scholarly journals Barriers to Puberty Talk between Mothers and Daughters: A Qualitative Study

Author(s):  
Firoozeh Mirzaee ◽  
Malihe Pouredalati ◽  
Atefeh Ahmadi ◽  
Masumeh Ghazaznfarpour

Abstract Objective The aim of the present study is to explain the barriers to puberty talk between mothers and daughters. Methods In the present study, the conventional content analysis method was used. The present study was conducted from September 2018 to August 2019 in Iran. The study population consisted of mothers and adolescent girls. The data was collected using purposeful sampling method. The sample consisted of 4 mothers and 6 girls that were interviewed using semistructured interviews. Data collection continued until data saturation was achieved. Data analysis was conducted as described by Graneheim et al. using NVivo 11 software. Results In the present study, after exploring the views of the participants about barriers to puberty talk between mothers and daughters, one dominant theme emerged. Puberty talk is seen as an “inappropriate talk with a girl.” There were several subthemes, including “lack of mother's awareness regarding the school role, the busy schedule of the mother, and the adoption of alternatives to mother's talk with girls”. Conclusions Different sociocultural factors affect puberty talk between mothers and adolescent girls. It is important that mothers and policy makers take these barriers into account.

2019 ◽  
Author(s):  
Saeed Shahabi ◽  
Ahmad Ahmadi ◽  
Hosein Shabaninejad

BACKGROUND The demand for rehabilitation services, including Orthotics and prosthetics services, is increasing. Traffic injuries, Eight-years imposed war, natural disasters, aging, and chronic diseases are the main causes of disability in Iran that lead to the great need for receiving these services. This study will attempt to identify the challenges in the financing and provision of Orthotics and Prosthetics services in Iran and declare the policy solutions to improve the financing and delivery of these services in line with the universal health coverage. OBJECTIVE This study aims to explore the challenges in the financing and provision of the Orthotics and Prosthetics services in Iran and propose policy solutions to strengthen this sector. METHODS This study will use the qualitative content analysis method for understanding the challenges. The study population of this study will be all clinicians, academics, and policy-makers who involved in the financing and provision of the Orthotics and Prosthetics services. The purposeful sampling, as well as the snowball sampling, will be used to select the informants. The individual face-to-face semi-structured interviews will be conducted in Tehran, Isfahan, and Shiraz. Furthermore, telephone and Skype interviews will be applied to participants who lived in other regions. This project will be performed from 2019 to 2020. RESULTS We believe the results will lead to identifying challenges and also policy solutions to strengthen the Orthotics and Prosthetics services in the healthcare system and improve the utilization in Iran. CONCLUSIONS The findings will inform the policy-makers to better planning in Iran and internationally.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Nadereh Memaryan ◽  
Maryam Rassouli ◽  
Seyedeh Zahra Nahardani ◽  
Parisa Amiri

Background. Healthcare system has needed to provide spiritual services, and one of the reasons for not addressing spirituality in this field is lack of training in this area. This study purpose is to explore and identify main requirements for designing this education, in Iran.Materials and Methods. This is a qualitative study with conventional content analysis method. 18 participants, who were main stakeholders in spirituality, medical education, and curriculum development, were selected by purposive sampling. Data were collected using semistructured interviews, which continued until data saturation.Results. Three main themes and their categories were extracted from analysis of data. The themes are (1) educational needs including clinical practice needs; (2) opportunities including rich background and backup, perceived clinical need, and right context of medical education for change; and (3) challenges including challenges in academic planning and barriers to implementation.Conclusion. All stakeholders acknowledged the need for addressing spirituality in formal medical education. It seems that implementation of such programs requires attention to facilitating factors and challenges proposed by those involved.


2018 ◽  
Vol 6 (5) ◽  
pp. 885-890
Author(s):  
Mahsa Mousavi ◽  
Mohsen Shahriari ◽  
Mehrdad Salehi ◽  
Shahnaz Kohan

