Saving Sex for Marriage: An Analysis of Lay Attitudes Towards Virginity and its Perceived Benefit for Marriage

Olamijuwon, Emmanuel; Odimegwu, Clifford

doi:10.1007/s12119-021-09909-7

Cited by 13 publications

(10 citation statements)

References 84 publications

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“…According to the adolescents, the familiar WhatsApp format fostered comfort and privacy due to the confidentiality and anonymity, bi-directional conversations that involved peer support in a moderated environment, and conversational skill-building that sparked conversations outside of the intervention. Some of these findings have been observed in other mHealth studies in different populations [ 49 ]. Participants reported that InTSHA created a group of peers with a shared background—HIV status, culture, and neighborhood—that evolved their SRH knowledge, attitudes, and behaviors.…”

Section: Discussionsupporting

confidence: 76%

“I am not shy anymore”: A qualitative study of the role of an interactive mHealth intervention on sexual health knowledge, attitudes, and behaviors of South African adolescents with perinatal HIV

et al. 2022

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Background South Africa has one of the highest burdens of adolescents with perinatally-acquired HIV (APHIV) in the world. APHIV in South Africa have limited access to sexual and reproductive health (SRH) education and services specific to their HIV status. When lacking comprehensive SRH education, APHIV are prone to sexual risk behaviors that can lead to unintended pregnancy, sexually transmitted infections, and HIV transmission. The use of mHealth interventions has been shown to deliver information, foster social support, and improve decision-making skills. In this study, we evaluate how an mHealth intervention influences sexual health knowledge and behaviors in APHIV. Methods We purposively enrolled adolescents from the intervention arm of a randomized clinical trial assessing a multi-module, moderated WhatsApp-based intervention—Interactive Transition Support for Adolescents Living with HIV (InTSHA)—within a government supported clinic in KwaMashu, an urban township of KwaZulu-Natal, South Africa. We conducted in-depth interviews based on World Health Organization guidelines for asking adolescents about SRH. We thematically analyzed data through an iterative, team-based coding approach combining deductive and inductive elements to contextualize SRH attitudes, knowledge, and behaviors before and after receiving the InTSHA intervention. Results Of the 21 participants, 13 (61.9%) were female and the mean age was 16.6 years. Most participants reported first learning about SRH as young teenagers in school through non-targeted and negative ways, seeking clarification through peers and the internet rather than clinicians or caregivers. Participants reported that InTSHA provided a holistic perspective on relationships, gender, and sexuality specific to growing up with HIV in South Africa. They praised the ability to give and receive information from peers in a moderated setting through the mHealth intervention, building their confidence, decision-making skills, and communication with partners and caregivers throughout their everyday lives. Despite reporting some technological challenges, adolescents agreed that InTSHA was convenient, confidential, and user-friendly. Conclusions South African APHIV receive incomplete and conflicting sexual education from peers, caregivers, teachers, and technology that can be supplemented by mHealth curricula targeted for the unique needs of APHIV. Future, scaled-up mHealth interventions can lower SRH stigma by expanding access to sexual education and peer support, supplementing adolescents’ existing SRH education.

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Section: Discussionsupporting

confidence: 76%

“I am not shy anymore”: A qualitative study of the role of an interactive mHealth intervention on sexual health knowledge, attitudes, and behaviors of South African adolescents with perinatal HIV

et al. 2022

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“…Any deviation would be regarded as immoral and bring shame to the person and her family. It is a patriarchal social construct that restricts a woman’s sexual rights as also found in many African cultures and societies (Olamijuwon and Odimegwu, 2022).…”

Section: Discussionmentioning

confidence: 99%

Fear generation in the multimodal communication of sexual and reproductive health to Malaysian adolescents

Ang

Taib

2023

Visual Communication

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There has been much debate about the state of sexuality education in Malaysia which is heavily influenced by conservative cultural and religious attitudes. To better understand the scenario, this study examines how sexual and reproductive health and rights (SRHR) education is communicated multimodally to adolescents via printed and digital promotional materials. These materials were produced by the three main responsible agencies: the National Population and Family Development Board, the Ministry of Health Malaysia and the Federation of Reproductive Health Association Malaysia. Adopting Kress and Van Leeuwen’s visual grammar framework in Reading Images (1996) with a focus on visual composition, social actor analysis and viewer positioning, the materials were found to predominantly address Malay teenagers and carry fear-based messages about abstinence and the consequences of committing zina (a Malay word for illicit sexual relations). Custom and conformity rather than expert legitimation and trust in the social and health authorities dominate local sexual health education. The authors argue that contraception should be advocated through a discourse of health and social risk mitigation and responsible gender roles while respecting cultural and moral obligations. Adolescents also have a right to be informed about options appropriate to their own circumstances in line with Target 3.7 of the United Nations Sustainable Development Goals. Locally, such recommendations would contribute to Malaysia’s Shared Prosperity Vision 2030 and Twelfth Malaysia Plan which seek to improve the well-being of young citizens through targeted education and public services.

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“…Premarital sexual activity among African adolescents and adults is a critical issue in sexuality studies (Olamijuwon & Odimegwu, 2022 ). Virginity is a symbol of pride, dignity, and respect in many African countries, including Egypt, and motivates girls to be wanted and pursued.…”

Section: Discussionmentioning

confidence: 99%

Questioned Virginity Has No Definite Reply

2022

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Virginity is the nullity of sexual experience in females. However, the use of virginity testing as proof of previous involvement in sexual relations is dependent on having an intact hymen, which refers to a hymen with no signs of previous penetrating injury. Although the quality of this evidence in questioned virginity is extremely poor and considered a violation of human rights, it still constitutes a major facet in medicolegal investigations of sexual assaults. This work evaluates virginity testing as currently practiced in many countries, including Egypt, in terms of medical and legal considerations.

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Saving Sex for Marriage: An Analysis of Lay Attitudes Towards Virginity and its Perceived Benefit for Marriage

Cited by 13 publications

References 84 publications

“I am not shy anymore”: A qualitative study of the role of an interactive mHealth intervention on sexual health knowledge, attitudes, and behaviors of South African adolescents with perinatal HIV

“I am not shy anymore”: A qualitative study of the role of an interactive mHealth intervention on sexual health knowledge, attitudes, and behaviors of South African adolescents with perinatal HIV

Fear generation in the multimodal communication of sexual and reproductive health to Malaysian adolescents

Questioned Virginity Has No Definite Reply

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