Volume 11, Issue 2 (4-2013)                   IJRM 2013, 11(2): 101-0 | Back to browse issues page

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Latifnejad Roudsari R, Javadnoori M, Hasanpour M, Hazavehei S M M, Taghipour A. Socio-cultural challenges to sexual health education for female adolescents in Iran. IJRM. 2013; 11 (2) :101-0
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-388-en.html
1- Research Center for Patient Safety and Health Quality, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2- Nursing and Midwifery Care Research Centre, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran , mozhganjavadnoori@yahoo.com
3- Nursing and Midwifery Care Research Centre, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
4- Research Center for Health Sciences, Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
5- Health Sciences Research Center, Department of Biostatistics and Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:   (787 Views)
Background: Despite clear reasons for necessity of sexual health education for adolescents, it is a contested issue and has faced challenges in most cultures. Providing sexual education for non-married adolescents is culturally unacceptable in most Muslim societies.
Objective: This qualitative study addressed socio-cultural challenges to sexual health education for female adolescents in Iran.
Materials and Methods: Qualitative data from female adolescents (14-18 yr), mothers, teachers, authorities in health and education organizations, health care providers and clergies were collected in two large cities of Iran including Mashhad and Ahvaz through focus group discussions and individual in-depth interviews. Data were analyzed using conventional qualitative content analysis with MAXqda software.
Results: Our results revealed that the main socio-cultural challenges to sexual health education for adolescents in Iran are affected by taboos surrounding sexuality. The emergent categories were: denial of premarital sex, social concern about negative impacts of sexual education, perceived stigma and embarrassment, reluctance to discuss sexual issues in public, sexual discussion as a socio-cultural taboo, lack of advocacy and legal support, intergenerational gap, religious uncertainties, and imitating non-Islamic patterns of education.
Conclusion: It seems that cultural resistances are more important than religious prohibitions, and affect more the nature and content of sexual health education. However, despite existence of salient socio-cultural doubtful issues about sexual health education for adolescents, the emerging challenges are manageable to some extent. It is hoped that the acceptability of sexual health education for adolescents could be promoted through overcoming the cultural taboos and barriers as major obstacles.
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Type of Study: Original Article |

1. UNFPA. Comprehensive sexuality education: Advancing human rights, gender equality and improved sexual and reproductive health. Available at: http://www.unfpa.org/ webdav/ site/ global/ groups/ youth/public/Comprehensive%20 Sexuality%20Education%20Advancing% 20Human% 20 Rights %20 Gender %20 Equality %20 and %20 Improved%20SRH-1.pdf [last accessed on 2011 Apr 12].
2. UNESCO. International technical guidance on sexuality education, an evidence-informed approach for schools, teachers and health educators. Vol. 1, the rationale for sexuality education, 2009.
3. Tolman DL, Striep MI, Harmon T. Gender Matters: constructing a model of adolescent sexual health. J Sex Res 2003; 40: 4-12. [DOI:10.1080/00224490309552162]
4. UNFPA. Comprehensive sexuality education, Giving young people the information, skills and knowledge they need. Available at: http://www.unfpa.org/ public/home/adolescents/ pid/6483 [last accessed 2011 Aug 29].
5. Mbugua N. Factors inhibiting educated mothers in Kenya from giving meaningful sex-education to their daughters. Social Sci Med 2007; 64: 1079-1089.
6. Avusabo-Asare k, Bankole A, Kumi-kyereme A: Views of adults on adolescent sexual and reproductive health: qualitative evidence from Ghana. New York: Guttmacher Institute; 2008.
