Heterosexual female adolescents' decision-making about sexual intercourse and pregnancy in rural Ontario, Canada

Ezer, Paulina; Leipert, Beverly; Evans, Marilyn; Regan, Sandra

doi:10.22605/rrh3664

Cited by 3 publications

(3 citation statements)

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“… 10 Adolescents living in rural communities which hold religious, traditional, and conservative values may avoid accessing contraception services out of fear of being judged negatively. 11 12 Such issues have been highlighted previously for young people in rural areas of Scotland. 13 Social isolation and lack of access to information or youth services can exacerbate health risk.…”

Section: Introductionmentioning

confidence: 89%

“…Accessing confidential support and information for sexual well-being can be difficult for individuals in very remote rural areas where transport is sparse, and where healthcare professionals are known personally 10. Adolescents living in rural communities which hold religious, traditional, and conservative values may avoid accessing contraception services out of fear of being judged negatively 11 12. Such issues have been highlighted previously for young people in rural areas of Scotland 13.…”

Section: Introductionmentioning

confidence: 99%

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Sexual well-being among young people in remote rural island communities in Scotland: a mixed methods study

MacGilleEathain

Smith

Steele

2023

BMJ Sex Reprod Health

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BackgroundIt has been identified that rural young people face barriers to accessing support for their sexual well-being such as availability and transport, knowing healthcare staff personally, and fear of being judged negatively within their community. These factors may contribute to widening health inequalities and expose young people living in rural areas to increased risk of poor sexual well-being. Little is known about the current needs of adolescents residing in remote rural island communities (RRICs).MethodsA cross sectional mixed methods study was conducted with 473 adolescents aged 13–18 across the islands of the Outer Hebrides of Scotland. Analysis included descriptive, inferential statistics and thematic analysis.Results59% (n=279) of participants held the perception there was no support, or did not know if there was support, about condoms and contraception in their local area. 48% (n=227) said that free condoms were not easily available for local young people. 60% (n=283) said they would not use youth services if they were locally available. 59% (n=279) said they did not receive enough relationships, sexual health and parenthood (RSHP) education. Opinion differed significantly by gender, school year group, and sexual orientation. Qualitative analysis identified three key themes: (1) alone yet visible, (2) silence and disapproval, and (3) safe spaces, with an underpinning theme of island cultures.ConclusionsA need for further sexual well-being support that addresses the complexities and challenges for young people residing in RRICs is identified. The intersectionality of being LGBT+ and residing in this context may increase the experience of inequality in sexual well-being support.

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Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Sexual well-being among young people in remote rural island communities in Scotland: a mixed methods study

MacGilleEathain

Smith

Steele

2023

BMJ Sex Reprod Health

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“…Qualitative research has also proven useful in understanding how important medical and health-related decisions are made and identifying perceived barriers to care with clear implication for prevention and intervention. For example, qualitative methods have been used to understand decisions regarding sexual intercourse and perceptions of pregnancy among rural adolescent females (Ezer, Leipert, Evans, & Regan, 2016) and decisions among parents regarding testing of their children for genetic cancer predisposition (Alderfer et al, 2015). Such research can guide the development of decision-making aids for use in clinical care.…”

Section: The Lived Experience: Building Theory and Identifying Clinic...mentioning

confidence: 99%

Using Qualitative Research Methods to Improve Clinical Care in Pediatric Psychology

Alderfer¹,

Sood²

2016

Clinical Practice in Pediatric Psychology

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The editors of Clinical Practice in Pediatric Psychology recently issued a call for articles reporting the use of qualitative methods in improving clinical care. This commentary describes the valuable role that qualitative research methods can play in the development, adaptation, and refinement of clinical care practices; highlights examples of this research from the current literature; and refers authors and readers to resources for reporting upon and evaluating the rigor of this scientific approach.

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A National, Qualitative Study of Sexual Decision Making by Teenage Girls who are Lesbian, Gay, Bisexual, or who have Another Nonheterosexual Identity

Ybarra

Parrilla

Wolowic

et al. 2020

The Journal of Pediatrics

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Heterosexual female adolescents' decision-making about sexual intercourse and pregnancy in rural Ontario, Canada

Abstract: Heterosexual female adolescents' decision-making about sexual intercourse and pregnancy in rural Ontario,

Cited by 3 publications

References 20 publications

Sexual well-being among young people in remote rural island communities in Scotland: a mixed methods study

Sexual well-being among young people in remote rural island communities in Scotland: a mixed methods study

Using Qualitative Research Methods to Improve Clinical Care in Pediatric Psychology

A National, Qualitative Study of Sexual Decision Making by Teenage Girls who are Lesbian, Gay, Bisexual, or who have Another Nonheterosexual Identity

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