Student Number: 0516329A - MSc research report - School of Public Health - Faculty of Medicine / In the face of diminishing traditional controls on adolescent sexual behaviour, parents are becoming the focal point of guidance on sexual issues. The main objective of the study is to establish if residing with one’s parents has any effect on one’s sexual behaviour among adolescents in the Kassena-Nankana District of Northern Ghana. A sample of 7056 adolescents aged between 10 and 24 years were interviewed between April and October 2003 while the 2004 household socio-economic data was used to generate a household wealth index. Females are less likely to have had sex (AOR 0.75; CI: 0.63; 0.88) and also less likely to initiate sex before age 16 (AOR 0.30; CI: 0.21; 0.43) compared to males. Living with one’s father only is associated with a 36% decrease in the likelihood of having had sex among males (AOR 0.64; CI: 0.42; 0.96) compared to living with both parents. Females living with neither parent were 76% more likely to have had sex than those living with both parents (AOR 1.76; CI: 1.21; 2.55). Discussion of sexual matters with parents increased the likelihood of initiating sex. Family structure is an important predictor of sexual behaviour among adolescents and therefore should be considered when designing and implementing interventions. Longitudinal and qualitative studies are recommended

xv, 179 leaves : / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (M.D.)--University of Adelaide, Dept. of Medicine, 1974

This thesis is an analysis of how international policies on HIV prevention can be understood through a postcolonial perspective and how these prevention strategies are reflected nationally and locally in Babati, Tanzania. To gain knowledge of these aims I have focused on UNAIDS and the US’ government policies to get an idea of where the international discourse about HIV prevention stands. My empirical data in Babati is collected by semi-structural interviews with people who work with HIV prevention. I have used Chandra Talpade Mohanty’s understanding of Third World women, together with Jenny Kitzinger theory about women in HIV discourses and Karen M Booth’s view of how international policies are trying to empower women to reduce their risk of HIV infection. To assist my analysis I have focused on three notions, which are recurring in the HIV prevention discourse, these are: empowerment of women, condom use and sexual behaviour. These notions help to establish the HIV discourse and later I have compared the results with my theoretical framework and empirical findings. My final conclusion is that international policies on HIV prevention can be seen as imperialistic as they are promoting a certain change in sexual behaviour, such as reduction of partners and abstinence until marriage.

<p>Since the early 1980&rsquo / s when the first case of HIV was diagnosed, AIDS remains a serious and threatening health crisis in the world. Sub-Saharan Africa is the region most affected by the HIV/AIDS pandemic having 67 % of the 33 million people infected with HIV globally in 2007. Young people aged 15-24&nbsp / account for an estimated 45% of all new HIV infections worldwide. The study aimed to assess the knowledge and attitudes on HIV/AIDS and sexual&nbsp / behavior among 15-19 year olds in Kenya. A descriptive, cross-sectional survey was conducted among 96 students randomly selected from five public&nbsp / schools in Ngong sub-district. Descriptive and bivariate analysis was conducted using Epi Info 3.3 and SPSS. The main findings indicate that a third&nbsp / (31/96) of respondents were sexually experienced. Knowledge level was however found to be inadequate (below 60 %) indicating a poorly informed sample on knowledge about HIV transmission and prevention. The study showed poor attitudes towards the risk to HIV as only 40 % of both males and females supported the use of condoms even when the sexual partners know each other well. Inaddition, risky sexual behaviors were reported by sexually&nbsp / &nbsp / experienced respondents where condom use in last sexual intercourse was (57 %) among males and (20 %) among females.</p>

Vaginismus is defined as a persistent difficulty with vaginal entry, despite a woman’s expressed wish, due to muscle tension, avoidance, and/or pain (Basson et al., 2003). The disorder is classified as a sexual dysfunction; however, there is a paucity of literature on the sexual response, sexual function, and sexual behaviour of women with vaginismus. This thesis research was designed to investigate the differential aspects of sexual health in women with lifelong vaginismus, compared to women with lifelong dyspareunia (pain with intercourse) and women with pain-free intercourse. In the first study, 45 women viewed erotic films, of which one set depicted penetration and the other did not. Physiological sexual arousal was assessed via thermography. Subjective responses to films were assessed with questionnaires. Despite significantly greater negative emotions and lower mental sexual arousal in response to erotic stimuli, women with vaginismus showed genital arousal comparable to the comparison groups. In the second study, 174 women completed an online survey. Women with vaginismus reported more sexual difficulties than the no-pain group and a restricted range of lifetime sexual behaviours and lower frequency of intercourse attempts/experiences than the comparison groups. Women with vaginismus and dyspareunia reported more anxiety during sexual activity and a restricted sexual behaviour repertoire in the previous year and month compared to the no-pain group. Women with vaginismus endorsed more negative cognitions related to penetration, specifically concerns about losing control of their body and the situation. The findings suggest that sexual function difficulties and restricted behavioural repertoire may be associated with negative emotions and maladaptive cognitions. Women with vaginismus may avoid encounters that could lead to intercourse. Alternatively, the negative response to sexual stimuli may be indicative of a more global negative response to sexuality beyond intercourse. The negative penetration-related cognitions, negative responses to sexual stimuli, anxiety during sexual activity, and reduced range and frequency of sexual behaviours of women with vaginismus provide support for the Fear-Avoidance Model of Vaginismus. The impairment in sexual functioning supports the need to move beyond the singular treatment focus of making intercourse possible to an approach that addresses overall sexual rehabilitation.