7. Mbonile L, Kayombo E J. Assessing acceptability of parents/guardians of adolescents towards introduction of sex and reproductive health education in schools at Kinondoni Municipal in Dar es Salaam city. East Afr J Public Health 2008; 5: 26-31. [DOI:10.4314/eajph.v5i1.38973]
8. Pokharel S, Kulczycki A, Shakya S. School-based sex education in western Nepal: uncomfortable for both teachers and students. Reprod Health Matters 2006; 14: 156-161. [DOI:10.1016/S0968-8080(06)28255-7]
9. Sridawruang C, Pfeil M, Krozier K: Why Thai parents do not discuss sex with their children: a qualitative study. Nurs Health Sci 2010; 12: 437-443. [DOI:10.1111/j.1442-2018.2010.00556.x]
10. Turnbulla T, Werscha A, Schaika P. A review of parental involvement in sex education: The role for effective communication in British families. Health Educ J 2008; 67: 182-195. [DOI:10.1177/0017896908094636]
11. DiCenso A, Borthwick VW, Busca C A, Creatura C, Holmez JA, Kalagian WF, et al. Completing the picture: Adolescents talk about what's missing in sexual health services. Can J Public Health 2001; 92: 35-38.
12. Helleve A, Flisher AJ, Onya H, Koma W, Klepp K. Can any teacher teach sexuality and HIV/AIDS? Perspectives of south African life orientation teachers. Sex Education 2011; 11: 13-26. [DOI:10.1080/14681811.2011.538143]
13. Halstead JM, Reiss MJ. Values in sex education- From principles to practice. Routledge Falmer, London, 2003; 9- 12.
14. Kim JL, Ward M. Silence speaks volumes. Parental Sexual communication Among Asian American Emerging Adults. J Adolescent Res 2007; 22: 3-31. [DOI:10.1177/0743558406294916]
15. Okazaki S. Influences of culture on Asian Americans' sexuality. J Sex Res 2002, 39: 34-41.
16. Orgocka A. Perceptions of communication and education about sexuality among Muslim immigrant girls in the US. Sex Education 2004; 4): 255-271.
17. Sanjakdar F. Teachers struggle for an Islamically appropriate sexual health education curriculum at their school. AARE conference, Sydney; 2005.
18. Smerecnik C, Schaalma H, Gerjo K, Meijer S, Poelman J. An exploratory study of Muslim adolescents' views on sexuality: Implications for sex education and prevention. BMC Public Health 2010; 10: 533. [DOI:10.1186/1471-2458-10-533]
19. DeJong J, Jawad R, Mortagy I, Shepard B. The sexual and reproductive health of young people in the Arab countries and Iran. Reprod Health Matters 2005; 13: 49-59. [DOI:10.1016/S0968-8080(05)25181-9]
20. Khalajabadi Farahani F, Cleland J, Mehryar AH. Associations between family factors and premarital heterosexual relationships among female college students in Tehran. Int Perspect Sex Reprod Health 2011; 37: 30-39. [DOI:10.1363/3703011]
21. Mohammadi MR, Mohammad K, Farahani FK, Alikhani S, Zare M, Tehrani FR, et al. Reproductive knowledge, attitudes and behavior among adolescent males in Tehran, Iran. Int Fam Plan Perspect 2006; 32: 35-44. [DOI:10.1363/3203506]
22. Refaei Shirpak K, Eftekhar Ardebili H, Mohammad K, Maticka-Tyndale E, Chinichian M, Ramezankhani A, et al. Developing and testing a sex education program for the female clients of health centers in Iran. Sex Education 2007; 7: 333-349. [DOI:10.1080/14681810701636044]
23. Forouzi Azizzadeh M, Mohammad Alizadeh S. Attitude and opinion of parents about sex education of adolescents and its contents in kerman. J Shahid Sadoughi Univ Medical Sci Health Serv 2007; 15: 93-99.
24. Statistics centre of Iran. [Results from basic information census in reproductive health in selected cities in Tehran province]. Available at: http://amar.sci.org.ir.SeqSetView. aspx?P=PL&SI=148/2/1/1/0/0/ 0/0/0] [last accessed on 2011 July] (in Persian).
25. Rahnavardi M, Zamani N, Jahanbin M, Dowlatshahi S, MahmoodArabi M, Ardalan G, et al. Accuracy and coverage of reproductive health information on the Internet accessed in English and Persian from Iran. J Fam Plan Reprod Health Care 2008; 34: 153-157.
