Home Social mobilization for safe transition from adolescence: a qualitative research in Iran
Article
Licensed
Unlicensed Requires Authentication

Social mobilization for safe transition from adolescence: a qualitative research in Iran

  • Nezal Azh , Fatemeh Nahidi EMAIL logo , Giti Ozgoli and Gelayol Ardalan
Published/Copyright: November 23, 2017

Abstract

Introduction

Until now, the services provided to Iranian youth have been prepared based on authorities’ perspectives and according to the resources and reports from other countries and international agencies. Using youth perspectives to provide health, however, helps in continuing the process of providing health services, and most young people will receive these services.

Objective

To explain perception of youth and key individuals to improve health programs for safe transition in Iran.

Methodology

This study is a qualitative research with a grounded theory approach. Data were collected using semi-structured in-depth interviews and group discussions. Participants were first selected by purposive sampling and then by theoretical sampling. Overall, 67 adolescents aged 14–18 years, eight youths aged 19–24 years, 12 parents and important persons involved in providing health services joined the study. Young participants and their parents were selected from different training areas of Tehran and the key individuals were from the Ministry of Health and Medical Education and the Education Department. Collecting samples were continued to saturation. The Strauss and Corbin (2008) method was used for data analysis.

Result

In this study, the phenomenon of adolescents’ confusion to manage puberty emerged. This process, with appropriate strategies, such as the mobilization of available resources in the community and comprehensive programming to provide health services by policymakers, could have provided youth empowerment as an impact to self-care.

Conclusion

Current services provided by health centers cannot guarantee the health of adolescents, but it does require proper planning and management in families, schools and societies.

References

[1] United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2012 Revision, Highlights and Advance Tables. Working Paper No. ESA/P/WP.228; 2013.Search in Google Scholar

[2] Crossette B, Kollodge R, et al. State of world population 2011–2012. Available at: www.unfpa.org.Search in Google Scholar

[3] SCo I. Detailed Results of Census Population and Housing Tehran: Statistical Center of Iran; 2012 [cited 2014 30 Jun] Tehran. Iran: Statistical Center of Iran, 2014.Search in Google Scholar

[4] World Health Organization. Adolescent friendly services. Geneva: World Health Organization; 2002. http://whqlibdoc.who.int/hq/2003/WHO_FCH_CAH_02.14.pdf.Search in Google Scholar

[5] Raphael D. Determinants of health of North-American adolescents:evolving definitions, recent findings, and proposed research agenda. J Adolesc Health. 1996;19:1–6 (in English).10.1016/1054-139X(95)00233-ISearch in Google Scholar

[6] Mcintyre P. Adolescent friendly health services. US: WHO, 2002.Search in Google Scholar

[7] WHO. Adolescents: health risks and solutions 2014.Search in Google Scholar

[8] WHO. Health for the world,s adolescents a second chance in the second decade 2014.Search in Google Scholar

[9] ITU. The world in 2015. Geneva: 2015.Search in Google Scholar

[10] IWS. Iran internet usage, broadband and telecommunications reports 2015.Search in Google Scholar

[11] Masatu MC, KvÅle G, Klepp K-I. Frequency and perceived credibility of reported sources of reproductive health information among primary school adolescents in Arusha, Tanzania. Scand J Public Health. 2003;31:216–23.10.1080/14034940210164894Search in Google Scholar PubMed

[12] Maleki A, Bina M, Shafiee-Kandjani A. A study on the sources of sexual knowledge acquisition among high school students in northwest Iran. Arch Iran Med. 2010;13:537 (In Persian).Search in Google Scholar PubMed

[13] Booth ML, Bernard D, Quine S, Kang MS, Usherwood T, Alperstein G, et al. Access to health care among Australian adolescents young people’s perspectives and their sociodemographic distribution. J Adolesc Health. 2004;34:97–103.10.1016/S1054-139X(03)00304-5Search in Google Scholar PubMed

[14] Senderowitz J. Making reproductive health services youth friendly: FOCUS on young adults 1999.Search in Google Scholar

[15] World Health Organization. Making Health Services Adolescent Friendly: Developing National Quality Standards for Adolescent Friendly Health Services. Geneva, Switzerland: World Health Organization; 2012.Search in Google Scholar

