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1.
Reprod Health ; 18(1): 26, 2021 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-33618726

RESUMO

BACKGROUND: A coherent sexuality education program for adolescents is part of their sexual and reproductive rights and can help them have a healthier future. Therefore, the aim of this study was to explore the perspectives and intervention preferences of Iranian stakeholders regarding comprehensive sexuality education (CSE) in male adolescents based on the IMB model (information, motivation, behavioral skills). METHODS: This study was a qualitative study that was analyzed through a directed content analysis approach. Individual interviews and focused group discussions (FGDs) were used for data collection. The data were collected through in-depth semi-structured interviews with stakeholders in two schools and the Education Department in Sari and the Ministry of Health and Ministry of Education in Tehran from March 2019 to August 2019. Data saturation was achieved after 28 interviews and 1 FGDs with 9 participants. Finally, two sets of data were coded and analyzed using directed content analysis. RESULTS: In this study, five themes emerged as (1) role of institutions; (2) role of organizations; (3) need for stakeholder's partnership; (4) need for adolescent sexuality socialization management; and (5) need for enhancing the teachers' professional competence, which seemed to influence the implementation of CSE in male adolescents. Participants also expressed a number of intervention preferences for CSE. The most important of these was the change in macro policies, helping to create a culture against all forms of violence and breaking the taboo of sexuality education for children and adolescents. CONCLUSIONS: The results of this study revealed the need for a CSE program for adolescents' sexuality socialization. The finding showed that teachers required training to enhance their professional competence about sexuality issues. Therefore, it is necessary to design and implement culture-appropriate skill based programs to enhance the teachers' professional competence regarding the adolescents' sexual health.


Assuntos
Atitude Frente a Saúde , Percepção , Saúde Reprodutiva/educação , Educação Sexual , Saúde Sexual/educação , Adolescente , Comportamento do Adolescente/fisiologia , Comportamento do Adolescente/psicologia , Criança , Grupos Focais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Irã (Geográfico) , Masculino , Motivação/fisiologia , Pesquisa Qualitativa , Serviços de Saúde Escolar , Educação Sexual/métodos , Comportamento Sexual/psicologia , Participação dos Interessados , Adulto Jovem
2.
Obstet Gynecol ; 136(4): 868-869, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32976376

RESUMO

The primary goal of the initial reproductive health visit is to provide preventive health care services, educational information, and guidance, in addition to problem-focused care. The initial reproductive health visit should take place between the ages of 13 and 15 years. The scope of the initial visit will depend on the patient's concerns, medical history, physical and emotional development, and the level of care the patient is receiving from other health care professionals. All adolescents should have the opportunity to discuss health issues with a health care professional one-on-one, because they may feel uncomfortable talking about these issues in the presence of a parent or guardian, sibling, or intimate partner. Addressing confidentiality concerns is imperative because adolescents in need of health care services are more likely to forego care if there are concerns about confidentiality. Laws regarding confidentiality of care to minors vary by state, and health care professionals should be knowledgeable about current laws for their practice. Taking care to establish secure lines of communication can build trust with the patient and guardian, support continuity of care, ensure adherence to legal statutes, and decrease barriers to services. Obstetrician-gynecologists have the opportunity to serve as educators of parents and guardians about reproductive health issues. Preparing the office environment to include adolescent-friendly and age-appropriate reading materials, intake forms, and educational visual aids can make the general office space more inclusive and accessible. Resources should be provided for both the adolescent patient and the parent or guardian, if possible, at the conclusion of the visit. This Committee Opinion has been updated to include gender neutral terminology throughout the document, counseling topics with direct links to helpful resources, screening tools with direct links, addition of gender and sexuality discussion, and inclusion of trauma-informed care.


