Multiple levels of social influence on adolescent sexual and reproductive health decision-making and behaviors in Ghana
| Autor: | Abubakar Manu, Emmanuel S.K. Morhe, Sneha Challa, Dana Loll, Richard Adanu, Melissa K. Zochowski, Kelli Stidham Hall, Vanessa K. Dalton, Andrew Boakye, Jessica L. Dozier |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Adolescent Social Determinants of Health Sexual Behavior Decision Making education Population Peer Group Article Developmental psychology Young Adult 03 medical and health sciences 0302 clinical medicine Humans Medicine Family Interpersonal Relations 030212 general & internal medicine Social determinants of health Contraception Behavior Qualitative Research Reproductive health Social influence education.field_of_study 030219 obstetrics & reproductive medicine business.industry General Medicine Reproductive Health Family planning Family Planning Services Female Health education Sexual Health Thematic analysis business Qualitative research |
| Zdroj: | Women & Health. 58:434-450 |
| ISSN: | 1541-0331 0363-0242 |
| DOI: | 10.1080/03630242.2017.1306607 |
| Popis: | Little is known about the multilevel social determinants of adolescent sexual and reproductive health (SRH) that shape the use of family planning (FP) among young women in Africa. We conducted in-depth, semi-structured, qualitative interviews with 63 women aged 15–24 years in Accra and Kumasi, Ghana. We used purposive, stratified sampling to recruit women from community-based sites. Interviews were conducted in English or local languages, recorded, and transcribed verbatim. Grounded theory-guided thematic analysis identified salient themes. Three primary levels of influence emerged as shaping young women’s SRH experiences, decision-making, and behaviors. Interpersonal influences (peers, partners, and parents) were both supportive and unsupportive influences on sexual debut, contraceptive (non) use, and pregnancy resolution. Community influences included perceived norms about acceptability/unacceptability of adolescent sexual activity and its consequences (pregnancy, childbearing, abortion). Macro-social influences involved religion and abstinence and teachings about premarital sex, lack of comprehensive sex education, and limited access to confidential, quality SRH care. The willingness and ability of young women in our study to use FP methods and services were affected, often negatively, by factors operating within and across each level. These findings have implications for research, programs, and policies to address social determinants of adolescent SRH. |
| Databáze: | OpenAIRE |
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