Cultural practices and sexual risk behaviour among adolescent orphans and non-orphans: a qualitative study on perceptions from a community in western Kenya
Identifieur interne : 002700 ( Ncbi/Merge ); précédent : 002699; suivant : 002701Cultural practices and sexual risk behaviour among adolescent orphans and non-orphans: a qualitative study on perceptions from a community in western Kenya
Auteurs : Milka Juma [Pays-Bas] ; Ian Askew [Kenya] ; Jane Alaii [Kenya] ; L Kay Bartholomew [États-Unis] ; Bart Van Den Borne [Pays-Bas]Source :
- BMC Public Health [ 1471-2458 ] ; 2014.
Abstract
This study explored community perceptions of cultural beliefs and practices that may increase sexual risk behaviour of adolescents, to understand more about meaning they hold within the culture and how they expose adolescent orphans and non-orphans to higher risks in a high HIV and teenage pregnancy prevalence context.
Using a qualitative descriptive cross-sectional design 14 focus group discussions were conducted with 78 adolescents and 68 parents/guardians purposively selected to represent their communities. Thirteen key informant interviews were also conducted with community leaders, health care and child welfare workers, and adolescents who were also selected purposively. The two methods were used to explore how cultural beliefs and practices predispose adolescent orphans and non- orphans to risky sexual behaviours. Data were analysed through line-by-line coding, grouped into families and retrieved as themes and sub-themes.
Identified cultural practices that predisposed adolescents orphans and non-orphans to risky sexual behaviours included: adolescent sleeping arrangements, funeral ceremonies, replacing a deceased married daughter with her younger sister in marriage, widow inheritance among boys, early marriage among girls, and preference for boys/sons. Cultural risks perceived to equally affect both orphans and non-orphans were sleeping arrangements, funeral ceremonies, and sister replacement. Factors associated more with orphans than non-orphans were widow inheritance among boys and a preference for boy over girl children.
Adolescent sexual risk reduction programs should be developed considering the specific cultural context, using strategies that empower communities to challenge the widely accepted cultural norms that may predispose young people in general to sexual risks while targeting those that unequally influence orphans.
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DOI: 10.1186/1471-2458-14-84
PubMed: 24467940
PubMed Central: 3912900
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Box 17643, Nairobi 00500</wicri:regionArea><wicri:noRegion>Nairobi 00500</wicri:noRegion></affiliation></author><author><name sortKey="Alaii, Jane" sort="Alaii, Jane" uniqKey="Alaii J" first="Jane" last="Alaii">Jane Alaii</name><affiliation wicri:level="1"><nlm:aff id="I3">Context Factor Solutions, P.O. Box 27598, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Context Factor Solutions, P.O. Box 27598, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Bartholomew, L Kay" sort="Bartholomew, L Kay" uniqKey="Bartholomew L" first="L Kay" last="Bartholomew">L Kay Bartholomew</name><affiliation wicri:level="2"><nlm:aff id="I4">University of Texas School of Public Health Houston, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Texas School of Public Health Houston, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Van Den Borne, Bart" sort="Van Den Borne, Bart" uniqKey="Van Den Borne B" first="Bart" last="Van Den Borne">Bart Van Den Borne</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Health Promotion, Maastricht University, Maastricht, Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Health Promotion, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24467940</idno><idno type="pmc">3912900</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3912900</idno><idno type="RBID">PMC:3912900</idno><idno type="doi">10.1186/1471-2458-14-84</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001358</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001358</idno><idno type="wicri:Area/Pmc/Curation">001357</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001357</idno><idno type="wicri:Area/Pmc/Checkpoint">001466</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001466</idno><idno type="wicri:Area/Ncbi/Merge">002700</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cultural practices and sexual risk behaviour among adolescent orphans and non-orphans: a qualitative study on perceptions from a community in western Kenya</title><author><name sortKey="Juma, Milka" sort="Juma, Milka" uniqKey="Juma M" first="Milka" last="Juma">Milka