Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda.
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| Title: | Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda. |
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| Authors: | Katz, IngridT. (AUTHOR), Ybarra, MicheleL. (AUTHOR), Wyatt, MoniqueA. (AUTHOR), Kiwanuka, JuliusP. (AUTHOR), Bangsberg, DavidR. (AUTHOR), Ware, NormaC. (AUTHOR) |
| Source: | AIDS Care. Feb2013, Vol. 25 Issue 2, p258-264. 7p. 1 Color Photograph. |
| Subjects: | HIV infection risk factors, Conceptual structures, Culture, Decision making in adolescence, High school students, Interviewing, Research methodology, Research funding, Risk-taking behavior, Statistical sampling, Human sexuality, Sound recordings, Qualitative research, Socioeconomic factors, Health literacy |
| Geographic Terms: | Uganda |
| Abstract: | With more than half of new infections occurring among youth, HIV/AIDS remains a major contributor to morbidity and mortality in Uganda. Semi-structured interviews were performed with 48 adolescents and 15 adult key informants in a rural Ugandan community to identify influences on adolescent sexual decision-making. Inductive data analytic methods revealed five thematic influences: (1) social pressure, (2) decline of the Senga (a familial figure who traditionally taught female adolescents about how to run a household), (3) cultural barriers to condom use, (4) knowledge of HIV transmission and modes of prevention, and (5) a moral injunction against sex before marriage. Influences were classified as HIV/AIDS risk and protective factors and organized to form an explanatory framework of adolescent sexual risk-taking. Risk factors pull youth toward risky behavior, while protective factors push them away. Predominance of risk over protective influences explains persistent sexual risk-taking by Ugandan youth. HIV prevention programs designed for Ugandan adolescents should take competing factors and sociocultural and economic influences into account. [ABSTRACT FROM PUBLISHER] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | With more than half of new infections occurring among youth, HIV/AIDS remains a major contributor to morbidity and mortality in Uganda. Semi-structured interviews were performed with 48 adolescents and 15 adult key informants in a rural Ugandan community to identify influences on adolescent sexual decision-making. Inductive data analytic methods revealed five thematic influences: (1) social pressure, (2) decline of the Senga (a familial figure who traditionally taught female adolescents about how to run a household), (3) cultural barriers to condom use, (4) knowledge of HIV transmission and modes of prevention, and (5) a moral injunction against sex before marriage. Influences were classified as HIV/AIDS risk and protective factors and organized to form an explanatory framework of adolescent sexual risk-taking. Risk factors pull youth toward risky behavior, while protective factors push them away. Predominance of risk over protective influences explains persistent sexual risk-taking by Ugandan youth. HIV prevention programs designed for Ugandan adolescents should take competing factors and sociocultural and economic influences into account. [ABSTRACT FROM PUBLISHER] |
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| ISSN: | 09540121 |
| DOI: | 10.1080/09540121.2012.701718 |
