درک و تجربه زنان متأهل سنین باروری از اهمیت آموزش سلامت جنسی: یک مطالعه تحلیل محتوا

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای بهداشت باروری، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گیلان، رشت، ایران.

2 دانشیار گروه پرستاری، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گیلان، رشت، ایران.

چکیده

مقدمه: طی سال‌ های اخیر میزان گسترش بیماری‌ های مقاربتی به ویژه در میان زنان به عنوان گروه آسیب‌پذیر رو به افزایش است. وضعیت سلامت جنسی زنان متأهل سنین باروری، یکی از مهم‌ترین مسائل بهداشتی جامعه محسوب می‌شود که حساسیت آن کمتر مورد مطالعه و تحقیق قرار گرفته است. مطالعه کیفی حاضر با هدف تبیین اهمیت آموزش سلامت جنسی زنان متأهل سنین باروری انجام شد.
روش کار: این مطالعه کیفی با رویکرد تحلیل محتوا در سال 1393 در رشت انجام شد. نمونه‌گیری به روش هدفمند و جمع آوری اطلاعات به صورت 18 مصاحبه عمیق فردی و یک بحث گروهی متمرکز با زنان متأهل سنین باروری و 6 مصاحبه با مطلعین کلیدی بود. تمام مصاحبه‌ها ضبط و تایپ شد. داده‌ها با استفاده از روش تحلیل محتوای قراردادی و نرم افزارMAXqda  تجزیه و تحلیل شدند.
یافته ‌ها: از تحلیل دیدگاه‌ها و تجربیات مشارکت کنندگان، مهم‌ترین دلایل اهمیت آموزش سلامت جنسی برای زنان متأهل سنین باروری در 5 طبقه: دانش ناکافی در ارتباط با موضوعات جنسی، فقدان منابع معتبر علمی در زمینه سلامت جنسی، آسیب‌های مرتبط با فناوری‌های جدید، عوامل خطر برای سلامت جنسی و پیامدهای عدم کفایت آموزش سلامت جنسی طبقه بندی شد.
نتیجه‌گیری: آموزش سلامت جنسی برای زنان متأهل سنین باروری به دلیل افزایش دانش جنسی و پیشگیری از عوامل تهدید‌کننده سلامت جنسی ضروری می‌باشد. لذا ادغام آموزش سلامت جنسی در برنامه‌های مراقبت بهداشت اولیه پیشنهاد می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Perception and experience of married women of reproductive age about the importance of sexual health education: A content analysis study

نویسندگان [English]

  • Zahra Bostani Khalesi 1
  • Atefeh Ghanbari Khanghah 2
1 PhD Student in Reproductive Health, Social Determinants of Health Research Center, School of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran.
2 Associate Professor, Department of Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Gilan University of Medical Sciences, Rasht, Iran.
چکیده [English]

Introduction: In recent years, the rate of sexually transmitted diseases is increasing particularly among women as vulnerable group. Sexual health status among married women of reproductive age is one of the most important public health issues that its sensitivity has been less studied and researched. This qualitative study was performed with aim to evaluate the importance of sexual health education in married women of reproductive age.
Methods: This qualitative study was performed using content analysis approach in Rasht at 2014. The participants were selected purposefully. Data were collected through 18 individuals' in-depth interviews and 1 focus group discussions with married women of reproductive age and 6 key informants. All interviews were audio-recorded and transcribed. Data were analyzed using conventional content analysis and MAXQDA software.
Results: In the analysis of the participant’s views and experiences, the main reasons for the importance of the sexual health education among married women of reproductive age were categorized in five themes including: inadequate knowledge about sexual issues, the lack of scientific and reliable sexual health resources, damages related to new techniques, risk factors for sexual health, and the consequences of inadequate sexual health education.
Conclusion: The sexual health education for married women of reproductive age is necessary to increase sexual knowledge and prevent of sexual health threatening factors. Therefore, codification of sexual health education in primary health care programs is recommended.

کلیدواژه‌ها [English]

