Using Social Ecological Theory to Identify Factors Associated With Risky Sexual Behavior in Cambodian Adolescent Girls and Young Women Aged 10 to 24 Years: A Systematic Review

Rizvi, Farwa; Williams, Joanne; Maheen, Humaira; Hoban, Elizabeth

doi:10.1177/1010539520911493

Cited by 11 publications

(9 citation statements)

References 32 publications

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“…Unmet need for contraception in females in Cambodia and other low-to-middle-income countries (LMICs) is associated with sexually transmitted infections (STIs), unintended pregnancies and unsafe abortions as a result of risky sexual behavior or unsafe sex which contribute to maternal morbidity and mortality (Hegde, Hoban & Nevill, 2012;Rizvi et al, 2020;Sedgh, Ashford & Hussain, 2016b). Bradley et al (2012) proposed a revised algorithm to calculate unmet need for the Demographic Health Surveys (DHS) including a complex measurement of 15 survey items (USAID, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Gender inequality is one of the challenges to sustainable development in most LMICs in East-Asia and South-East Asia, including Cambodia, Myanmar, Lao PDR, Timor-Leste, Indonesia, Vietnam and the Philippines ( UNICEF, 2019 ). The disproportionate burden of SRH issues and high unmet need in female adolescents and young people in Cambodia and other LMICs in the Asia-Pacific region is often made worse by lack of health literacy, and non-existent SRH services ( Chandra-Mouli et al, 2019 ; Rizvi et al, 2020 ; Sedgh, Ashford & Hussain, 2016a ). There is strong research evidence for integrated SRH literacy and family planning services, and increased number of schools with improved education and targeted interventions to reduce school dropouts especially for female adolescents ( Azzopardi et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Rizvi

Williams

Bowe

et al. 2020

PeerJ

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Background Unmet need is the gap between women’s need and their practice of using contraception. Unmet need for contraception in female adolescents and women in Cambodia is a public health concern which may lead to unintended pregnancies or abortions that can contribute to maternal morbidity and mortality. Methods Bronfenbrenner’s Social Ecological Model was used as a theoretical framework to analyze data from the 2014 Cambodian Demographic and Health Survey to ascertain demographic and social factors potentially associated with unmet need for contraception. Bivariate and weighted multiple logistic regression analyses with adjusted odds ratios (AOR) were conducted for 4,823 Cambodian, sexually active females aged 15–29 years. Results The percentage of unmet need for contraception was 11.7%. At the individual level of the Social Ecological Model, there was an increased likelihood of unmet need in adolescent girls 15–19 years and women 20–24 years. Unmet need was decreased in currently employed women. At the microenvironment level, there was an increased likelihood of unmet need with the husband’s desire for more children and when the decision for a woman’s access to healthcare was made by someone else in the household. At the macroenvironment level, unmet need was decreased in women who could access a health facility near their residence to obtain medical care. There were no urban rural differences found in the Cambodian sample population. Conclusion Unmet need for contraception in Cambodian females adolescents and women is associated with younger age, unemployment and low personal autonomy for accessing healthcare but not with education or wealth status. There is a need to implement culturally appropriate reproductive and sexual health literacy programs to increase access to modern contraception and to raise women’s autonomy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Rizvi

Williams

Bowe

et al. 2020

PeerJ

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“…We posit that the young females usually reside in the low socioeconomic, peri-urban areas with limited access to SRH and family planning services. Additionally, a review of literature from Cambodia showed increased rural to urban migration with many female youth finding employment in the entertainment industries [11,33]. These female youth face multiple barriers in accessing SRH services including personal, financial, literacy or information, communication, and cultural barriers [11,33].…”

Section: Discussionmentioning

confidence: 99%

“…Our study's focus is on Cambodian sexually active female adolescents and women aged 15-29 years as the negative repercussions of unsafe sex, and high unmet need for modern contraception in females are serious in terms of the risk of having sexually transmitted infections (STIs), unintended pregnancies or induced abortions [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Misconceptions and Unmet Need for Modern Contraception among Cambodian Females: A Mix Methods Study

Rizvi

Williams

Bowe

et al. 2020

Sexes

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(1) Background: Women using unreliable traditional contraception need to be included in the proportion of women having an ‘unmet need for modern contraception’ instead of the current classification which presumes they have a ‘met need’. (2) Methods: Mix methods research design comprising initial quantitative analyses utilizing data from the nationally representative 2014 Cambodian Demographic and Health Survey (CDHS) for 4823 Cambodian, sexually active females aged 15–29 years. Then a qualitative phase explored knowledge about the menstrual cycle and misconceptions about modern contraception with 30 females aged 15–29 years in urban Cambodia using semi-structured interviews, transcribed verbatim with quality checks. Purposive and snowball sampling strategies were used until data saturation was reached. Inductive thematic data analysis was conducted; (3) Results: Unmet need for modern contraception increased to 25.4% when traditional contraception users were included. The qualitative themes show women have a lack of information about the menstrual cycle and misconceptions about modern contraception which contributed to increased use of traditional contraception; (4) Conclusion: Major drivers of increased unmet need for modern contraception include lack of literacy, misconceptions and low autonomy to choose modern contraception. Cambodia needs to endorse a policy shift to implement targeted, countrywide sexual and reproductive health literacy and family planning services.

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“…Past systematic reviews have focussed on treatment effects and scale of sexual aggression and protective factors but none on psychosocial determinants or factors that contribute to sexual deviance of adolescents speci cally [2][3][13][14][15]. This current systematic review intends to elucidates the occurrence of sexual deviance amongst ASEAN adolescents and the psychosocial antecedents that contribute to their intent of deviance through value as source of attitude.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Underlying Sexual Deviance Among Adolescents in ASEAN: a Systematic Review

Kamaluddin

Chendirasagaram

Mey

et al. 2021

Preprint

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Background: Risky sexual behaviours amongst adolescents are associated with detrimental impact on their personal growth, influenced by psychosocial factors including subjective cultural norms. This systematic review aimed to examine the evidence on ASEAN countries’ adolescents risky sexual behaviour defined as sexual deviance with its associated psychosocial factors.Methods: A systematic literature review was guided by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) for a search through four electronic databases for articles published within the time frame of 2010 and 2020 resulting in 20 articles that meet the inclusion criteria. Results: Adolescent sexual deviance in ASEAN is associated with salient psychosocial factors such as cultural norm, self-esteem, parental support/monitoring, substance abuse (alcohol/drugs/smoking), spirituality and religion. Intention, attitude and motivation of sexual transgression appear to be recurrent factors as well. Most studies are cross-sectional and quantitatively designed. The diverse and nuanced psychosocial factors of sexually deviant behaviour affirm the sexual dimension and values of absolutism, hedonism and relativism.Conclusions: Strategies for reducing risky sexual behaviours among ASEAN adolescents should take regard of subjective culture norms and psychosocial needs to achieve the goal of progress as per the ASEAN Youth Development Index. More qualitative and longitudinal approaches in future research are also recommended for more in-depth insights for appropriate intervention or rehabilitative measures.

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Using Social Ecological Theory to Identify Factors Associated With Risky Sexual Behavior in Cambodian Adolescent Girls and Young Women Aged 10 to 24 Years: A Systematic Review

Cited by 11 publications

References 32 publications

Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia

Misconceptions and Unmet Need for Modern Contraception among Cambodian Females: A Mix Methods Study

Psychosocial Factors Underlying Sexual Deviance Among Adolescents in ASEAN: a Systematic Review

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