The role of peer, parent, and culture in risky sexual behavior for Cambodian and Lao/Mien adolescents

Le, Thai‐Ha; Kato, T.

doi:10.1016/j.jadohealth.2004.12.005

Cited by 63 publications

(41 citation statements)

References 33 publications

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“…In contrast, separation from family and spouse makes migrants vulnerable to HIV risk behaviors (Wang et al, 2007). In addition, peers and community can exert impacts on sexual behaviors in the acculturation process because immigrants can adopt peers’ and community residents’ sexual attitudes and learn their sexual behaviors (Campbell, Williams, & Gilgen, 2002; Le & Kato, 2006). …”

Section: Discussionmentioning

confidence: 99%

Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

2013

Health Psychology Review

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This review examines the global literature regarding the relationship between acculturation and HIV-related sexual behaviors among international migrants. Seventy-nine articles published in English-language journals prior to July 2012 met the criteria for inclusion. We conducted a systematic review and subset meta-analysis of correlations between acculturation and five types of sexual behaviors including condom use, multiple partnerships, early sexual initiation, sexually transmitted diseases (STDs), and other unsafe sexual practices. Immigrants high in mainstream acculturation were more likely to have multiple partnerships, early sexual initiation, STDs, and unsafe sex (rs ranged from .10 to .16), but acculturation was not associated with condom use (r = .02). Gender moderated the relationships between acculturation and multiple partnerships, STDs, and unsafe sex. The relationship between acculturation and unsafe sex also varied across ethnicity. These findings suggest that acculturation may serve as a risk factor towards immigrants’ HIV-related sexual health. We offered a theoretical framework and suggested applying cross-cultural and longitudinal designs in future research on acculturation and health behaviors.

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Section: Discussionmentioning

confidence: 99%

Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

2013

Health Psychology Review

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“…Confucian tradition taught young people with proper conduct and placed great emphasis on spiritual pursuit on morality for young men, rather than asserted the masculinity by overt sexual activity, which is quite different from the contexts of some Latin-American and African areas [14, 15]. Some studies used the vertical and horizontal collectivism to delineate cultural orientation and examined the protective effects of them on sexual risky behaviors [10, 16]. Vertical collectivism emphasizes the interdependence of every human in some collective group and see the group of hierarchy while de-emphasizes self-interests, which is of some similarity in essence with the Confucian family concepts.…”

Section: Discussionmentioning

confidence: 99%

“…This puzzling finding might result from several reasons. Family values, once internalized by mechanisms including family discipline and parent-child communication, may serve as a buffer against risk-taking behaviors [10]. Regarding sexuality as taboo in Confucianism restricted the parent-child meaningful communication on sexuality.…”

Section: Discussionmentioning

confidence: 99%

“…Over the years, studies have suggested cultural norms may matter in adolescent sex-related behaviors [9–10]. Considering that the relationship between Confucian values and sexual behavior in this rapidly changing socio-cultural environment also deserves exploration, this study will examine and evaluate, in each of the three cities, the extent to which the changes in traditional Confucian values have and will impact the sexual and intimate behaviors of adolescents and young adults.…”

Section: Introductionmentioning

confidence: 99%

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How Does Traditional Confucian Culture Influence Adolescents' Sexual Behavior in Three Asian Cities?

