Abstract
Introduction
In order to be effective in discussing high-risk sexual behaviors with adolescents, mothers need to be educated about their adolescent daughters’ sexual issues. As no detailed and exact knowledge on mothers’ educational needs concerning adolescent girls’ reproductive health is available, the current study was intended to investigate mothers’ educational needs concerning their adolescent daughters’ reproductive health.
Materials and methods
This research was a qualitative content analysis. Purposive sampling was performed to the saturation point. The samples included 26 mothers and 14 key informants. Semi-structured interviews were used for data collection. Data authenticity was verified based on Lincoln and Guba’s criteria and data analysis was conducted using conventional content analysis with MAXQDA10 software.
Findings
In this study, three themes and 13 main categories, each with a number of subcategories were extracted. The themes and main categories included: “appropriate educational content (reproductive health, sexual health, general health, psychological health, family health, social health and spiritual health)”, “characteristics of the educator (communicative skill, cognitive skill and moral competence)”, and “effective factors in learning (teaching method, learning conditions and environment, and the learner’s readiness)”.
Conclusions
The results demonstrated that mothers need to be informed about sexual, reproductive, general, psychological, family, social and spiritual health in adolescent girls. Consequently, the results can help the healthcare authorities to implement need-based programs and boost the effectiveness of education about adolescent girls’ reproductive health for mothers.
Acknowledgments
Thanks to all the mothers who participated in the individual interviews and Shahid Beheshti University of Medical Sciences research council for their support in carrying out the study.
References
[1] Shahhosseini Z, Simbar M, Ramezankhani A, Majd HA. Supportive family relationships and adolescent health in the socio-cultural context of Iran: a qualitative study. Ment Health Fam Med. 2012;9(4):251–6.Search in Google Scholar
[2] Ministry of Health and Medical Education DoH, Population Health Office, Family and School, Youth Health Office. Youth Health Document 1st ed. [in Persian]; 2015.Search in Google Scholar
[3] Development ICoPa. Programme of Action of the International Conference on Population and Development. New York: UNFPA; 1994.Search in Google Scholar
[4] Simbar M, Tehrani F, Hashemi Z. Reproductive health knowledge, attitudes and practices of Iranian college students. East Mediterr Health J. 2005;11(5–6):888–97.Search in Google Scholar
[5] Fattahi Z, Masoumi SZ, Roshanaei G. The effect of educating mothers on the girls’ knowledge level of reproductive health. Payesh. 2017;5:627–35 [in Persian].Search in Google Scholar
[6] Mohammadi M, Alikhani S, Farahani FA, Bahonar A. Parents’ attitudes towards adolescent boy’s reproductive health needs and practice in Tehran. Iran J Psychiatry. 2007;2(1):13–24 [in Persian].Search in Google Scholar
[7] Ayalew M, Mengistie B, Semahegn A. Adolescent – parent communication on sexual and reproductive health issues among high school students in Dire Dawa, Eastern Ethiopia: a cross sectional study. Reprod Health. 2014;11(1): 77.10.1186/1742-4755-11-77Search in Google Scholar PubMed PubMed Central
[8] Alimordi Z, Simbar M. Puberty health education for Iranian adolescent girls: challenges and priorities to design school-based interventions for mothers and daughters. Payesh. 2014;13:621–36 [Persian].Search in Google Scholar
[9] Aria KJ, Nahidi F, Akbari SA, Majd HA. Parents and teachers’ view on appropriate time and method for female reproductive health education. J Gorgan Uni Med Sci. 2010;12(3):84–90 [in Persian].Search in Google Scholar
[10] Iliyasu Z, Aliyu M, Abubakr I, Galadanci H. Sexual and reproductive health communication between mothers and their adolescent daughters in Northern Nigeria. Health Care for Women Int. 2012;33:138–52.10.1080/07399332.2011.562996Search in Google Scholar PubMed
[11] Lusajo K, Nicolas S, Hein V, Sylvia K, Leif A. Dynamics of parent–adolescent communication on sexual health and HIV/AIDS in Tanzania. AIDS Behav. 2013;18:S69–74.10.1007/s10461-013-0634-6Search in Google Scholar PubMed
