Abstract Adolescents in Panama face multiple challenges to their sexual health, rights and well-being such as high rates of teenage pregnancy (∼30% of all pregnancies), increased HIV infections and sexual violence. In the absence of sufficient evidence-based data and an ongoing debate in Panamanian society about how to approach adolescents’ health problems, the aim of this qualitative study was to explore the perceptions and attitudes of different societal actors, namely governmental employees, NGO employees, academics, members from religious groups, teachers and parents. We conducted in-depth interviews (N = 34) which focused on the behavioural and environmental factors considered to influence adolescents’ decision making with regard to love, friendships and family relations. Furthermore, we explored how these stakeholders viewed the role of the education system, and the potential of including social–emotional learning (SEL) in the curriculum to provide skills and capacities, which could encourage adolescents to make better decisions and improve their well-being, in general but also in the context of sexual behaviours. Analysis revealed five central themes, i.e. perceptions towards gender roles and equality, adolescents’ love (sexual) relationships, capacity needs regarding prevention of risk behaviours and the role of education, comprehensive sexuality education in schools and the potentiality of SEL in the education system. The findings of the study can enhance understanding on the views of stakeholders regarding the factors influencing adolescents’ decision making, as well as regarding the possibilities of introducing SEL in the Panamanian educational curriculum.

中文翻译：

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行为和环境对人际关系中青少年决策的影响：巴拿马的多方利益相关者定性探索。

摘要巴拿马青少年的性健康，权利和福祉面临多重挑战，例如青少年怀孕率高（占所有怀孕的30％），艾滋病毒感染增加和性暴力。在缺乏足够的基于证据的数据以及巴拿马社会关于如何解决青少年健康问题的持续辩论的情况下，本定性研究的目的是探讨不同社会行为者（政府雇员，非政府组织雇员，学者，宗教团体成员，老师和父母。我们进行了深入的访谈（N = 34），重点是被认为影响青少年在爱情，友情和家庭关系方面的决策的行为和环境因素。此外，我们探索了这些利益相关者如何看待教育系统的作用，以及在课程中纳入社会情感学习（SEL）来提供技能和能力的潜力，这可能会鼓励青少年做出更好的决定并改善他们的幸福感。一般，但也涉及性行为。分析揭示了五个中心主题，即对性别角色和平等的认识，青少年的恋爱（性）关系，预防风险行为和教育作用的能力需求，学校全面的性教育以及SEL在教育系统中的潜力。研究结果可以增进利益相关者对影响青少年决策的因素的理解，