“It is challenging… oh, nobody likes it!”: a qualitative study exploring Mozambican adolescents and young adults’ experiences with contraception
Identifieur interne : 003916 ( Ncbi/Curation ); précédent : 003915; suivant : 003917“It is challenging… oh, nobody likes it!”: a qualitative study exploring Mozambican adolescents and young adults’ experiences with contraception
Auteurs : Rehana Capurchande [Mozambique, Belgique] ; Gily Coene [Belgique] ; Ingrid Schockaert [Belgique] ; Manuel Macia [Mozambique] ; Herman Meulemans [Belgique, Afrique du Sud]Source :
- BMC Women's Health [ 1472-6874 ] ; 2016.
Abstract
By focusing upon formal sex education programmes, the Mozambican government has significantly enhanced the general health of adolescents and young adults. However, when it comes to contraception, little is known about how adolescents and young adults actually behave.
Based upon a qualitative study in two settings in Maputo province – Ndlavela and Boane – this paper explores the knowledge and practices of contraception among adolescents and young adults. A total of four focus group discussions, 16 in-depth interviews, four informal conversations, and observations were equally divided between both study sites.
Discrepancies between what adolescents and young adults know and what they do quickly became evident. Ambivalent and contradictory practices concerning contraceptive use was the result. As well, young people had numerous interpretations of risk-taking when not using contraceptives. These inconsistencies are influenced by social and medical barriers such as restricted dialogue on sexuality among adolescents and young adults and their parents and peers. Additionally, ideas about indigenous contraceptives, notions of masculinity and femininity, misconceptions and fear of the side effects of contraceptives, make people of all ages wary of modern birth control. Other barriers include imposed contraceptive choice – meaning no choice, overly technical medical language used at clinics and the absence of healthcare workers more attuned to the needs of adolescents and young adults.
Adolescents and young adults have numerous – often erroneous – opinions about contraception, leading to inconsistent use as well as vague perceptions of risk-taking. Moreover, social norms and cultural gender roles often contradict and hinder risk-avoiding behaviour. Therefore, in order to improve young people’s health, policymakers must address the reasons behind this ambivalence and inconsistency.
Url:
DOI: 10.1186/s12905-016-0326-2
PubMed: 27475909
PubMed Central: 4967333
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CP 257, Maputo, Mozambique</nlm:aff><country xml:lang="fr">Mozambique</country><wicri:regionArea>Department of Sociology, Eduardo Mondlane University- Maputo, Campus Universitário Principal. CP 257, Maputo</wicri:regionArea><wicri:noRegion>Maputo</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Vrije Universiteit Brussel (Free University of Brussels), Centre for Research in Gender and Diversity, Department of Sociology, Faculty of Economic and Social Science, and Solvay Business School, Free University of Brussels, Pleinlaan 2, 1050 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Vrije Universiteit Brussel (Free University of Brussels), Centre for Research in Gender and Diversity, Department of Sociology, Faculty of Economic and Social Science, and Solvay Business School, Free University of Brussels, Pleinlaan 2, 1050 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Coene, Gily" sort="Coene, Gily" uniqKey="Coene G" first="Gily" last="Coene">Gily Coene</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Vrije Universiteit Brussel (Free University of Brussels), Department of Philosophy and Ethics, Centre for Research in Gender and Diversity, Pleinlaan 2, B-1050 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Vrije Universiteit Brussel (Free University of Brussels), Department of Philosophy and Ethics, Centre for Research in Gender and Diversity, Pleinlaan 2, B-1050 Brussels</wicri:regionArea><wicri:noRegion>B-1050 Brussels</wicri:noRegion></affiliation></author><author><name sortKey="Schockaert, Ingrid" sort="Schockaert, Ingrid" uniqKey="Schockaert I" first="Ingrid" last="Schockaert">Ingrid Schockaert</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Department of Sociology, Faculty of Economic and Social Science, and Solvay Business School, Free University of Brussels, Pleinlaan 5, 1050 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Sociology, Faculty of Economic and Social Science, and Solvay Business School, Free University of Brussels, Pleinlaan 5, 1050 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Macia, Manuel" sort="Macia, Manuel" uniqKey="Macia M" first="Manuel" last="Macia">Manuel Macia</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Sociology, Faculty