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Socio-cultural and Economic Antecedents of Adolescent Sexual Decision-Making and HIV-Risk in Rural Uganda

Identifieur interne : 001D96 ( Pmc/Corpus ); précédent : 001D95; suivant : 001D97

Socio-cultural and Economic Antecedents of Adolescent Sexual Decision-Making and HIV-Risk in Rural Uganda

Auteurs : Ingrid T. Katz ; Michele L. Ybarra ; Monique A. Wyatt ; Julius P. Kiwanuka ; David R. Bangsberg ; Norma C. Ware

Source :

AIDS care [ 0954-0121 ] ; 2012.

RBID : PMC:3488357

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 socio-cultural and economic influences into account.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488357

DOI: 10.1080/09540121.2012.701718
PubMed: 22835224
PubMed Central: 3488357

Links to Exploration step

PMC:3488357

Le document en format XML

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<author><name sortKey="Katz, Ingrid T" sort="Katz, Ingrid T" uniqKey="Katz I" first="Ingrid T." last="Katz">Ingrid T. Katz</name>
<affiliation><nlm:aff id="A1">Division of Women’s Health, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America.</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States of America.</nlm:aff>
</affiliation>
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<author><name sortKey="Ybarra, Michele L" sort="Ybarra, Michele L" uniqKey="Ybarra M" first="Michele L." last="Ybarra">Michele L. Ybarra</name>
<affiliation><nlm:aff id="A3">Center for Innovative Public Health Research, Inc., San Clemente, California, United States of America.</nlm:aff>
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<author><name sortKey="Wyatt, Monique A" sort="Wyatt, Monique A" uniqKey="Wyatt M" first="Monique A." last="Wyatt">Monique A. Wyatt</name>
<affiliation><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States of America.</nlm:aff>
</affiliation>
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<author><name sortKey="Kiwanuka, Julius P" sort="Kiwanuka, Julius P" uniqKey="Kiwanuka J" first="Julius P." last="Kiwanuka">Julius P. Kiwanuka</name>
<affiliation><nlm:aff id="A4">Mbarara University of Science and Technology, Mbarara, Uganda.</nlm:aff>
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<author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<affiliation><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States of America.</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">Mbarara University of Science and Technology, Mbarara, Uganda.</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Massachusetts General Hospital Center for Global Health, Boston, Massachusetts, United States of America.</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A6">Ragon Institute of MGH, MIT, and Harvard, Boston, Massachusetts, United States of America</nlm:aff>
</affiliation>
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<author><name sortKey="Ware, Norma C" sort="Ware, Norma C" uniqKey="Ware N" first="Norma C." last="Ware">Norma C. Ware</name>
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<affiliation><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States of America.</nlm:aff>
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<author><name sortKey="Ybarra, Michele L" sort="Ybarra, Michele L" uniqKey="Ybarra M" first="Michele L." last="Ybarra">Michele L. Ybarra</name>
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<author><name sortKey="Wyatt, Monique A" sort="Wyatt, Monique A" uniqKey="Wyatt M" first="Monique A." last="Wyatt">Monique A. Wyatt</name>
<affiliation><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States of America.</nlm:aff>
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</author>
<author><name sortKey="Kiwanuka, Julius P" sort="Kiwanuka, Julius P" uniqKey="Kiwanuka J" first="Julius P." last="Kiwanuka">Julius P. Kiwanuka</name>
<affiliation><nlm:aff id="A4">Mbarara University of Science and Technology, Mbarara, Uganda.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name>
<affiliation><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States of America.</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">Mbarara University of Science and Technology, Mbarara, Uganda.</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A5">Massachusetts General Hospital Center for Global Health, Boston, Massachusetts, United States of America.</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A6">Ragon Institute of MGH, MIT, and Harvard, Boston, Massachusetts, United States of America</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ware, Norma C" sort="Ware, Norma C" uniqKey="Ware N" first="Norma C." last="Ware">Norma C. Ware</name>
<affiliation><nlm:aff id="A2">Harvard Medical School, Boston, Massachusetts, United States of America.</nlm:aff>
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<series><title level="j">AIDS care</title>
