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3.
BMC Health Serv Res ; 20(1): 42, 2020 Jan 16.
Artículo en Inglés | MEDLINE | ID: mdl-31948452

RESUMEN

BACKGROUND: The youths in Zambia have limited access to information concerning Sexual Reproductive Health (SRH) and this puts them at risk of unwanted pregnancies. Talking about other methods of preventing pregnancy or sexually transmitted infections than abstinence is regarded as culturally unacceptable. The Research Initiative to Support the Empowerment of Girls (RISE) is a cluster randomised controlled trial testing the effectiveness of different support packages on teenage pregnancies, early marriages and school drop-out rates. One of the support packages included youth clubs focusing on Comprehensive Sexual and Reproductive Health Education (CSRHE). Although similar interventions have been implemented in other settings, their integration process has been complex and comprehensive assessments of factors shaping acceptability of CSRHE are lacking. This article qualitatively aimed at identifying factors that shaped the acceptability of CSRHE youth clubs in rural schools in Central Province. METHOD: A qualitative case study was conducted after the youth clubs had been running for a year. Data were gathered through eight focus group discussions with grade eight pupils and eight individual interviews with teachers. Data were analysed using thematic analysis. RESULTS: The perceived advantage and simplicity of the clubs related to the use of participatory learning methods, films and role plays to communicate sensitive reproductive health information made the learners like the youth clubs. Further, the perceived compatibility of the content of the sessions with the science curriculum increased the learners' interest in the youth clubs as the meetings also helped them to prepare for the school examinations. However, cultural and religious beliefs among teachers and parents regarding the use of contraceptives complicated the delivery of reproductive health messages and the acceptability of youth clubs' information among the learners. CONCLUSION: The study indicated that CSRHE youth clubs may be acceptable in rural schools if participatory learning methods are used and head-teachers, teachers as well as parents appreciate and support the clubs.


Asunto(s)
Aceptación de la Atención de Salud/psicología , Salud Reproductiva/educación , Población Rural , Servicios de Salud Escolar/organización & administración , Salud Sexual/educación , Adolescente , Adulto , Femenino , Grupos Focales , Humanos , Masculino , Persona de Mediana Edad , Embarazo , Embarazo en Adolescencia/prevención & control , Investigación Cualitativa , Población Rural/estadística & datos numéricos , Enfermedades de Transmisión Sexual/prevención & control , Zambia
4.
Med. infant ; 26(4): 358-363, dic. 2019. Tab
Artículo en Español | LILACS | ID: biblio-1047047

RESUMEN

Introducción: Según el Plan Nacional de Prevención del Embarazo no Intencional en la Adolescencia en Argentina, 109 mil adolescentes y 3 mil niñas menores de 15 años, tienen un hijo cada año. Los factores son múltiples, pero el más importante y frecuente es la falta de educación sexual integral. Objetivos: 1- Evaluar el conocimiento sobre salud sexual y reproductiva antes y después de un taller dirigido a madres y padres internados con sus hijos. 2- Detectar si hubo diferencia entre los padres y madres según la edad. Material y métodos: estudio observacional, descriptivo, analítico, longitudinal, prospectivo y antes- después. Se incluyeron madres y padres con sus hijos internados que realizaron el taller por primera vez. Los padres y madres participantes fueron categorizados en función de la edad en menores de 19 años y 11 meses (Gr1= adolescentes) e igual o mayor a 20 años (Gr2= jóvenes/adultos). Se analizaron las variables: edad, sexo, lugar de residencia, si recibió información sobre salud sexual y reproductiva y cuál fue la fuente de la misma. Se aplicó una encuesta autoadministrada con 12 preguntas sobre métodos anticonceptivos, infecciones de transmisión sexual (ITS) y derechos sexuales y reproductivos y se analizaron los datos antes y después de la intervención. Resultados: Se encuestaron a 116 padres que cumplían los criterios y accedieron a participar. (Gr1 = 24 y Gr2 = 92) Mediana de edad: 22 años (15-47). Un 53% refirió haber recibido anteriormente información, 30% de la escuela observándose un desconocimiento previo de la temática antes del taller independiente de la edad. La intervención realizada en el taller aumentó significativamente los conocimientos en ambos grupos. Conclusión: La estrategia educativa debe centrarse en participación e integración. La metodología de taller es la más adecuada, ya que facilita el debate y posibilita la adquisición de competencias y habilidades, además de aportar conceptos teóricos (AU)


