Making Health Services Adolescent-Friendly in Northeastern Peninsular Malaysia: A Mixed-Methods Study

Awang, Hafizuddin; Rahman, Abdul; Sukeri, Surianti; Hashim, Noran; Rashid, Nik Rubiah Nik Abdul

doi:10.3390/ijerph17041341

Cited by 9 publications

(12 citation statements)

References 19 publications

(36 reference statements)

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“…Another point highlighted was related to the adolescents seeking privacy in health appointments and confidentiality of the information provided there, elements reiterated in the literature, added to the relevance of listening and establishment of a reference professional (43) .…”

Section: Discussionmentioning

confidence: 99%

Nurses and health care for gay adolescents

Melo

Ayres

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to analyze nurses’ statements about health care for gay adolescents. Method: qualitative study, anchored on the Thematic Analysis of Clarke and Braun, with adoption of Symbolic Interactionism as a theoretical framework, since it favors the understanding of the relationship between behaviors, interactions, and social meanings. Twelve nurses recruited using the snowball sampling technique were remotely interviewed via the Google Meet® video-conferencing app. Results: four themes were elaborated throughout the comprehensive-interpretative process: “Gay adolescents, agendas, and relation with health;” “The gay adolescent’s family and care;” “Relationship with gay adolescents in care,” and “Limits to nursing care for gay adolescents.” Conclusion: the statements denounce stigmas and symbols derived from cisheteronormativity as intervening in the relationship and indicate the urgency of investing in the intersubjective encounter with gay adolescents and their families in a horizontal, affective, and empathic relationship, with chances of favoring public defense of the right to health. There are comments on the nurses’ attitude and qualification of care for this population.

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Section: Discussionmentioning

confidence: 99%

Nurses and health care for gay adolescents

Melo

Ayres

et al. 2022

Rev. Latino-Am. Enfermagem

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“…When coupled with the lack of knowledge and awareness of health problems related to menstruation among these girls, they experience further reduction in the utilisation of health care services [ 40 , 46 ]. Finally, the Ministry of Health, Malaysia has reported that current adolescent health services in Malaysia are not adolescent-friendly [ 47 ] and are therefore underutilized [ 40 , 47 ]. Negative attitudes of healthcare providers and lack of privacy [ 41 ] were identified as some of the major barriers to the utilisation of adolescent health services.…”

Section: Discussionmentioning

confidence: 99%

“…When dealing with adolescents, highly trained, knowledgeable, and competent professionals are significantly better at relating to adolescents. Engaging with adolescents in managing their health problems requires training of various levels of healthcare personnel [ 47 ]. Unfortunately, only 4.62% of the Ministry of Health’s budget was dedicated to healthcare personnel training programs in adolescent health [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

The prevalence of menstrual disorders and premenstrual syndrome among adolescent girls living in North Borneo, Malaysia: a questionnaire-based study

et al. 2022

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Background This study aimed to determine menstrual characteristics and related morbidities among adolescent girls living in Sabah, North Borneo, a less-developed state in Malaysia. Methods Data were obtained from a quantitative survey conducted in three government high schools located in Ranau, Sabah. The participants were adolescent girls who had attained menarche between the ages of 14 and 19. Results Based on the analysis of questionnaires completed by 757 adolescent girls, the mean age at the time of the survey was 17 ± 1.4 years, and the mean menarche age was 12.2 ± 1.1 years. Our data demonstrated that 85.7% of the participants experienced dysmenorrhoea, of which at least 42.1% (mean pain score ± SD: 4.81 ± 0.76, 95% confidence interval (CI) 4.72, 4.90) experienced moderate dysmenorrhoea, and 11.2% (mean pain score ± SD: 7.86 ± 0.94, 95% CI 7.64, 8.08) experienced severe dysmenorrhoea. Over 70% of these girls complained of tiredness, headache, and appetite changes during menses. Conclusions The prevalence of menstrual disorders and related morbidities was high among the girls residing in Sabah. Reproductive health issues in rural and socioeconomically deprived areas remains poorly addressed. The main consequence of neglecting menstrual disorders and their related morbidities is impaired future sexual reproductive health in adults. Thus, addressing adolescent reproductive health issues is crucial, especially for girls living in areas where access to healthcare is difficult. The information gathered from this study can be used to strategize effective interventions to improve adolescents' reproductive health status in rural areas.

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“…Outro ponto destacado foi relativo aos adolescentes almejarem privacidade nas consultas de saúde e sigilo das informações ali confidenciadas, elementos reiterados na literatura, somado à relevância da escuta e estabelecimento de profissional de referência (43) .…”

Section: Discussionunclassified

Enfermeiros diante do cuidado à saúde de adolescentes gays

Melo

Ayres

et al. 2022

Rev. Latino-Am. Enfermagem

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Resumo Objetivo: analisar narrativas de enfermeiros sobre o cuidado à saúde de adolescentes gays. Método: estudo qualitativo, ancorado na Análise Temática de Clarke e Braun, adotando como referencial teórico o Interacionismo Simbólico, uma vez que ele favorece a apreensão da relação de comportamentos, interações e significados sociais. Foram entrevistados remotamente 12 enfermeiros, recrutados a partir da técnica de bola de neve, por meio da plataforma de vídeo Google Meet ® . Resultados: ao longo do processo compreensivo-interpretativo, foram elaborados quatro temas: “Adolescente gay, pautas e relação com a saúde”; “A família do adolescente gay e o cuidado”; “Relação com adolescente gay no cuidado” e “Limites para o cuidar de enfermagem ao adolescente gay”. Conclusão: as narrativas denunciam estigmas e símbolos derivados da cisheteronormatividade como intervenientes da relação e indicam premência de apostas no encontro intersubjetivo com os adolescentes gays e seus familiares em relação horizontal, afetiva e empática, com chances de favorecer defesa pública do direito à saúde. Há apontamentos para a atitude dos enfermeiros e qualificação do cuidado a essa população.

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Making Health Services Adolescent-Friendly in Northeastern Peninsular Malaysia: A Mixed-Methods Study

Cited by 9 publications

References 19 publications

Nurses and health care for gay adolescents

Nurses and health care for gay adolescents

The prevalence of menstrual disorders and premenstrual syndrome among adolescent girls living in North Borneo, Malaysia: a questionnaire-based study

Enfermeiros diante do cuidado à saúde de adolescentes gays

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