Dissertations / Theses: 'Youth – Health and hygiene – Uganda'

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Nizeyimana, Eugene. "Perceived constraints to physical activity among paramedical institution students in Uganda." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Research has clearly shown that all individuals will benefit from regular physical activity. Unfortunately, young adults including college and university students are not physically active on a regular basis worldwide. In the developing world particularly in Sub- Saharan Africa, physical inactivity along with tobacco use, poor diet and nutrition are increasingly parts of today&rsquo
s lifestyle. Physical activity declines with age and the most important decline appear to be during the transition period from high school to university and during university years. The aim of this study was to assess the level of physical activity, to investigate the perceived constraints to physical activity and to determine whether socio-demographic characteristic have an influence on participation in physical activity and perceived constraints to physical activity among paramedical institutions students in Uganda. A cross-sectional study with descriptive quantitative design was conducted. Four hundred (400) paramedical institution students were selected using a stratified random sampling technique. A self-administered questionnaire adopted from the literature was used to collect the data. A response rate of 90% was obtained. Descriptive and inferential statistics using the statistical package for social sciences were used to analyze the data. The relationships and associations between different variables were determined by carrying out significant tests using chi-square tests. Alpha level was set at 0.05. The mean age of the sample was 22.44 years (SD = 2.03). Males constituted 73.9% and females constituted 26.1% of the sample. Students from eight (8) health professional courses participated in the study. Over half (59%) of participants were classified as physically active and 41% were classified as inactive or sedentary. For male participants, lack of the right equipment to exercise and wanting to do other things in their free time were perceived as the major constraints to physical activity. For female participants, lack of motivation and tiredness after exercise were perceived as the major constraints to physical activity. The findings of this study demonstrate that there is an influence of socio-demographic characteristics such as gender, year of the study and different departments/schools on participation in physical activity and perceived constraints to physical activity. They also indicate the need of health promotion intervention aiming at promoting physical activity among paramedical institution students in Uganda.

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Mutonyi, Harriet. "Health literacy, HIV/AIDS, and gender : a Ugandan youth lens." Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/2320.

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Youth, the World Bank argues, need to become a constituency for reform in developing countries. This case study responds to this challenge by investigating adolescent students' understanding of the relationship between health literacy, HIV/AIDS, and gender in the context of Uganda. The four questions investigated are: (i) What kind of health literacy, HIV/AIDS, and gender-related information is accessible to Ugandan adolescent secondary school students? (ii) In the students' view, what are the factors contributing to health and HIV/AIDS related challenges faced by young people in Uganda today? (iii) According to these students, what is the impact of the debate on gender equality in the fight against health epidemics including HIV/AIDS? and (iv) What do these students consider to be the way forward for Uganda to achieve better health and improve life chances for all? The theoretical framework includes critical pedagogy and indigenous knowledge systems, as well as integrative gender frameworks. Each contributes a different but complementary understanding of adolescent students' perspectives on the issues under investigation. Data were collected in a qualitative study from January 2005 — May, 2007. The data corpus includes: student journals, reflective reports, artifacts/documents, life history interviews, questionnaires, informal ethnographic conversations, focus group discussions and critical inquiry discussions. In response to each of the research questions, the major findings were as follows: i) The students' understanding of the relationship between health literacy, HIV/AIDS, and gender were in part influenced by the media, and in part their own experiences. ii) Poverty and peer pressure impact young people's health practices. iii) Young people want gender equality debates to have a focus on marginalized males as well as females. iv) Youth suggest that education, fair trade, and better health care services are important in the attainment of the "better health for all" goal in Uganda. The study concludes that marginalized groups, especially youth, need opportunities to develop a united voice and be active participants in reform processes. Further, new analysis frameworks are needed to understand the gender/power relations in Uganda.

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Nahalamba, Sarah Birungi. "Socioeconomic Status, Water, Sanitation, Hygiene, and Economic Cost of Childhood Diarrheal Diseases in Uganda." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7317.

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Worldwide, diarrhea is the second leading cause of death in children aged under 5, yet it is both preventable and treatable. Several studies have established the effects of exposure to inadequate water, sanitation, and hygiene (WASH) on diarrhea prevalence, but little was known on how the interactions of socioeconomic status and WASH influence the economic cost of treatment of diarrhea. This retrospective cross-sectional survey study was focused on assessing the correlation between socioeconomic status, WASH, and household cost of treatment of diarrhea among children aged under 5 in Uganda using the multiple exposure-multiple effect model. Secondary data from the 2015/16 Uganda National Panel Survey were used. At bivariate level of analysis, 5 of 6 independent variables (education level of mother, household expenditure, residence type, source of drinking water, and type of toilet facility) had statistically significant associations with household cost of treatment of diarrhea (p value < .05). The multivariate-hierarchical multiple linear regression indicated that only 3 of the 6 variables significantly predicated household cost of treatment of diarrhea. These were highest education level of mother (p = 0.001), source of drinking water (p = 0.022), and type of toilet facility (p = 0.012). At p value < .05, about 67% of the variation in the cost of treatment was explained by the independent variables. Households with a higher socioeconomic status incurred higher costs of treatment, although those with a lower status experienced the highest prevalence rates. Therefore, policy makers and practitioners could use these findings to employ multiple interventions to address the disease burden and cause behavior change.

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Hameed, Shaffa. "Sexual health policies and youth : a case study of the Maldives." Thesis, London School of Economics and Political Science (University of London), 2012. http://etheses.lse.ac.uk/731/.

