Micropolitics in School-Based Health Centers' Provision of Sexual Health Services.

IF 1.6 3区社会学 Q2 SOCIOLOGY

Sociological Forum Pub Date : 2025-10-23 DOI:10.1111/socf.70014

Dara Shifrer, Alyssa Nestler, Haley Simons, Rachel Springer

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引用次数: 0

Abstract

School-based health centers are ideally situated to provide sexual health services to adolescents but face a macropolitical climate with competing sets of interests. We apply an organizational theory to 2019-2021 interview data from 33 school-based health center (SBHC) coordinators and their educator partners in Oregon to reveal the micropolitics that coordinators engage in to provide sexual health services to adolescents. Interviewees described how health practitioners' interest in providing sexual health services conflicts with anti-contraception, puritanism, and parental rights interests across school boards, parents, students, and the public. SBHC coordinators strategically engage their influential power by building relational trust with educator partners, students, and parents. They also employ the micropolitical strategy of compromise, avoiding pushing too hard for their ultimate interests to maintain the relational trust and interests they have already achieved. These findings provide a parallel for research focused on other systems, especially systems also characterized by morality-based conflict.

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校本保健中心提供性健康服务的微观政治。

以学校为基础的保健中心是向青少年提供性健康服务的理想地点，但面临着利益相互竞争的宏观政治气候。我们运用组织理论对俄勒冈州33名校本健康中心（shbhc）协调员及其教育合作伙伴的2019-2021年访谈数据进行分析，揭示协调员参与青少年性健康服务的微观政治。受访者描述了卫生从业人员对提供性健康服务的兴趣如何与学校董事会、家长、学生和公众的反避孕、清教主义和家长权利利益相冲突。shbhc协调员通过与教育合作伙伴、学生和家长建立关系信任，战略性地发挥其影响力。他们还采用妥协的微观政治策略，避免为自己的最终利益过于努力，以维持他们已经获得的关系信任和利益。这些发现为关注其他系统，特别是同样以道德冲突为特征的系统的研究提供了相似之处。

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来源期刊

Sociological Forum SOCIOLOGY-

CiteScore

2.90

自引率

11.10%

发文量

期刊介绍： Sociological Forum is the flagship journal of the Eastern Sociological Society. The journal is peer reviewed and committed to publishing high quality, cutting edge research on substantive issues of fundamental importance to the study of society. The journal"s mission is broad in scope, encompassing empirical works (both quantitative and qualitative in nature), as well as works that develop theories, concepts, and methodological strategies. All areas of sociology and related fields are welcomed in Sociological Forum, as the journal strives to create a site of learning and exchange for scholars and students of the social sciences.