Understanding how peer, romantic and family relationships influence adolescent sexual and reproductive health decisions: an exploratory study in two schools in the Western Cape, South Africa
dc.contributor.advisor | Hoddinott, Graeme | en_ZA |
dc.contributor.advisor | Kafaar, Zuhayr | en_ZA |
dc.contributor.author | Marthinus, Arlene Judith | en_ZA |
dc.contributor.other | Stellenbosch University. Faculty of Arts and Social Sciences. Department of Psychology. | en_ZA |
dc.date.accessioned | 2024-03-05T11:11:29Z | en_ZA |
dc.date.accessioned | 2024-04-26T20:53:34Z | en_ZA |
dc.date.available | 2024-03-05T11:11:29Z | en_ZA |
dc.date.available | 2024-04-26T20:53:34Z | en_ZA |
dc.date.issued | 2024-03 | en_ZA |
dc.description | Thesis (MA)--Stellenbosch University, 2024. | en_ZA |
dc.description.abstract | ENGLISH ABSTRACT: Adolescents and young people within the Sub-Saharan African region bear the highest burden of unfavourable outcomes such as high HIV prevalence rates, unplanned pregnancy and sexually transmitted diseases. Adolescents and young people may ultimately face a lifetime of catastrophic outcomes resulting from their decisions during their adolescent years. In 2017, the Desmond Tutu TB Centre carried out a symposium with adolescents in the Cape Winelands District based on the high teenage pregnancy rate within the district in prior years. Following the symposium, the Department of Health in the Cape Winelands District implemented the wellness clinic service, where a nurse would go to two schools and offer comprehensive services to adolescents which also included Adolescent Sexual and Reproductive Health (ASRH) services. This study is a follow-up study nested within the broader collaboration. The aim of this study was to understand the influence of peer, romantic and familial relationships on adolescent reproductive health decisions. This was a qualitative exploratory research study. The sample consisted of (N=16) adolescents. The total sample consisted of two groups namely adolescents who accessed ASRH services and adolescents who did not access ASRH services. The two groups were selected to gain a better understanding of the role of family, peers and romantic relationships in ASRH decision-making. Purposive, snowball and convenience sampling was used to recruit adolescents at the two high schools in the Langeberg District where the wellness clinic services were implemented. Semi-structured interviews were used to collect information on adolescent relationships and the impact they may have on ASRH decision-making. All interviews were transcribed and translated verbatim. All transcripts were imported to ATLAS. ti (v22), where I identified patterns and themes according to Braun and Clarke’s thematic analysis. The findings of this study showed that adolescents lacked knowledge surrounding ASRH choices available to them. Adolescents who reported having conversation with their caregivers felt uncomfortable, despite their caregivers initiating these conversations with adolescents. With regard to romantic partners, conversations around contraceptives and ASRH were almost non-existent. While the wellness clinic offers comprehensive ASRH options, many of the adolescents were unaware that the services were available to them, directly on the school premises during school hours on specific days. Schools that offer wellness clinic services should therefore make all the adolescents/learners aware of the services offered and should encourage adolescents to see the nurse should they require any information. Additionally, interventions aimed at ASRH should also include caregivers and their adolescents and should be focused on facilitating open and more comfortable discussions surrounding ASRH and the options available to adolescents. | en_ZA |