of Arts and Social Sciences, Eduardo Mondlane University, Praça 25 de Junho, C. Postal 257, Maputo, Mozambique</nlm:aff><country xml:lang="fr">Mozambique</country><wicri:regionArea>Department of Sociology, Faculty of Arts and Social Sciences, Eduardo Mondlane University, Praça 25 de Junho, C. Postal 257, Maputo</wicri:regionArea><wicri:noRegion>Maputo</wicri:noRegion></affiliation></author><author><name sortKey="Meulemans, Herman" sort="Meulemans, Herman" uniqKey="Meulemans H" first="Herman" last="Meulemans">Herman Meulemans</name><affiliation wicri:level="4"><nlm:aff id="Aff6">Universiteit Antwerpen (Antwerp University), Department of Sociology, Centre for Longitudinal and Life Course Studies, Sint-Jacobstraat 2, BE-2000 Antwerpen, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Universiteit Antwerpen (Antwerp University), Department of Sociology, Centre for Longitudinal and Life Course Studies, Sint-Jacobstraat 2, BE-2000 Antwerpen</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff7">Centre for Health Systems Research and Development (CHSR&D), University of the Free State, Bloemfontein, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Centre for Health Systems Research and Development (CHSR&D), University of the Free State, Bloemfontein</wicri:regionArea><wicri:noRegion>Bloemfontein</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Women's Health</title><idno type="eISSN">1472-6874</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>By focusing upon formal sex education programmes, the Mozambican government has significantly enhanced the general health of adolescents and young adults. However, when it comes to contraception, little is known about how adolescents and young adults actually behave.</p></sec><sec><title>Methods</title><p>Based upon a qualitative study in two settings in Maputo province – Ndlavela and Boane – this paper explores the knowledge and practices of contraception among adolescents and young adults. A total of four focus group discussions, 16 in-depth interviews, four informal conversations, and observations were equally divided between both study sites.</p></sec><sec><title>Results</title><p>Discrepancies between what adolescents and young adults know and what they do quickly became evident. Ambivalent and contradictory practices concerning contraceptive use was the result. As well, young people had numerous interpretations of risk-taking when not using contraceptives. These inconsistencies are influenced by social and medical barriers such as restricted dialogue on sexuality among adolescents and young adults and their parents and peers. Additionally, ideas about indigenous contraceptives, notions of masculinity and femininity, misconceptions and fear of the side effects of contraceptives, make people of all ages wary of modern birth control. Other barriers include imposed contraceptive choice – meaning no choice, overly technical medical language used at clinics and the absence of healthcare workers more attuned to the needs of adolescents and young adults.</p></sec><sec><title>Conclusions</title><p>Adolescents and young adults have numerous – often erroneous – opinions about contraception, leading to inconsistent use as well as vague perceptions of risk-taking. Moreover, social norms and cultural gender roles often contradict and hinder risk-avoiding behaviour. Therefore, in order to improve young people’s health, policymakers must address the reasons behind this ambivalence and inconsistency.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Loi, Ur" uniqKey="Loi U">UR Loi</name></author><author><name sortKey="Danielsson, Kg" uniqKey="Danielsson K">KG Danielsson</name></author><author><name sortKey="Faxelid, E" uniqKey="Faxelid E">E Faxelid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hokororo, A" uniqKey="Hokororo A">A Hokororo</name></author><author><name sortKey="Kihunrwa, Af" uniqKey="Kihunrwa A">AF Kihunrwa</name></author><author><name sortKey="Kalluvya, S" uniqKey="Kalluvya S">S Kalluvya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yao, J" uniqKey="Yao J">J Yao</name></author><author><name sortKey="Murray, At" uniqKey="Murray A">AT Murray</name></author><author><name sortKey="Agadjanian, V" 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sortKey="Brown, S" uniqKey="Brown S">S Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hillier, L" uniqKey="Hillier L">L Hillier</name></author><author><name sortKey="Harrison, L" uniqKey="Harrison L">L Harrison</name></author><author><name sortKey="Warr, D" uniqKey="Warr D">D Warr</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abel, G" uniqKey="Abel G">G Abel</name></author><author><name sortKey="Fitzerald, L" uniqKey="Fitzerald L">L Fitzerald</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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