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Adult and young women communication on sexuality: a pilot intervention in Maputo-Mozambique
Reproductive Health ( IF 3.4 ) Pub Date : 2019-09-18 , DOI: 10.1186/s12978-019-0809-3
Mónica Frederico 1, 2, 3 , Carlos Arnaldo 2 , Kristien Michielsen 1 , Peter Decat 4
Affiliation  

Communication on sexuality within the family has been considered a determinant factor for the sexual behaviour of young women, contributing to delaying sexual initiation. Taking into account that young women are increasingly exposed to sexualized messages, they need clear, trustful and open communication on sexuality more than ever. However, in Mozambique, communication about sexuality is hampered by strict social norms. This paper evaluates the case of an intervention aimed at reducing the generational barrier for talking about sexuality and to contribute to better communication within the family context. The intervention consisted of three weekly one-hour coached sessions in which female adults and young interacted about sexuality. Realist evaluation was used as a framework to assess context, mechanisms, and outcomes of the intervention. Interviews were conducted among 13 participants of the sessions. The interaction sessions were positively appreciated by the participants and contributed to change norms and attitudes towards communication on sexuality within families. Recognition of similarities and awareness of differences were key in the mechanisms leading to these outcomes. This was reinforced by the use of visual materials and the atmosphere of respect and freedom of speech that characterized the interactions. Limiting factors were related to the long-standing taboo on sexuality and existing misconceptions on sexuality education and talks about sex. By elucidating mechanisms and contextual factors our study adds knowledge on strategies to improve transgenerational communication about sexuality.

中文翻译:

成年和年轻女性关于性的交流:莫桑比克马普托的试点干预

家庭内关于性的沟通被认为是年轻女性性行为的决定因素,有助于延迟性开始。考虑到年轻女性越来越多地接触性信息,她们比以往任何时候都更需要关于性的清晰、信任和开放的沟通。然而,在莫桑比克,有关性的交流受到严格的社会规范的阻碍。本文评估了旨在减少谈论性的代际障碍并促进家庭背景下更好沟通的干预案例。干预措施包括每周三期一小时的辅导课程,其中女性成年人和年轻人就性问题进行互动。现实主义评估被用作评估干预背景、机制和结果的框架。对 13 名会议参与者进行了采访。互动会议受到了参与者的积极赞赏,并有助于改变家庭内性沟通的规范和态度。对相似性的认识和对差异的认识是导致这些结果的机制的关键。视觉材料的使用以及互动的尊重和言论自由的氛围强化了这一点。限制因素与长期以来对性的禁忌以及对性教育和性谈论的现有误解有关。通过阐明机制和背景因素,我们的研究增加了改善跨代性沟通策略的知识。
更新日期:2019-09-18
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