Abstract

Purpose

The aim of this study was to gain insight into the sexual beliefs of African American adolescent females and yield greater evidence for reframing the methods used to communicate sexual health education information to educators.

Design and methods

This is a secondary data analysis of a qualitative descriptive study. One-on-one interviews were conducted with 36 African American females ages 12–14. The qualitative data were analyzed using exploratory deductive thematic analysis.

Results

Three themes emerged from the analysis: (a) perceptions of sexual health education, (b) threat of adverse sexual health outcomes, and (c) perceptions of condom usage. Overall, adolescents had basic sexual health knowledge and accurately appraised their risk for adverse sexual health outcomes. Many adolescents perceived the biggest disadvantage of condom usage was condom ineffectiveness. The greatest barrier to condom usage was male opposition. Adolescents perceived the threat of adverse sexual health outcomes, but the perceived benefits of condom usage in preventing pregnancies and STIs may not outweigh the disadvantages and barriers described by the adolescents.

Conclusion

The adolescents in this study had knowledge about pregnancies and STIs but lacked the skills necessary to enact safer sex practices.

中文翻译：

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探索非裔美国青少年女性的性健康信念：定性二次数据分析

摘要

目的

这项研究的目的是深入了解非裔美国青春期女性的性信仰，并为重新制定向教育工作者传达性健康教育信息的方法提供更多证据。

设计与方法

这是定性描述性研究的二次数据分析。对 36 名 12 至 14 岁的非裔美国女性进行了一对一的采访。使用探索性演绎主题分析对定性数据进行分析。

结果

分析中出现了三个主题：(a) 对性健康教育的看法，(b) 不良性健康结果的威胁，以及 ​​(c) 对安全套使用的看法。总体而言，青少年拥有基本的性健康知识，并准确评估了不良性健康结果的风险。许多青少年认为使用安全套的最大缺点是安全套无效。使用安全套的最大障碍是男性的反对。青少年意识到不良性健康结果的威胁，但使用安全套在预防怀孕和性传播感染方面的好处可能不会超过青少年所描述的缺点和障碍。

结论

这项研究中的青少年了解怀孕和性传播感染的知识，但缺乏采取安全性行为所需的技能。