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Amo-Adjei J, Yenyi A, Ahanotu B, Okyere J. Reaching young people living with HIV & AIDS and young people in detention with comprehensive sexuality education (CSE): a preparatory formative study in Ghana. Sex Reprod Health Matters 2023; 31:2235801. [PMID: 37493474 PMCID: PMC10373617 DOI: 10.1080/26410397.2023.2235801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/27/2023] Open
Abstract
As an interface between health and education, comprehensive sexuality education (CSE) offers a potent tool among other interventions to accelerate healthy transition of adolescents into adulthood. With increasing interest in in-school CSE provision/delivery, young people in out-of-school contexts may be left behind. This study forms part of implementation research to understand if the activities used to train and support the facilitators are feasible, appropriate, acceptable, and effective in enabling them to engage a defined group of young people, deliver CSE to them in the out-of-school context, and assist them in obtaining relevant services. This paper presents findings of mapping of out-of-school CSE interventions in Ghana, ongoing or completed between 2015 and 2020, and then discusses a needs assessment of two purposively selected groups of vulnerable out-of-school youth: young people living with HIV and AIDS (YPLHIV) and those living in detention (YPiD). We conducted 10 interviews with YPLHIV and three focus group discussions with YPiD in November 2020. Qualitative data were analysed thematically using both deductive and inductive approaches. The mapping yielded 29 interventions (18/62% were ongoing) focused extensively on the delivery of CSE-related knowledge and information; none were aimed at building facilitators' capacity and most targeted the northern regions. Among YPLHIV, living positively after diagnosis, disclosure skills and use of HIV/AIDS health services were critical. YpID sought clarification on personal hygiene, consent in sexual relationships, medium/channel to deliver CSE, and issues around same-sex sexual intercourse. Both groups sought skills in dealing with stigmatisation and discrimination. Implications of the findings for our own and other interventions are highlighted.
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Affiliation(s)
- Joshua Amo-Adjei
- Senior Lecturer, Department of Population and Health, University of Cape Coast, CA, Cape Coast, Ghana
| | - Adwoa Yenyi
- Programme Specialist – Adolescents and Youth, UNFPA, Accra, Ghana
| | - Brian Ahanotu
- Monitoring and Evaluation Associate, UNFPA, Accra, Ghana
| | - Joshua Okyere
- PhD Candidate, Department of Population and Health, University of Cape Coast, Cape Coast, Ghana
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Puigvert-Mallart L, León-Jiménez S, Joanpere M, Ramis-Salas M, Flecha R. The Mirage of Upward Mobility: Conceptualization and Implications for Teen Dating Violence Prevention. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1785. [PMID: 38002876 PMCID: PMC10670360 DOI: 10.3390/children10111785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 10/28/2023] [Accepted: 11/03/2023] [Indexed: 11/26/2023]
Abstract
Alcohol and drug abuse are recognized risk factors in scientific literature that can leave female adolescents vulnerable to experience teen dating violence (TDV) in their relationships. These risk factors are highlighted in prevention campaigns, empowering girls to proactively avoid or decline situations that may put them at risk of such violence. This study delves into an underexplored risk factor for TDV, the Mirage of Upward Mobility (MUM), and its connections to previously established elements: coercive discourse, peer pressure, and the pursuit of status. A total of 146 relevant studies on TDV, and factors related to it, have been reviewed. MUM is conceptualized as the erroneous belief that engaging in relationships with traditionally dominant and disrespectful partners increases social status and attractiveness, although in reality, what happens is that that status and that attractiveness decrease. The study discusses the existence and factors contributing to MUM and underscores its importance as a risk factor for experiencing TDV to include in prevention campaigns.
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Affiliation(s)
- Lídia Puigvert-Mallart
- Research and Department of Sociology, Faculty of Economics and Business, University of Barcelona, 08034 Barcelona, Spain; (L.P.-M.); (S.L.-J.); (M.J.); (M.R.-S.)
