苏格兰偏远农村岛屿社区年轻人的性健康:一项混合方法研究。

IF 3.4 3区 医学 Q1 FAMILY STUDIES BMJ Sexual & Reproductive Health Pub Date : 2024-01-09 DOI:10.1136/bmjsrh-2023-201822
Rebecah MacGilleEathain, Tamsin Smith, Isabel Steele
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引用次数: 0

摘要

背景:研究发现,农村地区的年轻人在获得性健康支持方面面临各种障碍,如交通不便、不认识医护人员、害怕在社区内受到负面评价等。这些因素可能会导致健康不平等的扩大,并使生活在农村地区的年轻人面临更高的性健康风险。目前,人们对居住在偏远农村岛屿社区(RRICs)的青少年的需求知之甚少:对苏格兰外赫布里底群岛上 473 名 13-18 岁的青少年进行了一项横断面混合方法研究。分析包括描述性统计、推论性统计和主题分析:59%(n=279)的参与者认为当地没有避孕套和避孕方法方面的支持,或不知道是否有相关支持。48%(n=227)的参与者表示,当地年轻人不容易获得免费安全套。60%(n=283)的人表示,如果当地有青少年服务,他们不会使用。59%(n=279)的人说他们没有接受足够的人际关系、性健康和生育(RSHP)教育。不同性别、不同年级组和不同性取向的人的意见差异很大。定性分析确定了三个关键主题:(1) 独处但可见;(2) 沉默和不认可;(3) 安全空间,以及岛屿文化这一基础主题:结论:需要进一步提供性健康支持,以应对居住在 RRIC 的年轻人所面临的复杂性和挑战。LGBT+ 和居住在这种环境中的交叉性可能会增加性健康支持方面的不平等。
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Sexual well-being among young people in remote rural island communities in Scotland: a mixed methods study.

Background: It has been identified that rural young people face barriers to accessing support for their sexual well-being such as availability and transport, knowing healthcare staff personally, and fear of being judged negatively within their community. These factors may contribute to widening health inequalities and expose young people living in rural areas to increased risk of poor sexual well-being. Little is known about the current needs of adolescents residing in remote rural island communities (RRICs).

Methods: A cross sectional mixed methods study was conducted with 473 adolescents aged 13-18 across the islands of the Outer Hebrides of Scotland. Analysis included descriptive, inferential statistics and thematic analysis.

Results: 59% (n=279) of participants held the perception there was no support, or did not know if there was support, about condoms and contraception in their local area. 48% (n=227) said that free condoms were not easily available for local young people. 60% (n=283) said they would not use youth services if they were locally available. 59% (n=279) said they did not receive enough relationships, sexual health and parenthood (RSHP) education. Opinion differed significantly by gender, school year group, and sexual orientation. Qualitative analysis identified three key themes: (1) alone yet visible, (2) silence and disapproval, and (3) safe spaces, with an underpinning theme of island cultures.

Conclusions: A need for further sexual well-being support that addresses the complexities and challenges for young people residing in RRICs is identified. The intersectionality of being LGBT+ and residing in this context may increase the experience of inequality in sexual well-being support.

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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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