军事环境中的性和生殖健康:一种定性研究
Sara E Vargas1,2, Kade Thornton3, Colby Norris4
1Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island.
概括
军事人员面临着持续的障碍性和生殖健康护理,尽管自由访问. 了解军事文化是改善性健康结果和预防意外怀孕和性传播疾病的关键.
科学领域:
- 公共卫生 公共卫生
- 军事医学 军事医学
- 卫生社会学 卫生社会学
背景情况:
- 美国军队的任务准备性取决于健康的战斗力量.
- 服务人员可以免费获得性和生殖健康服务.
- 尽管有机会,性传播感染 (STIs) 和意外怀孕仍然很普遍.
研究的目的:
- 探索影响美国军队性规范,行为和医疗保健经验的因素.
- 识别服务人员在性和生殖健康保健的获取和使用方面的障碍和促进者.
- 了解军事文化对性和生殖健康结果的影响.
主要方法:
- 与25名服务人员和15名利益相关者 (包括医疗服务提供者) 进行了半结构化的深入采访.
- 手动编码的采访记录,以确定与军事文化和医疗保健相关的主题.
- 总结数据以突出影响性健康和生殖健康的独特方面.
主要成果:
- 出现了四个主要主题:尽管获得免费护理,但仍然存在护理障碍,一般和军事特定文化规范的影响,令人困惑/矛盾的规范,与性侵犯相比,STI/预防怀孕的资源有限.
- 服务人员和利益相关者报告说,在军事系统中,在性和生殖健康保健方面遇到挑战.
- 文化规范极大地影响了性行为和寻求医疗护理的模式.
结论:
- 一般和军方特定的规范,行为和医疗保健经验都需要考虑有效的干预措施.
- 临床护理和公共卫生活动必须解决独特的军事文化因素,以促进性和生殖健康.
- 除了现有的性侵犯资源外,还需要加强对性传播感染和意外怀孕的预防资源.
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