- Centre for Community, Gender and Social Justice, Institute of Criminology, Cambridge University, Cambridge CB3 9DA, UK
| | - Susana León-Jiménez
- Research and Department of Sociology, Faculty of Economics and Business, University of Barcelona, 08034 Barcelona, Spain; (L.P.-M.); (S.L.-J.); (M.J.); (M.R.-S.)
- Department of Education, Faculty of Educational Sciences and Psychology, University of Cordoba, 14071 Cordoba, Spain
| | - Mar Joanpere
- Research and Department of Sociology, Faculty of Economics and Business, University of Barcelona, 08034 Barcelona, Spain; (L.P.-M.); (S.L.-J.); (M.J.); (M.R.-S.)
| | - Mimar Ramis-Salas
- Research and Department of Sociology, Faculty of Economics and Business, University of Barcelona, 08034 Barcelona, Spain; (L.P.-M.); (S.L.-J.); (M.J.); (M.R.-S.)
| | - Ramón Flecha
- Research and Department of Sociology, Faculty of Economics and Business, University of Barcelona, 08034 Barcelona, Spain; (L.P.-M.); (S.L.-J.); (M.J.); (M.R.-S.)
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Başkan B, Alkan Ö. Determinants of intimate partner controlling behavior targeting women in Türkiye. Front Psychol 2023; 14:1174143. [PMID: 37284474 PMCID: PMC10239945 DOI: 10.3389/fpsyg.2023.1174143] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Accepted: 05/02/2023] [Indexed: 06/08/2023] Open
Abstract
Background/aim Intimate partner controlling behavior toward women is an important form of intimate partner violence (IPV), both in terms of limiting women's daily lives and in terms of reproducing patriarchal culture and male dominance in societies at the micro level. A limited number of studies in the literature have identified the male intimate partner's controlling behavior as a dependent variable, which is important for understanding the determinants of this type of IPV. There is also a significant gap in the literature in terms of studies focusing on the case of Türkiye. Thus, the main aim of this study was to determine the socio-demographic, economic and violence-related factors that have an effect on women's status in terms of exposure to control behavior in Türkiye. Methods These factors were examined by using binary logistic regression analysis, based on the micro data set collected by the Hacettepe University's Institute of Population Studies in the 2014-dated National Research on Domestic Violence against Women in Türkiye. A total of 7,462 women between the ages of 15 and 59 were interviewed face-to-face. Results The findings of the study revealed that women are more likely to be exposed to controlling behavior if they live in rural areas, are unmarried, speak Turkish as their mother tongue, have bad or very bad health conditions, justify men's violence and are afraid of their intimate partners. As women's age, level of education and income contribution increase, their likelihood of exposure to controlling behavior decreases. However, women's exposure to economic, physical and emotional violence also increases their likelihood of exposure to controlling behavior. Conclusion The findings highlighted the importance of creating public policies that make women less vulnerable to men's controlling behavior, providing women with methods and mechanisms of resistance and raising public awareness of the exacerbating effects of controlling behavior on social inequalities.
