Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda

Ingrid T. Katz, Michele L. Ybarra, Monique A. Wyatt, Julius P. Kiwanuka, David Bangsberg, Norma C. Ware

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

With more than half of new infections occurring among youth, HIV/AIDS remains a major contributor to morbidity and mortality in Uganda. Semi-structured interviews were performed with 48 adolescents and 15 adult key informants in a rural Ugandan community to identify influences on adolescent sexual decision-making. Inductive data analytic methods revealed five thematic influences: (1) social pressure, (2) decline of the Senga (a familial figure who traditionally taught female adolescents about how to run a household), (3) cultural barriers to condom use, (4) knowledge of HIV transmission and modes of prevention, and (5) a moral injunction against sex before marriage. Influences were classified as HIV/AIDS risk and protective factors and organized to form an explanatory framework of adolescent sexual risk-taking. Risk factors pull youth toward risky behavior, while protective factors push them away. Predominance of risk over protective influences explains persistent sexual risk-taking by Ugandan youth. HIV prevention programs designed for Ugandan adolescents should take competing factors and sociocultural and economic influences into account.

Original languageEnglish (US)
Pages (from-to)258-264
Number of pages7
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume25
Issue number2
DOIs
StatePublished - Feb 1 2013
Externally publishedYes

Fingerprint

Uganda
Decision Making
Economics
HIV
adolescent
decision making
economics
AIDS
Risk-Taking
female adolescent
Acquired Immunodeficiency Syndrome
morbidity
rural community
mortality
marriage
Condoms
Rural Population
Marriage
interview
Interviews

Keywords

  • adolescents
  • HIV prevention
  • sexual risk-taking
  • Uganda

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda. / Katz, Ingrid T.; Ybarra, Michele L.; Wyatt, Monique A.; Kiwanuka, Julius P.; Bangsberg, David; Ware, Norma C.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 25, No. 2, 01.02.2013, p. 258-264.

Research output: Contribution to journalArticle

Katz, Ingrid T. ; Ybarra, Michele L. ; Wyatt, Monique A. ; Kiwanuka, Julius P. ; Bangsberg, David ; Ware, Norma C. / Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2013 ; Vol. 25, No. 2. pp. 258-264.
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