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首页> 外文期刊>International Journal of Environmental Research and Public Health >Adolescents’ Sexual Wellbeing in Southwestern Uganda: A Cross-Sectional Assessment of Body Image, Self-Esteem and Gender Equitable Norms
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Adolescents’ Sexual Wellbeing in Southwestern Uganda: A Cross-Sectional Assessment of Body Image, Self-Esteem and Gender Equitable Norms

机译：乌干达西南部青少年的性健康：对身体形象，自尊和性别平等规范的跨部门评估

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Measures of sexual wellbeing and positive aspects of sexuality in the World Health Organization definition for sexual health are rarely studied and remain poorly understood, especially among adolescents in Sub-Saharan Africa. The objective of this study was to assess sexual wellbeing in its broad sense—i.e., body image, self-esteem, and gender equitable norms—and associated factors in young adolescents in Uganda. A cross-sectional survey of adolescents ages 10–14 years in schools was carried out between June and July 2016. Among 1096 adolescents analyzed, the median age was 12 (Inter-Quartile Range (IQR): 11, 13) and 58% were female. Self-esteem and body image scores were high with median 24 (IQR: 22, 26, possible range: 7–28) and median 22 (IQR: 19, 24, possible range: 5–25) respectively. Gender equitable norms mean score was 28.1 (SD 5.2: possible range 11–44). We noted high scores for self-esteem and body image but moderate scores on gender equitable norms. Girls had higher scores compared to boys for all outcomes. A higher age and being sexually active were associated with lower scores on gender equitable norms. Gender equitable norms scores decreased with increasing age of adolescents. Comprehensive and timely sexuality education programs focusing on gender differences and norms are recommended.
机译：世界卫生组织关于性健康的定义中关于性健康和性方面积极方面的措施很少研究，并且了解甚少，尤其是在撒哈拉以南非洲的青少年中。这项研究的目的是从广义上评估性生活，即身体形象，自尊和性别平等准则，以及乌干达青少年的相关因素。 2016年6月至2016年7月，对学校中10至14岁的青少年进行了横断面调查。在分析的1096名青少年中，中位年龄为12岁（四分位间距（IQR）：11、13），其中58％为女。自尊和身体形象得分较高，分别为中位数24（IQR：22、26，可能范围：7–28）和中位数22（IQR：19、24，可能范围：5–25）。性别平等规范平均得分为28.1（标准偏差5.2：可能的范围11-44）。我们注意到自尊和身体形象得分较高，而性别平等规范得分中等。在所有结局方面，女孩的得分均高于男孩。较高的年龄和活跃的性行为与性别平等准则得分较低有关。性别平等规范分数随青少年年龄的增加而降低。建议以性别差异和规范为重点的全面，及时的性教育方案。

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