PDF(Pubmed)
Abstract：
UNASSIGNED: In spite of adolescents\' high knowledge about modern contraceptives, usage is low especially in sub-Saharan Africa. Little is known about what adolescents use in place of modern contraceptive methods.
UNASSIGNED: This paper discusses lay strategies that adolescents use in their quest to prevent unintended pregnancy.
UNASSIGNED: A qualitative approach was used in the study reported in this paper. The paper draws on focus group data from a larger study looking at adolescent contraceptive needs in Ghana. A purposive sampling technique was used to select 79 adolescents who participated in a focus group discussion. Eight focus group discussions were held with both male and female adolescents aged 15-19. The data were analysed using the inductive thematic analysis method after transcribing the data.
UNASSIGNED: We found that after having sex without using condom, adolescent girls ejected sperms by using water, salt solution or ice cubes, while others engaged in pushing with pelvic floor muscles. In their bid to prevent pregnancy, for boys, engaging in masturbation and the intake of Tramadol before sex was observed. When these lay strategies fail, adolescents resorted to unsafe and illegal abortion.
UNASSIGNED: Though adolescents girls engaged in unprotected sex, they still tried to avoid pregnancy, and consequently adopted lay strategies of pregnancy prevention that do not expose them to stigma. It is therefore recommended that the Ministry of Health through the Ghana Health Service consider establishing more adolescent-friendly health centres and expanding existing ones where adolescents could easily visit to have their sexual and reproductive health needs addressed in a very confidential and non-judgemental manner.
UNASSIGNED: This paper discusses lay strategies that adolescents use in their quest to prevent unintended pregnancy.
UNASSIGNED: A qualitative approach was used in the study reported in this paper. The paper draws on focus group data from a larger study looking at adolescent contraceptive needs in Ghana. A purposive sampling technique was used to select 79 adolescents who participated in a focus group discussion. Eight focus group discussions were held with both male and female adolescents aged 15-19. The data were analysed using the inductive thematic analysis method after transcribing the data.
UNASSIGNED: We found that after having sex without using condom, adolescent girls ejected sperms by using water, salt solution or ice cubes, while others engaged in pushing with pelvic floor muscles. In their bid to prevent pregnancy, for boys, engaging in masturbation and the intake of Tramadol before sex was observed. When these lay strategies fail, adolescents resorted to unsafe and illegal abortion.
UNASSIGNED: Though adolescents girls engaged in unprotected sex, they still tried to avoid pregnancy, and consequently adopted lay strategies of pregnancy prevention that do not expose them to stigma. It is therefore recommended that the Ministry of Health through the Ghana Health Service consider establishing more adolescent-friendly health centres and expanding existing ones where adolescents could easily visit to have their sexual and reproductive health needs addressed in a very confidential and non-judgemental manner.
摘要：
■尽管青少年对现代避孕药有很高的了解，使用率很低，特别是在撒哈拉以南非洲。青少年用什么代替现代避孕方法知之甚少。
■本文讨论了青少年在寻求预防意外怀孕时使用的外行策略。
■本文报道的研究采用了定性方法。本文借鉴了来自加纳青少年避孕需求的大型研究的焦点小组数据。使用目的抽样技术选择了79名参加焦点小组讨论的青少年。与15-19岁的男性和女性青少年举行了八次焦点小组讨论。转录数据后，采用归纳专题分析方法对数据进行分析。
■我们发现在不使用避孕套的情况下做爱后，少女用水排出精子，盐溶液或冰块，而其他人则用盆底肌肉推动。为了防止怀孕，对于男孩来说,观察到在性交前进行手淫和摄入曲马多。当这些外行策略失败时，青少年诉诸不安全和非法堕胎。
■尽管青少年女孩从事无保护的性行为，他们仍然试图避免怀孕，并因此采取了预防怀孕的外行策略，不会使他们遭受耻辱。因此，建议卫生部通过加纳卫生局考虑建立更有利于青少年的保健中心，并扩大现有的保健中心，让青少年可以轻松访问，以非常保密和非评判性的方式解决他们的性健康和生殖健康需求。
■本文讨论了青少年在寻求预防意外怀孕时使用的外行策略。
■本文报道的研究采用了定性方法。本文借鉴了来自加纳青少年避孕需求的大型研究的焦点小组数据。使用目的抽样技术选择了79名参加焦点小组讨论的青少年。与15-19岁的男性和女性青少年举行了八次焦点小组讨论。转录数据后，采用归纳专题分析方法对数据进行分析。
■我们发现在不使用避孕套的情况下做爱后，少女用水排出精子，盐溶液或冰块，而其他人则用盆底肌肉推动。为了防止怀孕，对于男孩来说,观察到在性交前进行手淫和摄入曲马多。当这些外行策略失败时，青少年诉诸不安全和非法堕胎。
■尽管青少年女孩从事无保护的性行为，他们仍然试图避免怀孕，并因此采取了预防怀孕的外行策略，不会使他们遭受耻辱。因此，建议卫生部通过加纳卫生局考虑建立更有利于青少年的保健中心，并扩大现有的保健中心，让青少年可以轻松访问，以非常保密和非评判性的方式解决他们的性健康和生殖健康需求。