Assuntos
Serviços de Saúde do Adolescente , Ginecologia/métodos , Obstetrícia/métodos , Serviços Preventivos de Saúde , Saúde Reprodutiva , Adolescente , Comportamento do Adolescente , Saúde do Adolescente , Serviços de Saúde do Adolescente/ética , Serviços de Saúde do Adolescente/organização & administração , Feminino , Humanos , Serviços Preventivos de Saúde/ética , Serviços Preventivos de Saúde/métodos , Saúde Reprodutiva/educação , Saúde Reprodutiva/ética , Educação Sexual/métodos , Comportamento Sexual , Estados Unidos
3.
Obstet Gynecol ; 136(4): e70-e80, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32976378

RESUMO

The primary goal of the initial reproductive health visit is to provide preventive health care services, educational information, and guidance, in addition to problem-focused care. The initial reproductive health visit should take place between the ages of 13 and 15 years. The scope of the initial visit will depend on the patient's concerns, medical history, physical and emotional development, and the level of care the patient is receiving from other health care professionals. All adolescents should have the opportunity to discuss health issues with a health care professional one-on-one, because they may feel uncomfortable talking about these issues in the presence of a parent or guardian, sibling, or intimate partner. Addressing confidentiality concerns is imperative because adolescents in need of health care services are more likely to forego care if there are concerns about confidentiality. Laws regarding confidentiality of care to minors vary by state, and health care professionals should be knowledgeable about current laws for their practice. Taking care to establish secure lines of communication can build trust with the patient and guardian, support continuity of care, ensure adherence to legal statutes, and decrease barriers to services. Obstetrician-gynecologists have the opportunity to serve as educators of parents and guardians about reproductive health issues. Preparing the office environment to include adolescent-friendly and age-appropriate reading materials, intake forms, and educational visual aids can make the general office space more inclusive and accessible. Resources should be provided for both the adolescent patient and the parent or guardian, if possible, at the conclusion of the visit. This Committee Opinion has been updated to include gender neutral terminology throughout the document, counseling topics with direct links to helpful resources, screening tools with direct links, addition of gender and sexuality discussion, and inclusion of trauma-informed care.


Assuntos
Serviços de Saúde do Adolescente , Ginecologia/métodos , Obstetrícia/métodos , Serviços Preventivos de Saúde , Saúde Reprodutiva , Adolescente , Comportamento do Adolescente , Saúde do Adolescente , Serviços de Saúde do Adolescente/ética , Serviços de Saúde do Adolescente/organização & administração , Confidencialidade/normas , Feminino , Humanos , Planejamento de Assistência ao Paciente , Serviços Preventivos de Saúde/ética , Serviços Preventivos de Saúde/métodos , Saúde Reprodutiva/educação , Saúde Reprodutiva/ética , Educação Sexual/métodos , Comportamento Sexual , Estados Unidos
4.
J Public Health Manag Pract ; 26(6): 534-538, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32890254

RESUMO

Women face unprecedented challenges imposed by the COVID-19 pandemic. Emerging evidence suggests that women are unduly burdened by inequitable access to economic, health, and social resources during the pandemic. For many women, COVID-19 has presented new urgency to challenges and illuminates unique issues long encountered. Gendered roles such as family caregiving and frontline occupations increase women's exposure to COVID-19 infections and critical outcomes. To increase dialogue around COVID-19's impact on women, the University of Alabama at Birmingham School of Public Health convened a moderated virtual town hall on April 25, 2020, with 2 sexual and reproductive health experts. The town hall was the second in a series to increase public awareness of COVID-19's impact on vulnerable populations. This report highlights policy and practice implications that are particularly relevant for engaging key populations and delivering information to increase public awareness of COVID-19.


Assuntos
Infecções por Coronavirus/epidemiologia , Educação em Saúde/métodos , Pneumonia Viral/epidemiologia , Saúde Reprodutiva/educação , Saúde da Mulher , Adulto , Alabama , Betacoronavirus , Feminino , Acesso aos Serviços de Saúde , Humanos , Pandemias , Gravidez , Autocuidado
5.
J Environ Public Health ; 2020: 4708091, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32774393

