Text in English / The purpose this study was to explore food habits and nutritional behaviours of adolescents in a school in Lenasia South, in Gauteng Province. Qualitative, explorative research was conducted in order to recommend effective prevention strategies of non-communicable diseases. Adolescents from the selected secondary school formed the sample of the study. Data collection was done using focus groups’ discussions. Three focus group discussions were conducted in the study. The first group comprised of thirteen male adolescents, followed by ten female adolescents and the final group was a combination of both female and male learners to produce a homogenous group. Specific common eating habits and nutritional behaviours emerged from the focus group discussions which included skipping meals, high consumption of high energy dense foods and sweetened beverages. Consequently, when developing intervention programs and policies to improve health of adolescents, environmental influences that undermine efforts to improve adolescent’s dietary behaviours must be addressed. / Health Studies / M.P.H.

Submitted in fulfilment of the qualification of Master's Degree in Food and Nutrition, Durban University of Technology, 2017. / Aim The purpose of this study was to investigate the nutritional status of adolescent girls attending a private high school in Durban and included an investigation of what food the girls consumed on a daily basis and an account of physical activity they participated in within a one-week period to determine a relationship between the variables. Methods Adolescent girls were selected as part of a convenience study at a private high school. A total of 225 adolescent girls aged 13-18 years were surveyed for nutritional status and dietary intake as well as physical activity levels. The parent/ caregiver of each girl who participated was interviewed to ascertain socio-demographic indicators. Data was collected by interviewing the adolescent girls and the parents/ caregivers using pre-designed and pre-tested questionnaires. Weight and height were measured, physical activity levels were identified through the use of a physical activity questionnaire and socio-demographic data was collected by means of a questionnaire. Dietary intake data was gathered over two week days and one weekend day by using a 24-hour recall questionnaire and a food frequency questionnaire (FFQ). Results The majority of the participants were from well-off, financially stable families with good living conditions and well-educated and employed parents/ caregivers who provided a more than adequate variety of food and regular meals every day. The girls were of normal BMI (72.2%) and collectively had a mean BMI of 21.9, lower than the South African national average found for adolescent girls. There was a surprising number of underweight individuals (12.6%) as compared to overweight girls (10.3%). Furthermore, 99.6 percent of the girls were of normal height-for-age (≥-2 <+3SD) but were consuming far less energy than is required for the allocated age category. Energy came from the normal recommended macronutrient range with fat being on the borderline higher end of the normal range and carbohydrates coming from the lower end of the normal range; protein sources were adequately consumed. Fruit and vegetable consumption was reported to be very low subsequently leading to the poor dietary fibre intake identified across the sample group. Supplementation is taken by nearly a third (32.7%) of the girls which may contribute to their overall nutritional wellbeing. Among the top twenty foods consumed, milk, sugar, bread, tea and lettuce were the top five foods in the order stated. Although a wide variety of foods was consumed across all nine food groups over a week period, a mean daily DDS was lower but still adequate with 5.5 and the quantity of foods consumed were not of a substantial enough amount leading to poor total energy consumed and some micronutrient levels such as calcium, magnesium and folate not being met. All the participants were seen to be fairly physically active, performing a wide variety of sporting activities during school time and after school hours. The girls completed on average 199.64 minutes (SD±134.97) of physical activity per week, which is less than half of the WHO recommended physical activity minutes per week for adolescents. Significant correlations were seen between BMI and physical activity done on the weekend (p=0.041) and BMI and the amount of money spent on food per month (p=0.016) as well as extremely significant correlations between BMI and the number of minutes spent performing physical activities per week (p=0.002), as well as BMI and the amount of sport done over a one week period (p=0.005). Conclusion The results confirm that a relationship does exist between the physical activity levels and nutritional status of the adolescent girls surveyed. The majority of the population had low physical activity levels as well as low energy intake, which was supported by an inadequate quantity of food items consumed; however, anthropometric measurements showed to be majority within normal parameters with cases of underweight girls being more prominent than overweight which may suggest that over- and/ or under-reporting may have occurred. A high dietary diversity indicated a higher nutrient intake suggesting the importance of a diversified diet. / M

This study investigated influence strategies used by university students to negotiate condom use. The study examined the seven condom influence strategies (CISs) -withholding sex, direct request, seduction, relationship conceptualizing, risk information, deception, and pregnancy prevention- used by heterosexually active male and female students. The sample comprised of 156 first year students (male=44 and female=112). Statistically significant correlations were found among all the condom influence strategies subscales. Results suggest that the university students influence their partners in all identified condom influence strategies and the risk information strategy holds the most promise of all the strategies.

