寄養青少年性健康的定性分析：他們的照顧者有哪些擔憂？

A Qualitative Analysis About Sexual Health of Foster Teenagers: What Concerns Do Their Caregivers Have?

——《性研究與社會政策》第22卷第2期，2025年6月——

Volume 22, Issue 2, 2025

【摘要】引言：寄養兒童的社會環境是影響其性發育和生殖發育的因素之一。了解這些方面對於制定有效的預防策略至關重要，我們以此為基礎開展研究。本研究旨在探討照護者對寄養青少年性發育的主要擔憂。方法：通過與寄養家庭合作的社會服務網絡招募了24名年齡在32至55歲之間的青少年寄養照護者。研究於2023年4月至6月期間，以半結構化訪談的方式與寄養照護者進行了三個焦點小組討論。研究採用定性反思性主題分析，重點關注與寄養照護者對寄養青少年性發育的擔憂和挑戰相關的主題。研究人員使用NVIVO 14軟件進行逐行歸納編碼。結果：研究結果顯示，照護者對青少年面臨的性風險、建立健康關係界限的挑戰、主導行為以及早期性行為表達感到擔憂。然而，研究發現，歸因和解讀方面存在一些不準確之處，這可能是由於缺乏關於規範性發展、依戀和韌性的知識和信息，以及缺乏情感性教育者的培訓所致。參與研究的寄養照護者經常將青少年的性行為和扭曲的想法與過去的童年經歷聯繫起來。結論：收集的信息有助於更深入地了解這一群體的需求和不足。

【關鍵詞】寄養；青少年；性健康；照護者；擔憂

[Abstract] Introduction: The social environment of children in foster care is one of the factors that impact on their sexual and reproductive development. Understanding these aspects is essential for the development of effective prevention strategies informed by research. Our aim is to explore the primary concerns of caregivers regarding the sexual development of teenagers in foster care. Methods: The participants, 24 teenage foster caregivers, aged 32 to 55 years, were recruited through a social service network collaborating with foster families. Three focus groups’ discussion was conducted with foster caregivers using a semi-structured interview between April and June 2023. A qualitative reflexive thematic analysis was employed, focusing on themes related to foster caregivers’ concerns and challenges regarding the sexual development of the foster teenagers. Researchers conducted line-by-line coding inductively using NVIVO 14 software. Results: The findings revealed that caregivers are concerned about teenagers’ exposure to sexual risks, challenges in establishing healthy relationship boundaries, dominant behaviors, and early expressions of sexuality. However, certain inaccuracies in attribution and interpretation were identified, which may be attributed to a lack of knowledge and information about normative sexual development, attachment, resilience, and insufficient training as an affective-sexual educator. The participating foster caregivers often linked sexual behaviors and distorted thoughts of teenagers with past childhood experiences. Conclusions: The gathered information contributes to a deeper understanding of the needs and deficiencies of this group.

[Key words] Foster care; Teenagers; Sexual health; Caregivers; Concerns

論文原文：María Dolores Gil-Llario, Verónica Estruch-García, Francisco Ortas-Barajas, et al (2025). A Qualitative Analysis About Sexual Health of Foster Teenagers: What Concerns Do Their Caregivers Have? Sexuality Research and Social Policy, Volume 22, Issue 2, Pages 682–692, June 2025.

https://doi.org/10.1007/s13178-024-00995-4

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