Introduction: According to the National Unintentional Pregnancy Prevention Plan in Adolescence in Argentina, yearly 109 thousand adolescents and 3 thousand girls under 15 years of age give birth. Multiple factors are involved; however, the most common and important is the lack of integrated sexual education. Objectives: 1- To evaluate the knowledge on sex and reproductive health before and after a a workshop addressed to mothers and fathers of hospitalized children. 2- To detect if there was a difference between mothers and fathers regarding age. Material and methods: A prospective, longitudinal, analytical, descriptive, observational beforeand-after study was conducted. Mothers and fathers of hospitalized children who participated in the workshop for the first time were included. The participating mothers and fathers were categorized according to age into younger than 19 years and 11 months (Gr1= adolescents) and 20 years or older (Gr2= young/adults). The following variables were analyzed: age, sex, place of origin, whether or not the person received sex and reproductive health education, and the source of sex and reproductive health information. A selfadministered survey was used with 12 questions on contraceptive methods, sexually transmissible diseases (STDs), and sex and reproductive rights and data were analyzed before and after the intervention. Results: 116 parents who met the inclusion criteria and agreed to participate were surveyed. (Gr1 = 24 and Gr2 = 92) Median age: 22 años (15-47). Overall, 53% reported having received prior information. 30% of whom had received information at school. A previous lack of knowledge on the topic was observed before attending the workshop regardless of age. The intervention of the workshop significantly increased the knowledge in both groups. Conclusion: The educational strategy should be focused on participation and integration. The methodology of a workshop is the most adequate as it facilitates debate and acquisition of competencies and skills and additionally provides theoretical concepts (AU)


Asunto(s)
Humanos , Adolescente , Adulto , Persona de Mediana Edad , Padres/educación , Embarazo en Adolescencia/prevención & control , Educación Sexual/métodos , Derechos Sexuales y Reproductivos , Planificación Familiar , Salud Sexual/educación , Estudios Prospectivos , Encuestas y Cuestionarios , Estudios Longitudinales
5.
Afr J Reprod Health ; 23(3): 134-148, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31782638

RESUMEN

Teenage pregnancy and the prevalence of HIV among school girls are very high in South Africa, despite the introduction of sexuality education in schools since 2002. A qualitative approach of inquiry was used to investigate challenges faced by schools offering sexuality education in Mahikeng, South Africa. Four school principals, seven teachers and 39 learners were interviewed. The curriculum on sexuality education indicates that sexual matters are introduced to learners only when they reach Grade 8, whereas pregnancy is already common among girls as early as Grade 3. Participants from all groups represented in the study revealed that Life Orientation was not taken seriously in schools compared to other subjects. Although learners are very much interested in the subject matter, there were no qualified teachers and the content of the curriculum is very shallow. In addition, schools paid very little attention to this subject since it is not considered for admission into tertiary institutions. There is need, therefore, for the South African government to revise the curriculum content and presentation of Life Orientation to ensure the improvement of sexuality education in schools. The appropriate age-specific topics on sexual matters for learners should also be revised and the qualification of teachers considered.


Asunto(s)
Curriculum , Conocimientos, Actitudes y Práctica en Salud , Embarazo en Adolescencia/prevención & control , Educación Sexual , Adolescente , Femenino , Humanos , Masculino , Embarazo , Instituciones Académicas , Sudáfrica , Estudiantes , Encuestas y Cuestionarios
6.
J Pediatr Adolesc Gynecol ; 32(5S): S2-S6, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31585615

RESUMEN

Although adolescent pregnancy and birth rates have been declining since the early 1990s, the rate of intrauterine device (IUD) use in adolescents remain low. IUDs are a highly effective contraceptive method with a failure rate of less than 1%. There are currently 5 IUDs available and marketed in the United States: the nonhormonal copper-containing IUD (Paragard Copper T380A; Ortho-McNeil) and 4 hormonal levonorgestrel-releasing intrauterine systems (LNG-IUDs). IUDs can be used in adolescents, and the LNG-IUD has many noncontraceptive benefits including the treatment of heavy menstrual bleeding, dysmenorrhea, pelvic pain/endometriosis, and endometrial hyperplasia/endometrial cancer. In addition, the LNG-IUD is an effective tool for suppression of menses.