MCur / Department of Advanced Nursing Science / Background: Adolescent sexual health is fundamental to the physical and emotional health, and well-being of individuals, couples, and families, as well as the social and economic development of communities and countries. The purpose and the aim of this study was to explore and describe the community’s perceptions of adolescent sexual health in Mutale Municipality, Vhembe District of Limpopo Province. Methodology: The research design of this study was qualitative, explorative, descriptive and contextual in nature. The population comprised of every adult community member or resident of Tshiungani Village. Both genders were included in the sample. Parents and guardians of adolescents made up the sample. Data were collected by means of in-depth face-to-face interviews. Data were analysed qualitatively using Teschs’ qualitative analysis. Findings: The study involved six themes, six categories and nineteen sub-themes. The community expressed concerns related to degradation of cultural norms and values, change in family structure, effects of media, politics, religion and poverty as affecting adolescent sexual health. Conclusion: The study explored and described the perceptions of community members regarding adolescent sexual health although the findings could not be generalized as it represents only part of the population. Recommendations: The study recommended intense sexual health education and promotion at early primary phase, career guidance to enhance and promote selfesteem, parental and community involvement in assisting and engaging adolescents with life skills within communities.

MSCNPT / Department of Nutrition / Context: A survey made worldwide (including South Africa) revealed that most teenagers are overweight and obese and that they eat little nutritious food. Obesity and overweight are public health problems and need to be addressed from a community perspective. The reason for exploring this problem in this study was that South Africa has one of the highest rates of overweight and obesity in the world among urban and rural black women. Objective: Investigating the eating and lifestyle habits of overweight and obese female teenagers in Thulamela Local Municipality, Limpopo province, South Africa. Design, setting and participants: This was an exploratory, descriptive study conducted in 2006–2007 amongst 125 female teenagers aged 13 to 18 years from rural schools in Thulamela Local Municipality. A hundred and twenty-five questionnaires were completed and data were gathered on the demographics, social and lifestyle habits, nutrition-related problems, dietary patterns and dietary history of the participants. Measurements: Eating and lifestyle habits, physical activity, meaning of healthy and unhealthy dietary habits, weight, height and body mass index were measured. Results: Seventy percent of the respondents actively consumed three meals in a day, 83% consumed starchy snacks between meals, whilst 72% of the respondents carried lunchboxes to school. Regarding lifestyle habits, 88% of the respondents slept more hours than recommended (8 hours) 88% performed sedentary activities and 66% did physical activities such as walking. Conclusion: The results pointed out unhealthy eating and lifestyle habits influencing teenagers’ weight. Identified factors must be considered in order to develop tailored nutrition interventions to improve teenagers’ consciousness about adopting a healthy lifestyle. / NRF

The purpose of the research was to investigate the effectiveness of using multimedia as a means of teaching physical science to learners. The underlying theoretical assumption was that a multimedia presentation would help to reduce the cognitive load experienced by learners when they learn physical science content, compared to a traditional mode of presentation, and that this reduction may have a positive effect on the ease with which they master the content. Physical science learners in Grade 11 viewed a presentation consisting of multimedia screens and screens depicting the learning content in a traditional layout – in order to compare the level of knowledge gained as well as the cognitive load experienced for the multimedia and traditional instructions. Pre- and post-test questionnaires were used to determine the knowledge gained, while cognitive load was measured using a dual-task methodology. A multivariate analysis of variance was used to analyse the data. The results did not reveal a statistically significant increase in knowledge gained via the multimedia approach when compared to the traditional mode of instruction, but when focussing the analysis on learners with a lower-knowledge base in physical science though, statistically significant results were found. However, no significant results were found to support the hypothesis that multimedia would help to reduce learners’ cognitive load. It was concluded that the multimedia design principles are more effective in increasing knowledge for physical science learners of low-knowledge than traditional instructional designs. / M. Sc. (Psychology)

Educational Studies / M. Ed. (Guidance and Counselling)

Adolescent substance abuse is a major problem facing the world today. In order to understand the reasons for adolescent substance abuse behaviour, various theoretical perspectives were utilised and strategies to curb substance use were also identified. The study was conducted in the rural areas of Zeerust, North West province of South Africa. The participants included 12 male adolescents, whose ages ranged from 12 to 15 years. A qualitative, explorative research design was employed. Data was gathered using semi-structured interviews, genograms and observations. Thematic analysis was used to analyse audio-taped data. The study found that substances abused by the participants include alcohol, nicotine, cannabis and heroin. Their reasons for using these substances include individual, family and environmental factors. However, peer group pressure was identified as the primary factor for adolescent substance use. This study emphasises the painful nature of substance abuse among adolescents, yet at the same time it succeeds in highlighting the strategies that can be employed to address substance abuse among adolescents. In addition, this study recommends a concerted effort by all the stakeholders in addressing the substance abuse problem. / Psychology / M.A. (Psychology)