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This research examines sexual health (SH) policies and experiences of youth, using the Maldives as a case study. Youth SH is a controversial and under-researched issue in The Maldives, an Islamic state where premarital sexual activity is a punishable offence. This thesis addresses the question: To what extent, and why is there a mismatch between official Maldivian SH policies, services and data and the lived experiences of youth in Maldives? It is a mixed methods study involving four research methods and sets of data: i) qualitative in-depth interviews (n=61) with youth aged 18-24 years from three sites within the Maldives; ii) key informant interviews (n=17) with policy actors and service providers; iii) a web-based quantitative survey of Maldivian youth (n=480); and iv) secondary analysis of the Maldives DHS 2009. There are four main findings from this research, three of which are substantive, and one of which is methodological. Sociocultural and religious factors heavily influenced policymaking, service provision and youth experiences. Contrary to most theocratic states, the SH policymaking process in the Maldives is shaped by policy actors and institutions whose strengths have more sociocultural basis than religious expertise. Whilst published official data and original secondary analyses of the MDHS suggest that premarital sexual activity among youth is very limited; this thesis finds extensive reporting of sexual activity. This contrast was also reflected in youth’s knowledge of STIs- where official data displayed a higher level of awareness than found through in-depth interviews and the web-based survey- and their experience of unwanted pregnancies and abortions, which appear to be under-reported in official data. Analyses of the web-based survey using the same questions as the DHS show significantly higher levels of reporting of sexual activity, showing a strong modality effect on survey response. Results from the web-based survey demonstrated that if sociocultural factors were removed from questionnaire design (e.g. censorship of certain issues) and administration (e.g., privacy and anonymity- difficult to achieve in small island communities typical of the Maldives); it is possible to improve response rates and quality of the data. Finally, this thesis highlights two key characteristics of the relationship between SH policy, services, data and youth experiences in the Maldives. Firstly, youth SH experiences appear to be disconnected from SH policies, services and data. Secondly, there is a mutually reinforcing relationship between official SH data and policies, where restrictive policies dictate the type and extent of data that may be collected, which then reinforce justifications for the current restrictive policies and limited services. Policy implications of this research include identifying and addressing the links between SH policymaking and religious and sociocultural factors, and addressing the subsequent effect on SH policy and services for youth.

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Lonie, Douglas Iain. "Musical identities and health over the youth-adult transition." Thesis, University of Glasgow, 2009. http://theses.gla.ac.uk/1125/.

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This thesis concerns musical identities and how they affect health as young people make the transition to adulthood. The primary focus is on music listening, since this is widely reported to be a key feature of adolescents’ and young adults’ leisure time (Roe 1999; Tarrant, et al 2000). Previous studies have investigated the links between specific musical genres and problematic behaviour (Klein 1993), suicidal risk (Lacourse 2001), and emotional turmoil (Roberts 1998), however there is a lack of both longitudinal and qualitative evidence in support of these findings. A number of assumptions are made regarding ‘healthy’ and ‘unhealthy’ musical preferences although causal links between music and health are still not clear. Similarly, the extent to which musical behaviour is related to other demographic features (e.g. sex, social class, education) and whether this changes over the lifecourse have yet to be fully investigated. The principal aim of the thesis is therefore to identify how musical identities relate to health and wellbeing over the youth-adult transition. In order to meet this aim a number of objectives have been devised, these are; to trace the development of musical identities and investigate the structure of music preference; to highlight associations between musical identity and risky health behaviours; to study the relationship between musical identities and emotional wellbeing; and to address the significance of musical identities in transitions to adulthood. A dialectical methodology was adopted which synthesises quantitative and qualitative methods. The former involved statistical analysis of a large-scale longitudinal dataset (The West of Scotland Twenty-07 Study). The latter was a qualitative sub-study with 18 participants from the Twenty-07 Study, designed and analysed using Interpretative Phenomenological Analysis (IPA). Combining methods in this way allowed for philosophical pluralism in the methodological design, as well as for different aspects of the research aims to be addressed. Musical preferences were found to change over the youth-adult transition for most people, and this affected the links between musical identity and health. The overriding distinction was between participants who perceived a strong musical self-identity, and those who claimed a more limited identity. This was evidenced in both quantitative and qualitative findings. The former group were more likely to engage in risky health behaviours, but also indicated a more sophisticated use of music for therapeutic purposes. The latter group were less likely to engage in risky health behaviours, but did not tend to use music as a well-being resource like their strong-identifying peers. Strong musical identities are associated with higher levels of risky health behaviours, but this is also largely limited to a specific period of youth. Many practices associated with maintaining a strong musical identity in youth are limited by the onset of adult responsibilities, and structural identities. The emotional benefits associated with a strong musical identity, however, remain alongside adult identities. Ultimately, the associations between music listening and health are mostly influenced by strength of identity, and the current academic literature highlighting ‘problematic’ genres should be considered with this in mind. The implication of this work is that common sense assumptions about the corrosive nature of certain musical identities and youth cultures should be tempered by an acknowledgement that music tastes, associations, and identities are subject to change, often over very short periods of time.

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Craig, Rushing Stephanie Nicole. "Use of Media Technologies by Native American Teens and Young Adults: Evaluating their Utility for Designing Culturally-Appropriate Sexual Health Interventions Targeting Native Youth in the Pacific Northwest." PDXScholar, 2010. https://pdxscholar.library.pdx.edu/open_access_etds/24.