Asunto(s)
Anticoncepción/estadística & datos numéricos , Anticonceptivos Femeninos/uso terapéutico , Dispositivos Intrauterinos/clasificación , Adolescente , Dismenorrea/tratamiento farmacológico , Endometriosis/tratamiento farmacológico , Femenino , Humanos , Menorragia/tratamiento farmacológico , Menstruación/efectos de los fármacos , Embarazo , Embarazo en Adolescencia/prevención & control
7.
J Pediatr Adolesc Gynecol ; 32(5S): S30-S35, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31585616

RESUMEN

Adolescents are at high risk for unintended pregnancy and rapid repeat pregnancy, both of which can be associated with negative health and social outcomes. Intrauterine device (IUD) use has been shown to decrease unintended pregnancy and rapid repeat pregnancy. Evidence supports IUD insertion postabortion and postpartum as safe and practical for nearly all women, including adolescent and young adult women. Providers of adolescent gynecology can play an important role in decreasing repeat and unintended pregnancy among adolescents by increasing access to IUDs, reducing barriers to care, and providing IUDs immediately postabortion and postpartum.


Asunto(s)
Cuidados Posteriores/métodos , Anticoncepción/métodos , Ginecología/métodos , Accesibilidad a los Servicios de Salud , Dispositivos Intrauterinos , Aborto Inducido , Adolescente , Femenino , Humanos , Periodo Posparto , Embarazo , Embarazo en Adolescencia/prevención & control , Embarazo no Planeado , Adulto Joven
8.
J Pediatr Adolesc Gynecol ; 32(5S): S7-S13, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31585618

RESUMEN

Professional organizations agree that adolescents are good candidates for intrauterine device (IUD) use. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists affirm that IUDs should be considered first-line as contraceptive methods for adolescents. Although the number of teens using IUDs is growing, multiple barriers remain, including systems, and patient- and provider-level obstacles. Only through concerted efforts and a committed action plan will adolescents achieve better access to IUDs.


Asunto(s)
Accesibilidad a los Servicios de Salud , Dispositivos Intrauterinos/estadística & datos numéricos , Anticoncepción Reversible de Larga Duración/métodos , Adolescente , Femenino , Ginecología/educación , Ginecología/métodos , Conocimientos, Actitudes y Práctica en Salud , Humanos , Guías de Práctica Clínica como Asunto , Embarazo , Embarazo en Adolescencia/prevención & control
9.
Psychiatr Danub ; 31(Suppl 3): 400-405, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31488760

RESUMEN

BACKGROUND: Teenage pregnancies occur frequently in developing countries and are associated with social issues, including poverty, lower levels of health and educational attainment. Although frequent in European countries in the 20th century today, teenage pregnancies account for only 4% of first children. These pregnancies are usually unplanned and they are considered a vulnerability factor during the pregnancy and the postnatal period, both for the mother and the child. The purpose of our study was to evaluate the evolution of mothers and children of teenage pregnancies, several years after childbirth and to identify factors which may protect or increase the patient's vulnerability. SUBJECTS AND METHODS: We conducted a retrospective search in our patient database in order to identify all teenage pregnancies between 2010-2014 at CHU Brugmann Hospital. Outcome date data were obtained from the medical files. Mothers were contacted by phone and asked to complete our questionnaire which focused on maternal and paediatric care; and infant and child development after hospitalization. RESULTS: Out of the 342 patients identified, 84 patients were contactable and only 72 patients completed the full questionnaire. With only 4 patients originating from Belgium, our population was largely immigrant. Despite this, obstetrical, maternal and paediatric outcomes were remarkably favorable when compared to other published studies. CONCLUSION: Our study suggests that some migrant teenage mothers may have a dual advantage in terms of the wealth of a developed country in which have settled and the low social stigma related to their country of origin. More research needs to be done to further investigate this hypothesis.


