Reproductive health risk and protective factors among youth in Lusaka, Zambia

Magnani, Robert J.; Karim, Ali Mehryar; Weiss, Lisa; Bond, Katherine C.; Lemba, Musonda; Morgan, Gwendolyn T.

doi:10.1016/s1054-139x(01)00328-7

Cited by 127 publications

(113 citation statements)

References 7 publications

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“…The association between family structure and engagement in sexual activities was assessed in all the articles. Although living with both parents served as a protective factor against engagement in sexual behaviour, connections with parents did not emerge as strong determinants of adolescent behaviour [60]. This was supported by another study which indicated that if both parents were in the home then youth were more likely to use a condom at first sexual experience [58].…”

Section: Health Risk Behaviour and Family Structurementioning

confidence: 91%

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A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

Frantz¹,

Sixaba²,

Smith³

2015

TOFAMSJ

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Abstract:Objective: The aim of this study was to review the published literature on the relationship between family structure and engagement in health risk behaviour amongst youth in African countries.Methods: A systematic review was conducted between 2000 and 2014. Suitable titles were identified from database searches. Thereafter, abstracts were evaluated along specific inclusion criteria. Eleven full text articles were evaluated for methodological quality using a modified critical appraisal tool and six studies were included in the final review that satisfied the threshold criterion of 70%. A narrative synthesis was completed for all included records to provide a textual answer to the research question.Results: Findings indicated that there was a relationship between family structure and engagement in health risk behaviour, specifically risky sexual behaviour. The importance of family structure was evident, and the active involvement of parents in the activities of youth is cardinal. The review further underscores that there is lack of methodologically rigorous research that can provide empirical support for and insight into the relationship between family structure and engagement in health risk behaviour.Discussion: Risky sexual behaviour was the most prevalent outcome assessed across studies. Family structure impacted positively on delaying or reducing engagement in risky sexual behaviour. Diverse family structures were identified and orphans living with caregivers were identified as a particular structure that might be more prevalent in the African context. Parental involvement and investment in adolescent activities were more strongly identified as an important factor. There is a lack of and need for more methodologically rigorous research to gain empirical support for and insight into the relationship between family structure and health risk behaviours.

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Section: Health Risk Behaviour and Family Structurementioning

confidence: 91%

“…The studies were geographically located in Ethiopia [50], Cameroon [51,55], Zambia [60], South Africa [58] and Uganda [54]. Survey designs were the most frequently used, as well as secondary studies or data analysis obtained from family and health surveys.…”

Section: Description Of Studiesmentioning

confidence: 99%

A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

Frantz¹,

Sixaba²,

Smith³

2015

TOFAMSJ

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“…Such mechanisms combine relationship and communication between parents and adolescents with parental monitoring. However, since the early 2000s, the trend has been to take these mechanisms into account [10]- [15]. This new direction in research is possible because of the availability of data on family processes.…”

Section: Introductionmentioning

confidence: 99%

Association between Family Environment and Sexual Behaviour of Adolescents in Burkina Faso

Miangotar¹,

Legrand²

2014

ARSci

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Studies conducted in Africa have demonstrated the existence of a significant association between family environment and the sexual behaviour of adolescents. Generally, empirical studies of this topic are based on parental control, and family or conjugal instability and socialization approaches. The objective of this study is to assess the association between family environment and the sexual behaviour of adolescents aged 12 to 19 years. The 2004 National Survey of Adolescents (NSA) in Burkina Faso provides data for studying operationalization. Analyses were bivariate and multivariate. The former were conducted using cross tabulations while the latter used three logistic regression models. Results indicate a significant but low association among family environment variables. Absence of both parents, or a number of individuals under 20 years old higher than the number of adults in a household is not systematically associated with risky sexual behaviour. Parental control was shown to be more discriminating of sexual behaviour of adolescents from Burkina Faso, compared with communication with family members regarding sexuality. Despite current ongoing economic crises and sociocultural mutations in Burkinabe societies, household members and family still play major roles in adolescents' education. Results reinforce sexual and reproductive health programs where parents and household members are central to strategies.

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“…Malawi is no exception, where the 2004 Demographic and Health Survey found similar gender differences in HIV prevalence among the youth cohort (MDHS, 2004). To account for these disparities, explanations have typically highlighted age-discrepant relationships, inability to negotiate condom use in sexual relationships, or unequal access to key resources and the concomitant use of violence or coercion by men over women (Gregson et al, 2002;Jewkes, Levin & Penn-Kekana, 2003;Lary, Maman, Katebalila, McCauley & Mbwambo, 2004;Magnani et al, 2002;Nzyuko et al, 1997;Smith Fawzi et al, 2005). Despite notable exceptions (e.g.…”

Section: Introductionmentioning

confidence: 99%

Sex, money, and premarital partnerships in southern Malawi

Poulin

2007

Social Science & Medicine

184

150

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In this paper, I argue two main points: (1), the purpose of money exchange in premarital, sexual partnerships in rural Malawi extends beyond the alleviation of female partners' economic constraints, and (2), by elucidating this broader purpose, it becomes possible to recognize where women exert control over their own sexual selves. These findings come from field observations and a rich set of in-depth interviews (N=54), bolstered on occasion by survey data, conducted with young women and men, aged 15 to 24 years, in the Balaka district in the southern region of the country. My research demonstrates that, contrary to typical expectations, money and gift transfers in sexual partnerships are part and parcel of the courting practices of young Malawian women and men. Transfers are as much about the expression of love and commitment as they are about meeting the financial "needs" of women or the acquisition of sex for men. Using narrative information to shed light on the semiotics of the sex-money link, these findings from Malawi offer a new perspective that broadens usual interpretations of "transactional" sex, the understanding of which is critical in fighting AIDS.

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Reproductive health risk and protective factors among youth in Lusaka, Zambia

Cited by 127 publications

References 7 publications

A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

Association between Family Environment and Sexual Behaviour of Adolescents in Burkina Faso

Sex, money, and premarital partnerships in southern Malawi

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