<p>Aim: The purpose of the study was to assess the knowledge of the transmission and prevention of HIV/AIDS among secondary school students in Bekwarra, Cross River State, Nigeria / to appraise the students&rsquo / attitudes towards HIV/AIDS / to describe the risky sexual and other behaviours they engaged in and what factors influenced such behaviours. This study was conducted in the area to systematically examine the widely held notion that adolescents were deviating from the strict sexual mores of the Bekwarra people, thereby exposing themselves to the risk of acquiring HIV. Methods: Information was collected using a cross-sectional survey based on a 64 item questionnaire adapted from the Family Health International HIV/AIDS/STD Behavioural . Surveillance Surveys. A random sample of 381 male and female students aged 14 to 18 selected from 12 secondary schools participated in the survey. Results: The level of general awareness of HIV/AIDS was high - 56.9% of participants knew how HIV is transmitted - but their knowledge of STI symptoms was low. Only 24.7% knew at least two STI symptoms in women, while only 20.7% knew at least two STI symptoms in men. One hundred and twenty three (32.2%) students constituting 68 males (17.8%) and 55 females (14.4%) had experienced sexual intercourse. The mean age at first sexual experience was 15.06 years for males and 14.95 years for female students. There was a statistical association between age and experience of sexual intercourse (p = .024). Two thirds (65.0%) of the 123 sexually experienced students had intercourse in the last six months, and only 30 of them (24.4%) had used a condom during their last intercourse. The use of condom was most frequent (10.6%) at age 18 and least frequent (.8%) at age 14. About one quarter (26.1%) of the students had taken&nbsp / alcohol: 17.3% occasionally, 5.5% moderately, and 2.6% frequently. There was a statistical association between taking alcohol and age (p = .038). Over a half (56.1%) of those who had not had sexual intercourse also had not taken alcohol. In contrast, 14.2% had sexual intercourse and also took alcohol, indicating significant statistical association (p &lt / .001). 66.8% of the students had neither used drugs nor taken alcohol, whilst 6.8% had both used drugs and taken alcohol, indicating significant association, (p &lt / .001). There was a similar association between sexual intercourse and using drugs, (p = .002). Conclusions: The study revealed significant high risk sexual behaviour among adolescents in Bekwarra. The high level of risky sexual behaviour and lack of basic knowledge about STIs indicated that access to information is currently insufficient. Health and educational authorities in Bekwarra should utilize the key findings highlighted from this study to design more effective local strategies for sexual health promotion that may help to slow the spread of STIs including HIV/AIDS. Intensive child-friendly programmes for pre-teenagers organized by educators to promote postponement of the early initiation of sexual intercourse may be effective. For adolescents who are unable to control their sexual initiation, improved education on safe sexual practices, especially the use of condoms appears to be necessary.</p>

Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

Section A is a review of the literature pertaining to positive environmental influences on sexual identity development amongst sexual minority (SM) adolescents. Extant research suggests SM adolescents are at risk of adjustment difficulties; there is a dearth of research regarding positive influences on development. Positive influences include micro-­system factors, such as friend and family affirmation, with limited understanding of macro-­system factors. Section B reports the research study, which took an ecological approach to investigating protective factors in the lives of sexual minority adolescents. It aimed to investigate affirming experiences, exploring whether sexual minority ‘affirming messages’ (AM) are experienced, the process of experiencing AM and their perceived effects. A mixed-method cross sectional design with three phases of qualitative and quantitative data collection was implemented. Phases included a 12 participant focus group, an online survey completed by 107 participants and respondent validation with five participants. Participants reported AM were experienced, but were not accessible enough. AM were less accessible when first considering sexual identity, a time of negative feelings. Participants were actively engaged in seeking AM, most commonly on-line and from friends and least commonly from school. The importance of role models, similar others and self-acceptance was recognised. Results suggested that although AM are not considered accessible enough, they have a positive impact. This has implications for provision of AM within educational settings and the media.

Aim. The aim of this research was to explore parent-adolescent communication about sex and sexuality among university students. Background. The rates of HIV/AIDS and pregnancy among adolescents in South Africa are very problematic issues. In the context of children and adolescents' sexual socialization, both Western studies and studies from African countries have found that families, especially parents, are crucial in influencing adolescent attitudes, decision-making and participation in sexual behaviour. Methods. A qualitative study was conducted using focus groups to examine parent-adolescent sex education among university students. Findings. Participants reported that parents generally avoided discussions about sex especially fathers, framed sex negatively and highlighted the negative effects of sex such as HIV/AIDS and pregnancy. The reasons participants believed that parents were uncomfortable in discussing sex were due to insufficient knowledge to explain certain aspects of sex, that sex was taboo, that by discussing sex it would be viewed as condoning or encouraging sexual activity. Conclusion. Parents need to be educated regarding the benefits that comprehensive sex education will have for their children, in the light of the massive problem of HIV/AIDS in South Africa. Education on these matters is vital for all young people. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.

Transactional sex is associated with high-risk HIV transmission behaviours. Published prevalence rates of this behaviour are varying and the sensitive nature of this behaviour may inhibit self-report disclosure. A two-phase study, involving qualitative analysis of focus group discussions on transactional sex, and a subsequent survey employing different self-report methods amongst a population of female tertiary education level students (N=305) was undertaken. The Unmatched Count Technique (UCT) and the Self-Administered Questionnaire (SAQ) in both computer and paper modes were compared in terms of disclosure levels yielded and socially desirable response scores. Base rates of transactional sex as yielded by the UCT were comparable to those of published research. No statistically significant results were obtained for differences in disclosure levels of transactional sex between the UCT and the SAQ. Performance of the UCT was mixed, demonstrating that the reliability and validity of findings obtained by the UCT are contingent on many factors, and further research regarding this is required. / Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2011.