Asunto(s)
Embarazo en Adolescencia/prevención & control , Embarazo en Adolescencia/estadística & datos numéricos , Migrantes/estadística & datos numéricos , Adolescente , Bélgica/epidemiología , Niño , Femenino , Humanos , Lactante , Recién Nacido , Embarazo , Factores Protectores , Estudios Retrospectivos
10.
Aten. prim. (Barc., Ed. impr.) ; 51(7): 424-434, ago.-sept. 2019. tab, graf
Artículo en Español | IBECS | ID: ibc-185730

RESUMEN

Objetivo: Evaluar la efectividad de las intervenciones educativas dirigidas a prevenir el embarazo en la adolescencia. Diseño: Revisión sistemática. Fuentes de datos: Se consultaron las bases de datos PubMed, CINAHL, Scopus, Cuiden Plus, LILACS e IME para buscar estudios sobre intervenciones educativas para la prevención del embarazo en la adolescencia. Selección de estudios: Se seleccionaron un total de 24 investigaciones primarias, donde se evaluaba el efecto de un programa educativo para la prevención del embarazo en la adolescencia. La calidad de los estudios seleccionados se evaluó usando la escala CASPe. Resultados: Los programas educativos que midieron una modificación de la tasa de embarazo en la adolescencia muestran resultados poco concluyentes, ya que 2 investigaciones obtienen una reducción y otros 2 no hallan cambios significativos. Sin embargo, los programas educativos se muestran efectivos para aumentar el nivel de conocimiento sobre sexualidad y métodos anticonceptivos, y para modificar las actitudes sobre el riesgo de embarazo en la adolescencia o las actitudes hacia el uso de los métodos anticonceptivos. No se encuentran diferencias estadísticamente significativas entre los estudios que muestran un resultado positivo y los estudios con resultado negativo (p > 0,05) para ninguno de los resultados analizados en la revisión. Conclusión: No existe una modalidad de intervención que sea la más efectiva para la prevención de un embarazo en la adolescencia. Se necesita un mayor número de investigaciones con un abordaje longitudinal que valoren no solo resultados intermedios, sino una modificación en la tasa de embarazo


Objective: To assess the effectiveness of the interventions to prevent a pregnancy in adolescence. Design: Systematic review. Data sources: The following databases were consulted: PubMed, CINAHL, Scopus, Cuiden Plus, LILACS, and IME, in order to identify interventions aimed at preventing a pregnancy in adolescence. Study selection: A total of 24 primary investigations, in which an educational program to prevent a pregnancy in the adolescence was evaluated, were selected. The quality of the selected studies was assessed according to the CASPe scale. Results: Educational programs for the modification of the teenage pregnancy rate show inconclusive results, as there are 2 studies that find a reduction, and 2 that find that there are no significant changes. For secondary outcomes, it was found that educational programs are effective for increasing the knowledge level about sexuality and contraceptive methods and changing attitudes about the risk of a teenage pregnancy or the use of contraceptive methods. There are no statistically significant differences between the studies with a positive and negative outcome (P > .05) for any of the results analysed in this review. Conclusion: There is no a single intervention modality that is the most effective for prevention of a teenage pregnancy. More research is needed with a longitudinal approach that assess not only intermediate results, but also a modification in the pregnancy rate


Asunto(s)
Humanos , Femenino , Adolescente , Efectividad Anticonceptiva , Embarazo en Adolescencia/prevención & control , Prevención Primaria , Educación Sexual/métodos , Factores de Riesgo , Salud Sexual/estadística & datos numéricos , Anticoncepción
11.
Reprod Health ; 16(1): 124, 2019 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-31416450

RESUMEN

BACKGROUND: Adolescent pregnancy is a worldwide problem because of its health, social, economic and political repercussions on the globe. Even though the rates of adolescent pregnancy have declined over the decade, there is still unacceptably high rates especially in lower and middle-income countries including Ghana. Although the problem has been widely investigated, there is little information on the effectiveness of different methods to improve adolescent sexual abstinence based on theoretical models. This study is aimed to assess an educational intervention program on sexual abstinence based on the Health Belief Model (HBM) among adolescent girls in Northern Ghana. METHODS: A cluster randomized control trial was conducted in Ghana from April to August 2018. Participants within the ages of 13-19 years were enrolled voluntarily from six randomly selected Senior High Schools (3 for intervention and 3 for control). A total of 363 adolescent were enrolled. A self-structured questionnaire was administered to both groups of participants at baseline and endpoint of the study. Control participants received their normal classes whiles the intervention group additionally received comprehensive sexuality education for 1 month. Qualified midwives conducted the health education program. At least two sessions were conducted for each participating class weekly. The lessons focused on perceived susceptibility, perceived severity of adolescent pregnancy, perceived benefits, perceived barriers to adolescent pregnancy prevention, personal and family values, perceived self-efficacy and knowledge of contraceptives. Educational strategies such as discussions, demonstrations, role-play and problem solving techniques were used to deliver the lessons. Sexual abstinence was the outcome variable of the study and it was measured after 3 months of the intervention. Binary logistic regression was used to assess the impact of the intervention on sexual abstinence practice. RESULTS: At baseline, there was no difference between control and intervention groups. The mean score of Knowledge and attitude for control were (58.17 and 139.42) and intervention (60.49 and 141.36) respectively. Abstinence practice was 69.4% for control and 71.6% in the intervention group. However, after the intervention, the mean score of knowledge and attitude for control were (87.58 and 194.12) respectively. Sexual abstinence in the control was 84.4% and intervention was 97.3% respectively. The educational interventions resulted in a significant difference in sexual abstinence between intervention and control groups (OR = 13.89, 95% Confidence Interval (2.46-78.18, P < 0.003). CONCLUSION: Educational intervention, which was guided by HBM, significantly improved sexual abstinence and the knowledge of adolescents on pregnancy prevention among the intervention group. Provision of comprehensive sex education guided by behavioural theories to adolescents at Senior High Schools in Ghana is recommended. TRIAL REGISTRATION: This trial was retrospectively registered in Protocol Registration and Results System (PRS) with trial number NCT03384251 .


