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Fijian Adolescent Emotional Well-Being and Sexual and Reproductive Health-Seeking Behaviours

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Abstract

This qualitative study explores how adolescents’ emotional experiences drive their sexual practices and health-seeking behaviours in Fiji. Fourteen focus group discussions with 15–19-year-olds and 40 key informants’ interviews with health workers, educators, government and NGO workers, and religious leaders were conducted. Our findings show that emotional experiences such as shame, embarrassment, expression of love, and intimacy are shaped by the socio-cultural context and were reported by our participants as drivers of their sexual practices and health-seeking behaviours such as condom use and accessing services and support. Based on our findings, we argue that more attention should be paid to emotional well-being when developing sexual and reproductive health policies, programmes, and services and offer recommendations of how to do so.

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Notes

  1. A national census was conducted in Fiji in 2017; however, data on the ethnic composition of Fijian citizens from this census is not available.

References

  • Bell, J. (2009). Why embarrassment inhibits the acquisition and use of condoms: A qualitative approach to understanding risky sexual behaviour. Journal of Adolescence, 32(2), 379–391.

    Article  PubMed  Google Scholar 

  • Berg, S. (1988). Snowball sampling (K. S. J. N.L Ed. Vol. 8).

  • Berger, P., & Luckmann, T. (1966). The social construction of reality. London: Penguin Books.

    Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

    Article  Google Scholar 

  • Brickman, J., & Willoughby, J. F. (2017). ‘You shouldn’t be making people feel bad about having sex’: Exploring young adults’ perceptions of a sex-positive sexual health text message intervention. Sex Education, 1–14.

  • Buchanan-Aruwafu, H., & Maebiru, R. (2008). Smoke from fire: Desire and secrecy in Auki, Solomon Islands. In L. Butt & R. Eves (Eds.), Making sense of AIDS. Culture, sexuality and power in Melanesia (pp. 168–186). Honolulu: University of Hawai'i Press.

    Chapter  Google Scholar 

  • Charmez, K. (2008). Constructionism and the grounded theory method. In J. A. Holstein & J. F. Gubrium (Eds.), Handbook of constructionist research (pp. 397–412). New York: Guildford Press.

    Google Scholar 

  • Crozier, W. (2014). Differentiating shame from embarrassment. Emotion Review, 6(3), 269–276.

    Article  Google Scholar 

  • Derne, S. (2002). Globalization and the reconstitution of local gender arrangements. Men and Masculinities, 5(2), 144–164.

    Article  Google Scholar 

  • Drysdale, R. (2014). Love Patrol hemi tuff tumas! What role can a Pacific soap opera play in the HIV response? (Ph.D), University of New South Wales Sydney, Australia.

  • Festinger, L. (1957). The theory of cognitive dissonance. California: Stanford University Press.

    Google Scholar 

  • Fiji Bureau of Statistics. (2007). Census 2007 of population & housing Retrieved from Suva: http://www.statsfiji.gov.fj/

  • Fiji Ministry of Health and Medical Services (2008). Second generation surveillance surveys of HIV, other STIs and risk behaviours in Fiji 2008 Unpublished results.

  • Fiji Women's Crisis Centre. (2011). Somebody’s life, everybody’s business: national research on women’s health and life experiences in Fiji Retrieved from Suva, Fiji: http://www.fijiwomen.com/wp-content/uploads/2017/11/National-Survey-Summary.pdf

  • Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Englewood Cliffs: N.J., Prentice-Hall.

    Google Scholar 

  • Hoppe, M. J., Graham, L., Wilsdon, A., Wells, E. A., Nahom, D., & Morrison, D. M. (2004). Teens speak out about HIV/AIDS: Focus group discussions about risk and decision-making. Journal of Adolescent Health, 35(4), 345.e27.

    Article  Google Scholar 

  • Hughes, R., & Huby, M. (2002). The application of vignettes in social and nursing research. Journal of Advanced Nursing, 37(4), 382–386.