[12] Abdi F, Simbar M. The peer education approach in adolescents- narrative review article. Iran J Public Health. 2013;42(11):1200–6.Search in Google Scholar
[13] Kalantary S, Ghana S, Sanagoo A, Jouybari L. Puberty and sex education to girls: experiences of Gorganians’ mothers. Health Promot Manag. 2013;2(3):74–90 [in Persian].Search in Google Scholar
[14] Kaljee L, Green M, Lerdboon P, Riel R, Pham V, Tho L, et al. Parent-youth communication and concordance between parents and adolescents on reported engagement in social relationships and sexually intimate behaviors in Ha Noi and Khanh Hoa Province, Viet Nam. J Adolesc Health. 2011;48(3):268–74.10.1016/j.jadohealth.2010.06.021Search in Google Scholar PubMed PubMed Central
[15] Ojo O, Aransiola J, Fatusi A, Akintomide A, Awolowo O. Pattern and Socio-demographic correlates of parent-child communication on sexual and reproductive health issues in southwest Nigeria: a mixed method study. Afr Symp. 2011;11(2):29–48.Search in Google Scholar
[16] Widman L, Choukas-Bradley S, Helms S, Golin C, Prinstein M. Sexual communication between early adolescents and their dating partners, parents, and best friends. J Sex Res. 2014;51(7):731–41.10.1080/00224499.2013.843148Search in Google Scholar PubMed PubMed Central
[17] Mirzaei K, Olfati F. Educational needs of adolescent girls for reproductive health in teachers views. JQUMS. 2014;18(2):67–76.Search in Google Scholar
[18] Spezial HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. Philadelphia, PA: Wolters Kluwer Health; 2011.Search in Google Scholar
[19] Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs. 2008;62:107–15.10.1111/j.1365-2648.2007.04569.xSearch in Google Scholar PubMed
[20] Zhang Y, Wildemuth BM. Qualitative analysis of content. Westport, CT: Libraries Unlimited; 2009.Search in Google Scholar
[21] Holloway I, Galvin K. Qualitative research in nursing and healthcare. 4th ed. 2016.Search in Google Scholar
[22] Fongkaew W, Cupp P, Miller B, Atwood K, Chamratrithirong A, Rhucharoenpornpanich O, et al. Do Thai parents really know about the sexual risk taking of their children? A qualitative study in Bangkok. Nurs Health Sci. 2012;14(3):391–7.10.1111/j.1442-2018.2012.00703.xSearch in Google Scholar PubMed PubMed Central
[23] Akers A, Akers E, Borrero S, Corbie G. Family discussions about contraception and family planning: a qualitative exploration of black parent and adolescent perspectives. Perspect Sex Reprod Health. 2010;42(3):160–7.10.1363/4216010Search in Google Scholar PubMed PubMed Central
[24] Abedini E, Tabibi Z, Ziaee P, Zarezade S. A qualitative study on mothers’ experiences from sex education to female adolescents underlining cultural factors. J Fundam Mental Health. 2016;18(4):202–11 [in Persian].Search in Google Scholar
[25] Khalajabadi Farahani F, Mehyar AH. The role of family in premarital heterosexual relationships among female university students in Tehran. J Fam Res. 2011;6(24):449–68 [in Persian].Search in Google Scholar
[26] Nikmanesh Z, Khosravi Z, Kazemi Y. Investigate the role of the family in the sexual behavior of adolescents. J Educ Psychol Stud 2008;5(8):89–111 [in Persian].Search in Google Scholar
[27] Rezaei Abhari F, Hamzehgardeshi, Hajikhani Golchin N, Zabihei M, Hamzehgardeshi L. Drug user girls’ perceptions of their sexual decision making: qualitative research. J Nurs Res. 2009;6(21):78–87.Search in Google Scholar
[28] Ghaffari M, Niknami S, Mohsen B, Kazemnejad A, Mirzaee E, Ghofranipour F. Correlates of the intention to remain sexually inactive among male adolescents in an Islamic country: case of the Republic of Iran. J Sch Health. 2009;79(3):123–129 [in Persian].10.1111/j.1746-1561.2008.0396.xSearch in Google Scholar PubMed
[29] Bostani Z, simbar M, Azin S. Explaining sexual health education needs of pre-marriage couples: a qualitative study. J Qual Res Health Sci. 2015;4(3):290–303 [in Persian].Search in Google Scholar
[30] Hajikazemi E, Oskouie F, Mokari H, Faghanipour S, Hosseini A. Parents’ views about teaching contraceptive methods to female adolescent students. Iran J Nurs. 2014;27(87):55–66 [in Persian].10.29252/ijn.27.87.55Search in Google Scholar
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