Asunto(s)
Actitud Frente a la Salud , Conocimientos, Actitudes y Práctica en Salud , Modelos Estadísticos , Embarazo en Adolescencia/prevención & control , Educación Sexual , Abstinencia Sexual/estadística & datos numéricos , Adolescente , Adulto , Cultura , Femenino , Educación en Salud , Promoción de la Salud , Humanos , Embarazo , Estudios Retrospectivos , Abstinencia Sexual/psicología , Encuestas y Cuestionarios , Adulto Joven
12.
Sex Reprod Healthc ; 21: 15-20, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31395228

RESUMEN

OBJECTIVES: Unsafe abortions are a reproductive health problem in low-income countries, but can be prevented by decreasing unintended pregnancies. The objective was to describe health care providers' (HCPs) perceptions of family planning and contraception education for adolescents in Kampala, Uganda. STUDY DESIGN: A qualitative study with a semi-structured interview guide was used for individual face-to-face interviews. Eight participants from two different Non-governmental organisations were interviewed. Qualitative content analysis was used to analyse the data. RESULTS: Data analysis resulted in three main categories of HCP perceptions: counseling, education and availability; peer-educators and community leaders; and stigma, inequality and myths. The providers emphasized the importance to discuss and eradicate the myths and misconceptions among adolescents regarding family planning methods by giving information, preferably at early ages. Peer-educators and community leaders were the most successful methods for accessing and involving the community. Approaches mentioned for reaching out to adolescents included involving parents, using social media, and offering education in schools. Furthermore, the providers highlighted to involve the males in family planning. CONCLUSIONS: Health care providers emphasized the importance to discuss and eradicate the myths and misconceptions among adolescents regarding different family planning methods by education in school and information in sexual and reproductive health.


Asunto(s)
Servicios de Planificación Familiar , Personal de Salud/psicología , Embarazo en Adolescencia/prevención & control , Educación Sexual , Adolescente , Anticoncepción/efectos adversos , Anticoncepción/métodos , Consejo , Femenino , Accesibilidad a los Servicios de Salud , Humanos , Entrevistas como Asunto , Masculino , Partería , Percepción , Embarazo , Investigación Cualitativa , Estigma Social , Servicio Social , Uganda , Adulto Joven
13.
Rev Bras Enferm ; 72(4): 1007-1012, 2019 Aug 19.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31432959

RESUMEN

OBJECTIVE: To verify the association between sex (male and female) and sociodemographic, reproductive and sexual variables in teenagers and identify the highest rates of social and health issues among them. METHOD: This was a cross-sectional study conducted with 239 adolescents enrolled in a public school of Salvador, Bahia, Brazil, whose data were produced by applying a structured form processed in Stata. RESULTS: The research indicated an association between females and higher education level (p = 0.02), living with both parents (p = 0.02) and a higher rate of mental, social and behavioral issues. Being a man was associated with sexual initiation (p = 0.00), which occurred before they turned 14 years old (p = 0.05). CONCLUSION: The study variables behave, depending on sex, with smaller or greater chances of experiencing harmful situations, this understanding being essential for subsidizing educational activities that promote the quality of life of teenagers.