[16] Currie C, Gabhainn SN, Godeau E, Committee IHNC. The Health Behaviour in School-aged Children: WHO Collaborative Cross-National (HBSC) study: origins, concept, history and development 1982–2008. Int J Public Health. 2009;54:131–9.10.1007/s00038-009-5404-xSearch in Google Scholar PubMed

[17] Renju J, Andrew B, Nyalali K, Kishamawe C, Kato C, et al. A process evaluation of the scale up of a youth-friendly health services initiative in northern Tanzania. J Int AIDS Soc. 2011;13:32.10.1186/1758-2652-13-32Search in Google Scholar PubMed PubMed Central

[18] Corbin J, Strauss A. Basics of qualitative research 3e. London: Sage, 2008.Search in Google Scholar

[19] Reeves C, Whitaker R, Parsonage R, Robinson C, Swale K, Bayley L, et al. Sexual health services and education: Young people’s experiences and preferences. Health Educ J. 2006;65:368–79.10.1177/0017896906069381Search in Google Scholar

[20] Shafi Puor Motlagh F. The effect of puberty and adolescence Teaching on changing students’ attitude towards the problems of puberty. J Educ Psychol Stud. 2005;2:95–110 (In Persian).Search in Google Scholar

[21] Bourton V. Sex education in school: young people’s views. Paediatr Nurs. 2006;18:20–2.10.7748/paed.18.8.20.s20Search in Google Scholar PubMed

[22] Sussner KM, Lindsay AC, Gortmaker SL, Kim J. The role of parents in preventing childhood obesity. Future Child. 2006;16:169–86.10.1353/foc.2006.0006Search in Google Scholar PubMed

[23] Wyn J, Cahill H, Holdsworth R, Rowling L, Carson S. MindMatters. A whole-school approach promoting mental health and wellbeing. Aust N Z J Psychiatry. 2000;34:594–601.10.1080/j.1440-1614.2000.00748.xSearch in Google Scholar PubMed

[24] Asadi M, Mansourian Y, Nazary AM. Exploring indicators of successful parenting of adolescents among Iranian families: a qualitative study. Iran J Health Educ Health Promot. 2015;3:219–31.Search in Google Scholar

[25] Niazazari K. Effect of happiness and vitality in educational achievement of high school students in Sari, Iran. J Manag Syst. 2014;2:22 (In Persian).Search in Google Scholar

[26] Bagheri M, Azemati H. Improving citizen’s health and well-being through urban landscape design. J Hum Environ. 2009;7:88–95 (In Persian).Search in Google Scholar

[27] Srinivasan S, O’Fallon LR, Dearry A. Creating healthy communities, healthy homes, healthy people: initiating a research agenda on the built environment and public health. Am J Public Health. 2003;93:1446–50.10.2105/AJPH.93.9.1446Search in Google Scholar PubMed PubMed Central

[28] Pacific WHOROftW. Health of Adolescents in Malaysia. Manila: WHO Regional Office for the Western Pacific. Available at: http://iris.wpro.who.int/handle/10665.1/5251 2011.Search in Google Scholar

[29] Kelly B, Hebden L, King L, Xiao Y, Yu Y, He G, et al. Children’s exposure to food advertising on free-to-air television: an Asia-Pacific perspective. Health Promot Int. 2014;31:144–52.10.1093/heapro/dau055Search in Google Scholar PubMed

[30] Van Voorhees BW, Fogel J, Reinecke MA, Gladstone T, Stuart S, et al. Randomized clinical trial of an Internet-based depression prevention program for adolescents (Project CATCH-IT) in primary care: 12-week outcomes. J Dev Behav Pediatr. 2009;30:23–37.10.1097/DBP.0b013e3181966c2aSearch in Google Scholar PubMed PubMed Central

[31] Thin Zaw PP, Liabsuetrakul T, Htay TT, McNeil E. Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, Myanmar. BMC Health Serv Res. 2012;12:458.10.1186/1472-6963-12-458Search in Google Scholar PubMed PubMed Central

