Effects of parents training on parents’ knowledge and attitudes about adolescent sexuality in Accra Metropolis, Ghana

Baku, Elizabeth Aku; Agbemafle, Isaac; Adanu, Richard

doi:10.1186/s12978-017-0363-9

Cited by 21 publications

(24 citation statements)

References 21 publications

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“…This study focused on parents' experiences discussing sexuality topics with their adolescent children. In agreement with previous studies in Ghana [15,26] and in sub-Saharan Africa [22], parents reported talking to their adolescent children on various sexuality topics. Regarding sexual topics discussed with the adolescents, the parents reported that they discussed menstruation, peer pressure, premarital sex, HIV/AIDS, boy/girl relationships, personal hygiene, pregnancy, abstinence, sexually transmitted infections (STIs), abortion, and how to say "no" to forced sex.…”

Section: Parents Discussing Sexuality Topics Withsupporting

confidence: 90%

“…Other researchers have also reported similar views by parents in different countries [4,5,34,35]. Training parents to talk to their children about sexuality has other benefits like improving their knowledge of sexuality topics, confidence, ability, and comfort to discuss such sensitive topics with their children [26].…”

Section: Informal and Formal Sexuality Educationmentioning

confidence: 62%

“…A study in Bangladesh reported lack of knowledge among parents on basic understanding of adolescent reproductive and sexual health issues [31]. In the case of Ghana, parents showed varied levels of knowledge on adolescent sexual topics and this has been reported elsewhere [26]. A study among Australian parents also confirmed that parents felt generally knowledgeable about educating their children about sexuality [32].…”

Section: Parental Knowledge and Comfort Discussing Adolescentmentioning

confidence: 73%

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Parents’ Experiences and Sexual Topics Discussed with Adolescents in the Accra Metropolis, Ghana: A Qualitative Study

Baku

Agbemafle

Kotoh

et al. 2018

Advances in Public Health

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Background. Traditionally, discussion about sexuality is subdued in proverbs and is earmarked for adults. However, adolescents also need information about their sexuality to make informed choices regarding sexual behaviours. This study, therefore, seeks to explore the experiences of parents discussing sexuality topics with adolescents in the Accra Metropolis, Ghana. Methods. This was a qualitative study that used focus group discussions (FGDs) and in-depth interviews (IDIs) to assess parents’ experiences in discussing sexuality topics with adolescents. The FGDs, consisting of 8-12 parents each, were conducted for one “all fathers”, then another “all mothers”, and finally “fathers and mothers” groups. Parents who were not part of the FGDs were engaged in IDIs. The data was transcribed and analyzed manually. Results. Most of the parent-adolescent sexual discussions were based on physical changes, personal hygiene, abstinence, abortion, and saying “no” to forced sex. Parents discussed sexuality issues with adolescents to prevent them from premarital sex, pregnancy, and sexually transmitted infections. Parents sourced their knowledge about sexuality from books, television, radio, and personal experiences. Parents always seize opportunities such as television scenes to discuss sexual topics with their children. Although some parents expressed some level of comfort discussing sexual topics with adolescents, many still had difficulties explaining some terminologies related to sex. Preferentially, parents were protective of their girls than the boys when discussing issues on sexuality. Most parents received no sexuality education from their parents but a few reminisced precautionary advices on sex. Parents believed training on sexuality issues will help them to better discuss sexual topics with adolescents. Conclusions. Ghanaian parents preferentially discuss sex with their daughters as a protective tool against irresponsible sexual behaviours. Parents still have challenges discussing adolescent sexuality topics; hence equipping parents to effectively discuss such sensitive topics will improve adolescent reproductive health and sexual behaviour.

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Section: Parents Discussing Sexuality Topics Withsupporting

confidence: 90%

Section: Informal and Formal Sexuality Educationmentioning

confidence: 62%

Section: Parental Knowledge and Comfort Discussing Adolescentmentioning

confidence: 73%

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Parents’ Experiences and Sexual Topics Discussed with Adolescents in the Accra Metropolis, Ghana: A Qualitative Study

Baku

Agbemafle

Kotoh

et al. 2018

Advances in Public Health

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“…Parental support for adolescents has also enhanced adolescent pregnancy prevention. This is demonstrated by a study conducted by Baku et al [48] on the effects of training on parents’ knowledge and attitude towards adolescent sexuality; they found that training parents for a relatively short period could positively influence parents’ knowledge and attitudes about adolescent sexuality.…”