This qualitative study explored the lived experiences of adolescents living with vertically acquired HIV receiving treatment, care and support services at Dora Nginza Wellness clinic, in Port Elizabeth, South Africa. Six adolescents living with vertically acquired HIV (four females and two males) between the ages of 16-17 years participated in in-depth semi-structured open-ended individual interviews. Tesch’s (1990) method of data analysis for qualitative research was used to analyse the interviews. Adolescents that participated in the study spoke widely about the outlook on their illness and their lives both in the past and present. They depicted fear, anxiety, pain and sadness in their lived experiences. They were anxious about their own death and had experienced illness and death of parents, siblings and close relatives due to HIV and AIDS. They described painful and traumatic life events related to their illness which included knowing their own HIV status and severe health problems and hospitalisations. They all learnt about their HIV status in early adolescence and choose not to disclose their status to people outside the family due to fear of rejection, stigma and discrimination. Taking ARVs was challenging to the participants due to side effects and strict medication schedules. Their school attendance and performance was affected by their illness. Family was an important resource of support. The participants had good experiences of HIV treatment at the Wellness clinic. The findings suggest that adolescents living with vertically acquired HIV faced a number of challenges in dealing with their disease and its treatment. They need intensive care and support services that enhance their positive self, facilitate self-disclosure and decrease and discourage stigma and discrimination at school and within their communities. / Health Studies / M.A. (Social Behavioural Studies in HIV/AIDS)

Summaries in English and Afrikaans / The second fully democratic election in South Africa is scheduled to take place in May 1999. In the five years since the first election, it appears that very little attention has been paid to the political literacy of the electorate in general, and the youth in particular. The purpose of this study was to establish adolescents' level of political knowledge and whether they are able to think critically about political issues or not. The first part of the literature study which was concerned with critical thinking revealed that the major aspects of critical thinking are: deductive reasoning, inductive inference, recognition of assumptions, credibility, and problem solving. The second part of the literature study was an analysis of which factors may play a role in the development of critical thinking of an adolescent. with particular reference to a political context. The third part was an examination of important current political and social issues. These were: the new Constitution. Truth and Reconciliation Commission, housing, land redistribution, education, labour, health, crime, political violence, environment, and the next election. A reliable measuring instrument was developed in order to measure adolescents' knowledge of political issues, and their ability to think critically about these issues. The results of the empirical study revealed that intellectual potential and academic achievement were significantly related to critical thinking ability, while gender, environment, and personality appeared not to play a role. There was a significant correlation between political knowledge and critical thinking in a political context, implying that critical thinking is subject-specific. Cultural background also played a significant role in critical thinking in a political context. In terms of political knowledge, boys were found to be at a significantly higher level than girls. The subjects from urban areas were also at a significantly higher level than those from rural areas. There was also a positive correlation between intellectual potential, academic achievement, and political knowledge. Finally, some recommendations for improving the levels of political knowledge and critical thinking abilities with regard to political issues of South African adolescents were given. / Die tweede ten valle demokratiese verkiesing in Suid-Afrika is geskeduleer om in Mei 1999 plaas te vind. In die vyf jaar sedert die vorige verkiesing is baie min aandag gegee aan die politieke geletterdheid van die verkiesingspubliek in die algemeen en die jeug in besonder. Die doel van hierdie studie was om adolessente se vlak van politieke kennis te bepaal en om vas te stel of hulle in staat is om krities oar politieke kwessies na te dink. Die eerste deel van die literatuurstudie wat verband hou met kritiese denke het uitgewys dat die hoofaspekte van kritiese denke die volgende is: deduktiewe redenering, induktiewe inferensies, herkenning van aannames, geloofwaardigheid en probleemoplossing. Die tweede deel van die literatuurstudie behels 'n analise van die faktore wat 'n rol kan speel in die ontwikkeling van die kritiese denke van die adolessent, met spesifieke verwysing na 'n politieke konteks. Die derde deel is 'n ondersoek na belangrike teenswoordige politieke en sosiale kwessies. Hierdie kwessies sluit in: die nuwe Grondwet, die Waarheids- en Versoeningskommissie, behuising, herverdeling van grand, opvoeding, arbeid, gesondheid, misdaad, politieke geweld, die omgewing en die volgende verkiesing. 'n Betroubare meetinstrument om adolessente se kennis van politieke kwessies asook hul vermoe om krities daaroor na te dink, is ontwikkel. Die resultate van die empiriese ondersoek het aangetoon dat intellektuele potensiaal en akademiese prestasie betekenisvol verband hou met kritiese denkvermoe, terwyl geslag, omgewing en persoonlikheid klaarblyklik nie 'n rol speel nie. Daar is ook 'n betekenisvolle korrelasie tussen politieke kennis en kritiese denke in 'n politieke konteks wat impliseer dat kritiese denke vakspesifiek is. Kulturele agtergrond speel ook 'n betekenisvolle rol in kritiese denke in 'n politieke konteks. Ten opsigte van politieke kennis is daar bevind dat seuns op 'n betekenisvolle hoer vlak is as dogters. Respondente uit stedelike gebiede is oak op 'n betekenisvolle hoer vlak as diegene uit plattelandse gebiede. Oaar is oak 'n betekenisvolle korrelasie tussen intellektuele potensiaal, akademiese prestasie en politieke kennis. Ten slotte is aanbevelings gemaak om die vlakke van politieke kennis en kritiese denkvermoens met betrekking tot politieke aangeleenthede by Suid-Afrikaanse adolessente te verbeter. / Psychology of Education / D. Ed. (Psychology of Education)