BACKGROUND: Communicating with adolescents is associated with many challenges for parents and healthcare providers.AIM: This qualitative study was conducted for exploring the sense of belonging in Iranian adolescent girls.METHODS: In this study, deep semi-structured interviews were carried out with 27 adolescent girls, 10 experts, and 10 parents. Purposeful sampling was used and continued until data saturation. The data were coded and categorised through a conventional content analysis method by MAXQDA 10.RESULTS: Three main categories were obtained from the analysis of the participants’ descriptions: "family; a haven of tranquillity", "dominated by peers", and "concerns about differences in gender socialization". According to our results, most of the girls achieved calmness through being emotionally accepted by their families. But this sense of belonging and tranquillity was shaken by their peers’ showing off, in a way that adolescent girls were always struggling to gain acceptance among their peers. Also for fear of being rejected by their peers’ group, they sometimes began to make friends with the opposite sex. Meanwhile, traditional attitudes towards gender roles and adolescent girls' feelings about their lower social participation as compared to that of boys had also led to their concern about differences in gender socialization and a lower sense of community belonging among some adolescent girls.CONCLUSION: Adequate parental education and the proper management of girls’ interactions with the family and society can play an important role in the development of a sense of belonging among adolescent girls.


Author(s):  
Ritu Gupta ◽  
Ravinder K Gupta ◽  
Vallabh Dogra ◽  
Himani Badyal

Objective: To study the various beliefs and problems regarding menstruation among adolescent girls living in rural border areas. Design- Prospective study. Setting- Pediatric outpatient clinic. Materials and methods- About 200 adolescent girls (11-19 years) living in rural border areas were enrolled for the study. These girls were asked about menarche, duration of the cycle, amount of blood loss and the various menstrual problems. They were also asked about the various beliefs and myths regarding menstruation. The girls having any illness affecting the menstrual cycle or those suffering from neuropsychiatric disorders were excluded from this study. Results- About 51% of the study population was in the age group 17-18 years. About 43.5% of girls attained menarche at the age of 10-12 years. About 51% of girls did not know about menstruation before menarche. Abdominal pain was the most common side effect seen in 41% of girls during menstruation. About 61% of girls considered themselves unclean during menstruation.  Twenty percent avoided schools, 20% avoided kitchen, 12% avoided temples while 10% stayed away from friends/ relatives. Only 33% of girls knew that menstruation stops temporarily after becoming pregnant. Twenty-two percent girls were using sanitary napkins while the rest used different types of clothes during the menstrual cycle. Conclusion- There is a dire need to educate girls regarding menstruation before menarche in the rural border areas. Every mother should discuss in a friendly way regarding various aspects of menstruation.


Author(s):  
Maryam Heydarian ◽  
Maryam Gholamzadehjefreh ◽  
Shahbazi Masoud

Aim: Dyspareunia and vaginismus are important issues in the lives of women with these disorders and have adverse, damaging consequences for the individual, the family, and the couple's intimacy. Therefore, the purpose of the present study was to investigate the lived experience of women with dyspareunia and vaginismus. Methods: The method of this study was descriptive-phenomenological psychological in which nine female participants suffering from dyspareunia and vaginismus were selected through purposeful sampling and data collection was continued through semi-structured interviews until data saturation was reached. After collecting the data and transcribing them, the researcher used Giorgi’s five-step phenomenological data analysis method. Results: Analyzing data led to 12 contributing components of the lived experience of women with dyspareunia and vaginismus which included: lack of awareness, experiencing the physical symptoms of anxiety, fear, predicting pain, feeling of inadequacy and inferiority, feeling of shame, hatred of sex and of spouse, a feeling of suffering, feeling of anger, feeling of guilt, decreased emotional and sexual intimacy, and regret about marriage. Conclusion: The results of this study also enrich the previous research literature on the lived experience of dyspareunia and vaginismus. Also, the structure of the lived experience of dyspareunia and vaginismus derived from this study is widely used to develop and apply preventive and therapeutic programs for this condition and its consequences.


2018 ◽  
Vol 22 (4) ◽  
pp. 243-251
Author(s):  
Hanieh Gholamnejad ◽  
Ali Darvishpoor Kakhki ◽  
Fazlollah Ahmadi ◽  
Camelia Rohani

Purpose Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors. Design/methodology/approach This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation. Findings Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension. Originality/value Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.


2010 ◽  
Vol 18 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Ma. de la Luz Martínez-Aguilar ◽  
Yolanda Flores-Peña ◽  
Ma. de las Mercedes Rizo-Baeza ◽  
Rosa Ma. Aguilar-Hernández ◽  
Laura Vázquez-Galindo ◽  
...  