Juma</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Health Promotion, Maastricht University, Maastricht, Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Health Promotion, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Askew, Ian" sort="Askew, Ian" uniqKey="Askew I" first="Ian" last="Askew">Ian Askew</name><affiliation wicri:level="1"><nlm:aff id="I2">Population Council, P.O. Box 17643, Nairobi 00500, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Population Council, P.O. Box 17643, Nairobi 00500</wicri:regionArea><wicri:noRegion>Nairobi 00500</wicri:noRegion></affiliation></author><author><name sortKey="Alaii, Jane" sort="Alaii, Jane" uniqKey="Alaii J" first="Jane" last="Alaii">Jane Alaii</name><affiliation wicri:level="1"><nlm:aff id="I3">Context Factor Solutions, P.O. Box 27598, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Context Factor Solutions, P.O. Box 27598, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Bartholomew, L Kay" sort="Bartholomew, L Kay" uniqKey="Bartholomew L" first="L Kay" last="Bartholomew">L Kay Bartholomew</name><affiliation wicri:level="2"><nlm:aff id="I4">University of Texas School of Public Health Houston, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Texas School of Public Health Houston, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Van Den Borne, Bart" sort="Van Den Borne, Bart" uniqKey="Van Den Borne B" first="Bart" last="Van Den Borne">Bart Van Den Borne</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Health Promotion, Maastricht University, Maastricht, Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Health Promotion, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>This study explored community perceptions of cultural beliefs and practices that may increase sexual risk behaviour of adolescents, to understand more about meaning they hold within the culture and how they expose adolescent orphans and non-orphans to higher risks in a high HIV and teenage pregnancy prevalence context.</p></sec><sec><title>Methods</title><p>Using a qualitative descriptive cross-sectional design 14 focus group discussions were conducted with 78 adolescents and 68 parents/guardians purposively selected to represent their communities. Thirteen key informant interviews were also conducted with community leaders, health care and child welfare workers, and adolescents who were also selected purposively. The two methods were used to explore how cultural beliefs and practices predispose adolescent orphans and non- orphans to risky sexual behaviours. Data were analysed through line-by-line coding, grouped into families and retrieved as themes and sub-themes.</p></sec><sec><title>Results</title><p>Identified cultural practices that predisposed adolescents orphans and non-orphans to risky sexual behaviours included: adolescent sleeping arrangements, funeral ceremonies, replacing a deceased married daughter with her younger sister in marriage, widow inheritance among boys, early marriage among girls, and preference for boys/sons. Cultural risks perceived to equally affect both orphans and non-orphans were sleeping arrangements, funeral ceremonies, and sister replacement. Factors associated more with orphans than non-orphans were widow inheritance among boys and a preference for boy over girl children.</p></sec><sec><title>Conclusions</title><p>Adolescent sexual risk reduction programs should be developed considering the specific cultural context, using strategies that empower communities to challenge the widely accepted cultural norms that may predispose young people in general to sexual risks while targeting those that unequally influence orphans.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Taffa, N" uniqKey="Taffa N">N Taffa</name></author><author><name sortKey="Omollo, D" uniqKey="Omollo D">D Omollo</name></author><author><name sortKey="Mathewa, Z" uniqKey="Mathewa Z">Z Mathewa</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Oluoch, Ca" uniqKey="Oluoch C">CA Oluoch</name></author><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24467940</article-id><article-id pub-id-type="pmc">3912900</article-id><article-id pub-id-type="publisher-id">1471-2458-14-84</article-id><article-id pub-id-type="doi">10.1186/1471-2458-14-84</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Cultural practices and sexual risk behaviour among adolescent orphans and non-orphans: a qualitative study on perceptions from a community in western Kenya</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Juma</surname><given-names>Milka</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>milkajuma@yahoo.com</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Askew</surname><given-names>Ian</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>iaskew@popcouncil.org</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Alaii</surname><given-names>Jane</given-names></name><xref