的信息，以便就性行为作出知情的选择。因此，本研究旨在探讨加纳阿克拉大都会的父母与青少年讨论性话题的经验。方法.这是一项定性研究，采用焦点小组讨论（FGD）和深入访谈（IDI），以评估父母的经验，讨论性与青少年的主题。FGD由8-12名父母组成，分别对一个“所有父亲”组，然后是另一个“所有母亲”组，最后是“父亲和母亲”组进行。不属于FGD的父母参与了IDIs。人工转录和分析数据。结果大多数父母与青少年的性讨论都是基于身体变化、个人卫生、禁欲、堕胎和对强迫性行为说“不”。父母与青少年讨论性问题，以防止他们发生婚前性行为、怀孕和性传播感染。父母从书籍、电视、广播和个人经历中获得有关性的知识。父母总是抓住电视镜头等机会与孩子讨论性话题。虽然一些家长表示，与青少年讨论性话题在一定程度上感到安慰，但许多人仍然难以解释与性有关的一些术语。在讨论性问题时，父母通常会保护女孩而不是男孩。大多数父母没有接受过性教育，但也有少数父母回忆过性方面的预防性建议。家长们认为，有关性问题的培训将有助于他们更好地与青少年讨论性话题。结论.加纳的父母优先与女儿讨论性问题，以此作为防止不负责任的性行为的一种保护手段。父母在讨论青少年性问题时仍然面临挑战;因此，使父母能够有效地讨论这些敏感问题将改善青少年的生殖健康和性行为。
Background. Traditionally, discussion about sexuality is subdued in proverbs and is earmarked for adults. However, adolescents also need information about their sexuality to make informed choices regarding sexual behaviours. This study, therefore, seeks to explore the experiences of parents discussing sexuality topics with adolescents in the Accra Metropolis, Ghana. Methods. This was a qualitative study that used focus group discussions (FGDs) and in-depth interviews (IDIs) to assess parents' experiences in discussing sexuality topics with adolescents. The FGDs, consisting of 8-12 parents each, were conducted for one "all fathers", then another "all mothers", and finally "fathers and mothers" groups. Parents who were not part of the FGDs were engaged in IDIs. The data was transcribed and analyzed manually. Results. Most of the parent-adolescent sexual discussions were based on physical changes, personal hygiene, abstinence, abortion, and saying "no" to forced sex. Parents discussed sexuality issues with adolescents to prevent them from premarital sex, pregnancy, and sexually transmitted infections. Parents sourced their knowledge about sexuality from books, television, radio, and personal experiences. Parents always seize opportunities such as television scenes to discuss sexual topics with their children. Although some parents expressed some level of comfort discussing sexual topics with adolescents, many still had difficulties explaining some terminologies related to sex. Preferentially, parents were protective of their girls than the boys when discussing issues on sexuality. Most parents received no sexuality education from their parents but a few reminisced precautionary advices on sex. Parents believed training on sexuality issues will help them to better discuss sexual topics with adolescents. Conclusions. Ghanaian parents preferentially discuss sex with their daughters as a protective tool against irresponsible sexual behaviours. Parents still have challenges discussing adolescent sexuality topics; hence equipping parents to effectively discuss such sensitive topics will improve adolescent reproductive health and sexual behaviour.