26. Creswell Jw, Plano Cark Vl. Designing and conducting mixed methods research. Thousand Oaks, California: Sage publication Inc. 2007.
27. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15: 1277-1288. [DOI:10.1177/1049732305276687]
28. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educn Today 2004, 24:105-112.
29. Unknown author. [About sex education for adolescents and youth]. Available at: http://www. womenrc.ir/index.php?lang=fa&action= article & cat= 37&id=604&artlang=f] [last accessed on 2012 Jan 19](in persian).
30. Mohammadi MR, Alikhani S, Kalajabadi Farahani F, Bahonar A. Parents' Attitudes towards Adolescent Boy's Reproductive Health Needs and Practice in Tehran. Iran J Psychiatry 2007; 2: 13-24.
31. McDonald DP. Toward an authentic sexuality education curriculum-development paradigm. Masters of Art Dissertation, The University of Western Ontario, Canada; 1995.
32. Speizer IS, Magnani RJ, Colvin CE. The effectiveness of adolescent reproductive health interventions in developing countries: a review of the evidence. J Adolescent Health 2003; 33: 324–348. [DOI:10.1016/S1054-139X(02)00535-9]
33. DiCenso A, Guyatt G, Willan A, Griffith L. Interventions to reduce unintended pregnancies among adolescents: systematic review of randomized controlled trials. BMJ 2002; 324: 1426-1434. [DOI:10.1136/bmj.324.7351.1426]
34. DiIorio C, Resnicow K, Thomas S, Wang DT, Dudley WN, Van Marter DF et al. Keepin' it R.E.A.L.!: Program description and results of baseline assessment. Health Educ Behav 2002; 29: 104-123. [DOI:10.1177/109019810202900110]
35. Amoran OE, Onadeko MO, Adeniyi JD. Parental influence on adolescent sexual initiation Practices in Ibadan, Nigeria. Inte Quarter Commun Health Educ 2005; 23: 73-81. [DOI:10.2190/U8VJ-0UFE-HRYU-J48L]
36. Fingerson L. Do mothers' opinions matter in teens' sexual activity? J Family 2005; 26: 947-974.
37. Bourton V. Sex education in school: young people's views. Paediatr Nurs 2006; 18: 20-22. [DOI:10.7748/paed.18.8.20.s20]
38. Afifi TD, Joseph A, Aldeis D. Why can't we just talk about it? An observational study of parents' and adolescents' conversations about sex. J Adolescent Res 2008; 23 : 689-721. [DOI:10.1177/0743558408323841]
39. Jalali Aria K, Nahidi F, Amir Ali Akbari S, Alavi Majd H. [Parents and teachers' view on appropriate time and method for female reproductive health education]. J Gorgan Univ Med Sci 2010; 12: 84-90. (in Persian)
40. Oshi DC, Nakalema S, Oshi L. Cultural and social aspects of HIV/AIDS sex education in secondary schools in Nigeria. J Biosoc Sci 2005; 37: 175-183. [DOI:10.1017/S0021932004006820]
41. Ott MA, Rouse M, Resseguie J, Smith H, Woodcox S. Community-Level Successes and Challenges to Implementing Adolescent Sex Education Programs. MaternChild Health J 2011; 15: 169-177. [DOI:10.1007/s10995-010-0574-y]
42. Baraitser P, Wood A. Precarious partnerships: Barriers to multidisciplinary sex education in schools-A short communication. Health Educ J 2001; 60: 127-131. [DOI:10.1177/001789690106000204]
43. Vuttanont U, Greenhalgh T, Griffin M, Boynton P. "Smart boys" and "sweet girls"-sex education needs in Thai teenagers: a mixed-method study. Lancet 2006; 368: 2068-2080. [DOI:10.1016/S0140-6736(06)69836-X]
44. UNFPA. Supporting Young People at a Pivotal Period in Their Lives. Available at: http://www.web.unfpa.org/ adolescents/overview.htm [Last accessed on 2011 Aug 29].

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