RESUMO

Background: A significant number of adolescents as well as young men and women aged 10 to 24 years die each year in the world due to avoidable sexual and reproductive health problems such as unwanted pregnancy, unsafe abortion, and sexually transmitted infections, including HIV/AIDS. This is attributed to low access to and/or uptake of sexual and reproductive health services. Objective: To assess parent-adolescent communication on sexual and reproductive health issues and associated factors among secondary and preparatory school students in Dabat town, northwest Ethiopia, 2018. Methods: An institution-based cross-sectional study was conducted from April 1 to 10, 2018, using multistage sampling technique. Data were collected from 550 participants using structured, pretested, and self-administered questionnaire; entered into Epi Info version 7; and analyzed using SPSS version 20. Both bivariate and multivariable logistic regression analyses were employed, and variables with less than 0.05 P value in the multivariable regression were considered as statistically significant. Adjusted odds ratio with 95% CI was used to determine the strengths and directions of associations. Result: This study revealed that 48.5% of the participants discussed sexual and reproductive health issues with parents. Male sex (AOR = 1.6; 95% CI: 1.1-2.25), family income greater than ETB 1,000 (AOR = 1.6; 95% CI: 1.02-2.57), good knowledge of sexual and reproductive health (AOR = 1.5; 95% CI: 1.03-2.09), and favorable attitude to sexual and reproductive health issues (AOR = 1.9; 95% CI: 1.29-2.67) were factors significantly associated with parent-adolescent communication on the issues. Conclusion: This study showed that the proportion of parent-adolescent communication on sexual and reproductive health issues was low. Male sex, family income greater than ETB 1,000, and good knowledge and favorable attitude of adolescents had significant association with the communication.


Assuntos
Comunicação , Relações Pais-Filho , Saúde Reprodutiva/educação , Saúde Sexual/educação , Adolescente , Estudos Transversais , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Psicologia do Adolescente , Instituições Acadêmicas , Autorrelato , Estudantes/estatística & dados numéricos
6.
Enferm. clín. (Ed. impr.) ; 30(supl.5): 122-128, jun. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-196491

RESUMO

Indonesian adolescents are currently experiencing increased vulnerability to various health risk threats, especially those related to sexual and reproductive health, including increased threats from HIV/AIDS. Unhealthy sexual behavior among adolescents, especially unmarried adolescents, is increasing. This study aims to determine various factors that influence adolescent sexual behavior and the need for services, in order to provide policy direction for improving adolescent sexual and reproductive health services. This research is an explanatory research with cross-sectional design, which is equipped with quantitative and qualitative method approaches. This research data collection using survey methods (interviews and questionnaires/self-administered). Social Learning Theory is used as a framework for this research analysis. The subjects of this study were teenagers aged between 15 and 18 years who attended high school in East Lampung who had or were dating with a sample of 174 students. The sampling technique used is simple random sampling. The statistical analysis used in this study is the Chi square (χ2) statistic with a level of confidence α=0.05. The results showed there was a relationship between religiosity, the role of parents, exposure to pornography with premarital sexual behavior in adolescents in East Lampung. Suggestions are recommended to schools In order for school principals to be more active in extracurricular activities in their schools, in the form of organizations, sports and arts activities, so that the energy possessed by high school adolescents can be optimally channeled into positive activities and minimize youths to carry out negative activities including those that lead to activities that trigger sexual behavior


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Religião e Sexo , Literatura Erótica/psicologia , Comportamento do Adolescente/psicologia , Relações Pais-Filho , Ensino Fundamental e Médio , Saúde Sexual/educação , Saúde Reprodutiva/educação , Razão de Chances , Pais/psicologia
7.
Afr J Reprod Health ; 24(1): 87-96, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32358940

RESUMO

Insurgency in the Northeastern Nigeria has left millions of adolescents internally displaced, with deplorable living conditions that affect adolescents' sexual and reproductive health (SRH). The aim of the study was to identify SRH needs and problems of Internally Displaced Adolescents (IDAs) and ways of improving their SRH. The study used cross-sectional design. Data were collected from 396 IDAs using questionnaire and focus group discussions. Descriptive and Chi square statistics were used to analyze data from the questionnaire, using Statistical Package for the Social Sciences (SPSS) version 20.0 while qualitative data were thematically analyzed. Results showed that sexuality education (83.2%), safe motherhood services (81.6%) and family planning services (71.9%) were important SRH needs while complications of pregnancy (83.1%), early sex experimentation (81.8%), unsafe sex (80.1%) were among the SRH problems. Gender, educational attainment, age, religion, and marital status differed significantly (≤ .05) with sexuality education and family planning needs of IDAs. Suggested ways of improving IDAs' SRH include making SRH services accessible in internally displaced persons' (IDPs) camps.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Refugiados , Serviços de Saúde Reprodutiva/organização & administração , Saúde Reprodutiva/educação , Adolescente , Estudos Transversais , Feminino , Grupos Focais , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Nigéria , Pesquisa Qualitativa , Educação Sexual , Saúde Sexual , Inquéritos e Questionários
9.
J Environ Public Health ; 2020: 3675684, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32405301