Asunto(s)
Demografía/estadística & datos numéricos , Estado de Salud , Factores Sexuales , Clase Social , Adolescente , Conducta del Adolescente/psicología , Brasil/epidemiología , Niño , Estudios Transversales , Demografía/métodos , Femenino , Humanos , Masculino , Embarazo , Embarazo en Adolescencia/prevención & control , Embarazo en Adolescencia/psicología , Enfermería en Salud Pública/métodos , Asunción de Riesgos , Educación Sexual/métodos , Conducta Sexual/psicología , Adulto Joven
14.
BMC Med Ethics ; 20(1): 45, 2019 07 04.
Artículo en Inglés | MEDLINE | ID: mdl-31272489

RESUMEN

BACKGROUND: There is a need for empirically based research on social and ethical challenges related to informed consent processes, particularly in studies focusing on adolescent sexual and reproductive health. In a pilot study of a school-based pregnancy prevention intervention in rural Zambia, the majority of the guardians who were asked to consent to their daughters' participation, refused. In this paper we explore the reasons behind the low participation in the pilot with particular attention to challenges related to the community engagement and informed consent process. METHODS: The pilot was implemented in two schools and examined the acceptability of a package of interventions including economic support to families to keep their girls in school, pocket money for girls, youth club meetings on reproductive health, and community meetings to sensitize the community. Focus group discussions (4) were conducted with girls who participated in the pilot, boys in their class and with parents. Individual semi-structured interviews (11) were conducted with teachers, peer educators and community health workers involved in the coordination of the intervention as well as with religious and traditional leaders. Data were analyzed through thematic analysis. RESULTS: The findings indicate that inadequate use of recognized community communication channels during the community engagement process and dissemination of information about the pilot resulted in limited understanding of the pilot concept by the community. This surfaced through uncertainty and fear that the intervention may result in loss of control over daughters, worries about why money was provided unconditionally to girls, and suspicion of links to satanism. The sense of insecurity appeared to be exacerbated by low literacy levels, poverty, fear of loss of bride wealth, perceived disregard for local perceptions of social status, and scanty trust in the actors implementing the pilot. CONCLUSIONS: Inadequate use of locally appropriate channels in the dissemination of information created room for interpretation and facilitated development of mistrust, undermining the conditions for community engagement and actual informed consent. A key lesson learnt is the importance of taking seriously the complexity of local values and structures that may impact people's capability to consent or not consent to a study in an informed manner.


Asunto(s)
Participación de la Comunidad , Consentimiento Informado , Adolescente , Participación de la Comunidad/métodos , Cultura , Femenino , Grupos Focales , Humanos , Consentimiento Informado/ética , Entrevistas como Asunto , Masculino , Proyectos Piloto , Embarazo , Embarazo en Adolescencia/ética , Embarazo en Adolescencia/prevención & control , Población Rural , Servicios de Salud Escolar/ética , Adulto Joven , Zambia
15.
Int Nurs Rev ; 66(3): 416-424, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31106416

RESUMEN

AIM: The aim of this study was to explore and describe how peer pressure and coercion to sexual activity manifested among adolescents in a district in South African and how primary healthcare nurses could support them to resist it. BACKGROUND: When adolescents engage in early sexual activity, unplanned pregnancies and sexual transmitted infections become health threats. Notwithstanding the governmental health promotion programmes to improve the sexual health of the youth in South Africa, adolescents are still having unprotected sex and even multiple sex partners. METHODS: A constructivist grounded theory study was done. The initial sample consisted of 10 adolescents and nine professional nurses who were selected from six primary healthcare clinics in the identified district. Constant comparative data collection and analysis were done to identify the initial codes that were theoretically saturated through another round of data collection and analysis involving five participants (four professional nurses and one health educator). FINDINGS: The findings of the study refer to the definition of peer pressure and coercion and the relationship between professional nurses and adolescents. Ways to optimize the relationship in order for nurses to substitute for parental shortcomings in guiding adolescents towards responsible sexual behaviour and to address the adolescents' vulnerability regarding peer pressure were identified. CONCLUSION: Challenging adolescent-nurse interaction incidents were identified that warranted different approaches to build on existing initiatives to improve adolescent-friendly health services. IMPLICATIONS FOR NURSING PRACTICE AND POLICY: Primary healthcare nurses should perform complementary roles to substitute for parents who do not have the skills to guide their adolescent children towards responsible sexual behaviour. Programmes need to be developed to enable nurses to optimize their relationships with adolescents and to deliver services through mobile healthcare units to adolescents where they regular socialize. Management should provide budgets for nurses to use multimedia to interact with adolescents.


