Biological and behavioural impact of an adolescent sexual health intervention in Tanzania: a community-randomized trial

Ross, David A.; Changalucha, John; Obasi, Angela; Todd, Jim; Plummer, Mary L.; Cleophas-Mazige, Bernadette; Anemona, Alessandra; Everett, Dean; Weiss, Helen A.; Mabey, David; Grosskurth, Heiner; Hayes, Richard

doi:10.1097/qad.0b013e3282ed3cf5

Cited by 279 publications

(358 citation statements)

References 31 publications

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“…However, it is of concern given that research has demonstrated that at least half of heterosexual transmission is within the context of marriage. 144 152 have been the most successful, demonstrating increases in condom use that were sustained for at least a year and, in one case, for up to three years. Kirby and his colleagues, 4 and Maticka-Tyndale and her colleagues 6,7 have drawn lessons on 'best practices' for influencing condom use from these and other studies that provide guidance for future work.…”

Section: Discussionmentioning

confidence: 99%

Condoms in sub-Saharan Africa

Maticka‐Tyndale¹

2012

Sex. Health

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Abstract. Sub-Saharan Africa (SSA) is the region with the world's highest rates of HIV and other sexually transmissible infections (STIs), yet numerous studies show that condom use is generally rare. This suggests a need for a better understanding of how condoms fit within sexual practices and relationships in SSA. This paper seeks to address this need by reviewing research published between the late 1980s and 2011 on use and factors influencing use of male condoms in SSA. What is evident from this research is that condom use involves complex social and interpersonal dynamics, with structural and cultural conditions exerting an influence through framing social cognitions and setting boundaries on autonomy that make the apparently irrational choice of eschewing condoms a rational decision. The influences of poverty; relationships with parents, peers and partners; limited, insufficient or absent information especially in rural areas and among men who have sex with men; gender and sexual norms, and the dynamics of gendered power; and beliefs and attitudes about HIV, condoms and sexuality all have been shown to work against condom use for a large proportion of Africa's people. However, promising results are shown in trends towards increased condom use among single women in numerous countries, increasing acceptance and use of condoms among some university students, successes in producing potentially sustainable condom use resulting from select interventions, and resistance to succumbing to the dominant gender-power dynamics and structural-cultural impediments that women in groups have mobilised.

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Section: Discussionmentioning

confidence: 99%

Condoms in sub-Saharan Africa

Maticka‐Tyndale¹

2012

Sex. Health

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“…Our findings are similar to those of Javadnoori et al 6 , they showed that lack of proper sexual knowledge and attitude, mis-education, and inappropriate sources of sexual knowledge were the causes of young people's sexual unawareness. Unfortunately, in many cultures, parents do not feel comfortable to talk about sexual issues with their children; therefore, they are not an effective source of information and support as far as these issues are concerned, which could lead children to rely on unreliable resources 31 . Unreliable knowledge sources usually cause transfer of misconceptions and incorrect information 32 .…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of sexual health education among Iranian engaged couples

2017

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Abstract:Background: Sexual health education for Iranian engaged couples is always ignored in the premarital education program. Objectives: The aim of this study was to explore the necessity of sexual health education for Iranian engaged couples. Materials and methods: This qualitative study was conducted in Rasht, Iran. The studied sample consisted of 38 engaged men and women; and also 9 health experts and policymakers. We used interview guides to collect data. The data was analyzed through content analysis method. Results: Analyzing participants' perspectives revealed six themes including: (1) socio-cultural changes, (2) emerging social pathologies, (3) inadequate sexual knowledge; (4) challenges in providing sexual health services, (5) individual consequences and (6) social consequences. Conclusion: Most participants emphasized the necessity of sexual health education not only because of medical concerns, but also from the perspective of social issues. Providing these services should be considered a priority.

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“…Cependant, si ces mesures ont un impact certain à l'échelle de l'individu, il n'en est pas de même à l'échelle de la population [18]. En effet, à ce jour, aucune étude n'a pu montrer à cette échelle un effet de ces méthodes de prévention sur l'épidémie du VIH en Afrique, sauf en Ouganda.…”

Section: Resultsunclassified

La circoncision

Legeai

Auvert

2008

Med Sci (Paris)

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Circoncision et épidémie de VIH en Afrique sub-saharienne : un lien ?De 1986 -année de la première publication -à nos jours, le lien entre la circoncision, qui consiste en l'ablation de la majeure partie du prépuce, et l'infection à VIH a été étudié d'un point de vue épidémiologique à l'aide d'études observationnelles, écologiques et expérimen-tales, ainsi que d'un point de vue biologique. Les études observationnellesLes études épidémiologiques observationnelles, qu'elles soient transversales, cas-témoins ou prospectives, menées pour la plupart en Afrique sub-saharienne, ont montré qu'il existait à l'échelle individuelle une association entre le fait d'être non-circoncis et le risque d'être infecté par le VIH. Selon une méta-analyse portant sur 15 études observationnelles, le risque d'infection par le

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Biological and behavioural impact of an adolescent sexual health intervention in Tanzania: a community-randomized trial

Abstract: The intervention substantially improved knowledge, reported attitudes and some reported sexual behaviours, especially in boys, but had no consistent impact on biological outcomes within the 3-year trial period.

Cited by 279 publications

References 31 publications

Condoms in sub-Saharan Africa

Condoms in sub-Saharan Africa

A qualitative study of sexual health education among Iranian engaged couples

La circoncision

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