Sexual and reproductive health concerns of women with epilepsy beginning in adolescence and young adulthood

2021 ◽  
Vol 125 ◽  
pp. 108439
Author(s):  
Laura Kirkpatrick ◽  
Elizabeth Harrison ◽  
Sonya Borrero ◽  
Elizabeth Miller ◽  
Yoshimi Sogawa ◽  
...  
Author(s):  
Juliet Iwelunmor ◽  
Sarah Blackstone ◽  
Ucheoma Nwaozuru ◽  
Donaldson Conserve ◽  
Patricia Iwelunmor ◽  
...  

Abstract Background Adolescent girls in Nigeria experience a disproportionately high burden of sexual and reproductive health disparities that affect their well-being. Yet, little is known about adolescent girls’ own unique perspectives of the sexual and reproductive health challenges they face, and possible solutions to these challenges. Aims To explore top sexual and reproductive health concerns of female adolescents in Nigeria and their perceptions regarding potential solutions to these issues. Methods Eighty adolescent girls attending two public secondary schools in Lagos, Nigeria completed individual free-listing interviews. Items assessed their perceptions of the most important sexual and reproductive health issues and potential solutions to these issues at the individual and societal level. Data were analyzed using Anthropac 4.98 to sort the lists by item frequency as well as to determine Smith’s salience index (S). Results The top five sexual and reproductive health concerns identified by participants were human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), followed by menstrual pain, vaginal infections, sexual abuse and teenage pregnancy. Adolescent girls stated that youth empowerment programs that provide access to skills-building opportunities and mentors was one potential strategy for addressing their sexual and reproductive health priorities. Other solutions identified were access to medical checkups, general health talks focused on their sexual and reproductive health concerns as well as access to health facilities and opportunities to build self-efficacy skills. Conclusion Adolescent girls in Nigeria need to be engaged in becoming powerful agents in improving their own sexual and reproductive health, and in crafting solutions that may be effective in enabling them to achieve their full potential and rights to health and well-being. The findings will be used to develop an intervention targeting the sexual and reproductive health priorities of adolescent girls in Lagos, Nigeria.


2021 ◽  
pp. 47-84
Author(s):  
Rebecca A. Shelby ◽  
Jessica N. Coleman ◽  
Sarah S. Arthur ◽  
Kelly S. Acharya ◽  
Amanda A. Heath ◽  
...  

2018 ◽  
Vol 51 (2) ◽  
pp. 225-243 ◽  
Author(s):  
Seema Sharma ◽  
Muthusamy Sivakami

SummaryGlobal estimates suggest that over a billion people live with a disability that is significant enough to affect their daily lives. According to the 2011 Indian Census, India alone has about 26.8 million people with disabilities. Research suggests that persons with disabilities (PwDs) in India are among the most neglected, stigmatized, poor and least educated of the world’s population, and women with disabilities in India are the most marginalized, both socially and economically. They bear the triple burden of being discriminated against through being ‘women’ (socially marginal beings), ‘disabled’ (incapacitated, inefficient and undesirable) and ‘women with disabilities’ (the weakest of the weak), often becoming socially invisible. Although there has been a general recognition over the years that the educational and employment opportunities of PwDs in India need to be improved, their sexual needs and aspirations, sexuality concerns and sexual and reproductive health and rights have been largely ignored. The objective of this paper is to highlight the paucity of research on the sexual and reproductive health concerns of PwDs, particularly women, in the Indian context using existing literature on India, and to identify the possible reasons of this neglect. The study describes the obstacles faced by PwDs, particularly women, to acquiring good sexual and reproductive information and services, based on the results of empirical studies. Given the lack of research on this in India, the evidence largely comes from studies conducted elsewhere in the world. Lack of information and education about sexual health concerns, physical and/or infrastructural inaccessibility, judgemental provider attitudes, limited provider knowledge about disability issues and individual factors, including inhibitions about seeking health care and financial barriers, are identified as factors inhibiting the sexual and reproductive rights of people with disabilities in India.


2020 ◽  
Vol 7 ◽  
pp. 233339362092282
Author(s):  
Anne Marie Creamer ◽  
Jean Hughes ◽  
Nicole Snow

Adolescence and young adulthood can be particularly daunting for those with mental health concerns. In one Canadian city, a community-based drop-in psychosocial mental health center (Center) was designed specifically for youth who self-identified as struggling with mental health issues. The purpose of this study was to identify the features of the program that promoted or discouraged engagement. Narrative inquiry was used to guide the project. One-on-one interviews were conducted with 10 Center users. Four major categories were identified: (a) Reasons for Coming: Motivated to Work on Goals; (b) Facilitators of Engagement and Beyond; (c) Challenges to Engagement; and (d) Benefits of Engaging: Finding My Way. These categories were further delineated into themes. All participants had experienced trauma, and the Center assisted them in their coping. The researchers believe that to aid recovery, agencies working with this population need to use trauma-informed and healing-centered engagement.


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