Gao

Zuo

Wang

et al. 2012

Journal of Adolescent Health

118

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Purpose To investigate whether and how the presence of Confucian cultural norms influences the sexual behaviors of adolescents and young adults in three Asian cities experiencing different levels of economic development. Methods Data on this paper were drawn from the international cross-sectional survey on sexual and reproductive health of adolescents and young adults aged 15–24 in three Asian cities (Hanoi, Shanghai and Taipei), conducted in 2006. The original sample consisted of a representative group of 17,016 adolescents, while in this paper, 16,554 never married adolescents were included in the analysis. Both face-to-face interview and Computer Assisted Self-Interview (CASI) approaches were adopted in the survey. Exposure to family concepts, self-cultivation values, gender role concepts and sexual values were the main measures of traditional Confucian cultural influence. Sexual and intimate behaviors were the main outcome measures, multi-Cox regression models were used to assess the association between traditional cultural concepts and values and sexual behavior after adjusting for potentially confounding factors. Data were analyzed with SAS software 9.1. Results The traditional Confucian cultural norms were not weakening evenly, with more entrenchment in Hanoi than in Shanghai and Taipei. Prevalences of sexual coitus among adolescent and young adults were lowest in Hanoi and highest in Taipei, while similar profiles of other intimate behaviors were displayed in the three cities. Associations between respondents’ sexual behavior and their cultural concepts and values differed by city. In Hanoi, for all four cultural measures, respondents with more traditional views were less likely to be engaged in sexual activity. This was also true in Shanghai and Taipei with respect to traditional sexual values and self-cultivation values. However, there was an inverse relationship between sexual behavior and traditional family concepts and gender roles in Shanghai and Taipei; those with more traditional values were more likely to have premarital sexual intercourse, except with regard to family values among female youth in Taipei. Conclusions The findings suggest that different aspects of Confucian values eroding unevenly in different Asian cities, may have distinct association with adolescent or young adults' sexual behaviors.

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“…In turn, unmarried young people having an early sexual debut are at great risk of HIV and STIs, unwanted pregnancy, and unsafe abortion [21]. Other social factors associated with RSB among adolescents and young adults include substance use [7,22], peer affiliation [7,23,24], parental monitoring [25], parental trust [26], family relationship [27], family structure [28], and school engagement [23].…”

mentioning

confidence: 99%

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

Yi¹,

Tuot²,

Yung³

et al. 2014

AJPHR

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Background: Recent surveys suggest that adolescents and young adults in Southeast Asian nations are at great risks of sexual reproductive health issues. This study explored factors associated with risky sexual behavior (RSB) among unmarried most-at-risk young people in Cambodia. Methods: A two-stage cluster sampling method was used to select 1,204 boys and 1,166 girls aged 10-24 from 252 hotspots in the capital city and seven provinces. A five-item scale was constructed to measure RSB. All variables were entered simultaneously in multivariate logistic regression models if they were significantly associated with RSB in bivariate analyses. Results: Of total, 37.7% of boys and 18.5% of girls had sexual intercourse in the past three months; of them, 69.6% of boys and 52.5% of girls were involved in commercial sex. Only 43.3% of boys and 6.5% of girls reported always using condom with unpaid regular partners in the past three months. Among sexually active girls, 43.5% reported having been pregnant and of them, 42.4% reported having induced abortion as a result of their most recent pregnancy. After adjustment, boys with higher levels of RSB were significantly more likely to live in an urban area, to have completed ≥ 9 years of formal education, and to be not currently living with parents. In contrast, girls with higher levels of RSB were significantly less likely to have completed ≥ 9 years of formal education and to have both parents alive. Both boys and girls with higher levels of RSB were significantly more likely to be in the age group of 20-24, to be not currently in school, to be employed, to becurrent alcohol drinkers, to becurrent heavy alcohol drinkers, to be current illicit drug users, and to have been tested for HIV. Conclusions: Unmarried young people in this study are exposed to several sexual reproductive health problems such as HIV and sexually transmitted infections, unwanted pregnancy, and unsafe abortion. These findings suggest the need for research and prevention programs for these key populations taking into account risk factors identified in this study.

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The role of peer, parent, and culture in risky sexual behavior for Cambodian and Lao/Mien adolescents

Cited by 63 publications

References 33 publications

Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis

How Does Traditional Confucian Culture Influence Adolescents' Sexual Behavior in Three Asian Cities?

Factors Associated with Risky Sexual Behavior among Unmarried Most-at-Risk Young People in Cambodia

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