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

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 d...

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Publicado en:AIDS Care Vol. 25; no. 2; pp. 258 - 265
Autores principales: Katz, Ingrid T., Ybarra, Michele L., Wyatt, Monique A., Kiwanuka, Julius P., Bangsberg, David R., Ware, Norma C.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2013
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda.
      aug:
        au:
          Katz, Ingrid T.
          Ybarra, Michele L.
          Wyatt, Monique A.
          Kiwanuka, Julius P.
          Bangsberg, David R.
          Ware, Norma C.
        affil: Division of Women's Health, Brigham and Women's Hospital, Boston, MA, USA; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
      sug:
        subj:
          Sexuality
          Decision Making In Adolescence
          Risk Taking Behavior
          HIV Infections Risk Factors
          Uganda
          Semi-Structured Interview
          Human
          Funding Source
          Culture
          Socioeconomic Factors
          Health Knowledge
          Qualitative Studies
          Students, High School
          Snowball Sample
          Male
          Female
          Audiorecording
          Conceptual Framework
          Adult
          Middle Age
          Aged
          Adolescence
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adolescent: 13-18 years
          Male
          Female
      ab: 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 sociocultural and economic influences into account.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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