Journal of Qualitative Research in Health Sciences

Authors

Abstract

Introduction: Empowerment-based sexual health education is the best way to ensure the learning, implement safe and healthy sexual behavior, and confine the unhealthy sexual behavior. This study aimed to explore strategies for empowerment-based sexual health education.
Method: Conventional content analysis approach was recruited in this qualitative study. Participants were selected purposefully. Data were collected through 38 in-depth interviews with engaged and married men and women and 9 key informants. All the interviews were recorded and transcribed. The data were analyzed using content analysis method and using qualitative data analysis MAXQDA software.
Results: Code extraction revealed strategies for empowerment-based sexual health education in two main themes including use all capacities to educate (with two subthemes of formal and non-formal education), and structure of optimal education (with four subthemes of education for all, educational objectives, education on pillars, and commensurate with the characteristics of the target group).
Conclusion: The ultimate goal of educational development and sexual health promotion in the country is individuals and community empowerment. To achieve this goal, using all capacities to take advantage and rearrangement of sexual health education structure is essential. The results of this project would allow us to design sexual health education programs with the aim empowerment of individuals, especially youth.

Keywords

1. WHO. Developing sexual health programmes: a framework for action [Online]. Geneva: World Health Organization 2010. Available: http://apps.who.int/iris/handle/10665/70501, 2. Trudel G.Sexuality and marital life: results of a survey. J Sex Marital Ther. 2002 May-Jun; 28(3):229-49. 3. Eisenberg ME, Bernat DH, Bearinger LH, Resnick MD. (2008). Support for comprehensive sexuality education: perspectives from parents of school-age youth. J Adolesc Health, 42(4):352–359. 4. Latifnejad Roudsari R, Javadnoori M, Hazavehei M, Taghipour A. Socio-cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med, 2013, 11(2):101-110[In Persian] 5. Dejon J, Jawed R, Mortagy I, Shepard B. The sexual and reproductive health of young people in the Arab countries and Iran. Reproductive Health Matters. 2005.13(25):49–59. 6. Abedian K, S.Z.University students’ point of views to facilitators and barriers to sexual and reproductive health services. Int J Adolesc Med Health, 2014. 26(3): p. 387-92. [In Persian] 7. Grose RG, Grabe S, Kohfeldt D. Sexual education, gender ideology, and youth sexual empowerment. J Sex Res 2014; 51(7):742-53. 8. Karimy M. Evaluation of the effect of educational intervention based on empowerment model of health promotion behaviors on menopautic women. Daneshvar Medicine 2011; 18 (94):73-80 [In Persian] 9. Hsu H, Lien Y, Lou J, Chen S, Wang R. Exploring the effect of sexual empowerment on sexual decision making in female adolescents. J Nurs Res 2010 Mar; 18(1):44-52. 10. Javadnoori M, Hasanpour M, Hazavehei SMM, Taghipour A. Female adolescents’ experiences and perceptions regarding sexual health education in Iranian schools: A qualitative content analysis. Iranian J Nursing Midwifery Res 2012. 17: 539-46[In Persian] 11. Pourmarzi D, Khoii M, Al-sadat E, Razi M, Shokoohi M. Comparative survey of youth’s sexual and reproductive health educational needs in two stages before and after marriage. RJMS, 2013. 20(106): 30-9. 12. Foroutan, S, Jadidmilani, M. The prevalence of sexual dysfunction among divorce requested. Daneshvar Medicine 2008; 16(78):39–44. 13. Bostani Khalesi Z, Ghanbary Khanghah A. Perception and experience of married women of reproductive age about the importance of sexual health education: A content analysis study. IJOGI. 2015; Nov 18(172):7-17 [In Persian] 14. Bostani Khalesi Z, Simbar M, Azin SA. An explanation of sexual health education requirements of couples prior to marriage: A qualitative study. J Qual Res Health Sci 2015; 4(3): 290-303[In Persian] 15. Khoei E. Language of love in culture of silence:Iranian women’s sexual understandings and sociocultural Context. PhD Dissertation. University of New South Wales, 2006. 