Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda

AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

Volumn 25, Issue 2, 2013, Pages 258-264

  Katz, Ingrid T ^a,b   Ybarra, Michele L ^c   Wyatt, Monique A ^b   Kiwanuka, Julius P ^d   Bangsberg, David R ^b,d,e,f   Ware, Norma C ^b  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c Center for Innovative Public Health Research   (United States)

^d MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Uganda)

^e MASSACHUSETTS GENERAL HOSPITAL   (United States)

^f MASSACHUSETTS INSTITUTE OF TECHNOLOGY   (United States)

Author keywords

adolescents; HIV prevention; sexual risk taking; Uganda

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADOLESCENT; ADULT; ARTICLE; CLINICAL ARTICLE; CONDOM; DECISION MAKING; DISEASE TRANSMISSION; FEMALE; HIGH RISK BEHAVIOR; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; KNOWLEDGE; MALE; MARRIAGE; MORALITY; PEER PRESSURE; PRIORITY JOURNAL; QUALITATIVE RESEARCH; RURAL AREA; SEMI STRUCTURED INTERVIEW; SEXUAL BEHAVIOR; SOCIAL CLASS; SOCIAL PROBLEM; SOCIOECONOMICS; UGANDA;

ADOLESCENT; ADOLESCENT BEHAVIOR; ADULT; AGED; CULTURE; DECISION MAKING; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HIV INFECTIONS; HUMANS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; PARENT-CHILD RELATIONS; PEER GROUP; QUALITATIVE RESEARCH; QUESTIONNAIRES; RISK FACTORS; RISK-TAKING; RURAL POPULATION; SEXUAL BEHAVIOR; SOCIOECONOMIC FACTORS; UGANDA;

EID: 84871301754     PISSN: 09540121     EISSN: 13600451     Source Type: Journal    
DOI: 10.1080/09540121.2012.701718     Document Type: Article

References (43)