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American Indian and Alaska Native (AI/AN) youth are disproportionally burdened by high rates of sexually transmitted infections and teen pregnancy, heightening their need for sexual health interventions that are aligned to their unique culture and social context. Media technologies, including the Internet, cell phones, and video games, offer new avenues for reaching adolescents on a wide range of sensitive health topics. While several studies have informed the development of technology-based interventions targeting mainstream youth, no such data have been reported for AI/AN youth. To fill this gap, I: a) quantified media technology use in a select group of AI/AN teens and young adults living in Pacific Northwest tribes and urban communities; b) identified patterns in their health information-seeking and media preferences; and c) worked with local tribes and partners to develop recommendations for designing culturally-appropriate technology-based interventions targeting Native adolescents. This research included: a) an anonymous, paper-based survey of over 400 AI/AN youths age 13-21 years; b) a systematic review of technology-based sexual health interventions; and c) a variety of community-based participatory research strategies to analyze findings, prioritize options, and generate recommendations for designing interventions that align with the culture, needs, and organizational capacities of the tribes in the Pacific Northwest. Technology use was exceptionally common and diverse among survey respondents, mirroring patterns reported by teens in the general population. Seventy-five percent of AI/AN youth reported using the Internet, 78% reported using cell phones, and 36% reported playing video games on a daily or weekly basis. Thirty-five percent reported that they would feel most comfortable getting sexual health information from the Internet, and 44% reported having done so in the past. Youth expressed interest in a wide array of interactive media features, and culturally-specific content that holistically encompassed their wide-ranging health interests and concerns. Tribal health educators expressed particular interest in adapting Internet-based skill-building modules and informational websites, and teens expressed interest in websites and videos. These findings are now being used by the Northwest Portland Area Indian Health Board to inform the development and adaptation of culturally-appropriate interventions targeting AI/AN youth in the Pacific Northwest.

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Rademan, Janet Ellen. "The identification of contextually relevant health and well-being information needs for the youth through human-centered co-design." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/2409.

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Thesis (MTech (Design))--Cape Peninsula University of Technology, 2015.
Available health and well-being information is limited in communities with insufficient health care resources. This affects the community negatively on multiple levels in which the health and well-being needs of individuals are not satisfied. This research project explored the impact of human centred co-design, using tools such as health and well-being needs questionnaires including a health needs assessment as well as a quality of life scale. The aim was making accurate health and well-being information more accessible to the youth. The target group was Durbanville youth aged between 14 and 18 years. The sample included different ages ( = 15), races (79% White, 21% Coloured) and near equal gender distribution (55% female, 45% male). The sample (N = 33) was comprised of three groups: Group A, B, and C. A Human-Centered Design (HCD) framework was used during the project referring to the following three steps: Hear, Create, and Deliver. During the Hear phase, stories and inspiration from the participants were gathered. Group A (n = 10) completed a health and well-being information needs questionnaire. Group B (n = 15) discussed the topic, and created affinity diagrams. This was how the health and well-being status and information needs were established. During the Create phase; frameworks, opportunities, solutions, and prototypes were developed by the participants. Group B co-designed the concept prototype: a possible mobile application solution for practical access to health and well-being information. Group C (n = 8) provided feedback and input on the concept prototype and created storyboards to visually display scenarios in which they would use the mobile application. This step produced a youth-friendly health and well-being information service concept prototype. During the Deliver phase, the relevant health and well-being information solution was established as a youth-friendly health and well-being mobile application: WeHelp. Also, group A, B, and C were introduced to a similar existing resource named MobieG. Thus, the present study contributed directly to the participants’ health and well-being awareness. The research provided significant health and well-being insights. For example, the youth of Durbanville revealed extremely low scores on the emotional well-being domain. The data collected makes it possible for future researchers to create a practical, youth-friendly, health and well-being information service.

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Pitkethly, Amanda Jane. "Examining the role of self-regulated learning in adolescent physical activity behaviour." HKBU Institutional Repository, 2015. https://repository.hkbu.edu.hk/etd_oa/222.