RESUMO

Background: Adolescent Sexual and Reproductive Health (SRH) remains a challenge globally. This study aims to gauge the perceptions of parents towards the delivery of SRH education in mainstream public secondary schools in Fiji. Methods: The qualitative study design was used to collect the data from parents in Suva, Fiji, from July to August 2018. A semistructured questionnaire was developed to run Focus Group Discussion (FGD) among parents residing in Suva who had school-attending children from years 11 to 13. Parents were recruited from five schools with the help of students. Twenty-six parents of which 10 were males, aged between 38 and 65, participated in this study. Consent was obtained from each participant prior to the data collection stage. Data collected were transcribed verbatim and were analyzed thematically. Ethical approvals were obtained before collecting the data. Results: Seven themes emerged which included the provision of school-based sex education, parental involvement with school-based sex education, sex education at home, age-appropriate incremental sex education, ethnic variations regarding sex education, barriers and facilitators for the delivery of school-based sex education, and perceived ideal version of sex education. Conclusions: Findings from this study suggest for policy and programs to match parents, schools, and students' expectations. Effective interventions need to involve and help parents to take a more active part to change policy, program, and advocacy for relevant SRH education.


Assuntos
Pais/psicologia , Saúde Reprodutiva/educação , Serviços de Saúde Escolar/estatística & dados numéricos , Educação Sexual/métodos , Saúde Sexual/educação , Adolescente , Adulto , Idoso , Criança , Feminino , Fiji/epidemiologia , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Inquéritos e Questionários
10.
Rev Med Suisse ; 16(691): 765-768, 2020 Apr 22.
Artigo em Francês | MEDLINE | ID: mdl-32320150

RESUMO

Despite obvious needs, adolescent boys do not access information and care in the field of sexual and reproductive health as easily as adolescent girls. The primary care setting gives the opportunity to tackle sexuality topics with boys. It allows to defuse frequent causes of concern in this crucial developmental phase, in a proactive and open-minded way, while focusing on strengths rather than on risks. It also allows to discuss masculine norms and their impact on health, and to come up with essential prevention elements. It is -necessary to focus on boys' health to have them involved in a -changing process on behalf of their own health but also on behalf of girls' and young women's health.


Assuntos
Saúde do Homem , Atenção Primária à Saúde/métodos , Educação Sexual/métodos , Saúde Sexual/educação , Adolescente , Feminino , Humanos , Masculino , Saúde Reprodutiva/educação , Sexualidade , Saúde da Mulher
11.
Pediatr Blood Cancer ; 67(5): e28245, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32147938

RESUMO

PURPOSE: Pediatric oncology clinicians identify a need for increased sexual and reproductive health (SRH) education with adolescent and young adult (AYA) cancer patients. By surveying pediatric oncology fellowship directors, this study clarifies the state of current fellowship education about SRH for the AYA patient. METHODS: A survey was sent to all pediatric oncology fellowship program directors (PDs) in the United States consisting of 13 questions pertaining to three primary SRH domains: sexual health, fertility, and safe sex practices. Descriptive statistics and χ2 were used in data analyses. RESULTS: Sixty-three PDs responded to the survey (91% response rate). Of these, 88% reported having formal instruction regarding fertility, 41% reported curriculum regarding contraception and 30% reported some education regarding sexual health. The curriculum "being too full" was identified as a barrier to education on fertility (29%), sexual health (40%), and safe sex practices (38%). Not being a required or expected part of the program was more likely to be endorsed as a barrier for sexual health (26%) and safe sex practices (30%) compared with fertility (8%) (P < 0.005). Lack of experts to teach was a more frequently endorsed barrier to education on sexual health (47%) compared with either fertility (23%) or safe sex practices (25%) (P < 0.005). CONCLUSIONS: This study identifies important gaps in oncology fellow education about SRH. Future research must explore optimal education strategies that are feasible and acceptable by PDs and fellow learners, and effective in optimizing AYA SRH care.