The objective was to explore obese adolescents’ perceptions about obesity among students in the seventh to ninth grade of a public school in Tamaulipas, Mexico. This is a qualitative study. Participants were 24 adolescents with a body mass index equal to or greater than the 95th percentile. Semistructured interviews were conducted until data saturation was reached and the meaning was understood. The adolescents defined obesity according to standards of measurement. They identified the hereditary factor as the main obesity cause, tended to underestimate obesity and had low self-esteem. They reported problems to do physical exercise and get clothes in order to improve their image, and feel rejected by their peers in school. It was identified that these adolescents have psychological defense mechanisms against obesity and that some of them are making efforts to lose weight. Obesity entails social and psychological health implications for persons suffering from this problem. Interventions should be put in practice.


Author(s):  
Sikata Nanda ◽  
Rabi Narayan Dhar

Background: Nutritional status of adolescent girls are different from the younger children and older adults. In the tribal population they are more neglected in comparison to boys because of limited resources and health care facilities. In the present study we have done assessment of nutritional status of adolescent girls in the Dongria Kondh tribe in Odisha. Methods: Dongria Kondh’ residing in Rayagada district of Odisha, having its maximum concentration was studied. Bissam Cuttack block was selected randomly as the study area. Moreover, coincidently majority of the study population resided in the block having villages like Kurli, Khambesi, Hundijali, Muthesi, Khajuri, Mundabali and Uppar Gandatallli which are situated as a distance of 5000 ft height above sea level. 89 adolescent girls were considered to assess the nutritional status of tribal adolescent girls of Dongria Kondh tribe to study the different factors associated with the nutritional status of the girls and to suggest remedial measures for integrated development of the adolescent girls. Results: Most of the girls (81%) were from nuclear family. All girls belonged to low socio economic status. The energy intake was adequate only in 35% of study subjects. The protein intake was adequate in only 38% of study subjects. The common types of food consumed was rice, ragi and seasonal fruits and all were non vegetarian. Conclusions: The widespread problem of poverty, illiteracy, malnutrition, absence of sanitary living condition, ignorance of cause of disease still are the contributing factors for the deplorable condition prevailing amongst the adolescent girls of the tribal group. As they are future mothers, improvement of nutritional status should be the primary objective. 


2020 ◽  
Vol 9 (1) ◽  
pp. 198-216
Author(s):  
Isam Saleh ◽  
Malik Abu Afifa ◽  
Fadi Haniah

The purpose of this study is to examine the effect of financial factors on earnings management and earnings quality. Moreover, the study examines the role of earnings management as a mediator in the effect of the financial factors on earnings quality. It provides some empirical evidences from an emerging market, especially from the Jordanian market. The study uses a panel data analysis method over a ten-year period (2009-2018). The study population includes all Jordanian insurance companies listed in Jordanian market at the end of the year 2019, and the study sample consists of 20 Jordanian insurance companies (a complete population), giving a total of 200 observations for each variable. The results indicate that all financial factors in the model combined affect the earnings management and earnings quality. In addition, earnings management negatively affects earnings quality, and earnings management fully mediates the effect of financial factors on earnings quality. The study advises that policy makers ought to follow good legislation to curb the company's earnings management activities. Hence, the policy makers need to apply regulations which enrich the company’s effectiveness and efficiency whilst protecting the investors and other interested parties from risk.


2020 ◽  
Vol 16 (1) ◽  
pp. 60-68
Author(s):  
Ali Taghipour ◽  
Fatemeh Zahra Karimi ◽  
Robab Latifnejad Roudsari

Background: Infertility, as a life crisis, affects women more than men, even when women are not infertile. Objective: This study was conducted aimed at exploring Iranian women’s perceptions and experiences of their husbands’ behavior towards male factor infertility. Methods: This qualitative study was performed using content analysis. A purposeful sampling method was employed and continued until data saturation for women who had referred to Milad Fertility Clinic and Health Care Centers within the time period of 2014-2015 in Mashhad, Iran, with their husbands being infertile. Thirty semi-structured in-depth interviews were conducted with 18 women. Conventional content analysis was employed to analyze the data. Besides, Lincoln and Guba's evaluative criteria were utilized to check the trustworthiness of the study. Results: Perceived spousal emotional distress was the main topic of the study, which consisted of two subgroups, i.e., 1- husbands’ chaotic emotions with the sub-categories, including the “feelings of inferiority and incompetence”, “isolationism in life”, “irritability and arrogance”, “pessimism and cynicism”, as well as “anxiety and aggression”, and 2- husbands’ reluctance to seek treatment, including “inattention to medical prescriptions”, “resistance to the sperm analysis test”, and “opposition to the assisted reproductive technology and adoption”. Conclusion: Male infertility can lead to marital problems and mistreatment of women. Hence, supportive and preventive measures are required to improve the conditions of such women.


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