Individual- and Community-Level Influences on the Timing of Sexual Debut Among Youth in Nyanza, Kenya

Tenkorang, Eric Y.; Maticka‐Tyndale, Eleanor

doi:10.1363/4006814

Cited by 19 publications

(23 citation statements)

References 37 publications

(44 reference statements)

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“…We are interested in adolescents who delayed sexual debut; therefore, those who delayed sex and who have never had sex were coded as “1”. We have chosen this cut-off because of our study population and also because it has been used in some other studies in SSA [ 45 , 46 ].…”

Section: Methodsmentioning

confidence: 99%

The protective role of family structure for adolescent development in sub-Saharan Africa

Somefun

Odimegwu

2018

PLoS ONE

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Several studies have focused on the risk factors associated with adolescent developmental outcomes, but the literature on the role of protective factors at the family and community level for positive adolescent development is scarce, especially in sub-Saharan Africa (SSA). We hypothesize that ensuring a supportive environment for adolescents may result in delayed sexual debut for adolescents in SSA. The relationship between family structure and positive adolescent sexual behaviour, measured as delay in sexual debut, was examined using the bioecological theory framed by a risk and resilience perspective. We used nationally representative data on female and male adolescents (aged 15–17 years) from 12 countries in SSA. We modelled logistic regressions to test for associations between family structure and delayed sexual debut while controlling for other covariates in SSA. The majority (90%) of the young adults delayed sexual debut, and this delay varied by family structure. After controlling for other covariates, adolescents living with neither parent had lower odds of delaying sexual debut although results were only significant for males. Interaction terms with community socio-economic status showed an interaction between community education and males living with neither parent. Future studies must investigate the gender differentials in the relationship between family structure and delayed sexual debut among adolescents in SSA.

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Section: Methodsmentioning

confidence: 99%

The protective role of family structure for adolescent development in sub-Saharan Africa

Somefun

Odimegwu

2018

PLoS ONE

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“…Many adolescents and young people are sexually active [ 6 ], and therefore at risk of contracting STIs. Often, they do not know how to protect themselves from these infections [ 7 ]. A cross-sectional survey of STIs among adolescent girls in rural Kenya reported the prevalence of C. trachomatis , N. gonorrhoeae , and T. vaginalis at 2.5%, 0.6% and 2.5% respectively [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

et al. 2017

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BackgroundTo successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, it is important to understand parents’ and teachers’ attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions.MethodsIn this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs). Parents and teachers were asked about their general knowledge of STIs and sexual health education. In addition, they were asked whether they would support utilizing outreach to schools to facilitate provision of sexual health education and screening for STIs in adolescent girls. Data were audio-recorded, transcribed, and translated into English. An initial coding matrix was developed and refined throughout the coding process. Transcripts were coded by two researchers and analyzed using the content analysis approach.ResultsWe conducted 10 IDIs (5 parents and 5 teachers) and 4 FGDs (2 with parents, 2 with teachers, total of 26 participants). Most parents reported few or no discussions regarding STIs with their adolescent girls. Parents were more comfortable discussing consequences of sexual activity including loss of virginity and the potential for pregnancy. Parents tended to place responsibility for sexual health education with teachers. The teachers, in turn, provided basic sexual and reproductive health education including puberty, abstinence, and overview of STIs. Both parents and teachers found the idea of screening for STIs in adolescent girls to be acceptable, and were comfortable with research staff contacting girls through informational meetings at schools. Parents felt that adolescents’ STI screening results should be shared with their parents.ConclusionIn this African setting, parents and teachers provide limited sexual health education, with a focus on negative consequences including loss of virginity, pregnancy, and risk for STIs. Nonetheless, both parents and teachers were supportive of STI screening for adolescent girls, beginning with school-based informational meetings for the girls. Research and programs that aim to provide STI screening in this setting must offer treatment and address the issue of whether results will be disclosed to parents.

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“…Risk of sexual debut has been reportedly reduced among young men in communities where HIV related messages were discussed at Parents Teachers Association meetings. [27] The same was found in communities where abstinence was the primary AIDS prevention message conveyed to the youth and where AIDS deaths were publicly acknowledged. [27] In some parts of Africa, male circumcision has been reported to hasten sexual initiation while in others; it has been associated with a delay.…”

Section: Discussionmentioning

confidence: 82%

“…[27] The same was found in communities where abstinence was the primary AIDS prevention message conveyed to the youth and where AIDS deaths were publicly acknowledged. [27] In some parts of Africa, male circumcision has been reported to hasten sexual initiation while in others; it has been associated with a delay. [ [18,[30][31][32][33] Also, high risk perception of HIV acquisition among the youth has been shown to improve behavioural change and the likelihood of condom use.…”

Section: Discussionmentioning

confidence: 82%

Knowledge of HIV Transmission and Risky Sexual Behavioural Practices Among Selected Adolescents and Young Adults in Lagos, Nigeria

Balogun¹,

Dally²,

Awofala³

2019

IJHPEBS

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The adolescents and young adults constitute a high risk group for HIV infection due to their common involvement with risky sexual behavioural practices. This study was carried out to assess the basic knowledge of HIV and also identify the risky sexual behavioural practices for infection among studied adolescents and young adults. A self-administered structured questionnaire containing 15 items on demographics, knowledge of HIV/AIDS and risky sexual behavioural practices that may predispose to new infections was completed by respondents and used for data collection. Participation in this survey was voluntary and anonymous among selected adolescents and young adults. One hundred and forty four (144) out of 160 questionnaires that were shared among the adolescents and the youth were completed and returned giving a response rate of 90%. The study population was aged 10-24 years and majority of the respondents 90 (62.5%) were in the age group 21-24 years while their mean age was 18±3.9 years. There was good awareness about HIV and its routes of transmission among respondents (96%). The mean age of sexual debut was 15±5.2 years. Condom use among the sexually active respondents was low 33 (22.9%). Thirteen (9.0%) of the respondents were involved with casual unprotected sex while 59% of respondents had taken HIV tests. The knowledge of HIV transmission was good while risky sexual behavioural practices for new infections such as early sexual debut, low condom use and low uptake of counseling and testing services with resultant lack of knowledge of personal HIV status, keeping multiple sex partners, were prevalent among studied adolescents and young adults in Lagos, Nigeria.

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Individual- and Community-Level Influences on the Timing of Sexual Debut Among Youth in Nyanza, Kenya

Cited by 19 publications

References 37 publications

The protective role of family structure for adolescent development in sub-Saharan Africa

The protective role of family structure for adolescent development in sub-Saharan Africa

Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

Knowledge of HIV Transmission and Risky Sexual Behavioural Practices Among Selected Adolescents and Young Adults in Lagos, Nigeria

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