Assuntos
Educação Médica Continuada , Bolsas de Estudo , Oncologia/educação , Pediatria/educação , Saúde Reprodutiva/educação , Saúde Sexual/educação , Adulto , Feminino , Humanos , Masculino , Estados Unidos
12.
BMC Womens Health ; 20(1): 4, 2020 01 06.
Artigo em Inglês | MEDLINE | ID: mdl-31906921

RESUMO

BACKGROUND: The current study is aimed to assess menstruation-related knowledge and practices of adolescent females visiting a public health care institute of Quetta city, Pakistan. METHODS: A questionnaire-based cross-sectional survey was conducted. Nine hundred and twenty three female adolescents attending general out-patient departments of Mohtarma Shaheed Benazir Bhutto Hospital Quetta, Balochistan, was approached for data collection. Based on the objectives of the study, descriptive analysis was conducted and SPSS v. 21.0 was used for the data analysis. RESULTS: Demographic characteristics revealed that the mean age of the respondents was 15 years. Mothers' (67%) were the main source of menstruation-related information. Majority (77.7%) of our respondents never had a class or session regarding menstruation-related education in their schools. About (44%) knew that menstruation is a physiological phenomenon while 60.2% knew that menstrual blood comes from the vagina. Nearly 40% of our study respondents missed their schools because of menarche. The use of absorbent material was frequent (90%) among the adolescent females and (68.7%) used commercially available sanitary napkins/pads. Although majority of the respondents (58.2%) were not taking baths during menstruation, 80.5% do cleaned their genitalia with water during menstruation. CONCLUSION: Female adolescents of our study had certain misconception regarding menstruation because of poor access to health-related education. Education can be provided at healthcare facilities, residential area as well as religious centers. Adolescent reproductive health should be included in the school curriculum; this will influence general reproductive health of females.


Assuntos
Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Higiene , Menstruação , Saúde Reprodutiva/educação , Adolescente , Estudos Transversais , Feminino , Educação em Saúde/métodos , Educação em Saúde/normas , Humanos , Higiene/educação , Higiene/normas , Produtos de Higiene Menstrual , Menstruação/fisiologia , Menstruação/psicologia , Determinação de Necessidades de Cuidados de Saúde , Paquistão/epidemiologia , Serviços de Saúde Escolar/normas , Inquéritos e Questionários
14.
BMC Health Serv Res ; 20(1): 42, 2020 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-31948452

RESUMO

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.


Assuntos
Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Saúde Reprodutiva/educação , População Rural , Serviços de Saúde Escolar/organização & administração , Saúde Sexual/educação , Adolescente , Adulto , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Gravidez , Gravidez na Adolescência/prevenção & controle , Pesquisa Qualitativa , População Rural/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/prevenção & controle , Zâmbia
15.
J Pediatr Adolesc Gynecol ; 33(1): 72-82, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31561033

RESUMO

STUDY OBJECTIVE: In the present study we investigated the association between receiving information on sexual literacy topics and likelihood of experiencing adolescent pregnancy. DESIGN: Cross-sectional analysis. SETTING: Colombia. PARTICIPANTS: Female Adolescents, 13-19 years old (N = 8525). MAIN OUTCOME MEASURES: Our primary outcome of interest was adolescent pregnancy. RESULTS: We created a gradation of public health impact variable that ranged from grade 1 (least impactful) to grade 4 (most impactful) to determine which sexuality-related topics were most strongly associated with teenage pregnancy. We found that not receiving information on grade 4 topics had the strongest association with adolescent pregnancy. These topics were: changes related to puberty (prevalence ratio [PR], 2.15; 95% confidence interval [CI], 1.40-3.30), how sex organs work (PR, 1.90; 95% CI, 1.37-2.66), and sexual orientation (PR, 1.84; 95% CI, 1.38-2.44). In fact, teenagers who did not receive information on any sexuality-related topic were approximately 75% more likely (PR, 1.73; 95% CI, 1.09-2.74) to experience pregnancy during adolescence. CONCLUSION: The gradation levels of this study could guide sexual education programs in Colombia to prioritize sexuality-related themes, especially when resources are limited.