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Introduction Physical activity (PA) engagement is highly beneficial for adolescents and although interventions are shown to be effective, participants often return to former PA levels once the intervention is removed. Adolescents may lack explicit training in psychological and behaviour change skills required to sustain PA behaviour changes, such as self-regulation. SR is a key process in psychological functioning and its failure can result in impulse control problems, such as a tendency not to engage in behaviours that require a delay of gratification such as physical activity. Purpose Self-regulated learning (SRL) is an approach that focusses on how to make improvements through a systematic method of learning how to adapt to ever changing environments, i.e. through planning, self-monitoring, effort, self-efficacy, self-evaluation and reflection. Study 1 examined the effectiveness of studies examining SRL variables in a PA context. Study 2 translated and validated an English language SRL questionnaire to measure SRL in a Chinese adolescent population. Study 3 assessed the contribution of SRL variables to PA in both Chinese and Scottish adolescent samples. In preparation for study 5, study 4 qualitatively assessed Chinese students’ motivation for and engagement in PA. Finally, study 5 taught SRL skills in a PA context with the aim of positively impacting on adolescent PA levels. Methods and Results In study 1 a systematic review of the literature was conducted. The majority of reviewed studies demonstrated a positive effect of SRL variables on PA. The review highlighted a lack of research conducted using SRL theory. Study 2 translated and validated a Chinese version of an SRL questionnaire with 315 (and cross-validated with 480) Hong Kong Chinese adolescents. The short SRL-SRS-C was found to be a sufficiently reliable instrument to measure SRL in a Hong Kong Chinese adolescent population. In study 3, a cross-sectional study of 480 Hong Kong and 411 Scottish adolescents was conducted to assess the relationship SRL and physical activity. Results revealed that adolescents from Hong Kong and Scotland do not engage in sufficient PA to achieve the potential health benefits that PA can provide. Significantly more use of self-monitoring, self-evaluation and reflection was associated with significantly higher LTPA in Scottish adolescents. In both samples, SRL was weakly but significantly associated with higher PA, and self-efficacy and reflection played significant roles this SRL-PA relationship. Study 4 conducted two qualitative focus group interviews and found that most Chinese adolescents only engaged in PA during limited physical education classes. Most students were knowledgeable of the health benefits of PA, however, academic pressures and the effort required to overcome PA barriers was too great. Students propose that walking more and felt that novel ways to encourage PA, such as through WhatsApp, were worthwhile. Finally, study 4 used a quasi-experimental design with three groups (total n = 98) Hong Kong Chinese secondary school students. Peers modelled SRL skills and the learning was prompted either face-to-face or through Whatsapp. Meaningful, but not significant, mean value increases in PA and SRL were found. SRL was weakly but positive and significantly associated with PA, and reflection emerged as the key SRL component in the SRL-PA relationship. Conclusions SRL and PA are weak, but positive and significantly associated. Importantly, reflection has emerged as a significant predictor of adolescent PA. Adolescents with better SRL and reflective skills may be more aware of their strengths and weaknesses and able to translate this knowledge into future action. Considering that SRL skills are amenable to training, further experimental research should focus on teaching SRL strategies, particularly reflection, and assessing their impact on PA. SRL research in the adolescent PA area is promising but is at an early stage. Therefore, further research is recommended before strong conclusions can be made.

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Råssjö, Eva-Britta. "Sexual Behaviour and Sexually Transmitted Infections Among Urban Ugandan Youth – Perceptions, Attitudes and Management." Doctoral thesis, Uppsala University, Department of Women's and Children's Health, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6264.

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The aims of this thesis were to expand the knowledge about sexual and reproductive health among urban Ugandan youths, living in a slum, and to evaluate the national flow-chart for management of the abnormal vaginal discharge (AVD) syndrome in adolescent girls. Data collection included individual interviews, focus-group discussions and clinical investigations with tests for chlamydia trachomatis (CT), neisseria gonorrhoea (NG), trichomonas vaginalis (TV), syphilis, and HIV infection. Poverty, peer pressure and gender power imbalance were obstacles to safe sexual practices: to abstain from sex, be faithful or to use condoms. Prevalence among the 199 female and 107 male adolescents for CT, NG, TV, syphilis and HIV was 4.5%, 9.0%, 8.0%, 4.0% and 15.2% for females and 4.7%, 5.7%, 0%, 2.8% and 5.8% for males. The national AVD flow-chart had a sensitivity of 61%, a specificity of 38.5% and a positive predictive value (PPV) of 11.6%. A flow-chart using risk factors, rather than symptoms, implicated a sensitivity/specificity and PPV of 82.6%/47% and 17.3% respectively. Socially disadvantaged females had a high risk to be HIV infected and HIV infection was associated to other STIs. Females were more likely than males to have any of the infections studied. Voluntary counselling and testing (VCT) for HIV was considered as helpful in preventing the spread of HIV. Obstacles for testing were: lack of time and money, fear of stigmatisation and fear that the knowledge of HIV positive status could shorten someone's life. An alternative flow-chart for management of AVD among adolescent girls should be evaluated. Girl's opportunities for education and income generating work should be a priority. VCT services for young people should be made accessible in terms of cost, time and quality of counselling.

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Frantz, José Merle. "Physical inactivity among high school learners in Belhar - a public health concern." Thesis, University of the Western Cape, 2004. http://hdl.handle.net/11394/1561.

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Philosophiae Doctor - PhD
For many decades, the World Health Organisation had highlighted the growing importance of chronic non-communicable diseases in developed and developing countries, with an increase in lifestyle-related diseases. Physical inactivity has been identified as one of the risk factors, in addition to other leading risk factors like diet, and the use of tobacco and alcohol, contributing to the occurrence of non-communicable diseases like cardiovascular diseases, cancers, obesity and type 2 diabetes mellitus. Based on the researcher's observations while living in Belhar community for more then ten years, it was hypothesized that the level of physical inactivity among adolescents could become a public health problem in the future if not addressed immediately.
South Africa

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El, Zoghbi Mona B. "Youth engagement with climate change and well-being : a study of Dutch and South African university students." Thesis, University of Gloucestershire, 2013. http://eprints.glos.ac.uk/2460/.