  • Education
  • Qualitative study
  • Sexual health

مراجع

  1. World Health Organization. Defining sexual health: report of technical consultation on sexual health. Geneva: WHO; 2006.
  2. World Health Organization. Developing sexual health programmes: a framework for action. Geneva: WHO; 2010.
  3. Comprehensive sexuality education, Giving young people the information, skills and knowledge they need. United Nations Population Fund. Available at: URL: http://www.unfpa.org/public/home/adolescents/; 2011.
  4. Weaver AD, Byers ES, Sears HA, Cohen JN, Randall HE. Sexual health education at school and at home: Attitudes and experiences of New Brunswick parents. Can J Hum Sex 2012; 11(1):19-32.
  5. World Health Organization. The importance of a renewed commitment to STI prevention and control in achieving global sexual and reproductive health. Geneva: WHO; 2013.
  6. Erecvik Amado L. Sexual and bodily rights as human rights in the Middle East and North Africa. Reprod Health Matters 2004; 12(23):125-8.
  7. Abedian K, Shahhosseini Z. University students’ point of views to facilitators and barriers to sexual and reproductive health services. Int J Adolesc Med Health 2014; 26(3):387-92.
  8. DeJong J, Jawed R, Mortagy I, Shepard B. The sexual and reproductive health of young people in the Arab countries and Iran. Reprod Health Matters 2005; 13(25):49–59.
  9. Peterson GW, Bush KR. Handbook of marriage and the family. New York: Springer Dating and Mate Selection; 2013. P. 221-34.
  10. Miniatry of interior. National Organization for Cilvil Regisration. Islamic Republic of Iran. Available at: URL: Http://www.sabteahval.ir/default.aspx?tabid=4760; 2015.
  11. Refaie Shirpak Kh. Sexual health. In: Hatami H, Razavi S, Ardabily H, editors. Comprehensive Public Health Book. 4th ed. Tehran, Iran: Arjmand Pub; 2011.
  12. Foroutan SK, Jadid MM. The prevalence of sexual dysfunction among divorce requested. Daneshvar Med 2009; 16(78):37–42.
  13. Vural B, Temel A. Effectiveness of premarital sexual counseling program on sexual satisfaction of recently married couples. Sex Health 2009; 6(3):222-32.
  14. Khoei EM. Language of love in culture of silence: Iranian women’s sexual understandings and sociocultural Context. [PhD Dissertation]. Sydney, Australia: New South Wales University; 2006.
  15. Corbin J, Strauss A. Basics of qualitative research: techniques and procedures for developing grounded theory. 4rd ed. Thousand Oaks: Sage publications; 2014.
  16. Maxwell JA. Qualitative research design: an interactive approach. 4th ed. Los Angeles: Sage; 2014.
  17. Denzin NK, Lincoln YS. The SAGE handbook of qualitative research. 5th ed. London: Sage Publications; 2015.
  18. Guba EG, Lincoln YS. Fourth generation evaluation. Newbury Park, CA: Sage; 1989.
  19. Javadnoori M, Roudsari RL, Hasanpour M, Hazavehei SM, Taghipour A. Female adolescents’ experiences and perceptions regarding sexual health education in Iranian schools: a qualitative content analysis. Iran J Nurs Midwifery Res 2012; 17(7):539-46.
  20. Ghorbani B. Improper sexual myths. Iran J Med Ethics History 2012; 5(2):1-20. (Persian).
  21. Latifnejad Roudsari R, Javadnoori M, Hasanpour M, Hazavehei SM, Taghipour A. Socio-cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med 2013; 11(2):101-10.
  22. Maasoumy R, Lamyian M, Khalaj Abadi F, Montazeri A. Women’s perception of sexual socialization in Iran: a qualitative study. J Gual Res Health Sci 2013, 2(3):221-33.
  23. Bahrami N, Simbar M, Soleimani MA. Sexual health challenges of adolescents in Iran: a review article. J Sch Pub Health Instit Pub Health Res 2013; 10(4)1-16. (Persian).
  24. Hashemi S, Seddigh S, Tehrani FR, Khansari SM, Khodakarami N. Sexual behavior of married Iranian women, attending taleghani public health center. J Reprod Infertil 2013; 14(1):34-8.
  25. Hops H, Ozechowski TJ, Waldron HB, Davis B, Turner CW, Brody JL, et al. Adolescent health-risk sexual behaviors: effects of a drug abuse intervention. AIDS Behav 2011; 15(8):1664-76.
  26. Ghavidel M, Kazemi Y, Nikmanesh Z, Azar F. Relationship between sexual behavior and communication media (Internet, satellite and mobile) in adolescents of Zahedan. National Congress on Border Cities and Security; Challenges and Strategies–CBCS. University of Sistan and Baluchestan, Iran; 2012. (Persian).
  27. Irani S, Yaghoubi R, Rakee N, Habibi F. Social pathology of mobile phones: mobile phones  and social deviations. Indian J Fund Appl Life 2014; 4(S4):2168-74.
  28. Berer M. Cosmetic surgery, body image and sexuality. Reprod Health Matters 2010; 18(35):4–10.
  29. McFarland MJ, Uecker JE, Regnerus MD. The Role of religion in shaping sexual frequency and satisfaction: evidence from married and unmarried older adults. J Sex Res 2011; 48(2-3):297–308.
  30. Shahsiyah M, Bahrami F, Etemadi O, Mohebi S. Effect of sex education on improving couples martial satisfaction in Isfehan. Health Sys Res 2011; 6(4):690-7.
  31. Rostamkhani F, Jafari F, Ozgoli G, Shakeri M. Addressing the sexual problems of Iranian women in a primary health care setting: a quasi-experimental study. Iran J Nurs Midwifery Res 2015; 20(1):139-4.

مجله زنان، مامایی و نازایی ایران
دوره 18، شماره 172 - شماره پیاپی 172
هفته دوم آذر ماه 1394
آذر 1394
صفحه 7-17

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