寄养青少年性健康的定性分析：他们的照顾者有哪些担忧？

寄养青少年性健康的定性分析：他们的照顾者有哪些担忧？

A Qualitative Analysis About Sexual Health of Foster Teenagers: What Concerns Do Their Caregivers Have?

——《性研究与社会政策》第22卷第2期，2025年6月——

Volume 22, Issue 2, 2025

【摘要】引言：寄养儿童的社会环境是影响其性发育和生殖发育的因素之一。了解这些方面对于制定有效的预防策略至关重要，我们以此为基础开展研究。本研究旨在探讨照护者对寄养青少年性发育的主要担忧。方法：通过与寄养家庭合作的社会服务网络招募了24名年龄在32至55岁之间的青少年寄养照护者。研究于2023年4月至6月期间，以半结构化访谈的方式与寄养照护者进行了三个焦点小组讨论。研究采用定性反思性主题分析，重点关注与寄养照护者对寄养青少年性发育的担忧和挑战相关的主题。研究人员使用NVIVO 14软件进行逐行归纳编码。结果：研究结果显示，照护者对青少年面临的性风险、建立健康关系界限的挑战、主导行为以及早期性行为表达感到担忧。然而，研究发现，归因和解读方面存在一些不准确之处，这可能是由于缺乏关于规范性发展、依恋和韧性的知识和信息，以及缺乏情感性教育者的培训所致。参与研究的寄养照护者经常将青少年的性行为和扭曲的想法与过去的童年经历联系起来。结论：收集的信息有助于更深入地了解这一群体的需求和不足。

【关键词】寄养；青少年；性健康；照护者；担忧

[Abstract] Introduction: The social environment of children in foster care is one of the factors that impact on their sexual and reproductive development. Understanding these aspects is essential for the development of effective prevention strategies informed by research. Our aim is to explore the primary concerns of caregivers regarding the sexual development of teenagers in foster care. Methods: The participants, 24 teenage foster caregivers, aged 32 to 55 years, were recruited through a social service network collaborating with foster families. Three focus groups’ discussion was conducted with foster caregivers using a semi-structured interview between April and June 2023. A qualitative reflexive thematic analysis was employed, focusing on themes related to foster caregivers’ concerns and challenges regarding the sexual development of the foster teenagers. Researchers conducted line-by-line coding inductively using NVIVO 14 software. Results: The findings revealed that caregivers are concerned about teenagers’ exposure to sexual risks, challenges in establishing healthy relationship boundaries, dominant behaviors, and early expressions of sexuality. However, certain inaccuracies in attribution and interpretation were identified, which may be attributed to a lack of knowledge and information about normative sexual development, attachment, resilience, and insufficient training as an affective-sexual educator. The participating foster caregivers often linked sexual behaviors and distorted thoughts of teenagers with past childhood experiences. Conclusions: The gathered information contributes to a deeper understanding of the needs and deficiencies of this group.

[Key words] Foster care; Teenagers; Sexual health; Caregivers; Concerns

论文原文：María Dolores Gil-Llario, Verónica Estruch-García, Francisco Ortas-Barajas, et al (2025). A Qualitative Analysis About Sexual Health of Foster Teenagers: What Concerns Do Their Caregivers Have? Sexuality Research and Social Policy, Volume 22, Issue 2, Pages 682–692, June 2025.

https://doi.org/10.1007/s13178-024-00995-4

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