[32] Goicolea I, Coe A-B, Hurtig A-K, San Sebastian M. Mechanisms for achieving adolescent-friendly services in Ecuador: a realist evaluation approach. Global Health Action. 2012;5:10.10.3402/gha.v5i0.18748Search in Google Scholar PubMed PubMed Central

[33] Chandra V, Baltag V, Ogbaselassie L. Strategies to sustain and scale up youth friendly health services in the Republic of Moldova. BMC Public Health. 2013;13:284.10.1186/1471-2458-13-284Search in Google Scholar PubMed PubMed Central

[34] Akbari N, Ramezankhani A, Pazargadi M. Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system. BMC Health Serv Res. 2013;13:241.10.1186/1472-6963-13-241Search in Google Scholar PubMed PubMed Central

[35] Roudsari RL, Javadnoori M, Hasanpour M, Hazavehei SMM, Taghipour A. Socio-cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med. 2013;11:101–110.Search in Google Scholar PubMed

[36] Farzdi F, Mafton F, Aeinparast A, Azin A, Omidvari S, Jahangiri K, et al. Peoples satisfaction from the health services and the factors affecting it: health study from the perspective of the Iranian people. Payesh. 2010;10:8 Persian.Search in Google Scholar

[37] Ramezanzadeh F, Haghollahi F, Shariat M, Mahmood Arabi M, Hosseini H, et al. Reproductive health service centers for youth in Iran. J School Public Health Inst Public Health Res. 2012;7:1–10.Search in Google Scholar

[38] Motlaghm MA, Ziaadini H, Dashti M, Aghli M, Ardalan G. Health promotion school (hps) guidline. 1389 5 d/3405. Ghom: Khademalreza, 2011:71.Search in Google Scholar

[39] Ramezani H, Nikbakht HA, Nasrollahpour Shirvani SD, Ahoei KH, Mohsenian H. Effect of health promoting school program in schools of the city of Babol: 2013. J Health. 2015;6:10 Persian.Search in Google Scholar

[40] Kochaki G, Kochaki A, Charkazi A, Bayani A, Esmaeili A-L, Shahnazi H. Investigating the effect of implementing the school based health promotion program on students’ mental health. Knowl Health. 2011;5:6 Persian.Search in Google Scholar

[41] DeWalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes. J Gen Intern Med. 2004;19:1228–39.10.1111/j.1525-1497.2004.40153.xSearch in Google Scholar PubMed PubMed Central

[42] Rembeck GI, Hermansson E. Transition to puberty as experienced by 12-year-old Swedish girls. J Sch Nurs. 2008;24:326–34.10.1177/1059840508323092Search in Google Scholar PubMed

[43] Shahhosseini Z, Abedian K. Health care providers and adolescents’ perspectives towards adolescents’ health education needs: a need assessment based on comparative approach. Int J Adolesc Med Health. 2015;27:73–7.10.1515/ijamh-2014-0007Search in Google Scholar PubMed

[44] Hanson MD, Chen E. Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med. 2007;30:263–85.10.1007/s10865-007-9098-3Search in Google Scholar PubMed

[45] Javadnoori M, Roudsari RL, Hasanpour M, Hazavehei SMM, Taghipour A. Female adolescents’ experiences and perceptions regarding sexual health education in Iranian schools: a qualitative content analysis. Iran J Nurs Midwifery Res. 2012;17:539–46.10.1016/S0020-7292(12)61309-5Search in Google Scholar

[46] AlBuhairan FS, Olsson TM. Advancing adolescent health and health services in Saudi Arabia: exploring health-care providers’ training, interest, and perceptions of the health-care needs of young people. Adv Med Educ Pract. 2014;5:281.10.2147/AMEP.S66272Search in Google Scholar PubMed PubMed Central

[47] Iyer P, Clarke D, Aggleton P. Barriers to HIV and sexuality education in Asia. Health Educ. 2014;114:118–32.10.1108/HE-06-2013-0025Search in Google Scholar

[48] Lee M. Case study Malaysia: communication and advocacy strategies adolescent reproductive and sexual health 1999.Search in Google Scholar

Received: 2016-09-26
Accepted: 2016-12-26
Published Online: 2017-11-23

©2018 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 6.10.2025 from https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2016-0111/html
Scroll to top button