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This doctoral study investigates the different forms, levels, and pathways of youth engagement with climate change and the implications for the well-being of youth in different contexts of vulnerability and adaptability. It aims to understand such engagement through the accounts and interactions of youth themselves and within their own environmental, socio-cultural, and political context, thereby contributing a holistic understanding of youth engagement in specific countries, an area under-researched in current literature. cultural stereotypes, and socio-political worldviews and structures; b) the need for enhancing young people's skills and prospects for future employment and welfare within an increasingly interconnected, technologically-driven, and sustainability-oriented workplace, through incorporating more critical, futures-oriented, and inter-disciplinary pedagogies of education and learning for sustainability within the higher education curriculum; c) the importance of academic and socio-political spaces and opportunities that foster critical reflection, interpersonal interaction, and collective action in strengthening young people's influence for change and their subjective and social well-being; and d) the need for more critical and empowering platforms and pathways that promote meaningful youth engagement and conscious power-sharing amongst youth and other stakeholders in society. Key recommendations emphasize multi-stakeholder partnerships with youth across political, academic, medical, civic and corporate spectrums to empower young people, especially higher education youth, to meaningfully contribute to future educational, developmental, and health agendas and strategies. The study aligns its conceptual and methodological rationale through applying a critical interpretivist research approach which ensures an analytical, contextual, and in-depth understanding of such engagement in different countries. It is conducted in the Netherlands and South Africa, which historically have had distinct vulnerabilities and approaches to climate change and diverse pathways for youth engagement. Particular emphasis is placed on higher education youth who constitute the future leaders, informed decision makers, and active and innovative agents of society. Fieldwork was undertaken throughout 2011, coinciding with the International Year of Youth and the COP17 international climate change conference. In each country, focus groups were conducted with university and college students from diverse socio-demographic and academic backgrounds. These focus groups sought depth and meaning through critical reflection, futures thinking, and a profound and interactive dialogic process. Qualitative interviews investigated more in-depth the emerging themes; whereas participant-observation, meetings with key informants, and document review promoted a comprehensive and valid understanding of the context in which such engagement is taking place. Key findings reveal: a) the contextual power differentials that strongly shape youth efficacy and agency, especially personal demographic and academic backgrounds, cultural stereotypes, and socio-political worldviews and structures; b) the need for enhancing young people's skills and prospects for future employment and welfare within an increasingly interconnected, technologically-driven, and sustainability-oriented workplace, through incorporating more critical, futures-oriented, and inter-disciplinary pedagogies of education and learning for sustainability within the higher education curriculum; c) the importance of academic and socio-political spaces and opportunities that foster critical reflection, interpersonal interaction, and collective action in strengthening young people's influence for change and their subjective and social well-being; and d) the need for more critical and empowering platforms and pathways that promote meaningful youth engagement and conscious power-sharing amongst youth and other stakeholders in society. Key recommendations emphasize multi-stakeholder partnerships with youth across political, academic, medical, civic and corporate spectrums to empower young people, especially higher education youth, to meaningfully contribute to future educational, developmental, and health agendas and strategies.

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Bitangaro, Barbara Kagoro. "The role of gender relations in decision-making for access to antiretrovirals. A study of the AIDS Support Organisation (TASO) clients, Kampala district, Uganda." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The way gender relations influence access to care and treatment particularly access to antiretroviral medicines is a challenge to HIV/AIDS programmes and to the individuals and families with HIV. Gender norms that push women and men to adhere to dominant ideals of femininity and masculinity may restrict women's access to economic resources, health care and fuel the spread of HIV. The aim of this study was to determine the role of gender relations in influencing decision-making for access to antiretroviral medicines between partners and in the family.

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Gaylor, Elizabeth Mae. "Physical Fighting and Suicidal Ideation among Students in Uganda: A Comparison between Boys and Girls in an Urban and Rural Setting." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/iph_theses/61.

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Research regarding youth involvement in physical fighting and suicidal ideation has been primarily conducted in western countries, such as the U.S., and limited information is available on this subject in sub-Saharan Africa. This study used data from the Global School-Based Student Health Survey (GSHS) to analyze the prevalence and correlates (i.e., bullying victimization, loneliness, having no friends, sadness, alcohol use, and drug use) of physical fighting and suicidal ideation among students, both boys and girls in Uganda. In this study, 10.1% of urban students and 15.2% of rural students reported engaging in both physical fighting and suicidal ideation. Rural students overall have a higher prevalence of physical fighting, being bullied, suicidal ideation, alcohol use and drug use when compared to urban students. Other risk factors vary among boys and girls in urban and rural settings. Gender and urban/rural differences indicate that interventions among boys and girls and urban and rural students should be adapted to address the needs of the specific groups.

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Yu, Mei-fong, and 余美芳. "A study of physical fitness and academic performance of teenagers." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1993. http://hub.hku.hk/bib/B3197756X.

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Pillay, Tanushree. "Determining the effects of a short-term physical activity intervention programme on body mass index, blood pressure, pulse rate and percentage body fat among high school learners." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Physical inactivity is recognised as a major risk factor for non-communicable diseases such as hypertension, cardiovascular disease, diabetes and cancer. Current recommendations for participation in physical activity are 30 minutes or more of moderate-intensity physical activity on most, but preferably all days of the week. The aim of the study was to determine the effect of a physical activity programme on weight, blood pressure, body mass index and body fat classification among high school learners through a short-term physical activity intervention programme.

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Cudhea, Maia Christine. "Topical content in sexuality education and sexual health outcomes." Thesis, University of North Texas, 2007. https://digital.library.unt.edu/ark:/67531/metadc5189/.

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Secondary analysis of data from the National Longitudinal Study of Adolescent Health is used to examine possible explanatory variables for sexual health outcomes. Linear and logistic regression analyses were conducted to examine the relationship between sexual health outcomes and topical content in sexuality education, controlling for race, biological sex, low socioeconomic status, and religiosity. Results indicated increasing topical content in sexuality education had a positive effect on knowledge acquisition and confidence, but no statistically significant effect on engagement in sexual risk behavior or likelihood of reporting sexual coercion. Control variables were significant predictors and overall model fit was low, indicating topical content in sexuality education is minimally important in creating adolescent sexual behavior. Further exploration of differing aspects of sexuality education is suggested.