dc.description.abstract | AFRIKAANSE OPSOMMING: Adolessente en jongmense in die Afrika-streek suid van die Sahara dra die grootste las van ongunstige uitkomste soos hoë MIV-voorkomssyfers, onbeplande swangerskap en seksueel oordraagbare siektes. Adolessente en jongmense kan uiteindelik 'n leeftyd van katastrofiese uitkomste in die gesig staar as gevolg van hul besluite gedurende hul adolessente jare. Die Desmond Tutu TB-sentrum het in 2017 'n simposium met adolessente in die Kaapse Wynland-distrik gehou, gebaseer op die hoë tienerswangerskapsyfer in die distrik in vorige jare. Na die afloop van die simposium het die Departement van Gesondheid in die Kaapse Wynlanddistrik die welstandskliniekdiens geïmplementeer, waar 'n verpleegster na twee skole sou gaan en omvattende dienste aan adolessente bied wat ook Adolescent Seksuele en Reproduktiewe Gesondheid (ASRH) dienste insluit. Hierdie studie is 'n opvolgstudie wat binne die breër samewerking geneste is. Die doel van hierdie studie was om die invloed van portuur-, romantiese en familiale verhoudings op adolessente reproduktiewe gesondheidsbesluite te verstaan. Dit was 'n kwalitatiewe verkennende navorsingstudie. Die steekproef het uit (N=16) adolessente bestaan. Die totale steekproef het uit twee groepe bestaan, naamlik adolessente wat toegang verkry het tot ASRHdienste en adolessente wat nie toegang tot ASRH-dienste gehad het nie. Die twee groepe is gekies om 'n beter begrip te kry van die rol van familie, maats en romantiese verhoudings in ASRH-besluitneming. Doelgerigte, sneeubal- en geriefsteekproefneming is gebruik om adolessente te werf by die twee hoërskole in die Langeberg-distrik waar die welstandskliniekdienste geïmplementeer is. Semigestruktureerde onderhoude is gebruik om inligting oor adolessenteverhoudings en die impak wat dit op ASRH-besluitneming kan hê, in te samel. Alle onderhoude is getranskribeer en woordeliks vertaal. Alle transkripsies is na ATLAS ingevoer. ti (v22), waar ek patrone en temas geïdentifiseer het volgens Braun en Clarke se tematiese analise. Die bevindinge van hierdie studie het getoon dat adolessente nie kennis het oor ASRH-keuses wat vir hulle beskikbaar was nie. Adolessente wat gerapporteer het dat hulle met hul versorgers gesels het, het ongemaklik gevoel, ten spyte van hul versorgers wat hierdie gesprekke met adolessente begin het. Met betrekking tot romantiese vennote was gesprekke rondom voorbehoedmiddels en ASRH byna niebestaande nie. Terwyl die welstandskliniek omvattende ASRH-opsies bied, was baie van die adolessente onbewus daarvan dat die dienste vir hulle beskikbaar was, direk op die skoolterrein gedurende skoolure op spesifieke dae. Skole wat welstandskliniekdienste aanbied moet dus al die adolessente/leerders bewus maak van die dienste wat aangebied word en moet adolessente aanmoedig om die verpleegster te sien indien hulle enige inligting verlang. Daarbenewens moet intervensies wat op ASRH gerig is, ook versorgers en hul adolessente insluit en moet daarop gefokus wees om oop en gemakliker gesprekke rondom ASRH en die opsies beskikbaar vir adolessente te fasiliteer. | af_ZA |
dc.description.version | Masters | en_ZA |
dc.format.extent | xiii, 106 pages | en_ZA |
dc.identifier.uri | https://scholar.sun.ac.za/handle/10019.1/130528 | en_ZA |
dc.language.iso | en_ZA | en_ZA |
dc.language.iso | en_ZA | en_ZA |
dc.publisher | Stellenbosch : Stellenbosch University | en_ZA |
dc.rights.holder | Stellenbosch University | en_ZA |
dc.subject.lcsh | Adolescent psychology -- Western Cape (South Africa) | en_ZA |
dc.subject.lcsh | Decision making -- Psychological aspects -- Western Cape (South Africa) | en_ZA |
dc.subject.lcsh | Reproductive health -- Western Cape (South Africa) | en_ZA |
dc.subject.lcsh | Sexual health -- Western Cape (South Africa) | en_ZA |
dc.subject.lcsh | Interpersonal relations -- Western Cape (South Africa) | en_ZA |
dc.subject.lcsh | Friendship in youth -- Western Cape (South Africa) | en_ZA |
dc.title | Understanding how peer, romantic and family relationships influence adolescent sexual and reproductive health decisions: an exploratory study in two schools in the Western Cape, South Africa | en_ZA |
dc.type | Thesis | en_ZA |
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