"My partner was not fond of using condoms and I was not on contraception": understanding adolescent mothers' perspectives of sexual risk behaviour in KwaZulu-Natal, South Africa
"My partner was not fond of using condoms and I was not on contraception": understanding adolescent mothers' perspectives of sexual risk behaviour in KwaZulu-Natal, South Africa
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DOI：
10.1186/s12889-020-08474-2
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发表时间：
2020-03-18
影响因子：
4.5
通讯作者：
Taylor, Myra
中科院分区：
文献类型：
--
作者：
Govender, Desiree;Naidoo, Saloshni;Taylor, Myra
青少年怀孕一直是公共卫生领域的一个持续关注的领域。关于青少年危险性行为的辩论也变得突出，因为调查结果表明，15至19岁的少女生下1 600万婴儿，占加勒比和非洲区域艾滋病毒新感染者的62%。危害健康的行为往往在青春期形成，但未成年母亲的性健康和生殖健康往往在保健领域被边缘化。本研究的目的是探讨青少年母亲的性风险行为的理解。方法采用描述性质性研究设计。为了收集数据，与16-19岁的青少年母亲进行了四次焦点小组讨论。18名青少年母亲是从南非夸祖鲁-纳塔尔的乌古区的一家医院采用目的抽样技术招募的。采用专题分析法对数据进行了分析。结果这项研究表明，从事危险的性行为的决定是受同龄人的压力，毒品和酒精，性实验，神话避孕，媒体，父母的监督和权力性别动态差，贫困导致交易性行为，年轻女孩的脆弱性，并害怕合作伙伴拒绝。结论本研究结果将有助于更好地了解青少年母亲的性风险行为的观点。在性健康和生殖健康问题上，不应忽视青少年对文化和社会建议的自主权。由于她们的脆弱性，青春期妇女面临性交易，特别是由于贫穷，青春期妇女被迫与年长男子发生性关系，以此作为生存手段。此外，采取干预措施，遏制产后危险性行为，对于保护少女和母亲免受艾滋病毒/艾滋病感染十分重要。青春期妇女的性教育和生殖教育应侧重于复原力、谈判技巧和保护性决策。应鼓励合作努力遏制年轻妇女的性冒险行为，并应让教育、社会和临床领域的有关人员参与。
Background Adolescent pregnancy has been a persistent area of interest and concern in the field of public health. The debate about adolescents' sexual risk behaviour has also gained prominence due to findings that have demonstrated that adolescent girls between 15 and 19 years of age give birth to 16 million infants and account for 62% of new HIV infections in the Caribbean and African regions. Health compromising behaviours often develop in adolescence, yet the sexual and reproductive health of adolescent mothers is often marginalised in the healthcare field. The aim of this study was to explore adolescent mothers' understanding of sexual risk behaviour. Methods The study employed a descriptive qualitative design. To collect the data, four focus group discussions were conducted with adolescent mothers aged 16-19 years. The eighteen adolescent mothers were recruited using purposive sampling technique from a hospital in the Ugu district in KwaZulu-Natal, South Africa. Data were analysed using thematic analysis. Results The study revealed that decisions to engage in risky sexual behaviour is influenced by peer pressure, drugs and alcohol, sexual experimentation, myths about contraception, the media, poor parental supervision and power gender dynamics, poverty leading to transactional sex, the vulnerability of young girls, and the fear of partner rejection. Conclusion The findings of this study will contribute to a better understanding of adolescent mothers' perspectives of sexual risk behaviour. In the subject matter of sexual and reproductive health, adolescents' autonomy with respect to cultural and social recommendations should not be sidelined. Due to their vulnerability, adolescent women are exposed to transactional sex, and it is particularly due to poverty that adolescent women are driven into sexual relations with older men as a means of survival. Moreover, interventions to curb postpartum sexual risk behaviour are important to protect adolescent women and mothers against HIV/AIDS. The sexual and reproductive education of adolescent women should focus on resilience, negotiating skills, and protective decision making. Collaborative efforts to curb sexual risk taking by young women should be encouraged and should involve relevant agents from the educational, social and clinical fields.