Boundaries of sexual communication: a mixed-method study exploring Chinese young adults’ engagement with online sexual health information

Zhang, Jingwen; Nurik, Chloé; Jemmott, John B.

doi:10.1071/sh16009

Cited by 4 publications

(4 citation statements)

References 27 publications

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“…This finding was solely obtained by the present study participants. Although sexual health information reliability was mentioned as the teenage girls' concern, the ease of accessing online databases is investigated as another facilitator element coordinated by the results of other studies (3,23,24). Increasing awareness and acceptance in the peer group, which emerged as a novel and unique concept from the findings of this research, was recognized as a motivator for seeking sexual health information among teenage girls.…”

Section: Discussionmentioning

confidence: 68%

“…Some studies have focused on sexual health education barriers and facilitators among Iranian teenage boys (13,14), assessment of sexual education needs (15,16), barriers to health education in schools (17), and the girls' challenges in seeking information and the fertility health (18,19). Some global studies have also been performed about sexual health information-seeking obstacles and challenges on the internet (20,21), information sources (22), sexual health information-seeking results (3), and technology usage (23,24).…”

Section: Introductionmentioning

confidence: 99%

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Exploration of Barriers and Facilitators of Sexual Health Information-Seeking Behaviors Among Teenage Girls in Rasht

Khodadadi,

Alipour,

Arabkari

2023

J Educ Community Health

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Background: Teenage girls who are passing through sensitive puberty time are among the vulnerable ones whose sexual health information needs have not received sufficient attention. The present article aimed to explore barriers and facilitators of sexual health information-seeking behaviors (SHISB) among teenage girls in Rasht in 2022. Methods: The present study was performed using a qualitative method based on conventional content analysis. The participants were selected by the maximum variation sampling method and included 15 teenage girls in the age range of 15-21 years old and 5 key adults, including mothers, teachers, and sexual health specialists. Data were collected by the semi-structured interview technique and then analyzed using Landman and Granheim’s approach. Results: According to the results of the present study, 7 main categories and 25 subcategories were extracted, including barriers, facilitators, motivations, and resources for seeking sexual health information. The main categories were individual barriers, family inappropriate performance, cyber threats, social inhibitors, facilitating elements of information seeking, information seeking motivation, and channels of sexual health literacy. Conclusion: In addition to clarifying the barriers and facilitators of seeking sexual health information among teenage girls, the findings also point to the necessity of providing educational situations to learn sexual health topics. Therefore, the present study suggests the necessity of family institution, health, and education cooperation, along with formulating community-oriented programs to support teenage girls’ information needs, changing the family and society’s point of view considering sexual health.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Exploration of Barriers and Facilitators of Sexual Health Information-Seeking Behaviors Among Teenage Girls in Rasht

Khodadadi,

Alipour,

Arabkari

2023

J Educ Community Health

View full text Add to dashboard Cite

show abstract

“…Finally, maintaining engagement in an MVC is an expected challenge; engagement has been reported to be a challenge in many studies, and online engagement is a well-known topic in online mental health approaches. [63][64][65][66] Seeking anonymity and privacy online has been omnipresent in different research areas, including health, [67][68][69][70] especially with the proliferation of social media. [71][72][73] Health information sharing raises concerns about a sensitive part of human life, especially when information relates to a stigmatized issue, such as mental health, where safety becomes a concern.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Design of a Mindfulness Virtual Community: A focus-group analysis

Morr

Maule

Ashfaq

et al. 2019

Health Informatics J

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Mental illnesses are on the rise on campuses worldwide. There is a need for a scalable and economically sound innovation to address these mental health challenges. The aim of this study was to explore university students’ needs and concerns in relation to an online mental health virtual community. Eight focus groups ( N = 72, 55.6% female) were conducted with university students aged 18–47 (mean = 23.38, SD = 5.82) years. Participants were asked about their views in relation to online mental health platform. Three major themes and subthemes emerged: (1) perceived concerns: potential loss of personal encounter and relationships, fear of cyber bullying, engagement challenge, and privacy and distraction; (2) perceived advantages: anonymity and privacy, convenience and flexibility, filling a gap, and togetherness; and (3) desired features: user-centered design, practical trustworthy support, and online moderation. The analysis informed design features for a mindfulness virtual community.