Section: Discussionmentioning

confidence: 88%

Assessing the impact of an educational intervention program on sexual abstinence based on the health belief model amongst adolescent girls in Northern Ghana, a cluster randomised control trial

et al. 2019

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Background Adolescent pregnancy is a worldwide problem because of its health, social, economic and political repercussions on the globe. Even though the rates of adolescent pregnancy have declined over the decade, there is still unacceptably high rates especially in lower and middle-income countries including Ghana. Although the problem has been widely investigated, there is little information on the effectiveness of different methods to improve adolescent sexual abstinence based on theoretical models. This study is aimed to assess an educational intervention program on sexual abstinence based on the Health Belief Model (HBM) among adolescent girls in Northern Ghana. Methods A cluster randomized control trial was conducted in Ghana from April to August 2018. Participants within the ages of 13–19 years were enrolled voluntarily from six randomly selected Senior High Schools (3 for intervention and 3 for control). A total of 363 adolescent were enrolled. A self-structured questionnaire was administered to both groups of participants at baseline and endpoint of the study. Control participants received their normal classes whiles the intervention group additionally received comprehensive sexuality education for 1 month. Qualified midwives conducted the health education program. At least two sessions were conducted for each participating class weekly. The lessons focused on perceived susceptibility, perceived severity of adolescent pregnancy, perceived benefits, perceived barriers to adolescent pregnancy prevention, personal and family values, perceived self-efficacy and knowledge of contraceptives. Educational strategies such as discussions, demonstrations, role-play and problem solving techniques were used to deliver the lessons. Sexual abstinence was the outcome variable of the study and it was measured after 3 months of the intervention. Binary logistic regression was used to assess the impact of the intervention on sexual abstinence practice. Results At baseline, there was no difference between control and intervention groups. The mean score of Knowledge and attitude for control were (58.17 and 139.42) and intervention (60.49 and 141.36) respectively. Abstinence practice was 69.4% for control and 71.6% in the intervention group. However, after the intervention, the mean score of knowledge and attitude for control were (87.58 and 194.12) respectively. Sexual abstinence in the control was 84.4% and intervention was 97.3% respectively. The educational interventions resulted in a significant difference in sexual abstinence between intervention and control groups (OR = 13.89, 95% Confidence Interval (2.46–78.18, P < 0.003). Conclusion Educational intervention, which was guided by HBM, significantly improved sexual abstinence and the knowledge of adolescents on pregnancy prevention among the intervention group. Provision of comprehensive sex education guided by behavioural theories to adol...

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“…[ 6 7 ] However, in many developing countries, including Iran, sexual and reproductive health has become a challenging issue. [ 8 9 10 11 12 ] In Iran, a qualitative study on the sexual and reproductive health of adolescent girls found that the concept of reproductive health in adolescents is not well understood and is highly controversial. Policymakers and other stakeholders should strive to provide reproductive health services that are consistent with the cultural and religious values of adolescent girls in Iran to overcome the present challenges.…”

Section: Introductionmentioning

confidence: 99%

Facilitators of sexual health education for male adolescents in Iran: A qualitative study

Askari

Mirzaiinajmabadi

Rezvani

et al. 2020

Iranian J Nursing Midwifery Res

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Background: Adolescence is a period of rapid physical, social, emotional, cognitive, and sexual development. The widening gap between biological maturity and social transition to adulthood highlights the importance of adolescents' need for education, especially in sexual health. The main objective of this study was to explore the facilitators of Sexual Health Education (SHE) for male adolescents in Iran. Materials and Methods: In this qualitative content analysis, a total number of 45 participants were investigated from June 2018 to July 2019 through individual, semi-structured, in-depth interviews in the city of Mashhad, Iran, until data saturated. The participants were selected using a purposive sampling method. The data were analyzed using a conventional content analysis method based on the approach developed by Graneheim and Lundman (2004) using MAXQDA software. Results: In data analysis, 2 main categories and 9 subcategories emerged. The main categories included extrapersonal facilitators and intrapersonal facilitators. The category of extrapersonal facilitators included the 7 subcategories of appropriate policy-making, use of religious capacities, consideration of native culture, supportive family environment, school empowerment, inter-sectoral integration and collaboration, and reinforcement of parent-teacher interaction. The category of intrapersonal facilitators comprised of the 2 subcategories of supporting adolescent socialization and using distraction techniques in adolescents. Conclusions: The study revealed that having an action plan with a scientific, ethical, legal, religious, and cultural background, establishing a suitable home, school, and community environment, strengthening inter-sectoral integration, collaboration, and interpersonal coordination, and utilizing the capabilities and potentials of adolescents can provide an appropriate SHE for adolescent boys.

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Effects of parents training on parents’ knowledge and attitudes about adolescent sexuality in Accra Metropolis, Ghana

Cited by 21 publications

References 21 publications

Parents’ Experiences and Sexual Topics Discussed with Adolescents in the Accra Metropolis, Ghana: A Qualitative Study

Parents’ Experiences and Sexual Topics Discussed with Adolescents in the Accra Metropolis, Ghana: A Qualitative Study

Assessing the impact of an educational intervention program on sexual abstinence based on the health belief model amongst adolescent girls in Northern Ghana, a cluster randomised control trial

Facilitators of sexual health education for male adolescents in Iran: A qualitative study

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