Abstract：
South African adolescent girls experience high rates of unintended pregnancy and sexually transmitted infections including HIV. To inform culturally-tailored dual protection interventions to prevent both unintended pregnancy and STIs/HIV, this study qualitatively examined girls\' sexual health intervention preferences. Participants were aged 14-17 years old and Sesotho-speaking (N = 25). To elucidate shared cultural beliefs, individual interviews examined participants\' perceptions about other adolescent girls\' pregnancy and STI/HIV prevention intervention preferences. Interviews were conducted in Sesotho and translated into English. Two independent coders identified key themes in the data using a conventional content analysis approach with discrepancies resolved by a third coder. Participants indicated that intervention content should include efficacious pregnancy and STI/HIV prevention methods and ways to navigate peer pressure. Interventions should be accessible, avoid criticism and provide high-quality information. Preferred intervention formats included online, SMS/text, or delivery by social workers or older, knowledgeable peers, with mixed acceptability for delivery by parents or same-age peers. Schools, youth centres and sexual health clinics were preferred intervention settings. Results highlight the importance of cultural context in tailoring dual protection interventions to address the reproductive health disparities among adolescent girls in South Africa.
摘要：
南非少女意外怀孕和包括艾滋病毒在内的性传播感染的发生率很高。为文化上量身定制的双重保护干预措施提供信息，以防止意外怀孕和性传播感染/艾滋病毒，这项研究定性地检查了女孩的性健康干预偏好。参与者年龄为14-17岁，讲塞索托语（N=25）。为了阐明共同的文化信仰，个别访谈检查了参与者对其他少女怀孕的看法和性传播感染/艾滋病毒预防干预的偏好。面试在塞索托进行，并翻译成英文。两个独立的编码器使用传统的内容分析方法确定了数据中的关键主题，差异由第三个编码器解决。参与者指出，干预内容应包括有效的怀孕和性传播感染/艾滋病毒预防方法以及应对同伴压力的方法。干预措施应该是可以获得的，避免批评，提供高质量的信息。首选的干预形式包括在线，SMS/text,或由社会工作者或更年长的人交付，知识渊博的同龄人，父母或同龄同龄人对分娩的接受度参差不齐。学校,青年中心和性健康诊所是首选的干预机构.结果强调了文化背景在调整双重保护干预措施以解决南非少女生殖健康差距方面的重要性。
