Highlights
- •The Adolescent STD Patients as a special group are focused on in this study.
- •The participants lacked sex and STD knowledge while holding an open attitude towards premarital sex.
- •The infection with STDs caused a negative influence to most of the participants.
- •Most parents and teachers were still conservative about sexuality education.
- •The results highlight the emergence and necessity of effective ways of sexuality education.
Abstract
Purpose
To explore the causes and outcomes of sexually transmitted diseases (STDs) in the
adolescent STD patients (ASPs) in relation to their access to and interpretation of
sexual and STD knowledge, their attitudes towards premarital sex, and their feelings
and thoughts after getting STDs.
Methods
A qualitative study was conducted to interview 16 ASPs (12 males, 4 females) using
convenience sampling. One-on-one, semi-structured, and confidential interviews were
conducted in an outpatient clinic room at a dermatology hospital in Guangzhou, China.
Data were analysed via thematic analysis with NVivo 12 software.
Results
Four main themes were derived from the data: sex education before getting STDs, cognition
of the definition of STDs and their transmission, attitude towards premarital sex,
and impact of infection with STDs. Most of the participants had very limited information
about sexuality from their families or schools, lacked STD knowledge, and considered
premarital sex as normal or common. Infection with STDs had a negative influence on
all the participants, especially on female participants, as they felt ashamed and
some even did not want to get married in the future.
Conclusion
Limited sex education, lack of sexual knowledge, and an open attitude towards premarital
sex led to STDs among adolescents. This study highlights the importance of providing
effective sex education. In addition, specific and targeted health guidance and suggestions
should be provided to ASPs to help them deal with STDs and the life experience with
STDs objectively and correctly.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric Nursing: Nursing Care of Children and FamiliesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Assessing factors influencing early sexual initiation among adolescents (13 to 19 years) in Ghana: A qualitative study.International Journal of Caring Sciences. 2018; 11: 53-60
- Risky sexual behaviour among rural female adolescents in Malaysia: A limited role of protective factors.Global Journal of Health Science. 2014; 6: 165-174
- Sex education in China leaves young vulnerable to infection.The Lancet Infectious Diseases. 2016; 16: 26
- Prevention of child sexual abuse in China: Knowledge, attitudes, and communication practices of parents of elementary school children.Child Abuse & Neglect. 2007; 31: 747-755
- Comparison of sexual knowledge, attitude, and behaviour between female Chinese college students from urban areas and rural areas: A hidden challenge for HIV/AIDS control in China.BioMed Research International. 2016; 2016: 1-10https://doi.org/10.1155/2016/8175921
- Qualitative inquiry and research design: Choosing among five approaches.Sage Publications, Inc, London, UK1998
- Semistructured interviewing in primary care research: A balance of relationship and rigour.Family Medicine and Community Health. 2019; 7: 1-8
- Understanding the link between early sexual initiation and later sexually transmitted infection: Test and replication in two longitudinal studies.Journal of Adolescent Health. 2014; 54: 435-441
- An introduction to qualitative research.5th ed. Sage Publications Ltd., London2014
- How does traditional Confucian culture influence adolescents’ sexual behaviour in three Asian cities?.Journal of Adolescent Health. 2012; 50: S12-S17
- Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: A qualitative study in the west Gonja District in northern region, Ghana.BMC International Health and Human Rights. 2018; 18: 1-12
- The relationships of school-based sexuality education, sexual knowledge and sexual behaviours—A study of 18,000 Chinese college students.Reproductive Health. 2017; 14: 1-9
- Sexually transmitted infections, sexuality and gender relations among Vietnamese young adults in Ho Chi Minh City, Vietnam: A qualitative study.2020: 1-14
- From disease to desire, pleasure to the pill: A qualitative study of adolescent learning about sexual health and sexuality in Chile.BMC Public Health. 2015; 15: 945
- Situating and constructing diversity in semi-structured interviews.Global Qualitative Nursing Research. 2015; 2: 1-12
- Associations between psychosocial factors and incidence of sexually transmitted disease among south African adolescents.Sexually Transmitted Diseases. 2015; 42: 135-139
- The role of families in adolescent HIV prevention: A review.Clinical Child and Family Psychology Review. 2000; 3: 81-96
- Adolescent patient preferences surrounding partner notification and treatment for sexually transmitted infections.Academic Emergency Medicine. 2015; 22: 61-66
- In-depth interview.e-PG Pathshala (UGC& MHRD), Gandhinagar2017
- Qualitative research methods in sport, exercise and health: From process to product.Routledge, Abingdon Oxon2013
- International technical guidance on sexuality education: An evidence-informed approach.UNESCO, Paris, France2018
- Parent-adolescent sexual communication and adolescent safer sex behaviour: A meta-analysis.JAMA Pediatrics. 2016; 170: 52-61
- Adolescent health: Overview.
- Adolescent health: Impact.
- The changing world of adolescent sexual and reproductive health and rights.
Article info
Publication history
Published online: June 03, 2022
Accepted:
May 24,
2022
Received in revised form:
May 14,
2022
Received:
August 10,
2021
Identification
Copyright
© 2022 Published by Elsevier Inc.