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首页> 外文期刊>Reproductive Health >Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study
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Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

机译：父母和老师对肯尼亚学校在校少女的性健康教育和性传播感染筛查的观点：一项定性研究

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Background To successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis , it is important to understand parents’ and teachers’ attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions. Methods In this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs). Parents and teachers were asked about their general knowledge of STIs and sexual health education. In addition, they were asked whether they would support utilizing outreach to schools to facilitate provision of sexual health education and screening for STIs in adolescent girls. Data were audio-recorded, transcribed, and translated into English. An initial coding matrix was developed and refined throughout the coding process. Transcripts were coded by two researchers and analyzed using the content analysis approach. Results We conducted 10 IDIs (5 parents and 5 teachers) and 4 FGDs (2 with parents, 2 with teachers, total of 26 participants). Most parents reported few or no discussions regarding STIs with their adolescent girls. Parents were more comfortable discussing consequences of sexual activity including loss of virginity and the potential for pregnancy. Parents tended to place responsibility for sexual health education with teachers. The teachers, in turn, provided basic sexual and reproductive health education including puberty, abstinence, and overview of STIs. Both parents and teachers found the idea of screening for STIs in adolescent girls to be acceptable, and were comfortable with research staff contacting girls through informational meetings at schools. Parents felt that adolescents’ STI screening results should be shared with their parents. Conclusion In this African setting, parents and teachers provide limited sexual health education, with a focus on negative consequences including loss of virginity, pregnancy, and risk for STIs. Nonetheless, both parents and teachers were supportive of STI screening for adolescent girls, beginning with school-based informational meetings for the girls. Research and programs that aim to provide STI screening in this setting must offer treatment and address the issue of whether results will be disclosed to parents.
机译：背景技术为了成功开发和实施针对青少年的学校性性健康干预措施，例如筛查沙眼衣原体，淋病奈瑟氏球菌和阴道毛滴虫，重要的是要了解父母和教师对性健康教育的态度以及性传播的可接受性感染（STI）筛查干预措施。方法在这项定性研究中，我们与三所中学的父母和老师进行了深入的访谈（IDI）和焦点小组讨论（FGD）。询问父母和老师关于性传播感染和性健康教育的常识。此外，还询问他们是否支持利用学校外展活动来促进性健康教育和青春期性传播感染筛查。数据被录音，转录并翻译成英语。在整个编码过程中开发并完善了初始编码矩阵。抄本由两名研究人员编码，并使用内容分析方法进行了分析。结果我们进行了10个IDI（5个父母和5个老师）和4个FGD（2个父母，2个老师，总共26名参与者）。大多数父母报告称很少或没有与青春期女孩进行性传播感染的讨论。父母更愿意讨论性活动的后果，包括失去童贞和怀孕的可能性。父母倾向于与老师一起承担性健康教育的责任。反过来，教师们提供了基本的性健康和生殖健康教育，包括青春期，节制和性传播感染概述。父母和老师都认为对青春期女孩进行性传播感染筛查的想法是可以接受的，并且对研究人员通过在学校举行的信息发布会联系女孩进行研究感到满意。父母认为，应与父母分享青少年的性传播感染筛查结果。结论在这种非洲环境中，父母和老师提供的性健康教育有限，重点是负面后果，包括失去童贞，怀孕和性传播感染的风险。尽管如此，父母和老师都支持对青春期女孩进行性传播感染筛查，首先是在学校为女孩举行的情况介绍会。旨在在这种情况下进行性传播感染筛查的研究和计划必须提供治疗，并解决是否将结果透露给父母的问题。

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