Sexual health challenges in Iranian intellectually disabled adolescent girls: a qualitative study

IF 1.3 Q3 PEDIATRICS
Shadi Goli, M. Noroozi, M. Salehi
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引用次数: 2

Abstract

Background: Sexual health is individuals’ ability to express their sexual needs within framework of society’s values without being afraid of sexually transmitted infections, unwanted pregnancies, violence and discrimination. Given the importance of sexual health in intellectually disabled adolescents, the present study was conducted to explore the sexual health challenges in intellectually disabled adolescent girls. Materials and Methods: The present qualitative study with content analysis approach was conducted on 48 participants including parents, teachers, healthcare providers and managers who were selected through purposeful sampling method in Isfahan, Iran. Data were gathered using semi-structured in-depth interviews, focus group discussions and field notes. Data were analyzed using conventional content analysis. Results: After data analysis, four sub-categories of “adolescent’s disability in understanding sexual matters and respecting social rules”, “the coexistence of psychiatric disorders and intellectual disability”, cultural taboos on sexual issues” and “teachers’ inability to deal with issues related to adolescent’s sexual health” were extracted. These sub-categories together formed the main category of “sexual health challenges”. Conclusion: Based on the results, designing comprehensive programs of sex education for intellectually disabled adolescent girls seems necessary. Also, empowering teachers to teach sexual health to these girls and their parents is of particular importance. Furthermore, the interaction between parents and school to maintain the sexual health of intellectually disabled adolescent girls could have an effective role in decreasing the rate of sexual abuse/harassment and their involvement in sexual relationships.
伊朗智障少女的性健康挑战:一项定性研究
背景:性健康是指个人在社会价值观框架内表达性需求的能力,而不必害怕性传播感染、意外怀孕、暴力和歧视。鉴于性健康在智障青少年中的重要性,本研究旨在探讨智障少女的性健康挑战。材料和方法:本研究采用内容分析法对48名参与者进行了定性研究,这些参与者包括家长、教师、医疗保健提供者和管理人员,他们是通过有目的的抽样方法在伊朗伊斯法罕选择的。数据是通过半结构化的深入访谈、焦点小组讨论和实地笔记收集的。使用常规内容分析对数据进行分析。结果:通过数据分析,提取出“青少年在理解性问题和尊重社会规则方面的残疾”、“精神障碍与智力残疾并存”、“性问题文化禁忌”和“教师无法处理与青少年性健康相关的问题”四个子类。这些子类别共同构成了“性健康挑战”的主要类别。结论:根据研究结果,为智障少女设计全面的性教育方案似乎是必要的。此外,赋予教师向这些女孩及其父母教授性健康知识的权力尤为重要。此外,父母和学校之间为维护智力残疾少女的性健康而进行的互动,可以在降低性虐待/性骚扰率及其参与性关系方面发挥有效作用。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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