在乌干达农村的青少年中探索与怀孕相关的耻辱经历
Koichi Sakakibara1, Sarah McIvor Murray2, Ethan Godwills Arima3
1Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Journal of adolescence
|June 17, 2024
概括
乌干达农村的与怀孕相关的耻辱感对青少年女孩产生了负面影响.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 青少年健康 青少年健康
背景情况:
- 青少年怀孕是一个重要的全球卫生问题,特别是在低收入和中等收入国家.
- 与怀孕相关的耻辱是孕妇青少年面临的普遍挑战,导致不良的心理社会结果.
- 了解农村环境中青少年对耻辱的具体经历,对于制定有针对性的干预措施至关重要.
研究的目的:
- 探索乌干达东部农村青少年怀孕相关耻辱的经验.
- 确定与这群人中与怀孕相关的耻辱相关的心理社会问题.
- 为制定有效的耻辱减少策略提供信息.
主要方法:
- 与15名怀孕或最近分娩的青少年 (15-19岁) 进行了深入的半结构面试.
- 采访是在乌干达的托罗罗地区医院进行的,并从Dhopadhola翻译成英语.
- 采用了主题分析,并使用健康耻辱和歧视框架解释了发现.
主要成果:
- 六个关键主题出现了,突出了社会和性别规范以及缺乏自主性的耻辱驱动因素.
- 青少年经历了通过社会排斥,虐待和负面判断的耻辱.
- 显而易见的耻辱导致对心理社会福祉产生负面影响,限制了对资源和教育的获取.
结论:
- 在乌干达农村的青少年中,与怀孕相关的耻辱是受政策和计划影响的多层次问题.
- 解决耻辱的驱动因素和促进者对于改善青少年健康和福祉至关重要.
- 有必要采取社区干预措施,以有效地减少耻辱和提供支持.
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