脊柱状脊柱患者的生殖教育和性虐待:一种混合方法研究
Betsy Hopson1, Molly Richardson2, Caroline Caudill3
1Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
概括
脊柱裂 (SB) 的年轻人性活跃,但面临着严重的性和生殖健康 (SRH) 知识差距和护理障碍. 解决这些问题对于预防滥用和改善该人口的健康结果至关重要.
科学领域:
- 生殖健康 生殖健康
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 脊柱裂 (SB) 的年轻人往往有与性和生殖健康 (SRH) 相关的独特挑战.
- 了解他们的SRH知识,实践和护理障碍对于有针对性的干预至关重要.
- 之前的研究还没有充分探讨这个特定人群中SRH素养和经验的细微差别.
研究的目的:
- 调查性与生殖健康 (SRH) 的知识和实践,在年轻的成年人与脊椎裂 (SB).
- 为了确定SRH素养的差距和SRH护理的障碍,为SB的个人提供SRH护理.
- 为这一群体制定有效的教育计划和临床指导方针提供信息.
主要方法:
- 进行了一项连续的解释性混合方法研究.
- 80名患有SB的年轻人完成了一项针对残疾的调查,评估了SRH知识,实践和障碍.
- 调查样本中的四名参与者参与了后续深入的定性访谈,以进一步探讨主题.
主要成果:
- 很大一部分性活跃的SB年轻人报告SRH知识的差距,44%的女性不确定怀孕的可能性.
- 25%的女性和10%的男性报告性虐待或胁迫.
- 关键障碍包括对披露SB的担忧,对独立的误解和家庭保护性的担忧,而在线约会和开放的心态的合作伙伴是促进者.
结论:
- 患有SB的年轻人面临着大量的SRH知识缺陷和障碍,增加性虐待和不良生殖健康结果的风险.
- 评估性健康素养和实施滥用查对于改善这一弱势群体的SRH结果至关重要.
- 定制的SRH教育和可访问的护理是必要的,以使SB个体能够做出明智的健康决策.
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