بررسی چارچوب اخلاقی در آموزش جنسی نوجوانان: مرور سیستماتیک

نوع مقاله : مروری

نویسندگان

1 کارشناس ارشد مامایی، گروه سلامت باروری و مامایی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.

2 استادیار گروه بهداشت باروری، دانشکده پزشکی، دانشگاه علوم پزشکی ایرانشهر، ایرانشهر، ایران.

3 دانشجوی دکترای تخصصی مامایی، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی مازندران، ساری، ایران.

4 مربی گروه مامایی، دانشگاه آزاد اسلامی واحد اهواز، اهواز، ایران.

5 مربی گروه مامایی، دانشگاه آزاد اسلامی واحد اردبیل، اردبیل، ایران.

6 دانشجوی دکترای تخصصی بهداشت باروری، مرکز پژوهش‌های علمی و فناوری دانشجویان، دانشگاه علوم پزشکی تهران، تهران، ایران.

7 استادیار گروه بهداشت باروری، مرکز تحقیقات بیماری‌های غیرواگیر، دانشگاه علوم پزشکی البرز، کرج، ایران. استادیار گروه بهداشت باروری، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، پژوهشکده مدیریت سلامت، دانشگاه علوم پزشکی ایران، تهران، ایران.

10.22038/ijogi.2025.86625.6375

چکیده

مقدمه: آموزش جنسی، یکی از مسائل اساسی در ارتقای سلامت نوجوانان می­ باشد که همواره از نظر فرهنگی و اجتماعی با چالش‌هایی مواجه بوده است. در چنین بستری، تدوین یک چارچوب اخلاقی جامع، ضرورتی اجتناب‌ناپذیر به شمار می‌آید. بنابراین مطالعه حاضر با هدف بررسی چارچوب اخلاقی پیرامون آموزش جنسی برای نوجوانان انجام شد.
روش‌کار: این مرور نظام‌مند مطابق با دستورالعمل‌های PRISMA و با جستجو در دیتابیس­ های Pubmed، Scopus، Web of Science با موتور جستجوی گوگل اسکالر و با استفاده از واژگان کلیدی MeSH متناسب از ژانویه 2013 تا 6 مارس 2025 انجام شد و کیفیت مطالعات با استفاده از ابزار ارزیابی و مرور کیفی مؤسسه جوآنا بریگز بررسی گردید. در مجموع، ۱۴ مطالعه با کیفیت بالا انتخاب و مورد تجزیه‌ و تحلیل قرار گرفت.
یافته ­ها: نتایج نشان داد که رضایت والدین نقش اساسی در آموزش جنسی نوجوانان ایفا می‌کند؛ به‌ویژه در مواردی که تأثیر والدین ممکن است بر هویت و رفتار مستقل نوجوانان غلبه کند. همچنین، یافته‌ها بر اهمیت صداقت در ملاحظات اخلاقی هنگام ارائه آموزش جنسی تأکید دارند. علاوه بر این، محتوای آموزشی باید با هنجارهای اخلاقی، فرهنگی و مذهبی جامعه تطبیق داشته باشد تا تأثیرگذاری آن افزایش یابد.
نتیجه ­گیری: توجه به چارچوب اخلاقی در آموزش جنسی نوجوانان می‌تواند تأثیر مثبتی بر نگرش‌ها، دانش و رفتارهای آنان داشته باشد و در نهایت منجر به بهبود سلامت فردی، خانوادگی و اجتماعی شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Ethical Framework in Sex Education for Adolescents: A Systematic Review

نویسندگان [English]

  • Farinaz Rahimi 1
  • Arezoo Pirak 2
  • Zeinab Hashemi 3
  • Mina Shojaee 4
  • Nastaran Safavi Ardabili 5
  • Fatemeh Alsadat Rahnemaei 6
  • Fatemeh Abdi 7
1 M.Sc. of Midwifery, Department of Reproductive Health and Midwifery, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2 Assistant Professor, Department of Reproductive Health, Faculty of Medicine, Iranshahr University of Medical Sciences, Iranshahar, Iran.
3 PhD Student of Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
4 Instructor, Department of Midwifery, Ahvaz Branch Islamic Azad University, Ahvaz, Iran.
5 Instructor, Department of Midwifery, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
6 PhD Student of Reproductive Health, Student Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran.
7 Assistant Professor, Department of Reproductive Health, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. Assistant Professor, Department of Reproductive Health, Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Sex education is one of the fundamental issues in promoting adolescent health, which has always faced cultural and social challenges. In such a context, developing a comprehensive ethical framework is an inevitable necessity. Therefore, this study was conducted with aim to examine the ethical framework of sex education for adolescents.
Methods: This systematic review was conducted following the PRISMA guidelines through a comprehensive search of PubMed, Scopus, and Web of Science databases, as well as Google Scholar, using appropriate MeSH keywords from January 2013 to 6 March 2025. The methodological quality of the included studies was appraised using the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). In total, 14 high-quality studies were selected and analyzed.
Results: The results highlighted that parental consent plays a fundamental role in adolescent sex education, particularly in cases where parental influence might overshadow the identity and independent behavior of adolescents. Furthermore, the findings emphasize the significance of honesty in moral considerations when delivering sex education. Additionally, the educational content should be aligned with society's moral, cultural, and religious norms to enhance its effectiveness.
Conclusion: Focusing on the ethical framework in adolescent sex education can positively influence their attitudes, knowledge, and behaviors, ultimately contributing to the well-being of individuals, families, and communities.

کلیدواژه‌ها [English]

  • Adolescents
  • Ethics
  • Sex education

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مجله زنان، مامایی و نازایی ایران
دوره 28، شماره 5
مرداد 1404
صفحه 59-77

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