Development of self-care strategies to promote young Iranian women's sexual health: an explanatory sequential mixed method study protocol

BackgroundIn contemporary Iran, the nation's traditional and deeply religious society is currently experiencing swift transformations in its moral, cultural, and social aspects. It is, therefore, not surprising to observe shifts in people's attitudes toward sexuality, largely attributed to the profound impact of widespread social networks, the proliferation of information technology, and increased levels of education. Unmarried young women may potentially face adverse consequences from engaging in extramarital sexual relationships across various aspects of their lives. Acknowledging the pivotal role of self-care in influencing the sexual behaviors of young women, the objective of this study is to compile a comprehensive list of self-care strategies aimed at improving the sexual well-being of young, single Iranian women.MethodsThe research will unfold in three distinct phases: Phase 1: Explanatory Sequential Mixed-Method Study This initial phase encompasses both quantitative and qualitative aspects. It begins with a cross-sectional survey, where we will gather data from 400 unmarried female students aged 18 to 29 years, utilizing a cluster random sampling method at Kerman University of Medical Sciences. Data collection will involve the use of a researcher-designed questionnaire. Subsequently, the qualitative phase will involve conducting in-depth, semi-structured interviews with female students from the University. To analyze this qualitative data, we will employ the content analysis approach. The findings obtained from both phases will be combined. Phase 2: Narrative Review In the second stage of the study, we will conduct an extensive narrative review to explore existing strategies related to the subject matter comprehensively. This review will serve as the foundational basis for our subsequent analysis. Phase 3: Strategy Prioritization In the final phase, we will prioritize the proposed strategies using a nominal group process, soliciting expert advice. This step will result in the definitive list of strategies that emerge from the study.DiscussionThis study pioneers the field of sexual health, with the goal of developing a protocol for creating self-care strategies based on the perspectives of young, unmarried Iranian women. It offers potential evidence-based insights into current developments in the physical, psychological, and social aspects of sexual health within this demographic. Additionally, it aims to furnish essential information to healthcare policymakers regarding the sexual health of young women. The convergence of the Iranian cultural landscape with the widespread presence of social networks and the growing utilization of information technology has played a significant role in the emergence of extramarital relationships among young women. In this context, fostering sexual health self-care practices can serve as a preventive measure against the potential consequences of such relationships within this demographic.This research unfolds in three stages:Explanatory Sequential Mixed-Method Follow-up Study: Combining quantitative and qualitative phases.Narrative Review: Involving a review of relevant literature.Strategy Extraction through Expert Opinion: Finalizing strategies via a nominal group process.Integrating quantitative and qualitative approaches, this study aims to comprehensively explore the younger generation's perspectives on psychological and social aspects of extramarital relationships, thereby providing robust documentation in this field.