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Wildschutt, Phillip Jacobus. "The effect of accumulative physical activity on the fitness and health status of rural school children." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Numerous studies focusing on cardiovascular disease risk factors such as obesity, hypertension, smoking, diabetes mellitus, elevated serum lipids, inactivity and lack of physical fitness prevalent in children highlight the importance of the early diagnosis and prevention of conditions that are associated in adulthood with cardiovascular disease. The purpose of this study was to assess the impact of accumulative physical activity on the fitness profile, blood pressure and body composition in 14-16 year old school children in the Western Cape of South Africa.

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Richards, Justin A. "Evaluating the impact of a sport-for-development intervention on the physical and mental health of young adolescents in Gulu, Uganda - a post-conflict setting within a low-income country." Thesis, University of Oxford, 2011. http://ora.ox.ac.uk/objects/uuid:9632dcfc-94e6-45ac-a4c1-ad63113f9b59.

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Introduction: Physical inactivity is thought to contribute to the emergence of non-communicable diseases in post-conflict settings of low-income countries. Sport-for-development (SfD) organisations in these regions claim to improve the health of programme participants. However, there is a paucity of supporting evidence. I assessed the impact of a voluntary community-based SfD intervention on the physical activity (PA), physical fitness (PF) and mental health (MH) of adolescents in Gulu, Uganda. Methods: The Acholi Psychosocial Assessment Instrument (APAI), standing broad jump (SBJ), multi-stage fitness test (MSFT) and BMI-for-age (BFA) were adapted to the local context. I tested their feasibility and reliability with a repeat-measures design (n=70). A cross-sectional analysis of a random sample was used to assess the local needs and establish the PF and MH of the adolescents reached by the intervention (n=1464). This was also the baseline assessment for the impact evaluation. It comprised a randomised control trial (n=144) nested within a cohort study (n=1400) and triangulated by cross-sectional assessment of PA using accelerometry (n=54). Results: The adapted PF and MH measures demonstrated good intra-tester reliability (ICC>0.75). Adolescents in Gulu predominantly had “healthy” BFA (>90%). They performed better than global norms for the SBJ (p<0.001), but worse for the MSFT (p<0.05). The girls who registered for the intervention had higher PF at baseline (p<0.05) and experienced no significant benefits when compared to the community. The aerobic capacity of the boys intervention group increased relative to the community (p<0.01), but was not significantly different to the trial control group whose PF also improved. The PA results concurred with this finding. Boys in the intervention group experienced a deterioration in MH relative to their peers (p<0.05). Implications: It is feasible to apply rigorous evaluation methods to SfD interventions. Although adolescents in Gulu have poor aerobic capacity, a voluntary programme may not reach those at risk. Interpreting the impact evaluation was limited by a lack of programme development theory, but suggested that opportunities for non-competitive play may confer PF benefit without harming MH. Further investigation is warranted.

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So, Yeuk-hon John, and 蘇約翰. "Impact of personal stereo system on hearing among young adults in HongKong: evoked otoacoustic emission measures." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31251109.

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Niño, Michael David. "Peer Networks and Health Risk Behaviors Among Adolescents." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc801957/.

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Adolescence is a time of great exploration and change. During this time, youth are transitioning both biologically and sexually into adults. Adolescents are also testing the boundaries of self-reliance and making choices about their personal relationships. Not surprisingly, aggressive urges are often driven by peers in pursuit of some form of identity (Masten 2004). Peers can have both positive and negative effects on the wellbeing on youth. Peer groups can provide emotional, physical, and social support to youth during a time of immense change (Parker and Asher 1987; Gest, Graham-Berman, and Hartup 2001). Peers can also model delinquent and risk-taking behaviors that have lasting health, social, and economic consequences throughout the life course. In an effort to understand the role of friendships in adolescent health, social scientists have increasingly focused on adolescent network structures within schools and the role various positions and peer group formations influence behaviors such as alcohol and cigarette use, violent and serious delinquency, and sexual risk-taking. While informative, peer networks studies have yet to adequately address how peer network structures based on immigrant generation and types of marginalized social positions influence health risk behavior engagement among adolescents. In three studies, I address the dearth of research in these areas, using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). The first study investigates the influence of generational peers on alcohol misuse among immigrant youth. Testing hypotheses derived from sociological theories of generations regarding race/ethnicity, gender, and immigrant generation, findings from this study demonstrate generational ties are inversely related to alcohol misuse for immigrants and these effects depend partly on race/ethnicity and gender. The second study investigates the effects of specific network forms of social isolation on heavy episodic drinking and cigarette use among adolescents. The central finding from this study is that different network-based forms of social isolation had varying effects on alcohol and cigarette use when compared to sociable youth. The final study examines the relationship between types of social isolation and violent delinquency when compared to sociable youth. Deriving hypotheses from general strain theory, I test whether the isolation-violence relationship varies across isolation types when compared to sociable youth. I also test whether other negative experiences and circumstances (strains) tied to adolescence moderate the relationship between isolation types and violent delinquency. Finally, studies indicate a consistent gender gap in criminality. Therefore, I test whether the isolation-violence relationship differs by gender. Findings demonstrate that socially disinterested youth show a greater capacity for violent behavior, but other types of marginalized youth showed no difference in violence when compared to sociable youth. Results also suggest that some types of strain moderate the isolation-violence relationship and that these patterns are gendered.

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Kan, Wai-fu, and 簡偉富. "Sport participation, health-related fitness, and stress among studentsof the City University of Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31960935.

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Mak, Kwok-kei, and 麥國基. "Weight status, health-related physical fitness, and quality of life inHong Kong adolescents." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45458248.

