Illegal yet developmentally normative: a descriptive analysis of young, urban adolescents’ dating and sexual behaviour in Cape Town, South Africa
Identifieur interne : 002697 ( Main/Exploration ); précédent : 002696; suivant : 002698Illegal yet developmentally normative: a descriptive analysis of young, urban adolescents’ dating and sexual behaviour in Cape Town, South Africa
Auteurs : Aník Gevers [Afrique du Sud] ; Cathy Mathews [Afrique du Sud] ; Pam Cupp [États-Unis] ; Marcia Russell [États-Unis] ; Rachel Jewkes [Afrique du Sud]Source :
- BMC International Health and Human Rights [ 1472-698X ] ; 2013.
Abstract
In South Africa, it is illegal for adolescents under age 16 years to engage in any sexual behaviour whether kissing, petting, or penetrative sex, regardless of consent. This cross-sectional study investigated the extent to which young adolescents engage in various sexual behaviours and the associations between dating status and sexual behaviours.
Grade 8 adolescents (N = 474, ages 12–15 years, mean = 14.14 years) recruited from Cape Town schools completed surveys providing information about their sociodemographic backgrounds, dating experience, sexual behaviour, and substance use.
Lower hierarchy sexual behaviours, such as kissing (71.4% of girls; 88.4% of boys), were more common than oral (3.9% of girls; 13.8% of boys), vaginal (9.3% of girls; 30.0% of boys), or anal (1.4% of girls; 10.5% of boys) sex. Currently dating girls and boys were more likely to engage in sexual behaviours including several risk behaviours in comparison to their currently non-dating counterparts. These risk behaviours included penetrative sex (21.1% of dating vs. 4.5% of non-dating girls; 49.4% of dating vs. 20.2% of non-dating boys), sex with co-occurring substance use (22.2% of dating vs. 0 non-dating girls; 32.1% of dating vs. 40% of non-dating boys), and no contraceptive use (26.1% of sexually experienced girls; 44.4% of sexually experienced boys). Among girls, there were significant associations between ever having penetrative sex and SES (OR = 2.592, p = 0.017) and never dating (OR = 0.330, p = 0.016). Among boys, there were significant associations between ever having penetrative sex and never dating (OR = 0.162, p = 0.008). Although the currently dating group of young adolescents appear to be a precocious group in terms of risk behaviour relative to the currently non-dating group, teenagers in both groups had experience in the full range of sexual behaviours.
Many young adolescents are engaging in a variety of sexual behaviours ranging from kissing and touching to intercourse. Of particular concern are those engaging in risky sexual behaviour. These findings indicate that adolescents need to be prepared for sexual negotiation and decision-making from an early age through comprehensive and accessible education and health services; sections of current legislation may be a barrier to adopting such policies and practices.
Url:
DOI: 10.1186/1472-698X-13-31
PubMed: 23841894
PubMed Central: 3718713
Affiliations:
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of Psychiatry and Mental Health, Adolescent Research Unit, University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Psychiatry and Mental Health, Adolescent Research Unit, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Mathews, Cathy" sort="Mathews, Cathy" uniqKey="Mathews C" first="Cathy" last="Mathews">Cathy Mathews</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Psychiatry and Mental Health, Adolescent Research Unit, University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Psychiatry and Mental Health, Adolescent Research Unit, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Health Systems Research Unit, South African Medical Research Council, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Cupp, Pam" sort="Cupp, Pam" uniqKey="Cupp P" first="Pam" last="Cupp">Pam Cupp</name><affiliation wicri:level="2"><nlm:aff id="I4">Department of Communication, University of Kentucky, Lexington, KY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Communication, University of Kentucky, Lexington, KY</wicri:regionArea><placeName><region type="state">Kentucky</region></placeName></affiliation></author><author><name sortKey="Russell, Marcia" sort="Russell, Marcia" uniqKey="Russell M" first="Marcia" last="Russell">Marcia Russell</name><affiliation wicri:level="2"><nlm:aff id="I5">Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Jewkes, Rachel" sort="Jewkes, Rachel" uniqKey="Jewkes R" first="Rachel" last="Jewkes">Rachel Jewkes</name><affiliation wicri:level="1"><nlm:aff id="I1">Gender and Health Research Unit, South African Medical Research Council, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Gender and Health Research Unit, South African Medical Research Council, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I6">Health Sciences Faculty, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Health Sciences Faculty, University of the Witwatersrand, Johannesburg</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author></analytic><series><title level="j">BMC International Health and Human Rights</title><idno type="eISSN">1472-698X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In South Africa, it is illegal for adolescents under age 16 years to engage in any sexual behaviour whether kissing, petting, or penetrative sex, regardless of consent. This cross-sectional study investigated the extent to which young adolescents engage in various sexual behaviours and the associations between dating status and sexual behaviours.