Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people's sexual health interventions.
Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people's sexual health interventions.
复制标题
DOI：
10.1186/1742-4755-7-6
复制
发表时间：
2010-05-12
影响因子：
3.4
通讯作者：
Stones W
中科院分区：
文献类型：
--
作者：
Wamoyi J;Fenwick A;Urassa M;Zaba B;Stones W
许多关于年轻人和艾滋病毒/艾滋病预防的方案都把重点放在校内，并通过学校传播性健康和生殖健康信息，但针对年轻人家庭的活动有限。人们一直认为非洲家庭的父母不会与孩子谈论性健康和生殖健康（SRH）。这些方法的成功有限，因为未能考虑到年轻人的家庭背景和父母的影响。本文探讨了坦桑尼亚农村地区14-24岁家庭中关于性健康和生殖健康的亲子沟通、与14-24岁孩子沟通的内容、时机和原因。这项研究采用了人种学研究设计。数据收集涉及8周的参与观察、17次焦点小组讨论以及46次对14-24岁青少年及其家长的深度访谈。借助 NVIVO 7 软件进行主题分析。大多数家庭都有关于性健康和生殖健康的亲子沟通。沟通主要是在同性基础上（母女，很少是父子或父女），并采取警告、威胁和体罚的形式。沟通是由父母看到或听到一些负面的、不希望孩子经历的事情（例如艾滋病毒死亡和未婚年轻人怀孕）引发的。尽管大多数年轻人对母亲的态度比对父亲的态度更放松，但由于担心受到惩罚，他们对自己可以告诉父母的事情缺乏信任。由于缺乏适当的知识和限制异性之间互动的文化规范，父母在性健康和生殖健康方面的交流受到限制。由于艾滋病毒大流行的后果，父母正在尝试与孩子就性健康和生殖健康问题进行沟通。然而，他们受到文化障碍和缺乏适当知识的限制。通过一些关于沟通和性健康和生殖健康的技能培训，父母可能成为向孩子传达和加强艾滋病毒/艾滋病预防信息的自然途径。
Many programmes on young people and HIV/AIDS prevention have focused on the in-school and channeled sexual and reproductive health messages through schools with limited activities for the young people's families. The assumption has been that parents in African families do not talk about sexual and reproductive health (SRH) with their children. These approach has had limited success because of failure to factor in the young person's family context, and the influence of parents. This paper explores parent-child communication about SRH in families, content, timing and reasons for their communication with their children aged 14-24 years in rural Tanzania. This study employed an ethnographic research design. Data collection involved eight weeks of participant observation, 17 focus group discussions and 46 in-depth interviews conducted with young people aged 14-24 years and parents of young people in this age group. Thematic analysis was conducted with the aid of NVIVO 7 software. Parent-child communication about SRH happened in most families. The communication was mainly on same sex basis (mother-daughter and rarely father-son or father-daughter) and took the form of warnings, threats and physical discipline. Communication was triggered by seeing or hearing something a parent perceived negative and would not like their child to experience (such as a death attributable to HIV and unmarried young person's pregnancy). Although most young people were relaxed with their mothers than fathers, there is lack of trust as to what they can tell their parents for fear of punishment. Parents were limited as to what they could communicate about SRH because of lack of appropriate knowledge and cultural norms that restricted interactions between opposite sex. Due to the consequences of the HIV pandemic, parents are making attempts to communicate with their children about SRH. They are however, limited by cultural barriers, and lack of appropriate knowledge. With some skills training on communication and SRH, parents may be a natural avenue for channeling and reinforcing HIV/AIDS prevention messages to their children.
登录
查看更多内容
影响因子：
5.4
作者：
Lesch, E;Kruger, LM
通讯作者：
Kruger, LM
影响因子：
3.3
作者：
Cowan, Frances M.;Pascoe, Sophie J. S.;Hayes, Richard J.
通讯作者：
Hayes, Richard J.
影响因子：
5.4
作者：
Mbugua, Njeri
通讯作者：
Mbugua, Njeri
影响因子：
5.1
作者：
Crosby, RA;DiClemente, RJ;Oh, MK
通讯作者：
Oh, MK
DOI：
10.1363/3005804
发表时间：
2004-06-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Erulkar, AS;Ettyang, LIA;Muyonga, A
通讯作者：
Muyonga, A