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Affiliation(s)
- Burak Başkan
- Faculty of Economics and Administrative Sciences, Erzurum Technical University, Erzurum, Türkiye
| | - Ömer Alkan
- Department of Econometrics, Faculty of Economics and Administrative Sciences, Atatürk University, Erzurum, Türkiye
- Master Araştırma Eğitim ve Danışmanlık Hizmetleri Ltd. Şti., Ata Teknokent, Erzurum, Türkiye
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Braverman-Bronstein A, Vidaña-Pérez D, Ortigoza AF, Baldovino-Chiquillo L, Diez-Canseco F, Maslowsky J, Sánchez BN, Barrientos-Gutiérrez T, Diez Roux AV. Adolescent birth rates and the urban social environment in 363 Latin American cities. BMJ Glob Health 2022; 7:bmjgh-2022-009737. [PMID: 36253017 PMCID: PMC9577896 DOI: 10.1136/bmjgh-2022-009737] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 10/06/2022] [Indexed: 11/20/2022] Open
Abstract
Introduction Latin America has the second-highest adolescent birth rate (ABR) worldwide. Variation between urban and rural areas and evidence linking country development to ABR points towards upstream factors in the causal pathway. We investigated variation in ABR within and between cities, and whether different features of urban social environments are associated with ABR. Methods We included 363 cities in 9 Latin American countries. We collected data on social environment at country, city and subcity levels and birth rates among adolescents (ages 15–19). We investigated variation in ABR within and between countries and cities along with associations between social environment and ABR by fitting three-level negative binomial models (subcities nested within cities nested within countries). Results The median subcity ABR was 58.5 per 1000 women 15–19 (IQR 43.0–75.3). We found significant variability in subcity ABR between countries and cities (37% of variance between countries and 47% between cities within countries). Higher homicide rates and greater population growth in cities were associated with higher ABR (rate ratio (RR) 1.09; 95% CI 1.06 to 1.12 and RR 1.02; 95% CI 1.00 to 1.04, per SD, respectively), while better living conditions and educational attainment in subcities were associated with lower ABR after accounting for other social environment characteristics (RR 0.95; 95% CI 0.92 to 0.98 and 0.78; 95% CI 0.76 to 0.79, per SD, respectively). Conclusions The large heterogeneity of ABR found within countries and cities highlights the key role urban areas have in developing local policies. Holistic interventions targeting education inequalities and living conditions are likely important to reducing ABR in cities.
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Affiliation(s)
- Ariela Braverman-Bronstein
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA
| | - Dèsirée Vidaña-Pérez
- Center for Survey Research and Evaluation, National Institute of Public Health, Cuernavaca, Mexico
| | - Ana F Ortigoza
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA
| | | | - Francisco Diez-Canseco
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Julie Maslowsky
- Center of Excellence in Maternal and Child Health School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Brisa N. Sánchez
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA
| | | | - Ana V. Diez Roux
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA
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Mason GE. Adolescent Experience With Dating Violence in Relation to Virginity Status: Findings From a Jamaican Sample. VIOLENCE AND VICTIMS 2022; 37:625-640. [PMID: 35973811 DOI: 10.1891/vv-2021-0230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The association between adolescents' involvement in sexual intercourse and their experiences with adolescent dating violence (ADV) is an understudied topic. This study examined this relationship for 178 Jamaican adolescents in Grades 9-11. The expectation that adolescents who reported having had sexual intercourse would report greater victimization and greater perpetration than adolescents who had not had intercourse was consistent only for sexual abuse. Analyses also showed that sexually experienced males perpetrated and experienced more psychological abuse compared to males who were not so experienced. These results suggest different experiences based on adolescents' sex and so support others' calls for ADV research to do more examinations by sex. Also, it endorses the importance of doing research on both victims and perpetrators of intimate abuse. Implications of these findings for sexual and relationship education of adolescents are discussed.
