Sociocultural contexts of adolescent sexual behavior in rural Hanover, Jamaica

Smith, Damon L.; Roofe, Michele; Ehiri, John E.; Campbell-Forrester, Sheila; Jolly, Curtis M.; Jolly, Pauline E.

doi:10.1016/s1054-139x(02)00563-3

Cited by 24 publications

(40 citation statements)

References 14 publications

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“…ese �ndings differ from those reported in a study conducted in rural Jamaica in which adolescents between the ages of 15-18 did not view themselves as being susceptible to HIV consistent with the personal fable of adolescence [31]. Ideas raised during the focus groups indicate that adolescents do not think they are susceptible to contracting HIV because it is the �rst time they are having sex, because a person who is HIV positive can be identi�ed by physical changes that occur, and adolescent simply believe they are disease free [31].…”

Section: Discussioncontrasting

confidence: 98%

The Effect of HIV/AIDS Education on Adolescents in Trinidad and Tobago

Jones

Modeste

Marshak

et al. 2013

ISRN Infectious Diseases

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Objective. is study was conducted to determine the effectiveness of an HIV/AIDS educational intervention on adolescents' knowledge about and perceptions of susceptibility and severity of HIV/AIDS. We also examined whether providing information about assertiveness skills led to an intention to delay initiation of sexual activity. Methods. A quasi-experimental design was used to conduct this study among secondary school students in Trinidad and Tobago. e �ve constructs of the Health Belief Model were used to design and test the impact of the educational lessons for the intervention group while the comparison group watched one educational video about HIV over four sessions. A total of 196 secondary school students (from nine schools) between the ages of 11 and 18 years participated in the study, 92 in the intervention group and 104 in the comparison group. Results. ose in the comparison group had higher knowledge scores at posttest than the intervention group, controlling for pretest knowledge ( ), but those in the intervention group were more likely to plan to delay sexual initiation ( ). Conclusions. While knowledge scores increased for both groups, intention to delay sexual intercourse was only seen among the intervention group and within the younger age groups.

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Section: Discussioncontrasting

confidence: 98%

The Effect of HIV/AIDS Education on Adolescents in Trinidad and Tobago

Jones

Modeste

Marshak

et al. 2013

ISRN Infectious Diseases

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“…46 The need for development and implementation of culturally relevant interventions to reduce risk behaviours among Jamaica's youth has been documented in other studies. 8,12,38,44 Although attitudes towards gender norms are changeable, 15 it is likely to be a challenging and gradual process, which ideally should be addressed early in life. 33 Modifiable social and cultural behaviours are central to reducing HIV transmission, especially in this resource-poor setting, given that there is still no vaccine and treatment is costly.…”

Section: Discussionmentioning

confidence: 99%

“…8 Thus adhering to certain gender expectations can create vulnerabilities to HIV infection, influence sexual and reproductive health behaviours, and undermine HIV prevention and control programs. 1,5,[10][11][12] The Caribbean region has the second-highest HIV prevalence worldwide after sub-Saharan Africa. 13,14 Gender differences in sexual norms have been identified as a significant driver of HIV transmission in the Caribbean and are therefore pivotal to our understanding of the dynamics of the HIV epidemic in the region.…”

Section: Introductionmentioning

confidence: 99%

“…[17][18][19] Additionally, in some societies, females are not expected to be knowledgeable about safer sex practices, and those seeking information about safer sex are often viewed as promiscuous or adulterous. 12,20,21 The HIV prevalence among adults (15-49 years) in Jamaica (the third-largest island in the Caribbean) is~1.7%, with higher rates among sex workers (9%) and men who have sex with men (25-30%). 22,23 Though Jamaica's National HIV/AIDS Response Program has played a central role in slowing the rate of the epidemic, little progress has been made in changing sexual risk behaviours such as having multiple sexual partners, especially among men.…”

Section: Introductionmentioning

confidence: 99%

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Gender norms and sexual behaviours among men in western Jamaica

et al. 2014

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Abstract. Objectives: Gender norms, especially among men, can reduce the effectiveness of HIV prevention programs. We sought to assess the association between attitudes towards gender norms and risky sexual behaviours, and identify sociodemographic factors that predict gender-inequitable and masculinity norms among men in western Jamaica. Methods: A cross-sectional, survey of 549 men aged 19-54 years was conducted. Attitudes towards gender norms were measured using the Gender Equitable Men and Macho scales. Logistic regression and general linear models were used to assess associations between gender norms and multiple sexual partners, and to identify the associated sociodemographic factors. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) are presented. Results: Fifty-four percent of the participants (mean age = 32.4 years) reported multiple sex partners and 22% reported unprotected sex with non-regular partner in the past 12 months. Men with moderate (AOR = 2.2; 95% CI = 1.4-3.3) and high (AOR = 4.2; 95% CI = 2.0-8.5) support for inequitable gender norms, and moderate (AOR = 1.7; 95% CI = 1.1-2.7) and high (AOR = 2.5; 95% CI = 1.5-4.3) support for masculinity norms were more likely to report multiple sex partners. Similarly, men with moderate (AOR = 2.4; 95% CI = 1.3-4.3) and high (AOR = 2.5; 95% CI = 1.2-5.2) support for inequitable gender norms were more likely to report unprotected sex with a nonregular partner. Conclusion: A high proportion of Jamaican men engage in risky sexual behaviours. These results highlight the need for behaviour change interventions addressing gender norms targeting Jamaican men.

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“…By contrast, religiosity emerged as the primary protective factor against sexual activity, which was noted in five studies [9,10,33,38,42]. Youth who attended church services, followed religious teachings, and held religious beliefs were less likely to engage in sexual activity.…”

Section: The Individualmentioning

confidence: 93%