</p></sec><sec><title>Method</title><p>Grade 8 adolescents (N = 474, ages 12–15 years, mean = 14.14 years) recruited from Cape Town schools completed surveys providing information about their sociodemographic backgrounds, dating experience, sexual behaviour, and substance use.</p></sec><sec><title>Results</title><p>Lower hierarchy sexual behaviours, such as kissing (71.4% of girls; 88.4% of boys), were more common than oral (3.9% of girls; 13.8% of boys), vaginal (9.3% of girls; 30.0% of boys), or anal (1.4% of girls; 10.5% of boys) sex. Currently dating girls and boys were more likely to engage in sexual behaviours including several risk behaviours in comparison to their currently non-dating counterparts. These risk behaviours included penetrative sex (21.1% of dating vs. 4.5% of non-dating girls; 49.4% of dating vs. 20.2% of non-dating boys), sex with co-occurring substance use (22.2% of dating vs. 0 non-dating girls; 32.1% of dating vs. 40% of non-dating boys), and no contraceptive use (26.1% of sexually experienced girls; 44.4% of sexually experienced boys). Among girls, there were significant associations between ever having penetrative sex and SES (OR = 2.592, p = 0.017) and never dating (OR = 0.330, p = 0.016). Among boys, there were significant associations between ever having penetrative sex and never dating (OR = 0.162, p = 0.008). Although the currently dating group of young adolescents appear to be a precocious group in terms of risk behaviour relative to the currently non-dating group, teenagers in both groups had experience in the full range of sexual behaviours.</p></sec><sec><title>Conclusions</title><p>Many young adolescents are engaging in a variety of sexual behaviours ranging from kissing and touching to intercourse. Of particular concern are those engaging in risky sexual behaviour. These findings indicate that adolescents need to be prepared for sexual negotiation and decision-making from an early age through comprehensive and accessible education and health services; sections of current legislation may be a barrier to adopting such policies and practices.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hartell, Cg" uniqKey="Hartell C">CG Hartell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Flisher, Aj" uniqKey="Flisher A">AJ Flisher</name></author><author><name sortKey="Reddy, P" uniqKey="Reddy P">P Reddy</name></author><author><name sortKey="Muller, M" uniqKey="Muller M">M Muller</name></author><author><name sortKey="Lombard, C" uniqKey="Lombard C">C Lombard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johnson, Tc" uniqKey="Johnson T">TC Johnson</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Zinn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Underhill, K" uniqKey="Underhill K">K Underhill</name></author><author><name sortKey="Operario, D" uniqKey="Operario D">D Operario</name></author><author><name sortKey="Montgomery, P" uniqKey="Montgomery P">P Montgomery</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fantasia, Hc" uniqKey="Fantasia H">HC Fantasia</name></author><author><name sortKey="Fontenot, Hb" uniqKey="Fontenot H">HB Fontenot</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Californie</li><li>Gauteng</li><li>Kentucky</li></region><settlement><li>Johannesbourg</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Gevers, Anik" sort="Gevers, Anik" uniqKey="Gevers A" first="Aník" last="Gevers">Aník Gevers</name></noRegion><name sortKey="Gevers, Anik" sort="Gevers, Anik" uniqKey="Gevers A" first="Aník" last="Gevers">Aník Gevers</name><name sortKey="Jewkes, Rachel" sort="Jewkes, Rachel" uniqKey="Jewkes R" first="Rachel" last="Jewkes">Rachel Jewkes</name><name sortKey="Jewkes, Rachel" sort="Jewkes, Rachel" uniqKey="Jewkes R" first="Rachel" last="Jewkes">Rachel Jewkes</name><name sortKey="Mathews, Cathy" sort="Mathews, Cathy" uniqKey="Mathews C" first="Cathy" last="Mathews">Cathy Mathews</name><name sortKey="Mathews, Cathy" sort="Mathews, Cathy" uniqKey="Mathews C" first="Cathy" last="Mathews">Cathy Mathews</name></country><country name="États-Unis"><region name="Kentucky"><name sortKey="Cupp, Pam" sort="Cupp, Pam" uniqKey="Cupp P" first="Pam" last="Cupp">Pam Cupp</name></region><name sortKey="Russell, Marcia" sort="Russell, Marcia" uniqKey="Russell M" first="Marcia" last="Russell">Marcia Russell</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix 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