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Latent Heterogeneity of Online Sexual Experiences and Associations With Sexual Risk Behaviors and Behavioral Health Outcomes in Chinese Young Adults: Cross-Sectional Study

Fong,

Cheung,

Choi

et al. 2024

JMIR Public Health Surveill

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Background Online sexual experiences (OSEs) are becoming increasingly common in young adults, but existing papers have reported only on specific types of OSEs and have not shown the heterogeneous nature of the repertoire of OSEs. The use patterns of OSEs remain unclear, and the relationships of OSEs with sexual risk behaviors and behavioral health outcomes have not been evaluated. Objective This study aimed to examine the latent heterogeneity of OSEs in young adults and the associations with sexual risk behaviors and behavioral health outcomes. Methods The 2021 Youth Sexuality Study of the Hong Kong Family Planning Association phone interviewed a random sample of 1205 young adults in Hong Kong in 2022 (male sex: 613/1205, 50.9%; mean age 23.0 years, SD 2.86 years) on lifetime OSEs, demographic and family characteristics, Patient Health Questionnaire-4 (PHQ-4) scores, sex-related factors (sexual orientation, sex knowledge, and sexual risk behaviors), and behavioral health outcomes (sexually transmitted infections [STIs], drug use, and suicidal ideation) in the past year. Sample heterogeneity of OSEs was analyzed via latent class analysis with substantive checking of the class profiles. Structural equation modeling was used to examine the direct and indirect associations between the OSE class and behavioral health outcomes via sexual risk behaviors and PHQ-4 scores. Results The data supported 3 latent classes of OSEs with measurement invariance by sex. In this study, 33.1% (398/1205), 56.0% (675/1205), and 10.9% (132/1205) of the sample were in the abstinent class (minimal OSEs), normative class (occasional OSEs), and active class (substantive OSEs), respectively. Male participants showed a lower prevalence of the abstinent class (131/613, 21.4% versus 263/592, 44.4%) and a higher prevalence of the active class (104/613, 17.0% versus 28/592, 4.7%) than female participants. The normative class showed significantly higher sex knowledge than the other 2 classes. The active class was associated with male sex, nonheterosexual status, higher sex desire and PHQ-4 scores, and more sexual risk behaviors than the other 2 classes. Compared with the nonactive (abstinent and normative) classes, the active class was indirectly associated with higher rates of STIs (absolute difference in percentage points [Δ]=4.8%; P=.03) and drug use (Δ=7.6%; P=.001) via sexual risk behaviors, and with higher rates of suicidal ideation (Δ=2.5%; P=.007) via PHQ-4 scores. Conclusions This study provided the first results on the 3 (abstinent, normative, and active) latent classes of OSEs with distinct profiles in OSEs, demographic and family characteristics, PHQ-4 scores, sex-related factors, and behavioral health outcomes. The active class showed indirect associations with higher rates of STIs and drug use via sexual risk behaviors and higher rates of suicidal ideation via PHQ-4 scores than the other 2 classes. These results have implications for the formulation and evaluation of targeted interventions to help young adults.

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Boundaries of sexual communication: a mixed-method study exploring Chinese young adults’ engagement with online sexual health information

Cited by 4 publications

References 27 publications

Exploration of Barriers and Facilitators of Sexual Health Information-Seeking Behaviors Among Teenage Girls in Rasht

Exploration of Barriers and Facilitators of Sexual Health Information-Seeking Behaviors Among Teenage Girls in Rasht

Design of a Mindfulness Virtual Community: A focus-group analysis

Latent Heterogeneity of Online Sexual Experiences and Associations With Sexual Risk Behaviors and Behavioral Health Outcomes in Chinese Young Adults: Cross-Sectional Study

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