    Article  PubMed  Google Scholar 

  • Hull, T. H. (2008). Sexual pleasure and wellbeing. International Journal of Sexual Health, 20(1–2), 133–145.

    Article  Google Scholar 

  • Jenkins, C., & Buchanan-Aruwafu, H. (2006). Cultures and contexts matter understanding and preventing HIV in the Pacific. Retrieved from Manila: http://www.hivpolicy.org/Library/HPP001294.pdf

  • Jones, D. N., & Paulhus, D. L. (2012). The role of emotional promiscuity in unprotected sex. Psychology and Health, 27(9), 1021–1035.

    Article  PubMed  Google Scholar 

  • Kahneman, D., Diener, E., & Schwarz, N. (1999). Well-being: The foundations of hedonic psychology. New York: Russell Sage Foundation.

    Google Scholar 

  • Kaitani, M. (2003). Bridging the gap: The changing reproductive and sexual expectations of Fijian men. (PhD), The Australian National University.

  • Kennedy, E., Bulu, S., Harris, J., Humphreys, D., Malverus, J., & Gray, N. J. (2013). “Be kind to young people so they feel at home”: A qualitative study of adolescents’ and service providers’ perceptions of youth-friendly sexual and reproductive health services in Vanuatu. BMC Health Services Research, 13, 455.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lal, E. (2010). A land of my own: A study on Indian families in Fiji Islands. Retrieved from USA: https://www.academia.edu/1315453/A_Land_of_My_Own_A_Study_on_Indian_Families_in_the_Fiji_Islands

  • Laverack, G., & Keshavarz, N. (2011). What remains for the future: Strengthening community actions to become an integral part of health promotion practice. Health Promotion International, 26(suppl_2), 258–262.

    Google Scholar 

  • Lerner, R. (2005). Promoting positive youth development: Theoretical and empirical bases. Retrieved from Tufts University: https://ase.tufts.edu/iaryd/documents/pubPromotingPositive.pdf

  • Liamputtong, P. (2013). Qualitative research methods (Fourth ed.). Australia: Oxford University Press.

  • McMillan, K. (2008). Access to condoms and there use amongst young people in Tonga and Vanuatu. Monograph 3. Australia: The University of New South Wales Sydney.

    Google Scholar 

  • McMillan, K., & Worth, H. (2011). The impact of socio-cultural context on young people’s condom use: Evidence from two Pacific island countries. Culture, Health & Sexuality, 13(3), 313–326.

    Article  Google Scholar 

  • Mitchell, E. (2017). Risk, resilience and youth sexuality: Negotiations of sexual risk among iTaukei women university students in Suva, Fiji. (PhD), The University of Melbourne.

  • Moore, G., Dahl, W., Gorn, J., & Weinberg, B. (2006). Coping with condom embarrassment. Psychology, Health and Medicine, 11(1), 70–79.

    Article  PubMed  Google Scholar 

  • Morris, J., Lippman, S., Philip, S., Bernstein, K., Neilands, T., & Lightfoot, M. (2014). Sexually transmitted infection related stigma and shame among African American male youth: Implications for testing practices, partner notification, and treatment. AIDS Patient Care and STDs, 28(9), 499–506.

    Article  PubMed  PubMed Central  Google Scholar 

  • Newton-Levinson, A., Leichliter, J., & Chandra-Mouli, V. (2016). Sexually transmitted infection services for adolescents and youth in low- and middle-income countries: Perceived and experienced barriers to accessing care. Journal of Adolescent Health, 59(1), 7–16.

    Article  PubMed  Google Scholar 

  • O’Connor, M., Rawstorne, P., Devi, R., Iniakwala, D., & Razee, H. (2018). Understanding the meaning of youth sexual and reproductive well-being in Fiji. Culture, Health & Sexuality, 1–15.