Asunto(s)
Coerción , Rol de la Enfermera , Influencia de los Compañeros , Educación Sexual/métodos , Adolescente , Conducta del Adolescente/psicología , Femenino , Humanos , Masculino , Embarazo , Embarazo en Adolescencia/prevención & control , Conducta Sexual/psicología , Sudáfrica
18.
Rev Med Inst Mex Seguro Soc ; 57(1): 4-5, 2019 Apr 01.
Artículo en Español | MEDLINE | ID: mdl-31071246

RESUMEN

For the integral formation of college students requires strategies and programs that prepare them completely and committed to motherhood and fatherhood. Education as a preventive mechanism leads to improved family and social communication, and therefore prevents an unwanted pregnancy that could result in school dropouts.


Asunto(s)
Embarazo en Adolescencia , Embarazo no Deseado , Educación Sexual , Estudiantes , Adolescente , Femenino , Humanos , Masculino , México , Responsabilidad Parental , Embarazo , Embarazo en Adolescencia/prevención & control , Embarazo en Adolescencia/psicología , Embarazo no Deseado/psicología , Abandono Escolar/psicología , Estudiantes/psicología , Universidades , Adulto Joven
19.
S D Med ; 72(3): 131-132, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31018060

RESUMEN

This article discusses the historical trauma and modern struggles of Oglala Lakota Sioux tribal members on the Pine Ridge Indian Reservation in southwestern South Dakota. In order for healthcare providers to understand why patients from this region have soaring rates of diabetes, teen pregnancies and premature death, it is important to have exposure to their culture and daily life. As part of their medical school curriculum, students at the Sanford School of Medicine take part in cultural immersion trips in order to better understand and relate to the people on the Pine Ridge Reservation. These experiences are led by local Lakota people and allow students to be exposed to the modern healthcare and government facilities, and also take part in traditional ceremonies such as drumming circles and art shows. By the end of the journey, future physicians leave with a better understanding of day-to-day Lakota life and increased empathy and understanding for their Native American counterparts.


Asunto(s)
Asistencia Sanitaria Culturalmente Competente , Diabetes Mellitus/etnología , Diabetes Mellitus/prevención & control , Indios Norteamericanos , Embarazo en Adolescencia , Adolescente , Adulto , Prestación de Atención de Salud , Femenino , Humanos , Masculino , Embarazo , Embarazo en Adolescencia/etnología , Embarazo en Adolescencia/prevención & control , South Dakota
20.
Rev. medica electron ; 41(2): 588-597, mar.-abr. 2019.
Artículo en Español | LILACS, CUMED | ID: biblio-1053584

RESUMEN

El uso del condón es un método eficaz para prevenir enfermedades venéreas y un embarazo no deseado. Años atrás se puede apreciar cómo se debate dónde y cómo los llamados dispositivos intrauterinos fueron utilizados por primera vez. La siguiente investigación se realizó con el objetivo de explicar el surgimiento y la evolución del condón y otros métodos anticonceptivos, para ello se utilizaron un total de 15 referencias bibliográficas. Es indudable que la anticoncepción tiene que figurar como elemento básico de la atención en medicina, el conocimiento de sus orígenes, historia y evolución es fundamental. (AU)


The use of the condom is an effective method to prevent venereal diseases and an unwanted pregnancy. Years ago you can see how it is discussed where and how the so-called intrauterine devices were used for the first time. The following investigation was carried out with the objective of explaining the emergence and evolution of the condom and other contraceptive methods, for which a total of 15 bibliographical references were used. Undoubtedly, contraception must figure as a basic element of medical care, knowledge of its origins, history and evolution is fundamental. (AU)


Asunto(s)
Humanos , Historia del Siglo XVI , Educación Sexual/historia , Educación Sexual/tendencias , Condones/historia , Condones/tendencias , Dispositivos Anticonceptivos/historia , Dispositivos Anticonceptivos/tendencias , Mercadeo Social , Promoción de la Salud/historia , Promoción de la Salud/tendencias , Embarazo en Adolescencia/prevención & control , Enfermedades de Transmisión Sexual/prevención & control
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