Predicting Primary and Secondary Abstinence Among Adolescent Boys and Girls in the Western Cape, South Africa.
Identifieur interne : 000319 ( PubMed/Checkpoint ); précédent : 000318; suivant : 000320Predicting Primary and Secondary Abstinence Among Adolescent Boys and Girls in the Western Cape, South Africa.
Auteurs : Sander M. Eggers [Pays-Bas] ; Catherine Mathews [Afrique du Sud] ; Leif E. Aar [Norvège] ; Tracy Mcclinton-Appollis [Afrique du Sud] ; Arjan E R. Bos [Pays-Bas] ; Hein De Vries [Pays-Bas]Source :
- AIDS and behavior [ 1573-3254 ] ; 2017.
Abstract
Two of the most effective health behaviours with regard to HIV prevention are condom use and sexual abstinence. While determinants of condom use among sub-Saharan African adolescents have been studied extensively, factors related to abstinence have received far less attention. This study identified socio-cognitive determinants of primary and secondary abstinence intentions and of early sexual activity. This study also assessed whether these factors had a direct or indirect association with intentions to abstain from sex. A longitudinal design was used in which 1670 students (age 12-16) of non-private South African high schools filled in a questionnaire, with a follow-up after 6 months, concerning sexual abstinence, attitudes, social norms, self-efficacy, risk perception and knowledge. Logistic and linear regression analysis with latent factors was used to assess determinants of intentions and abstinence, and structural equation modelling was used to assess indirect effects. Results showed that among sexually inactive students, social norms predicted the intention to abstain from sex in the next 6 months. Among sexually active students, reporting less disadvantages of abstinence predicted the intention to abstain. Sexual activity at follow-up was predicted by attitudes and intention among sexually inactive girls, and by knowledge among sexually inactive boys. No predictors were found for sexually active adolescents. Structural equation modelling further showed that risk perception was indirectly related to intentions to abstain from sexual intercourse. We conclude that addressing socio-cognitive factors in order to motivate adolescents to delay sex is more likely to be successful before they experience sexual debut. In addition, this study shows that the effect of increasing risk perceptions, a strategy often applied by parents and HIV prevention programmes, is to a large extent mediated by more proximal cognitive factors such as attitude. Research is needed to identify factors that influence the execution of intentions to abstain from sex.
DOI: 10.1007/s10461-016-1438-2
PubMed: 27289370
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Eggers</name><affiliation wicri:level="1"><nlm:affiliation>School for Public Health and Primary Care (CAPHRI), Department of Health Promotion, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. m.eggers@maastrichtuniversity.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>School for Public Health and Primary Care (CAPHRI), Department of Health Promotion, Maastricht University, P.O. 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Aar</name><affiliation wicri:level="3"><nlm:affiliation>Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Division of Mental Health, Norwegian Institute of Public Health, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Mcclinton Appollis, Tracy" sort="Mcclinton Appollis, Tracy" uniqKey="Mcclinton Appollis T" first="Tracy" last="Mcclinton-Appollis">Tracy Mcclinton-Appollis</name><affiliation wicri:level="1"><nlm:affiliation>Health System Research Unit, South African Medical Research Council, Cape Town, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Health System Research Unit, South African Medical Research Council, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Bos, Arjan E R" sort="Bos, Arjan E R" uniqKey="Bos A" first="Arjan E R" last="Bos">Arjan E R. Bos</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Psychology and Educational Sciences, Open University, Heerlen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Faculty of Psychology and Educational Sciences, Open University, Heerlen</wicri:regionArea><wicri:noRegion>Heerlen</wicri:noRegion></affiliation></author><author><name sortKey="De Vries, Hein" sort="De Vries, Hein" uniqKey="De Vries H" first="Hein" last="De Vries">Hein De Vries</name><affiliation wicri:level="1"><nlm:affiliation>School for Public Health and Primary Care (CAPHRI), Department of Health Promotion, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>School for Public Health and Primary Care (CAPHRI), Department of Health Promotion, Maastricht University, P.O. Box 616, 6200 MD, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="eISSN">1573-3254</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Two of the most effective health behaviours with regard to HIV prevention are condom use and sexual abstinence. While determinants of condom use among sub-Saharan African adolescents have been studied extensively, factors related to abstinence have received far less attention. This study identified socio-cognitive determinants of primary and secondary abstinence intentions and of early sexual activity. This study also assessed whether these factors had a direct or indirect association with intentions to abstain from sex. A longitudinal design was used in which 1670 students (age 12-16) of non-private South African high schools filled in a questionnaire, with a follow-up after 6 months, concerning sexual abstinence, attitudes, social norms, self-efficacy, risk perception and knowledge. Logistic and linear regression analysis with latent factors was used to assess determinants of intentions and abstinence, and structural equation modelling was used to assess indirect effects. Results showed that among sexually inactive students, social norms predicted the intention to abstain from sex in the next 6 months. Among sexually active students, reporting less disadvantages of abstinence predicted the intention to abstain. Sexual activity at follow-up was predicted by attitudes and intention among sexually inactive girls, and by knowledge among sexually inactive boys. No predictors were found for sexually active adolescents. Structural equation modelling further showed that risk perception was indirectly related to intentions to abstain from sexual intercourse. We conclude that addressing socio-cognitive factors in order to motivate adolescents to delay sex is more likely to be successful before they experience sexual debut. In addition, this study shows that the effect of increasing risk perceptions, a strategy often applied by parents and HIV prevention programmes, is to a large extent mediated by more proximal cognitive factors such as attitude. Research is needed to identify factors that influence the execution of intentions to abstain from sex.