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Whati, Lindiwe Harriet. "The development of a valid and reliable nutrition knowledge questionnaire and performance-rating scale for urban South African adolescents participating in the 'Birth-to-Twenty' study." Thesis, Stellenbosch : University of Stellenbosch, 2005. http://hdl.handle.net/10019.1/16624.

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Thesis (MSc)--University of Stellenbosch, 2005.
ENGLISH ABSTRACT: The Birth to Twenty (BTT) study involves the monitoring of the health status and related factors of urban-born children from birth until age twenty. When the cohort reached age 13 years in 2003, nutrition knowledge assessment was identified as an important new priority and a nutrition knowledge questionnaire was required for these purposes. Subsequently a valid and reliable nutrition knowledge questionnaire was developed for the BTT study. This process started with the development of a conceptual framework of nutrition-related issues facing urban South African adolescents and identification of related nutrition concepts. A pool of potential questionnaire items reflecting the concepts was subsequently developed. These items were evaluated by an expert panel to ensure content and face validity before being structured into a questionnaire. The resulting 88-item questionnaire was completed by adult and adolescent samples, each age group comprising subgroups of those likely to have good nutrition knowledge and those likely to have poor nutrition knowledge. The data obtained from the completion of the questionnaire by these groups was used to refine the questionnaire through the determination of difficulty and discriminatory indices of the items, and the deletion of items that did not meet the stated criteria. The construct validity of the remaining 63 items was assessed using the same data set. To assess the internal consistency reliability (ICR) of the 63-item questionnaire it was completed by an adolescent sample population considered to be representative of the BTT cohort, after which the questionnaire underwent further steps of refinement. The result was a 60-item questionnaire of which the ICR and construct validity was reassessed and found to be satisfactory. However, to ensure the accurate interpretation of scores obtained by testees, the development of a performance-rating scale was necessary. A norm-referenced performance-rating scale (norms) was developed by administering the nutrition knowledge questionnaire to a sample population similar to the BTT cohort (norm group) and transforming their performance scores to z-scores. The z-scores ranges were then categorised into stanines, thereby resulting in a norm-referenced performance-rating scale that can be used to rate the performance of the BTT cohort. The validity of the norms was assessed by administering the nutrition knowledge questionnaire to three validation groups that comprised groups who were expected to obtain different performance-ratings on the questionnaire based on their varying levels of nutrition knowledge. The validation groups performed as expected, with significant differences in performance-rating profiles found among the three groups, indicating the validity of the norms. The study was successful in developing a reliable and valid nutrition knowledge questionnaire for use on the urban adolescents who participate in the BTT study. A norm-referenced performance-rating scale for use with the questionnaire was also successfully developed. The questionnaire and norms will be useful in assessing nutrition knowledge as well as in comparing the changes in knowledge of the BTT cohort as they move from lower to higher school grades.
AFRIKAANSE OPSOMMING: Die “Birth to Twenty” (BTT)-studie behels die monitering van die gesondheidstatus en verwante faktore van kinders wat in stedelike gebiede gebore is van geboorte tot twintigjarige ouderdom. Toe die kohort in 2003 dertienjarige ouderdom bereik het, is die evaluering van die voedingkennis van die kinders as ‘n belangrike nuwe prioriteit geïdentifiseer. ‘n Toepaslike voedingkennisvraelys is vir hierdie doeleindes benodig en gevolglik is ‘n geldige en betroubare vraelys vir gebruik in die BTT-studie ontwikkel. Hierdie proses is begin deur die ontwikkeling van ‘n konseptueleraamwerk oor voedingverwante vraagstukke wat stedelike Suid-Afrikaanse adolessente in die gesig staar, asook die identifisering van verwante voedingkonsepte. ‘n Poel van potensiële vraelysitems wat die konsepte reflekteer is daarna ontwikkel. Die items is eers deur ‘n paneel van kenners evalueer om inhoud- en gesigsgeldigheid te verseker alvorens dit in ‘n vraelys omskep is. Die produk was ‘n vraelys wat 88 items ingesluit het wat vervolgens deur volwasse en adolessente groepe voltooi is. Die groepe het subgroepe ingesluit van diegene met verwagte goeie voedingkennis en diegene met verwagte swak voedingkennis. Die data wat tydens hierdie stap gegenereer is, is gebruik om die vraelys verder te verfyn deur die bepaling van die moeilikheids- en diskriminatoriese-indekse van die items. Die items wat nie aan vooraf gestelde kriteria voldoen het nie, is weggelaat. Die konstrukgeldigheid van die oorblywende 63 items is bepaal deur dieselfde datastel te gebruik. Om die interne-konsekwensie-betroubaarheid (IKB) van die vraelys te bepaal, is dit deur ‘n steekproef van adolessente, wat verteenwoordigend van die BTT-kohort is, voltooi. Hierna is die vraelys verder verfyn. Die uitkoms was ‘n 60-item vraelys waarvan die IBR en konstrukgeldigheid weereens bepaal is. Dit is gevind dat dié twee indikatore van geldigheid en betroubaarheid bevredigend is. Om akkurate interpretasie van die punt wat deur ‘n respondent vir die toets behaal te verseker, is die ideal om ‘n skaal te ontwikkel wat gebruik kan word om dié punt te takseer. ‘n Norm-gebaseerde prestasietakseringskaal is ontwikkel deur die voedingkennisvraelys deur ‘n steekproef wat verteenwoordigend is van die BTT-kohort (normgroep), te laat voltooi. Die prestasiepunte is getransformer na z-tellings wat vervolgens getransformeer is na stanneges, wat ‘n norm-gebaseerde prestasietakseringskaal opgelewer het wat gebruik kan word om die prestasie van die BTT-kohort te takseer. Valideringsgroepe met verskillende vlakke van voedingkennis, wat dus na verwagting verskillend getakseer behoort te word indien die norme toegepas word, het die voedingkennisvraelys voltooi om die geldigheid van die norme te bepaal. Dié valideringsgroepe het soos voorspel presteer, met betekenisvolle verskille in die prestasieprofiele van die verskillende groepe. Hierdie resultate dui daarop dat die norme geldig is. Die ontwikkeling van ‘n geldige en betroubare voedingkennistoets vir gebruik in die BTT-studie is suksesvol in hierdie studie deurgevoer. ‘n Norm-gebaseerde prestasietakseringskaal vir gebruik saam met die vraelys is ook suksesvol ontwikkel. Die vraelys en norme sal van waarde wees vir die evaluering van die voedingkennis van die BTT-kohort. Dit sal ook met sukses gebruik kan word om die verandering in die voedingkennis van die kinders soos wat hulle ouer word, te bepaal.

