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在肯尼亚沿海地区的高等教育机构中,新兴成年人的性冒险行为:利用因果循环绘图对利益相关者的观点进行定性研究
Stevenson K Chea1,2,3, Vincent A Kagonya4, Eunice A Oyugi4
1Department of Nursing Sciences, School of Health and Human Sciences, Pwani University, Kilifi, Kenya.
PloS one
|October 10, 2023
概括
肯尼亚的大学生从事性冒险行为 (SRTB). 导致SRTB的因素,包括未受保护的性行为,是相互关联的,并且经常在个人层面上发挥作用,突出了改善教育和支持系统的需要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 心理学 心理学 心理学
背景情况:
- 撒哈拉以南非洲 (sSA) 的大学生表现出高比例的性冒险行为 (SRTB).
- 关于肯尼亚海岸新兴成年人中SRTB影响因素的数据有限.
- 这种数据缺口阻碍了SRTB的干预计划.
研究的目的:
- 定性地了解肯尼亚海岸大学生中导致SRTB的因素.
- 使用系统思维方法探索这些因素的相互联系.
- 为了告知有针对性的干预策略,以减少这一群体的SRTB.
主要方法:
- 采用了生态模型和对26个关键信息提供者的深入采访 (21名新兴成年人,5名利益相关者).
- 采用主题框架方法进行数据分析.
- 开发了一个因果循环图 (CLD),以可视化SRTB相关的相互连接.
主要成果:
- 常见的SRTB包括未受保护的性行为,交易性行为,跨代性行为,多重伙伴关系,基于性别的暴力行为,酒精/毒品影响下的性行为,早期的性行为和共享性玩具.
- 大多数确定的风险因素是相互关联的,主要是在个人层面上运行,根据生态模型和CLD.
- 在新兴成年人中,经常报告不保护性行为.
结论:
- 肯尼亚大学的新成年人经常从事未受保护的性行为.
- 对肯尼亚的大学生来说,加强性教育计划至关重要.
- 加强支持系统,包括对物质使用的咨询,可能有助于减少SRTB.
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