ref-type="aff" rid="I3">3</xref><email>jane.alaii@gmail.com</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Bartholomew</surname><given-names>L Kay</given-names></name><xref ref-type="aff" rid="I4">4</xref><email>Leona.K.Bartholomew@uth.tmc.edu</email></contrib><contrib contrib-type="author" id="A5"><name><surname>van den Borne</surname><given-names>Bart</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>b.vdborne@maastrichtuniversity.nl</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Health Promotion, Maastricht University, Maastricht, Netherlands</aff><aff id="I2"><label>2</label>Population Council, P.O. Box 17643, Nairobi 00500, Kenya</aff><aff id="I3"><label>3</label>Context Factor Solutions, P.O. Box 27598, Nairobi, Kenya</aff><aff id="I4"><label>4</label>University of Texas School of Public Health Houston, Houston, TX, USA</aff><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>27</day><month>1</month><year>2014</year></pub-date><volume>14</volume><fpage>84</fpage><lpage>84</lpage><history><date date-type="received"><day>1</day><month>10</month><year>2013</year></date><date date-type="accepted"><day>24</day><month>1</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Juma et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2014</copyright-year><copyright-holder>Juma et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1471-2458/14/84"></self-uri><abstract><sec><title>Background</title><p>This study explored community perceptions of cultural beliefs and practices that may increase sexual risk behaviour of adolescents, to understand more about meaning they hold within the culture and how they expose adolescent orphans and non-orphans to higher risks in a high HIV and teenage pregnancy prevalence context.</p></sec><sec><title>Methods</title><p>Using a qualitative descriptive cross-sectional design 14 focus group discussions were conducted with 78 adolescents and 68 parents/guardians purposively selected to represent their communities. Thirteen key informant interviews were also conducted with community leaders, health care and child welfare workers, and adolescents who were also selected purposively. The two methods were used to explore how cultural beliefs and practices predispose adolescent orphans and non- orphans to risky sexual behaviours. Data were analysed through line-by-line coding, grouped into families and retrieved as themes and sub-themes.</p></sec><sec><title>Results</title><p>Identified cultural practices that predisposed adolescents orphans and non-orphans to risky sexual behaviours included: adolescent sleeping arrangements, funeral ceremonies, replacing a deceased married daughter with her younger sister in marriage, widow inheritance among boys, early marriage among girls, and preference for boys/sons. Cultural risks perceived to equally affect both orphans and non-orphans were sleeping arrangements, funeral ceremonies, and sister replacement. Factors associated more with orphans than non-orphans were widow inheritance among boys and a preference for boy over girl children.</p></sec><sec><title>Conclusions</title><p>Adolescent sexual risk reduction programs should be developed considering the specific cultural context, using strategies that empower communities to challenge the widely accepted cultural norms that may predispose young people in general to sexual risks while targeting those that unequally influence orphans.</p></sec></abstract><kwd-group><kwd>Sexual risks</kwd><kwd>Cultural risk factors</kwd><kwd>Adolescents</kwd><kwd>Orphans</kwd><kwd>Non-orphans</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Kenya</li><li>Pays-Bas</li><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Juma, Milka" sort="Juma, Milka" uniqKey="Juma M" first="Milka" last="Juma">Milka Juma</name></noRegion><name sortKey="Van Den Borne, Bart" sort="Van Den Borne, Bart" uniqKey="Van Den Borne B" first="Bart" last="Van Den Borne">Bart Van Den Borne</name></country><country name="Kenya"><noRegion><name sortKey="Askew, Ian" sort="Askew, Ian" uniqKey="Askew I" first="Ian" last="Askew">Ian Askew</name></noRegion><name sortKey="Alaii, Jane" sort="Alaii, Jane" uniqKey="Alaii J" first="Jane" last="Alaii">Jane Alaii</name></country><country name="États-Unis"><region name="Texas"><name sortKey="Bartholomew, L Kay" sort="Bartholomew, L Kay" uniqKey="Bartholomew L" first="L Kay" last="Bartholomew">L Kay Bartholomew</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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