Significaciones de la sexualidad y salud reproductiva en adolescentes de Bogotá

Salud publica de Mexico (Impact Factor: 0.94). 01/2007; 49(1).


Objective. To describe and understand the meanings that adolescents give to sexuality and how they are created and influence adolescents' reproductive health and sexual prac- tices. Material and Methods. The research was conduct- ed in three different regions within Bogotá city. Twenty focus groups were selected and 20 life stories of boys and girls between 10 and 14 years old were transcribed. From in- ductive and deductive categorization of the transcripts of the oral histories, an interpretative analysis was carried out in order to generate concepts and relations that comprise plausible hypotheses about the meanings that circulate in the adolescents' symbolic universe. Results. There are no- table differences between the meanings that boys and girls give to sexuality, the ways in which such meanings are cre- ated, and the factors that contribute to its configuration. These findings imply dissimilar constructions related with reproductive and sexual health risks. Conclusions. The cultural constructions resulting from sexual differences that is, gender suggest the meanings that are given to sexuality in the groups studied and define ways of interacting with the social environment. Girls relate sexuality with repro- duction and they experience it as negative. For boys, the possibility of a positive and pleasant experience of sexuality exists, marked by a context that encourages having sexual relations as a way of maintaining manhood.

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Available from: Carolina Lucero Enriquez, Jul 18, 2014
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    • "Los estudios demuestran que los jóvenes tienen más probabilidades de adoptar prácticas sexuales más seguras si reciben una educación en materia de salud reproductiva que tenga en cuenta las cuestiones de género y se centre en el educando antes del inicio de su actividad sexual (OPS, 2008;UNESCO, 2008). Las cifras muestran la necesidad de actuar sobre poblaciones cada vez más jóvenes para prevenir los riesgos y el aumento de vulnerabilidad ante el ejercicio sexual y reproductivo (Pacheco, Rincón, Elías, Latorre, Enríquez yNieto, 2007). Es necesario que en los países y los ministerios de salud, educación y juventud continúen recolectando información básica sobre la situación del desarrollo integral de los adolescentes y jóvenes, específicamente en el área de la salud sexual y reproductiva (Maddaleno et al. 2003). "
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    ABSTRACT: Objective: establishing variables associated with adolescent students having sexual intercourse in Santa Marta, Colombia. Materials and methods: a cross-sectional study was designed for ascertaining the variables related to having sexual intercourse. Logistic regression separately controlled variables associated with girls and boys having sexual intercourse. Results: a group of 2,039 girls and another consisting of 1,536 boys completed the questionnaire. Total sexual intercourse prevalence was 22,5% (41,0% amongst boys and 8,6% amongst girls). Girls having sexual intercourse was related to not having received HIV-AIDS information (OR=9,4; 1,3-71,4 95%CI), drinking alcohol (OR=8,3; 4,415,695%CI),beingolderthan15(OR=4,2;3,0-6,0 95%CI), last-month cigarette smoking (OR=3,0; 2,0-4,6 95%CI) and smoking cannabis (OR=2,8; 1,1-7,1 95%CI). Boys having sexual intercourse was associated with cannabis use (OR=10,9; 2,547,4 95%CI), drinking alcohol (OR=5,2; 3,7-7,2 95%CI), last-month cigarette smoking (OR=3,4; 2,3-5,1 95%CI), being older than 15 (OR=3,0; 2,2-4,095%CI) and being heterosexually orientated (OR=1,7; 1,2-2,5 95%CI). Conclusions: the prevalence of sexual intercourse was higher in boys than girls. Having sexual intercourse was exclusively associated with not having received school HIV-AIDS information amongst girls and being heterosexually orientated amongst boys. Latin-American countries' cultural aspects should be taken into account in research about adolescent sexual behaviour. © 2009 Federación Colombiana de Asociaciones de Obstetricia y Ginecología.
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    ABSTRACT: Introduction: cultural representations can approach the way people interpret and represent their knowledge about the sexual and reproductive health ideals as strategic referents of promotion and health prevention. Objective: to interpret the cultural and social representations of university students on the sexual and reproductive health ideal. Methods: two groups of college men and women at the second semester participated; one group from the School of Public Health (n= 225) and the other from the rest of faculties, selected by random sampling (n= 320). The information was organized according to open coding procedure; the inductive method generated a central category made up of subcategories supported by units of analysis and meaning contained in speeches. Results: the sociocultural representations and ideals about sexual and reproductive health were homogeneous in both groups. It is a valuable asset for them, a right that must be attained and protected. Having sexual and reproductive health depends on human attitudes and behaviors, on promotion and prevention and on the information about family planning and the sexually transmitted infections. It keeps the traditional components learnt from the social construction about gender. They express in the heterosexual context, highly rated in terms of pleasure and communication; they project the future need for pursuit of stability under the marriage. Conclusions: the ideals mobilize a positive view of sexuality in which the transmission of health tools and the acquisition of other skills for life are required.
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