16. Denzin NK, Lincoln YS. The Sage handbook of qualitative research. 5th Edition, Sage Publications: London, 2015 17. Spannagel C, Gläser-Zikuda M, Schroeder U. Application of qualitative content analysis in user-program interaction research. Forum Qualitative Social Research.2005, 6(2). 18. Maxwell JA. Qualitative Research Design: An Interactive Approach. 4th Editon: Sage Publications: Los Angele, 2014. 19. Guba E, Lincoln Y. Fourth generation evaluation. Newbury Park 1989, CA: Sage. 20. Agha S, Van Rossem R. Impact of a school-based peer sexual health intervention on normative beliefs, risk perceptions, and sexual behavior of Zambian adolescents. J Adolesc Health. 2004 May; 34(5):441-52. 21. Bleakley A, H.M., Fishbein M, Coles HC, Jordan A. How sources of sexual information relate to adolescents’ beliefs about sex. Am J Health Behav 2009, 33: 37 -48 22. Keller SN, Brown JD. Media interventions to promote responsible sexual behavior. J Sex Res 2002; 39(1):67-72. 23. Gruber E, Grube W. Adolescent sexuality and the media: a review of current knowledge and implications .West J Med. 2000 Mar; 172(3): 210–214. 24. Mikhailovich K, Arabena K.Evaluating an indigenous sexual health peer education project. Health Promot J Austr. 2005; 16(3):189-93. 25. Milburn K. A critical review of peer education with young people with special reference to sexual health. Health Educ Res. 1995; 10(4):407–420. 26. Abdi F, and Simbar M. The Peer Education Approach in Adolescents-Narrative Review, Iranian Journal of Public Health,2013; 42 (11),1200-1206 27. Ford JV, Barnes R, Rompalo A, Hook EW. Sexual Health Training and Education in the U.S. Public Health Reports. 2013; 128(Suppl 1):96-101. 28. Dinaj-Koci V, Deveaux L, Wang B, Lunn S, Marshall S, Stanton B. Adolescent Sexual Health Education: Parents Benefit Too! Health Educ Behav. 2015. 29. Malek A, Abbasi Shokoohi H, Faghihi A, Bina M, Shafiee-Kandjani A. A study on the sources of sexual knowledge acquisition among high school students in Northwest of Iran. Arch Iran Med 2010; 13(6):537-42. 30. Refaie shirpak Kh. sexual health. Hatami H, Razavi S, Ardabily H. Comprehensive Public Health Book. 4 Edition. Arjmand Pub, Tehran, Iran. 2011 31. Barnes R, Rompalo A, Edward W. Sexual Health Training and Education in the U.S. Public Health Rep. 2013; 128(Suppl 1): 96–101. 32. Bostani khalesi Z, Rahebi SM, Mansourghanaee M. Evaluation of Women's Sexual Performance during First Pregnancy. IJOGI. 2012; July 15 (10):14-20 33. Farnam F, Mir-mohammadali M. Effect of pre-marriage counseling on marital satisfaction of Iranian newlywed couples: a randomized controlled trial. Sexuality & Culture, 2011. 15(2): 141-52. 34. Peate I. Sexuality and sexual health promotion for the older person. Br J Nurs. 2004 Feb 26-Mar 10; 13(4):188-93. 35. Esere MO. Effect of sex education programme on at-risk sexual behaviour of school-going adolescents in Ilorin, Nigeria. African Health Sciences. 2008; 8(2):120-125. 36. Cartagena RG, Veugelers PJ, Kipp W, Magigav K, Laing LM: Effectiveness of an HIV prevention program for secondary school students in Mongolia. J Adolesc Healt 2006, 39(6):925. 37. British Medical Association Foundation for Sexual health. London: BMA Foundation for Sexual health; using research on effectiveness to guide the development of Sexual health education 2007. 38. Glanz K, Bishop DB. The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Public Health. 2010; 31:399–418. 39. Blankenship KM, Bray SJ, Merson MH. Structural interventions in public health. AIDS. 2000; 14(suppl 1):S11–S21. 40. McAuliffe L, Bauer M, Fetherstonhaugh D, Chenco C.Assessment of sexual health and sexual needs in residential aged care. Australas J Ageing. 2015 Sep; 34(3):183-8. 41. Rahmanian F, Simbar M, Ramezankhani A, Zaeri F. The concept and dimensions of Gender sensitive STIs/HIV/AIDS prevention services: a qualitative study. Sjsph. 2014; 12 (1) :29-40 42. Wells CS, Wollack JA. An Instructor's Guide to Understanding Test Reliability. Madison: University of Wisconsin; 2003.