Blood blockages and scolding nurses: Barriers to adolescent contraceptive use in South Africa
Blood blockages and scolding nurses: Barriers to adolescent contraceptive use in South Africa
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DOI：
10.1016/s0968-8080(06)27231-8
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发表时间：
2006-05-01
影响因子：
--
通讯作者：
Jewkes, Rachel
中科院分区：
文献类型：
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作者：
Wood, Kate;Jewkes, Rachel
南非三分之一的青春期女孩在20岁之前怀孕，尽管避孕是免费的，而且大部分人都可以获得。1997年在林波波省就青春期女孩获得避孕诊所服务的障碍进行了这项定性研究。对14-20岁的女孩进行了35次深入访谈和5次小组讨论，并采访了14家诊所的护理人员。许多女孩描述了来自男性伴侣和家庭成员的压力，要求他们生孩子或证明自己的生育能力。持续使用避孕药的其他障碍包括对怀孕方式的医学上不准确的概念，以及对避孕对生育和月经的影响的担忧，这些都没有得到护士的认真对待。护士试图污蔑青少年的性行为，她们对青春期女孩的斥责和严厉对待，以及她们不愿承认青少年作为避孕药使用者的经历，破坏了女孩有效地使用避孕措施。青年需要更多关于生殖生理和性健康的信息，以及关于避孕的详细信息。在临床环境中提高知识的准确性和可获得性的工具是有作用的，但需要在采取举措的同时，确保服务是对青少年友好的，不使青少年的性行为蒙羞。(C)2006年生殖健康问题。版权所有。
A third of adolescent girls in South Africa become pregnant before the age of 20, despite contraception being free and mostly accessible. This qualitative study was undertaken in Limpopo Province in 1997 on the barriers to adolescent girls accessing clinic services for contraception. Thirty-five in-depth interviews and five group discussions were conducted with girls aged 14-20, and interviews with nursing staff at 14 clinics. Many of the girls described pressure from male partners and family members to have a baby or prove their fertility. Other barriers to sustained contraceptive use included medically inaccurate notions about how conception occurs and fears about the effects of contraception on fertility and menstruation, which were not taken seriously by nurses. Nurses' attempts to stigmatise teenage sexuality, their scolding and harsh treatment of adolescent girls, and their unwillingness to acknowledge adolescents' experiences as contraceptive users, undermined the effective use of contraception by girls. Youth need better information on reproductive physiology and sexual health, and detailed information on contraception. Tools to enhance the accuracy and availability of knowledge in the clinic setting have a role, but need to be introduced along with initiatives to ensure that services are adolescent-friendly and do not stigmatise adolescent sexual activity. (c) 2006 Reproductive Health Matters. All rights reserved.