Exposure to information and communication about HIV/AIDS and perceived credibility of information sources among young people in northern Tanzania

Bastien, Sheri; Leshabari, Melkizedeck; Klepp, Knut‐Inge

doi:10.2989/ajar.2009.8.2.9.861

Cited by 16 publications

(24 citation statements)

References 22 publications

(28 reference statements)

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“…In terms of religious affiliation, this was found to be a significant predictor of experiencing silence in one site in South Africa (Mankweng), with Catholics and other affiliations significantly more likely to report silence than Protestants [32]. Age was not found to be associated with communication about HIV/AIDS in one of the studies [38], but this was not consistent with others studies in the review. For instance, in the multi-site study, it was found that students who communicated about HIV and sex with parents were more likely to be older in Tanzania and one of the South African sites (Mankweng), while age was not associated with silence in the Cape Town site [32,33].…”

Section: Resultsmentioning

confidence: 85%

A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa

2011

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Parent-child sexuality communication has been identified as a protective factor for adolescent sexual and reproductive health, including HIV infection. The available literature on this topic in sub-Saharan Africa is increasing; however a systematic review of studies has not been conducted. This article reviews the literature in the area of parental or caregiver and child communication about sexuality and HIV/AIDS in sub-Saharan Africa. A review of peer reviewed literature published between 1980 and April 2011 was conducted. Communication process studies investigating the frequency, content, style, tone of discussions, preferences, as well as associations with and barriers to sexuality communication are reviewed. In addition, studies which examine behavioral associations with parent-child sexuality communication, and intervention studies to improve parent-child sexuality communication are examined. The findings from process studies suggest wide variation in terms of frequency of discussions, with a range of socio-demographic and other factors associated with sexuality communication. Overall, findings demonstrate that discussions tend to be authoritarian and uni-directional, characterized by vague warnings rather than direct, open discussion. Moreover, parents and young people report a number of barriers to open dialogue, including lack of knowledge and skills, as well as cultural norms and taboos. Findings are less clear when it comes to associations between parental communication and adolescent sexual activity and contraception use. However, nascent indications from intervention research suggest positive findings with increases in frequency and comfort of discussions, among other outcomes. Gaps in the research are identified and discussed with implications for future studies.

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Section: Resultsmentioning

confidence: 85%

A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa

2011

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“…It was found out that while most male adolescents, both in-school and out-of-school, prefer to talk to their friends, in-school and out-of-school females prefer to obtain this information from their mothers [23]. Other studies have also shown that between the two parents, the mother is the preferred party, when it comes to communication about sexuality for both male and female adolescents [24] [25].…”

Section: Young People's Perceptions On Caretaker-adolescent Communicamentioning

confidence: 99%

Caretaker-Adolescent Communication on Sexuality and Reproductive Health: My Perceptions Matter; A Qualitative Study on Adolescents’ Perspectives in Unguja-Zanzibar

Seif¹,

Kohi²

2014

Health

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This study was conducted to explore the perceptions of adolescents on caretaker-adolescent communication on sexuality. Using an Information-Motivation-Behavioural Skills model, this article highlights areas to emphasise when planning strategies to improve caretaker-adolescent communication on sexuality. Twelve focus group discussions were held with adolescents aged between 15 and 19 years, and data were analysed using content analysis. The participants found it important for caretakers to communicate with adolescents about sexuality to avoid sexual and related health risks. Caretakers were the most preferred communicators, by adolescents, on sexuality matters. It became apparent that information about the use of condoms was the most unpopular topic during the discussions, while information about the use of contraceptives seemed to be more interesting to the majority of the participants. From the adolescents' point of view, the barriers to communication about sexuality on the caretakers' side, include, the belief that such information might encourage promiscuity; some caretakers do not find it easy to discuss matters related to sexuality with their children; and others feel that some adolescents know more about sexuality than themselves. On the other hand, barriers on adolescents' side include, "fear" of the caretakers, some of whom seem harsh, unfriendly, and sometimes unapproachable. Following the findings, it is being suggested that intervention strategies that would help to alleviate communication barriers would consequently facilitate caretaker-adolescent discussions about sexuality and reproductive health.

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“…While some studies find parental sexual communication to be associated with a higher likelihood of abstinence [25,26], others find the reverse [27,28]. Many of the studies on sexual communication also focus on mothers [28][29][30][31], while paying less attention to the effect of communicating with fathers and friends. Although social support is lesscommonly examined, few studies have begun to examine the effect of cash transfers on adolescent and youth sexual behaviour [32,33].…”

Section: Introductionmentioning

confidence: 99%

Predictors of primary and secondary sexual abstinence among never-married youth in urban poor Accra, Ghana

Alhassan

Dodoo

2020

Reprod Health

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Background: Sexual abstinence is a key component of the strategy to address unwanted pregnancies, sexually transmitted infections and HIV among youth in sub-Sahara Africa. But contextual pressures make abstaining from sex a formidable task for urban poor youth in the sub-region. Nevertheless, some youth in these settings still manage to resist the pressure to initiate sex early, while others choose abstinence after an initial sexual debut. Few studies in the sub-region have examined sexual abstinence among urban poor youth. We therefore examined the factors that predict primary and secondary sexual abstinence among youth in urban poor Accra. The findings highlight the protective factors associated with sexual intercourse and should help to address the needs of youth at risk of unprotected sex. Methods: The study analysed pooled data from two rounds of the Urban Health and Poverty Survey. The surveys analysed were conducted in 2011 and 2013. The analysis was restricted to unmarried youth between age 20 and 24 years. The total sample comprised 235 female and male youth. We conducted multinomial logistic regression analysis to examine the predictors of primary and secondary abstinence relative to current sexual intercourse. Results: The results showed that being female, sexual communication with only fathers, sexual communication with only friends and slum residence were negatively associated with primary sexual abstinence. Contrarily, being in school, attaching importance to religion, residing in a household that received social support and sexual communication with both parents were positively associated with primary abstinence. Regarding secondary abstinence, only the sexual communication variables had significant effects. Sexual communication with both parents positively predicted secondary abstinence while communication with fathers-only and friends-only had a negative effect. Conclusion: Sexual abstinence is predicted by factors which range from individual through household factors to the locality of residence. Despite the importance of all the predictors, the study found that sexual communication with both parents was the only factor that predicted a higher likelihood of both primary and secondary sexual abstinence. We therefore recommend sexual communication between parents and youth as a key strategy for promoting sexual abstinence among urban poor youth in Accra, Ghana.

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Exposure to information and communication about HIV/AIDS and perceived credibility of information sources among young people in northern Tanzania

Cited by 16 publications

References 22 publications

A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa

A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa

Caretaker-Adolescent Communication on Sexuality and Reproductive Health: My Perceptions Matter; A Qualitative Study on Adolescents’ Perspectives in Unguja-Zanzibar

Predictors of primary and secondary sexual abstinence among never-married youth in urban poor Accra, Ghana

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