Gendered attitudes towards XXXX adolescents attending nurse led sexual health clinics in England: a qualitative study.

@entity1 @entity167 @entity458
AIMS: This study aimed to explore gender differences in attitudes towards sexual relationships of adolescent attending nurse led sexual health clinics. BACKGROUND: Nurse led sexual health clinics are at the forefront of promoting adolescent sexual health. To provide sensitive, effective and non-judgemental care, nurses need to understand the complexities of adolescent sexual behaviour and the social factors that influence sexual relationships. Design. A qualitative, exploratory research design was used. METHODS: Ten focus groups (five male and five female) involving @entity458 attendees aged between 14-16 years were conducted. Focus groups were asked to comment on four sexual relationship 'case studies'. Group discussions were recorded and transcribed. Data were subject to thematic analysis. RESULTS: Three themes emerged from the data analysis. 'Empathy' reflected how young @entity1 were more likely to try to see their partner's point of view. 'Complexity' also reflected that young @entity1 were more aware of the complex nature of relationships than were the male @entity1 . 'Language' related to how young males used aggressive language in the context of relationships - a feature absent from female @entity1 ' discourse. CONCLUSIONS: Male and female attitudes clearly differ. Female responses are more complex and empathic because of the more complex nature of the social pressures that sexualise young @entity1 . Young males are not as subject to these social forces. Young @entity1 are socialized into behaviour that can place females under pressure to have sex - this pressure can include the use of @entity167 . RELEVANCE TO CLINICAL PRACTISE: Nurses working in sexual health should attempt to encourage empathic thinking in male clients. Females should be educated to deal with the social pressures they may face from their partners. Practitioners should also recognise the problematic role @entity167 can play within sexual relationships.
