解構性自主迷思: 懷孕青少女的充權工作

青少女在享受性自由的同時，也經驗到性暴力、不安全性行為及不自願懷孕的風險。不論結 果是墮胎或生產，青少女往往承擔了所有健康、心理的成本，如選擇生產，不但要承擔新的 角色和責任，更要面對資源匱乏。如果年輕女性在親密關係中的性別權力仍然處於劣勢，懷 孕、墮胎或生育只會不斷重覆！筆者參考過往的兩項有關青少女墮胎及年輕母親的研究結果， 採用女性主義實踐原則設計了充權模式，以增強曾懷孕的年輕女性在性關係中的自主性。此 介入模式是在香港華人社會背景中發展出來的批判社會工作模式，針對在強調性解放的青年 文化中預防重複的不自願懷孕。

While young women now enjoy a certain degree of sexual freedom, they are also often subjected to sexual coercion/violence and unsafe sex, and are vulnerable to unwanted pregnancy. Whether they decide to abort or to keep the child, they shoulder most of the health and psychological costs along with new roles and responsibilities, as well as material deprivation, particularly those who become a mother. Unwanted pregnancy is likely to become a cycle as long as young women lack equal power with men in intimate relationships. Based on the findings of studies on teenage abortions and young mothers, the author proposes an intervention model to prevent repeated unwanted pregnancies and abortions/births by empowering young women who have experienced pregnancy. The feminist principles of empowerment are adopted. The model represents a critical social work approach to preventing unwanted pregnancies in the Chinese context of Hong Kong characterised by a youth culture of sexual liberation.