oalib
Search Results: 1 - 10 of 100 matches for " "
All listed articles are free for downloading (OA Articles)
Page 1 /100
Display every page Item
Factors associated with sexual initiation and condom use among adolescents on Santiago Island, Cape Verde, West Africa
Tavares, Carlos Mendes;Schor, Néia;Fran?a Junior, Ivan;Diniz, Simone Grilo;
Cadernos de Saúde Pública , 2009, DOI: 10.1590/S0102-311X2009000900011
Abstract: the current study focuses on factors associated with sexual initiation and condom use among teenagers on santiago island, cape verde, according to gender. this was a representative, probabilistic sample of 13-to-17-year-olds (n = 768) attending public secondary schools on santiago island in 2007. associations were tested by test of proportion, pearson's chi-square, or fisher's exact test and logistic regression. factors related to sexual initiation among boys were: age over 14 years, catholic religion, and alcohol consumption. for girls, the factors included: > 9 years of schooling and involvement in an affective-sexual relationship. unlike other sub-saharan countries, this study showed a high prevalence of condom use during initial sexual activity. adolescents are able to safely begin sexually active life if they have access to information, sex education, and other std prevention and contraceptive methods. this study provides insights on the development of policies to reduce the vulnerability of the young population to std/aids and the limits and challenges related to the promotion of condom use and sex education, focusing on unequal gender relations.
Associated aspects to the age at sexual initiation among adolescents: a quantitative study
Ana Luiza Vilela Borges,Elizabeth Fujimori
Online Brazilian Journal of Nursing , 2008,
Abstract: using survival analysis, we analyzed data from 363 both female and male 15 to 19 year-old adolescents enrolled in a family health unit in the east area of s o paulo city. they filled a self-administered structured questionnaire at home in may 2007. results showed an statistical difference in the age of sexual initiation between women and men (15,2 and 14,3 years of age, respectively). sexual life onset showed to be an event that does not occur in a linear way during adolescence, but a gradual phenomenon that takes place from a specific age. multiple cox regression showed that variables associated to the age at sexual initiation among women were working as well as relating a non-rigid mother concerning to dating. variable associated to the age at sexual initiation among men was agreeing to the sentence “man can have sex no matter what because can’t become pregnant”. It was concluded that cultural, relational and demographical aspects can influence sexual initiation among adolescents.
Associated aspects to the age at sexual initiation among adolescents: a quantitative study
Ana Luiza Vilela Borges,Elizabeth Fujimori
Online Brazilian Journal of Nursing , 2008,
Abstract: using survival analysis, we analyzed data from 363 both female and male 15 to 19 year-old adolescents enrolled in a family health unit in the east area of s o paulo city. they filled a self-administered structured questionnaire at home in may 2007. results showed an statistical difference in the age of sexual initiation between women and men (15,2 and 14,3 years of age, respectively). sexual life onset showed to be an event that does not occur in a linear way during adolescence, but a gradual phenomenon that takes place from a specific age. multiple cox regression showed that variables associated to the age at sexual initiation among women were working as well as relating a non-rigid mother concerning to dating. variable associated to the age at sexual initiation among men was agreeing to the sentence “man can have sex no matter what because can’t become pregnant”. It was concluded that cultural, relational and demographical aspects can influence sexual initiation among adolescents.
Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents
Adesegun O Fatusi, Robert W Blum
BMC Public Health , 2008, DOI: 10.1186/1471-2458-8-136
Abstract: Interviewer-collected data of 2,070 never-married adolescents aged 15–19 years were analysed to determine association between age of sexual debut and demographic, psychosocial and community factors. Using Cox proportional hazards regression multivariate analysis was carried out with two different models – one with and the other without psychosocial factors. Hazard ratio (HR) and 95% confidence interval (CI) were calculated separately for males and females.A fifth of respondents (18% males; 22% females) were sexually experienced. In the South 24.3% males and 28.7% females had initiated sex compared to 12.1% of males and 13.1% females in the North (p < 0.001). In the first model, only region was significantly associated with adolescent sexual initiation among both males and females; however, educational attainment and age were also significant among males. In the second (psychosocial) model factors associated with adolescent sexual