<idno type="ISSN">0954-0121</idno>
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<front><div type="abstract" xml:lang="en"><p id="P1">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 <italic>Senga</italic>
 (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 socio-cultural and economic influences into account.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">8915313</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1056</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS Care</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Care</journal-id>
<journal-title-group><journal-title>AIDS care</journal-title>
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<issn pub-type="ppub">0954-0121</issn>
<issn pub-type="epub">1360-0451</issn>
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<article-id pub-id-type="pmc">3488357</article-id>
<article-id pub-id-type="doi">10.1080/09540121.2012.701718</article-id>
<article-id pub-id-type="manuscript">NIHMS391205</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Socio-cultural and Economic Antecedents of Adolescent Sexual Decision-Making and HIV-Risk in Rural Uganda</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Katz</surname>
<given-names>Ingrid T.</given-names>
</name>
<xref ref-type="corresp" rid="cor1">*</xref>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
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<contrib contrib-type="author"><name><surname>Ybarra</surname>
<given-names>Michele L.</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wyatt</surname>
<given-names>Monique A.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kiwanuka</surname>
<given-names>Julius P.</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
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<contrib contrib-type="author"><name><surname>Bangsberg</surname>
<given-names>David R.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="aff" rid="A4">d</xref>
<xref ref-type="aff" rid="A5">e</xref>
<xref ref-type="aff" rid="A6">f</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ware</surname>
<given-names>Norma C.</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
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<aff id="A1"><label>a</label>
Division of Women’s Health, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America.</aff>
<aff id="A2"><label>b</label>
Harvard Medical School, Boston, Massachusetts, United States of America.</aff>
<aff id="A3"><label>c</label>
Center for Innovative Public Health Research, Inc., San Clemente, California, United States of America.</aff>
<aff id="A4"><label>d</label>
Mbarara University of Science and Technology, Mbarara, Uganda.</aff>
<aff id="A5"><label>e</label>
Massachusetts General Hospital Center for Global Health, Boston, Massachusetts, United States of America.</aff>
<aff id="A6"><label>f</label>
Ragon Institute of MGH, MIT, and Harvard, Boston, Massachusetts, United States of America</aff>
<author-notes><corresp id="cor1"><label>*</label>
Corresponding author: <bold>Ingrid T. Katz</bold>
, 1620 Tremont Street, 3rd Floor BWH, Div of Women's Health, Boston, MA 02120, Telephone: 617-525-8194 (Office) or 617-447-4982 (Cell), Fax: 617-525-7746, <email>ikatz2@partners.org</email>
</corresp>
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<pub-date pub-type="nihms-submitted"><day>9</day>
<month>7</month>
<year>2012</year>
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<pub-date pub-type="epub"><day>27</day>
<month>7</month>
<year>2012</year>
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<pub-date pub-type="ppub"><month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>2</month>
<year>2014</year>
</pub-date>
<volume>25</volume>
<issue>2</issue>
<fpage>258</fpage>
<lpage>264</lpage>
<abstract><p id="P1">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 <italic>Senga</italic>
 (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 socio-cultural and economic influences into account.</p>
</abstract>
<kwd-group><kwd>HIV prevention</kwd>
<kwd>adolescents</kwd>
<kwd>Uganda</kwd>
<kwd>sexual risk-taking</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R01 MH080662 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>K24 MH090894 || MH</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute on Alcohol Abuse and Alcoholism : NIAAA</funding-source>
<award-id>K24 AA015287 || AA</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>K23 MH097667 || MH</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
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Socio-cultural and Economic Antecedents of Adolescent Sexual Decision-Making and HIV-Risk in Rural Uganda

Socio-cultural and Economic Antecedents of Adolescent Sexual Decision-Making and HIV-Risk in Rural Uganda

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