Assuntos
Letramento em Saúde/estatística & dados numéricos , Gravidez na Adolescência/estatística & dados numéricos , Saúde Reprodutiva/educação , Educação Sexual/estatística & dados numéricos , Adolescente , Colômbia/epidemiologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Gravidez , Gravidez na Adolescência/psicologia , Comportamento Sexual/estatística & dados numéricos
16.
BMJ Sex Reprod Health ; 46(3): 161-171, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31722933

RESUMO

BACKGROUND: Youth involved in the juvenile justice system have high reproductive health needs and, on exiting detention, face the challenging transition of reentry. We conducted a systematic literature review to describe what is known about youths' reproductive health needs during community reentry after incarceration. METHODS: We searched PubMed, CINAHL, Cochrane Library, and Google Scholar for articles containing key words with the concepts 'child or adolescent', 'incarcerated' and 'reentry'. In the search, we defined the concept of 'reentry' as within 1 month prior to release (to include interventions involving pre-release planning) and up to 18 months after release from incarceration. RESULTS: Our search yielded 2187 articles. After applying all exclusion criteria, 14 articles on reproductive health remained for extraction. The articles provided data on the following aspects of youths' reproductive health: frequency of condom use (eight articles), sexual risk behaviours other than lack of condom use (seven articles), and prevalence of sexually transmitted infections (three articles). CONCLUSIONS: The literature on the reproductive health needs of youth undergoing reentry is extremely limited. Current intervention studies yield mixed but promising results and more intervention studies that address both pre-release reentry planning and the post-incarceration period are needed. Given incarcerated youths' well-documented reproductive health disparities compared with non-incarcerated adolescents, the identified gaps represent important opportunities for future research and programmatic emphasis.


Assuntos
Determinação de Necessidades de Cuidados de Saúde , Prisioneiros/educação , Prisioneiros/psicologia , Saúde Reprodutiva/educação , Adolescente , Criança , Feminino , Acesso aos Serviços de Saúde/normas , Humanos , Masculino , Saúde Reprodutiva/normas
17.
J Pediatr Adolesc Gynecol ; 33(1): 58-63, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31470117

RESUMO

STUDY OBJECTIVE: To date, no study has reported barriers to accessing pregnancy-related health information among married women younger than the age of 19 years. Indeed, the voice of the girls being married is absent in the literature. We sought to explore the barriers to accessing pregnancy-related health information from the perspective of Iranian married adolescent women. DESIGN: Qualitative study. SETTING: The research was conducted in Mashhad city (health care centers) and Shahrood County (a maternity teaching hospital, and urban/rural health care centers) in Iran. PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Twenty-four married adolescent women aged 14-19 years were recruited through purposive sampling. Individual in-depth interviews were tape-recorded, transcribed verbatim, and analyzed using conventional content analysis. Prolonged engagement with participants, maximum-variation sampling, member checking, peer deferring, and external audit were used to enhance the rigor of the study. RESULTS: The results showed 3 categories: "structural barriers," "individual barriers," and "sociocultural barriers." The structural barriers category consisted of 2 subcategories, namely, poor quality of education and counseling in the health care centers, and transportation barriers. The 2 subcategories of the individual barriers category consisted of affective barriers and cognitive barriers. The sociocultural barriers category included the following 2 subcategories: husband's decision-making power and fear of being labeled infertile. CONCLUSION: The barriers identified in this study should be considered when designing educational interventions for married adolescent women. Moreover, further research is needed to enhance current knowledge on this topic.