1. Bakeera-Kitaka, S., Angevine, R., Dillingham, R., & Kekitiinwa, A.R. (2009). Barriers to ARV therapy adherence in a cohort of adolescents in urban Uganda. International AIDS Conference, Cape Town.
2. Bakeera-Kitaka, S., Nabukeera-Barungi, N., No stlinger, C., Addy, K., & Colebunders, R. (2008). Sexual risk reduction needs of adolescents living with HIV in a clinical care setting. AIDS Care, 20(4), 426-433.
3. Baumgartner, S.E., Valkenburg, P.M., & Peter, J. (2010). Assessing causality in the relationship between adolescents' risky sexual online behavior and their perceptions of this behavior. Journal of Youth and Adolescence, 39(10), 1226-1239.
4. Biraro, S., Shafer, L.A., Kleinschmidt, I., Wolff, B., Karabalinde, A., Nalwoga, A., Grosskurth, H. (2009). Is sexual risk-taking behaviour changing in rural south-west Uganda? Behaviour trends in a rural population cohort 1993-2006. Sexually Transmitted Infections, 85(Suppl. 1), 3-11.
5. Birungi, H., Mugisha, J.F., Obare, F., & Nyombi, J.K. (2009). Sexual behavior and desires among adolescents perinatally infected with human immunodeficiency virus in Uganda: implications for programming. Journal of Adolescent Health, 44(2), 184-187.
6. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.
7. Bull, S., Nabembezi, D., Birungi, R., Kiwanuka, J., & Ybarra, M. (2010). Cyber-Senga: Ugandan youth preferences for content in an internet-delivered comprehensive sexuality education programme. East African Journal of Public Health, 7(1), 58-63.
8. Buzwell, S., & Rosenthal, D. (1996). Constructing a sexual self: Adolescents' sexual self-perceptions and sexual risk-aking. Journal of Research on Adolescence, 6, 489-513.
9. Chacko, S., Kipp, W., Laing, L., & Kabagambe, G. (2007).Knowledge of and perceptions about sexually transmitted diseases and pregnancy: A qualitative study among adolescent students in Uganda. Journal of Health, Population, and Nutrition, 25(3), 319-327.
10. Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Los Angeles: Sage Publications.
11. Fantasia, H.C. (2011). Influences of social norms and context on sexual decision making among adolescent women. Journal of Midwifery & Women's Health,56(1), 48-53.
12. Gill, C.J., Hamer, D.H., Simon, J.L., Thea, D.M., & Sabin,L.L. (2005). No room for complacency about adherence to antiretroviral therapy in sub-Saharan Africa. AIDS, 19(12), 1243-1249.
13. Hulton, L.A., Cullen, R., & Khalokho, S.W. (2000). erceptions of the risks of sexual activity and their consequences among Ugandan adolescents. Studies in Family Planning, 31(1), 35-46.
14. Johnson, R.J., McCaul, K.D., & Klein, W.M.P. (2002).Risk involvement and risk perception among adolescentsand young adults. Journal of Behavioral Medicine, 25, 67-82.
15. Kershaw, T.S., Ethier, K.A., Niccolai, L.M., Lewis, J.B., & Ickovics, J.R. (2003). Misperceived risk among female adolescents: Social and psychological factors associated with sexual risk accuracy. Health Psychology, 22(5), 523-532.
16. Lightfoot, M.A., Kasirye, R., Comulada, W.S., & Rotheram-Borus, M.J. (2007). Efficacy of a culturally adapted intervention for youth living with HIV in Uganda. Prevention Science, 8(4), 271-273.
17. Marston, C., & King, E. (2006). Factors that shape young people's sexual behavior: A systematic review. Lancet, 368, 158-186.
18. McMauley, A.P., & Salter, C. (1995). Meeting the needs of young adults. Population Reports, Series J, No. 41. Baltimore, MD: Population Information Program, Johns Hopkins University.
19. Michels, T.M., Kropp, R.Y., Eyre, S.L., & Halpern-Felsher, B.L. (2005). Initiating sexual experiences: Howdo young adolescents make decisions regarding arly sexual activity? Journal of Research on Adolescence, 15(4), 583-607.
20. Milner, M. (2004). Freaks, geeks, and cool kids -Americanteenagers, schools, and the culture of consumption. NewYork, NY: Routledge.
21. Mishler, E.G. (1986). Research interviewing: Context andnarrative. Boston, MA: Harvard University Press.
22. Muyinda, H., Nakuya, J., Pool, R., & Whitworth, J. (2003).Harnessing the Senga institution of adolescent sex education for the control of HIV and STDs in rural Uganda. AIDS Care, 15(2), 159-167.
23. Muyinda, H., Nakuya, J., Whitwor h, J.A., & Pool, R. (2004). Community sex education among adolescentsin rural Uganda: Utilizing indigenous institutions. AIDS Care, 16(1), 69-79.
24. Neema, S., Musisi, N., & Kibombo, R. (2004). Adolescent sexual and reproductive health in Uganda: A synthesis of the research evidence (Occasional Report No. 14). NewYork and Washington: The Alan Guttmacher Institute. Retrieved from http://www.guttmacher.org/pubs/2004/12/20/or14.pdf
25. Nobelius, A.M., Kalina, B., Pool, R., Whitworth, J., Chesters, J., & Power, R. (2011). Sexual partner types and related sexual health risk among out-of-school adolescents in rural south-west Uganda. AIDS Care, 22(2), 252-259.
26. Opio, A., Mishra, V., Hong, R., Musinguzi, J., Kirungi, W., Cross, A., & Bunnell, R. (2008). Trends in HIV-related behaviors and knowledge in Uganda, 1989-2005:Evidence of a shift toward more risk-taking behaviors. Journal of Acquired Immune Deficiency Syndrome, 49(3), 320-326.
27. Patton, M. (1990). Qualitative evaluation and research methods. Newbury Park, CA: Sage Publications.
28. Peltzer, K. (2010). Early sexual debut and associated factors among in-school adolsecents in eight African countries. Acta Paediatrica, 99(8), 1242-1247.
29. Ponton, L.E., & Judice, S. (2004). Typical adolescent sexual development. Child and Adolescent Psychiatric Clinics of North America, 13, 497-511.
30. Roberts, S.T., & Kennedy, B.L. (2006). Why are young college women not using condoms? Their perceived risk, drug use, and developmental vulnerability may provide important clues to sexual risk. Archives of Psychiatric Nursing, 20(1), 32-40.
31. Salganik, M., & Heckathorn, D.D. (2004). Sampling and estimation in hidden populations using respondentdriven sampling. Sociological Methodology, 34(1), 193-239.
32. Simon, W., & Gannon, J.H. (1986). Sexual scripts: Permanence and change. Archives of Sexual Behavior, 15(2), 97-120.
33. Standing, H., & Kisekka, M.N. (1989). Sexual behavior in Sub-Saharan Africa: A review and annotated bibliography. London: Overseas Development Administration.
34. Uganda Bureau of Statistics (2012). TP5: 2010 mid-year projected population for Town Councils. Retrieved from http://www.ubos.org/onlinefiles/ uploads/ubos/pdf%20documents/TP52010.pdf Uganda Country Profile.
35. Joint United Nations Programme on HIV/AIDS (UNAIDS). (2009). Retrieved from http://www.unaids.org/en/CountryResponses/Countries/
36. Uganda.asp Uganda Demographic and Health Survey (UDHS). (2006). Uganda Ministry of Finance and Macro International. Entebbe, Uganda and Calverton, MD. Retrieved from http://www.measuredhs.com/pubs/pdf/FR194/FR194.pdf
37. Uganda HIV/AIDS Partnership, Uganda Ministry of Health, Uganda AIDS Commission, MEASURE Evaluation Project (2004). AIDS in Africa during the nineties Uganda: Young people, sex, and AIDS in Uganda. Chapel Hill, NC: MEASURE Evaluation, Carolina Population Center, University of North Carolina at Chapel Hill.
38. UNAIDS (2010). Report on the Global AIDS Epidemic. Retrieved from http://www.unaids.org/globalreport/documents/20101123-GlobalReport-full-en.pdf
39. NGASS (2010). Country Progress Report Uganda: January 2008-December 2009. Retrieved from http://www.unaids.org/en/dataanalysis/monitoringcountryprogress/ 2010progressreportssubmittedbycountries/ugan da-2010-country-progress-report-en. pdf
40. Von Sadovszky, V., Keller, M.L., & McKinne , K. (2002). College students' perceptions and practices of sexual activities in sexual encounters. Journal of Nursing Scholarship, 34(2), 133-138.
41. World Health Organization (2000). Health -A key to prosperity -Success stories in developing countries. Uganda reverses the tide of HIV/AIDS. Retrieved from http://www.who.int/inf-new/aids2.htm
42. Ybarra, M.L., Kiwanuka, J., Emenyonu, N., & Bangsberg, D.R. (2006). Internet use among Ugandan adolescents: Implications for HIV intervention. PLoS Medicine, 3(11), 433.
43. Zwane, I.T., Mngadi, P.T., & Nxumalo, M. (2004). Adolescents' views on decision making regarding risky sexual behavior. International Nursing Review, 51(1), 15-22.