debut for both genders included more positive attitudes regarding condom efficacy (males: HR = 1.28, 95% CI = 1.07–1.53; females: HR = 1.24, 95% CI = 1.05–1.46) and more positive attitudes to family planning use (males: HR = 1.19, 95% CI = 1.09–1.31; females: HR = 1.18, 95% CI = 1.07–1.30). A greater perception of condom access (HR = 1.42, 95% CI = 1.14–1.76) and alcohol use (HR = 1.90, 95% CI = 1.38–2.62) among males and positive gender-related attitudes (HR = 1.13, 95% CI = 1.04–1.23) among females were also associated with increased likelihood of adolescent sexual initiation. Conversely, personal attitudes in favour of delayed sexual debut were associated with lower sexual debut among both males (males: HR = 0.36, 95% CI = 0.25–0.52) and females (HR = 0.38, 95% CI = 0.25–0.57). Higher level of religiosity was associated with lower sexual debut rates only among females (HR = 0.59, 95% CI = 0.37–0.94).Given the increased risk for a number of sexually transmitted health problems, understanding the factors that are associated with premarital
Sexual initiation and contraceptive use among female adolescents in Kenya
LD Ikamari, R Towett
African Journal of Health Sciences , 2007,
Abstract: This paper examines the timing of sexual initiation and contraceptive use among female adolescents in Kenya. Data are drawn from the 2003 Kenya Demographic and Health Survey. The main analytical tools are regression models. A Cox regression model is used to consider the probability of a young woman having first sex during adolescence and linear regression model to quantify the effects of a set of factors on female adolescent's age at first sexual debut. Finally, logistic regression model is used to model the probability of a sexually experienced adolescent woman using a contraceptive method. The results obtained indicate the onset of sexual activity is early and contraceptive use is fairly low and both the timing of first sex and contraceptive use are affected by a variety of factors. Despite engaging in unsafe sex practices, the majority of the adolescents do not view themselves as being at the risk of contracting HIV/AIDS. A number of recommendations are proposed. African Journal of Health Sciences Vol. 14 (1-2) 2007: pp. 1-13
Reasons for delaying or engaging in early sexual initiation among adolescents in Nigeria
Ankomah A, Mamman-Daura F, Omoregie G, Anyanti J
Adolescent Health, Medicine and Therapeutics , 2011, DOI: http://dx.doi.org/10.2147/AHMT.S23649
Abstract: sons for delaying or engaging in early sexual initiation among adolescents in Nigeria Original Research (3904) Total Article Views Authors: Ankomah A, Mamman-Daura F, Omoregie G, Anyanti J Published Date September 2011 Volume 2011:2 Pages 75 - 84 DOI: http://dx.doi.org/10.2147/AHMT.S23649 Augustine Ankomah1, Fatima Mamman-Daura2, Godpower Omoregie1, Jennifer Anyanti1 1Society for Family Health, Abuja; 2Pathfinder International/Nigeria, Kaduna Field Office, Kaduna, Nigeria Background: Annually, over 1 million births in Nigeria are to teenage mothers. Many of these pregnancies are unwanted and these mothers are also exposed to the risk of human immunodeficiency virus (HIV) infection. Sexual abstinence is a critical preventative health strategy. Several quantitative studies in Nigeria have identified the correlates and determinants of early sex, yet few have explored in depth the underlying reasons for early sex. This paper explores both the key factors that motivate some unmarried young people to engage in early sex and reasons why some delay. Methods: This qualitative study was based on data from 30 focus group discussions held with unmarried 14- to 19-year-olds in four geographically and culturally dispersed Nigerian states. Focus groups were stratified by sexual experience to capture variations among different subgroups. Results: Several reasons for early premarital sex were identified. The “push” factors included situations where parents exposed young female adolescents to street trading. “Pull” factors, particularly for males, included the pervasive viewing of locally produced movies, peer pressure and, for females, transactional sex (where adolescent girls exchange sex for gifts, cash, or other favors). Also noted were overtly coercive factors, including rape. There were also myths and misconceptions that “justified” early sexual initiation. Reasons cited for delay included religious injunction against premarital sex; disease prevention (especially HIV/acquired immunodeficiency syndrome); fear of pregnancy, and linked to this, the fear of dropping out of school; and, for females, the fear of bringing shame to the family, which could lead to their inability to get a "good" husband in the future. Conclusion: The differences observed between sexually active and abstinent adolescents were that the latter were more confident, had greater determination, and, most important, deployed refusal skills to delay first sex. Health promoters need to focus attention on educating adolescents in the skills needed to delay sexual debut.