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Women's (limited) agency over their sexual bodies: Contesting contraceptive recommendations in Brazil. Soc Sci Med 2021; 290:114276. [PMID: 34565613 DOI: 10.1016/j.socscimed.2021.114276] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 07/10/2021] [Accepted: 07/27/2021] [Indexed: 12/27/2022]
Abstract
Unintended pregnancies constitute a serious public health concern in Brazil, representing up to 55% of all pregnancies, and are prevalent among women with low income and low educational backgrounds. Lack of assistance to women in their decision-making has hindered the adoption of more effective contraceptive models. Although clinical consultations constitute an important locus to assist women in decision-making and to facilitate access to subsidized methods, our current knowledge of how contraception is discussed and decisions are reached in actual consultations is limited. Just as scarce is our knowledge of how patients respond and resist contraception recommendations and how physicians counter or accommodate patients. Using a corpus of 103 audio-recorded medical visits and conversation analytic (CA) methods, this paper examines recommendation sequences in the under-investigated gynecological consultations in the Brazilian public healthcare system (SUS). The quantitative analysis reveals a strong orientation to physicians as having primary rights to govern the oversight of women's bodies: 94% of the recommendations are delivered as pronouncements (e.g., "You'll take X″), the most authoritative action type. Patients largely assume an agreeable and passive role (66%), leading to scarce negotiation and minimal involvement in decision-making. However, in a few cases (12%), all involving contraception, patients become overtly agentive, responding with active resistance. A qualitative analysis of that subset shows that despite women's gaining some agency over their sexual bodies, that agency is still limited. Whereas physicians accommodate patient resistance on grounds of biomedically-related side-effects and incorrect assumptions about the women's lives, they overlook patient resistance based on gendered struggles over contraceptive methods in the domestic sphere. By failing to consider women's lack of agency in choosing whether to have sex or to use condoms, doctors show unawareness of significant consequences of the recommended method, which might include domestic dispute and violence and, paradoxically, ultimately misfire, leading to unwanted pregnancy.
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Grose RG, Chen JS, Roof KA, Rachel S, Yount KM. Sexual and Reproductive Health Outcomes of Violence Against Women and Girls in Lower-Income Countries: A Review of Reviews. JOURNAL OF SEX RESEARCH 2021; 58:1-20. [PMID: 31902238 DOI: 10.1080/00224499.2019.1707466] [Citation(s) in RCA: 42] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Gender-based violence (GBV) against women and girls is pervasive and has negative consequences for sexual and reproductive health (SRH). In this systematic review of reviews, we aimed to synthesize research about the SRH outcomes of GBV for adolescent girls and young women in low- and middle-income countries (LMICs). GBV exposures were child abuse, female genital mutilation/cutting, child marriage, intimate partner violence (IPV), and non-partner sexual violence. PsycINFO, PubMed, and Scopus searches were supplemented with expert consultations, reference-list searches, and targeted organizational website searches. Reviews had to contain samples of girls and young women ages 10-24, although inclusion criteria were expanded post-hoc to capture adolescent-adult combined samples. Twenty-seven reviews were quality-rated. Study-level data were extracted from the 10 highest quality reviews (62 unique studies, 100 samples). Reviews were mostly from Africa and Asia and published between 2011 and 2015. We found consistent associations between GBV and number of sexual partners, gynecological conditions (e.g., sexually transmitted infections [STIs]), unwanted/unplanned pregnancy, and abortion. Some types of IPV also were associated with greater use of contraception/STI prevention. Addressing GBV is essential to improve SRH for girls and women in LMICs.
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Affiliation(s)
- Rose Grace Grose
- Department of Community Health Education, Colorado School of Public Health, University of Northern Colorado
| | - Julia S Chen
- Hubert Department of Global Health, Rollins School of Public Health, Emory University
| | - Katherine A Roof
- Hubert Department of Global Health, Rollins School of Public Health, Emory University
| | - Sharon Rachel
- Kennedy-Satcher Center for Mental Health Equity, Satcher Health Leadership Institute, Morehouse School of Medicine
| | - Kathryn M Yount
- Asa Griggs Candler Chair of Global Health | Professor of Global Health and Sociology, Hubert Department of Global Health and Department of Sociology, Emory University
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Kaufman MR, Grilo G, Williams A, Marea CX, Fentaye FW, Abebe Gebretsadik L, Yedenekal SA. The intersection of gender-based violence and risky sexual behaviour among university students in Ethiopia: a qualitative study. PSYCHOLOGY & SEXUALITY 2020; 11:198-211. [DOI: 10.1080/19419899.2019.1667418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Michelle R. Kaufman
- Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Graziele Grilo
- Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - AshlieM. Williams
- Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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