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27289370</PMID><DateCreated><Year>2016</Year><Month>06</Month><Day>12</Day></DateCreated><DateRevised><Year>2017</Year><Month>04</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1573-3254</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>May</Month></PubDate></JournalIssue><Title>AIDS and behavior</Title><ISOAbbreviation>AIDS Behav</ISOAbbreviation></Journal><ArticleTitle>Predicting Primary and Secondary Abstinence Among Adolescent Boys and Girls in the Western Cape, South Africa.</ArticleTitle><Pagination><MedlinePgn>1417-1428</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10461-016-1438-2</ELocationID><Abstract><AbstractText>Two of the most effective health behaviours with regard to HIV prevention are condom use and sexual abstinence. While determinants of condom use among sub-Saharan African adolescents have been studied extensively, factors related to abstinence have received far less attention. This study identified socio-cognitive determinants of primary and secondary abstinence intentions and of early sexual activity. This study also assessed whether these factors had a direct or indirect association with intentions to abstain from sex. A longitudinal design was used in which 1670 students (age 12-16) of non-private South African high schools filled in a questionnaire, with a follow-up after 6 months, concerning sexual abstinence, attitudes, social norms, self-efficacy, risk perception and knowledge. Logistic and linear regression analysis with latent factors was used to assess determinants of intentions and abstinence, and structural equation modelling was used to assess indirect effects. Results showed that among sexually inactive students, social norms predicted the intention to abstain from sex in the next 6 months. Among sexually active students, reporting less disadvantages of abstinence predicted the intention to abstain. Sexual activity at follow-up was predicted by attitudes and intention among sexually inactive girls, and by knowledge among sexually inactive boys. No predictors were found for sexually active adolescents. Structural equation modelling further showed that risk perception was indirectly related to intentions to abstain from sexual intercourse. We conclude that addressing socio-cognitive factors in order to motivate adolescents to delay sex is more likely to be successful before they experience sexual debut. In addition, this study shows that the effect of increasing risk perceptions, a strategy often applied by parents and HIV prevention programmes, is to a large extent mediated by more proximal cognitive factors such as attitude. Research is needed to identify factors that influence the execution of intentions to abstain from sex.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Eggers</LastName><ForeName>Sander M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>School for Public Health and Primary Care (CAPHRI), Department of Health Promotion, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. m.eggers@maastrichtuniversity.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mathews</LastName><ForeName>Catherine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Health System Research Unit, South African Medical Research Council, Cape Town, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Adolescent Health Research Unit, Department of Psychology and Mental Health, University of Cape Town, Cape Town, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aarø</LastName><ForeName>Leif E</ForeName><Initials>LE</Initials><AffiliationInfo><Affiliation>Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Promotion and Development, University of Bergen, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McClinton-Appollis</LastName><ForeName>Tracy</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Health System Research Unit, South African Medical Research Council, Cape Town, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Adolescent Health Research Unit, Department of Psychology and Mental Health, University of Cape Town, Cape Town, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bos</LastName><ForeName>Arjan E R</ForeName><Initials>AE</Initials><AffiliationInfo><Affiliation>Faculty of Psychology and Educational Sciences, Open University, Heerlen, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Vries</LastName><ForeName>Hein</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>School for Public Health and Primary Care (CAPHRI), Department of Health Promotion, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>AIDS Behav</MedlineTA><NlmUniqueID>9712133</NlmUniqueID><ISSNLinking>1090-7165</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>BMC Public Health. 2014 Jan 18;14:54</RefSource><PMID Version="1">24438582</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Acta Paediatr. 2004 Feb;93(2):264-9</RefSource><PMID Version="1">15046286</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Behav Med. 2006 Feb;31(1):70-9</RefSource><PMID Version="1">16472041</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Psychol Bull. 1999 Jan;125(1):90-132</RefSource><PMID 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MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">I-Change Model</Keyword><Keyword MajorTopicYN="N">Prevention</Keyword><Keyword MajorTopicYN="N">Sexual abstinence</Keyword><Keyword MajorTopicYN="N">South Africa</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>6</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>6</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>6</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27289370</ArticleId><ArticleId IdType="doi">10.1007/s10461-016-1438-2</ArticleId><ArticleId IdType="pii">10.1007/s10461-016-1438-2</ArticleId><ArticleId 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Eggers</name></noRegion><name sortKey="Bos, Arjan E R" sort="Bos, Arjan E R" uniqKey="Bos A" first="Arjan E R" last="Bos">Arjan E R. Bos</name><name sortKey="De Vries, Hein" sort="De Vries, Hein" uniqKey="De Vries H" first="Hein" last="De Vries">Hein De Vries</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Mathews, Catherine" sort="Mathews, Catherine" uniqKey="Mathews C" first="Catherine" last="Mathews">Catherine Mathews</name></noRegion><name sortKey="Mcclinton Appollis, Tracy" sort="Mcclinton Appollis, Tracy" uniqKey="Mcclinton Appollis T" first="Tracy" last="Mcclinton-Appollis">Tracy Mcclinton-Appollis</name></country><country name="Norvège"><region name="Østlandet"><name sortKey="Aar, Leif E" sort="Aar, Leif E" uniqKey="Aar L" first="Leif E" last="Aar">Leif E. Aar</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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