Reasons for delaying or engaging in early sexual initiation among adolescents in Nigeria
Ankomah A,Mamman-Daura F,Omoregie G,Anyanti J
Adolescent Health, Medicine and Therapeutics , 2011,
Abstract: Augustine Ankomah1, Fatima Mamman-Daura2, Godpower Omoregie1, Jennifer Anyanti11Society for Family Health, Abuja; 2Pathfinder International/Nigeria, Kaduna Field Office, Kaduna, NigeriaBackground: Annually, over 1 million births in Nigeria are to teenage mothers. Many of these pregnancies are unwanted and these mothers are also exposed to the risk of human immunodeficiency virus (HIV) infection. Sexual abstinence is a critical preventative health strategy. Several quantitative studies in Nigeria have identified the correlates and determinants of early sex, yet few have explored in depth the underlying reasons for early sex. This paper explores both the key factors that motivate some unmarried young people to engage in early sex and reasons why some delay.Methods: This qualitative study was based on data from 30 focus group discussions held with unmarried 14- to 19-year-olds in four geographically and culturally dispersed Nigerian states. Focus groups were stratified by sexual experience to capture variations among different subgroups.Results: Several reasons for early premarital sex were identified. The “push” factors included situations where parents exposed young female adolescents to street trading. “Pull” factors, particularly for males, included the pervasive viewing of locally produced movies, peer pressure and, for females, transactional sex (where adolescent girls exchange sex for gifts, cash, or other favors). Also noted were overtly coercive factors, including rape. There were also myths and misconceptions that “justified” early sexual initiation. Reasons cited for delay included religious injunction against premarital sex; disease prevention (especially HIV/acquired immunodeficiency syndrome); fear of pregnancy, and linked to this, the fear of dropping out of school; and, for females, the fear of bringing shame to the family, which could lead to their inability to get a "good" husband in the future.Conclusion: The differences observed between sexually active and abstinent adolescents were that the latter were more confident, had greater determination, and, most important, deployed refusal skills to delay first sex. Health promoters need to focus attention on educating adolescents in the skills needed to delay sexual debut.Keywords: abstinence, sexual initiation, adolescents, qualitative, focus group discussions, Nigeria
Type of Sexual Contact and Precoital Sexual Experience in Spanish Adolescents  [cached]
María-Paz Bermúdez,Gualberto Buela-Casal,Inmaculada Teva
Universitas Psychologica , 2011,
Abstract: The aim of this study was to examine characterisctics of precoital sexual behaviors and types of sexual contact in adolescent. A representative sample of 4,456 Spanish high school students participated. These participants were selected by means of a stratified random sampling procedure. They completed a questionnaire about their sexual behaviour. It is a cross-sectional survey study. Differences according to age and gender in characteristics of sexualbehaviour before the onset of sexual intercourse were found. Comparedto females, males started non penetrative sexual experiences earlier, had a higher number of sexual partners and a higher percentage of males reported having had casual sexual partner. This study not only adds to knowledge about sexual behaviour before the initiation of sexual intercourse among adolescents, it also highlights the importance of developing sexual prevention strategies for young adolescents.
Gender dynamics and sexual norms among youth in Mali in the context of HIV/AIDS prevention
C Boileau, B Vissandjee, V-K Nguyen, S Rashed, M Sylla, MV Zunzunegui
African Journal of Reproductive Health , 2008,
Abstract: Socially constructed ideas of gender norms and values attached to sexuality need to be considered when aiming to build the young people’s capacity to adopt HIV preventive behaviours. We conducted ten focus groups and sixteen individual interviews to explore sexual norms among youth in Bamako. Premarital sex, multiple partnering, condom use and transactional sex were discussed. The findings suggest that young people’s sexual norms are shaped by kin or authoritative elders as well as by external influences coming from Western culture. Sexual norms are differentially constructed by men and women and are in contradiction with those of older generations. Views on premarital sex, condom use and transactional sex generated controversy among men and women, as well as among more sexually conservative or progressive youth. However, there was general rejection of multiple partnerships. Empowering youth to pursue open debates on sexuality may be an avenue for HIV/AIDS prevention in Mali (Afr J Reprod Health 2008; 12[3]:173-184).
Gender Inequity Norms Are Associated with Increased Male-Perpetrated Rape and Sexual Risks for HIV Infection in Botswana and Swaziland  [PDF]
Kate Shannon, Karen Leiter, Nthabiseng Phaladze, Zakhe Hlanze, Alexander C. Tsai, Michele Heisler, Vincent Iacopino, Sheri D. Weiser
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0028739
Abstract: Background There is limited empirical research on the underlying gender inequity norms shaping gender-based violence, power, and HIV risks in sub-Saharan Africa, or how risk pathways may differ for men and women. This study is among the first to directly evaluate the adherence to gender inequity norms and epidemiological relationships with violence and sexual risks for HIV infection. Methods Data were derived from population-based cross-sectional samples recruited through two-stage probability sampling from the 5 highest HIV prevalence districts in Botswana and all districts in Swaziland (2004–5). Based on evidence of established risk factors for HIV infection, we aimed 1) to estimate the mean adherence to gender inequity norms for both men and women; and 2) to model the independent effects of higher adherence to gender inequity norms on a) male sexual dominance (male-controlled sexual decision making and rape (forced sex)); b) sexual risk practices (multiple/concurrent sex partners, transactional sex, unprotected sex with non-primary partner, intergenerational sex). Findings A total of 2049 individuals were included, n = 1255 from Botswana and n = 796 from Swaziland. In separate multivariate logistic regression analyses, higher gender inequity norms scores remained independently associated with increased male-controlled sexual decision making power (AORmen = 1.90, 95%CI:1.09–2.35; AORwomen = 2.05, 95%CI:1.32–2.49), perpetration of rape (AORmen = 2.19 95%CI:1.22–3.51), unprotected sex with a non-primary partner (AORmen = 1.90, 95%CI:1.14–2.31), intergenerational sex (AORwomen = 1.36, 95%CI:1.08–1.79), and multiple/concurrent sex partners (AORmen = 1.42, 95%CI:1.10–1.93). Interpretation These findings support the critical evidence-based need for gender-transformative HIV prevention efforts including legislation of women's rights in two of the most HIV affected countries in the world.
Page 1 /100
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.