  • Patton, G., Sawyer, S., Santelli, J., Ross, D., Afifi, R., Allen, N., et al. (2016). Our future: Lancet commission on adolescent health and wellbeing. The Lancet, 387(10036), 2423–2478.

    Article  Google Scholar 

  • Patton, M. (1990). Qualitative evaluation and research methods (2nd ed.). California: SAGE.

    Google Scholar 

  • Philpott, A., Knerr, W., & Boydell, V. (2006). Pleasure and prevention: When good sex is safer sex. Reproductive Health Matters, 14(28), 23–31.

    Article  PubMed  Google Scholar 

  • Philpott, A., Knerr, W., & Maher, D. (2006). Promoting protection and pleasure: Amplifying the effectiveness of barriers against sexually transmitted infections and pregnancy. The Lancet, 368(9551), 2028–2031.

    Article  Google Scholar 

  • Rawstorne, P., Man, W. Y., Maharaj, P., Rokoduru, A., Vulavou, I., Rasili, S., & Worth, H. (2012). Who we are. An exploration of the sexual practices and HIV transmission risk of men who have sex with men and transgender populations in Fiji. Retrieved from Suva, Fiji:

  • Reimer, M. S. (1996). “Sinking into the ground”: The development and consequences of shame in adolescence. Developmental Review, 16(4), 321–363.

    Article  PubMed  Google Scholar 

  • Sami, R. (2006). Power and young women’s sexual agency in Suva. (Masters), The University of Auckland, Auckland, New Zealand.

  • Schonbucher, V., Maier, T., Mohler-Kuo, M., Schnyder, U., & Landolt, M. (2012). Disclosure of child sexual abuse by adolescents: A qualitative in-depth study. Journal of Interpersonal Violence, 27(17), 3486–3513.

    Article  PubMed  Google Scholar 

  • Schooler, D., Ward, M., Merriwether, A., & Caruthers, A. S. (2005). Cycles of shame: Menstrual shame, body shame, and sexual decision-making. The Journal of Sex Research, 42(4), 324–334.

    Article  PubMed  Google Scholar 

  • Seligman, M. (2011). Flourish: A visionary new understanding of happiness and well-being. United States: Free Press.

    Google Scholar 

  • Tamang, L., Raynes-Greenow, C., McGeechan, K., & Black, K. I. (2017). Knowledge, experience, and utilisation of sexual and reproductive health services amongst Nepalese youth living in the Kathmandu Valley. Sexual & Reproductive Healthcare, 11, 25–30.

    Article  Google Scholar 

  • The Pacific Community. (2015). The Pacific Youth Development Framework 2014–2023: A coordinated approach to youth-centred development in the Pacific Retrieved from Suva, Fiji: http://www.spc.int/wp-content/uploads/2016/12/Pacific-Youth-Development-Framework.pdf

  • Thoits, P. (1989). The sociology of emotions. Annual Review of Sociology, 15, 317–342.

    Article  Google Scholar 

  • Varani-Norton, E. (2014). It’s good to teach them, but they should also know when to apply it’: Parents’ views and attitudes towards Fiji’s Family Life Education curriculum. Sex Education, 14(6), 692–706.

    Article  Google Scholar 

  • Wood, L., & Hendricks, F. (2017). A participatory action research approach to developing youth-friendly strategies for the prevention of teenage pregnancy. Educational Action Research, 25(1), 103–118.

    Article  Google Scholar 

Download references

Funding

This work was supported by The Pacific Community.

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Correspondence to Michelle O’Connor.

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The Fiji National Health Research Ethics Review Committee and the Human Research Ethics Committee at UNSW provided ethics approval.

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O’Connor, M., Rawstorne, P., Iniakwala, D. et al. Fijian Adolescent Emotional Well-Being and Sexual and Reproductive Health-Seeking Behaviours. Sex Res Soc Policy 16, 373–384 (2019). https://doi.org/10.1007/s13178-018-0360-y

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