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Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
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A Mixed-Methods Study Exploring Colombian Adolescents' Access to Sexual and Reproductive Health Services: The Need

J Brisson1, V Ravitsky2, B Williams-Jones2

  • 1Department of Social & Preventive Medicine, School of Public Health, University of Montreal, Montreal, Canada. julien.brisson@umontreal.ca.

Journal of Bioethical Inquiry
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PubMed
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Colombian adolescents’ sexual and reproductive health services (SRHS) access preferences reveal a complex view of autonomy. Many value parental involvement, challenging traditional independence-based models.

Keywords:
AdolescentAutonomyBioethicsColombiaReproductive healthSexual health

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Area of Science:

  • Public Health
  • Adolescent Health
  • Reproductive Health

Background:

  • Adolescent preferences for privacy in sexual and reproductive health services (SRHS) access are often assumed to stem from a desire for independence.
  • Traditional ethical frameworks emphasize autonomy as decision-making independence, potentially overlooking diverse adolescent needs.

Purpose of the Study:

  • To explore Colombian adolescents' experiences and preferences regarding access to sexual and reproductive health services (SRHS).
  • To challenge conventional understandings of adolescent autonomy in healthcare access.

Main Methods:

  • A mixed-method approach combining a survey of 812 adolescents (11-24 years) and 45 semi-structured interviews (14-23 years).
  • Qualitative and quantitative data collection to capture nuanced perspectives on SRHS access.

Main Results:

  • Contrary to expectations, a majority of participants expressed a significant preference for varying degrees of parental involvement in accessing SRHS.
  • Adolescent preferences for SRHS access demonstrated a complex, non-homogenous conceptualization of autonomy not solely based on independence.

Conclusions:

  • The study advocates for a "relational autonomy" approach in policy and practice concerning adolescent SRHS access.
  • Policymakers and health professionals should recognize and respect diverse adolescent preferences, including those involving parental engagement.