Facilitators and Barriers to Implementing Church-Based Adolescent Sexual Health Programs in Baltimore City.
Facilitators and Barriers to Implementing Church-Based Adolescent Sexual Health Programs in Baltimore City.
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DOI：
10.1016/j.jadohealth.2016.09.017
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
Blum RW
中科院分区：
文献类型：
--
作者：
Powell TW;Weeks FH;Illangasekare S;Rice E;Wilson J;Hickman D;Blum RW
黑人教堂是一个重要的社区资源，也是促进青少年健康的一个潜在的强有力的行动者。然而，有限的研究存在描述的因素，可能会影响成功实施循证青少年性健康计划在教会。在本研究中，一个多线人的方法被用来确定促进者和障碍，在黑人教堂实施青少年性健康计划。九个黑人教堂位于巴尔的摩，马里兰州，被招募参加这项研究。来自每个教会的主任牧师和青年敏斯特参加了一次深入访谈（N = 18）。共有45名青年（13-19岁）和38名家长参加了15个重点小组。定性数据逐字转录，并使用定性内容分析法进行分析。与会者一致认为，应向黑人教堂的青年提供全面的青少年性健康教育。他们还认为，应该在所有青少年性健康计划中讨论禁欲。讨论了三位主持人：广泛支持教会的青少年性健康教育、青年牧师对青年的积极影响以及作为教学工具的生活课程。描述了四个障碍：来自教会的明显抵制、青年人的不适、缺乏财政资源以及家庭中关于性健康的相互竞争的信息。我们的研究结果表明，教会是青少年性健康教育的一些家长和青少年的首选场所。研究结果也加强了以教会为基础的青少年性健康计划的可行性和可取性。
Black churches are an important community resource and a potentially powerful actor in adolescent health promotion. However, limited research exists describing the factors that may influence the successful implementation of evidence-based adolescent sexual health programs in churches. In the present study, a multi-informant approach was used to identify facilitators and barriers to implementing adolescent sexual health programs in black churches. Nine Black churches located in Baltimore, MD, were recruited to participate in this study. The senior pastor and youth minster from each congregation participated in an in-depth interview (N = 18). A total of 45 youth (ages 13–19 years) and 38 parents participated in 15 focus groups. Qualitative data were transcribed verbatim and analyzed using a qualitative content analytic approach. Participants agreed that comprehensive adolescent sexual health education should be available for youth in black churches. They also believed that abstaining from sex should be discussed in all adolescent sexual health programs. Three facilitators were discussed: widespread endorsement of church-based adolescent sexual health education, positive influence of youth ministers on youth, and life lessons as teaching tools. Four barriers are described: perceived resistance from congregants, discomfort among youth, lack of financial resources, and competing messages at home about sexual health. Our findings suggest that churches are a preferred place for adolescent sexual health education among some parents and youth. Study findings also reinforce the feasibility and desirably of church-based adolescent sexual health programs.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
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影响因子：
2.7
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发表时间：
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