Assuntos
Acesso aos Serviços de Saúde/estatística & dados numéricos , Saúde Reprodutiva/educação , Adolescente , Feminino , Humanos , Irã (Geográfico) , Gravidez , Pesquisa Qualitativa , Cônjuges/psicologia
18.
BMC Res Notes ; 12(1): 827, 2019 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-31881920

RESUMO

OBJECTIVES: Globally, the research knowledge gap exists in the sexual reproductive health (SRH) services of street adolescents. The intensity of the problem is high in settings like Ethiopia, where there are limited access and integration of services. This study aimed at exploring risky sexual behaviors, needs, and barriers of SRH services among street adolescents in Nekemte town. A community-based cross-sectional study design with mixed approaches was used on a sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for a quantitative study. Quantitative data were analyzed by SPSS version 24.0. RESULTS: About 93% of street adolescents reported difficulty in accessing contraceptives. Behavioral change and sustainable access to SRH services are lacking among street adolescents. The Knowledge gap is more evident in early adolescents (10-13) period than the other classes. In general, street adolescents are deprived of access to SRH services. Mobile and flexible access to contraceptives should be designed targeting street adolescents.


Assuntos
Serviços de Saúde Reprodutiva/estatística & dados numéricos , Saúde Reprodutiva/estatística & dados numéricos , Comportamento Sexual/estatística & dados numéricos , Adolescente , Criança , Estudos Transversais , Demografia , Etiópia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Gravidez , Gravidez não Desejada , Pesquisa Qualitativa , Saúde Reprodutiva/educação , Assunção de Riscos , Comportamento Sexual/psicologia , Doenças Sexualmente Transmissíveis , Classe Social , Transtornos Relacionados ao Uso de Substâncias , Inquéritos e Questionários , Adulto Jovem
19.
J Pediatr Adolesc Gynecol ; 32(5S): S36-S42, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31585617

RESUMO

Unplanned or unwanted pregnancy among adolescents is a worldwide public health issue. In many countries unmarried young women are denied contraceptive services. Long-acting reversible contraceptive methods such as the intrauterine devices (IUDs) have been shown to be more effective than short-acting such as the pill, and safe also for adolescents. The popularity has varied a lot with time and between populations. Health care providers, health system, and user factors all influence IUD use. A good sexuality education through school provides a foundation, and health care providers give specific individual counseling. International and country-specific guidelines have been published during the past decade indicating the advantage of IUDs. New smaller size devices make placement easier for nulliparous adolescents. Still the uptake has remained rather low in most regions, cost being one barrier. Several municipalities have started to provide long-acting reversible contraceptive methods for adolescents free of charge, and this has led to a significant increase in IUD use, accompanied by a reduction in abortion rates. Adolescent-friendly services should offer low-cost or free contraception, including male and female condoms, emergency contraception, and a full range of modern methods, including long-acting reversible methods, according to adolescents' preferences and needs.


Assuntos
Anticoncepção/métodos , Dispositivos Intrauterinos , Saúde Reprodutiva/educação , Adolescente , Anticoncepção/economia , Aconselhamento/métodos , Feminino , Saúde Global , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Dispositivos Intrauterinos/economia , Dispositivos Intrauterinos/estatística & dados numéricos , Masculino , Guias de Prática Clínica como Assunto , Gravidez , Adulto Jovem
20.
Salud Publica Mex ; 61(5): 572-581, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31661735

RESUMO

OBJECTIVE: To measure the impact of an intervention on adolescents' knowledge of the phase of the menstrual cycle with more likelihood of pregnancy and identify its associated factors. MATERIALS AND METHODS: A quasi-experimental study in two rural communities. Difference-in-differences analyses was performed. RESULTS: There was a 22.1% average reduction in wrong answers on the phase of the menstrual cycle with more likelihood of pregnancy in the intervention group versus the control group (p<0.001). We founded six factors associated with this knowledge: marry and have children, right to receive education and information on sexual and reproductive health; gender equity; use of the condom; condom self-efficacy; emergency and contraceptive pills. CONCLUSIONS: There is a prevailing need to improve -among sexuality topics- basic knowledge of reproductive biology, while at the same time insisting on the benefits of using birth control methods provided for practicing responsible sexuality.


Assuntos
Ciclo Menstrual , População Rural , Saúde Sexual/educação , Direitos da Mulher , Adolescente , Criança , Preservativos , Anticoncepção Pós-Coito , Anticoncepcionais Femininos/administração & dosagem , Feminino , Direitos Humanos/educação , Humanos , Masculino , Casamento , México , Gravidez , Saúde Reprodutiva/educação , Adulto Jovem
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