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Marotta, Jennifer Susan. "Constructing the norm, medical advice literature to Canadian adolescents, c. 1873-1922." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0009/MQ31227.pdf.

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Doetsch, Jane Marie. "Initial planning of a school-based clinic: pilot project in the Moreno Valley Unified School District." CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/539.

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Curry, Kimberly Sue, and Frank Thomas Jr Pullara. "The effects of HIV/AIDS education curriculum on the knowledge, attitudes, beliefs and behaviors of college freshmen." CSUSB ScholarWorks, 1998. https://scholarworks.lib.csusb.edu/etd-project/1569.

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Tabata, Nomzamo Peggy. "Potential health risk factors amongst students at a higher education institution in the Western Cape with regard to sexuality and HIV/AIDS." Thesis, Cape Peninsula University of Technology, 2018. http://hdl.handle.net/20.500.11838/2978.

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Thesis (MTech (Nursing))--Cape Peninsula University of Technology, 2018
Health risks are continuing to be a challenge worldwide. Globally, young people aged 15-24 are amongst the most vulnerable groups. It was revealed that between 2007 and 2010, the rate of HIV infection increased in this age group. In sub-Saharan Africa, three out of four new HIV infections are amongst girls aged 15 to 19 years of age. Young women aged 15 to 24 are twice more likely to live with HIV than men in 2019. South Africa is the country with the largest human immunodeficiency virus (HIV) infected population in the world, with an estimated 7 million people living with HIV and 380 000 new HIV infections in 2015. University students are a very important group of young people because they are being prepared for the world of work and to assume leadership roles. However, they are the group most exposed to a range of health risks, particularly regarding sexuality and HIV/AIDS. The aim of this study was to explore potential health risk factors amongst students at a Higher Education Institution (HEI) in the Western Cape with regard to sexuality and HIV/AIDS. The objectives of the study were to explore the factors that may increase health risk behaviours amongst students at an HEI and to discover and describe the knowledge university students have regarding potential health risks related to sexuality and HIV/AIDS. A qualitative research design was employed. Focus group interviews were done to collect data and a thematic content analysis was employed to analyse the data. Results revealed that the university students engaged in high-risk sexual behaviours, such as transactional sex, casual sex, multiple partner sexual relationships and unprotected sex. Such behaviours lead to a high-risk of contracting STIs and HIV/AIDS. Among the factors that were found to be contributing to these risky behaviours, was the new-found freedom of being away from the supervision of parents. Peer pressure at HEIs, as well as abuse of alcohol and drugs, also contribute to risky behaviours. Recommendations were that there should be organised and measured approaches to expose both lecturers and the students to HIV/AIDS education through an integrated curriculum design. There should be teamwork amongst lecturers, support staff and students to create powerful discussions and an exchange of ideas to clarify issues regarding HIV/AIDS, sexuality and other related topics to reduce high-risk behaviours and promote solid constructive attitudes amongst the university community.

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Clüver, Frances Rose Mannix. "Negotiating sexuality in Grahamstown East: young black women's experiences of relationships in the context of HIV risk." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1002460.

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Adolescent sexual health has been identified as a significant health and development problem facing South Africa. Limited amounts of research on sexual interactions have been undertaken, with information on adolescents’ romantic relationships being particularly scarce. Qualitative research needs to foster an understanding of the dynamics of sexual interactions in specific settings, and with emphasis in the past on cognitive health psychology models, very little is thus known about how adolescents negotiate and make sense of their sexual experiences. This highlights the need to investigate the complexities of human sexuality in a contextual manner. In response, this study explores the lived experiences of four young black women as they negotiate their agency and sexuality in a local context. By way of in-depth qualitative interviews, which were analysed for recurrent themes using interpretative phenomenological analysis, this project examines the participants’ experiences regarding sex, relationships, communication, sexual health care, as well as HIV and pregnancy prevention. The results reveal that communication about sexuality in the participants’ homes was limited if not absent altogether. When seeking sexual health care, they found clinic nurses to be judgemental and rude. Regarding sexuality and HIV education, the participants stressed the need for outside educators to teach in more practical ways to increase efficacy. In their dating relationships, most participants revealed their boyfriends had a great deal of influence over their sexual initiation. Unwanted pregnancy surfaced as a greater fear than HIV in their accounts due to pressure to finish their education and attain well-paying jobs in the future. The participants felt unable to stop their boyfriends’ infidelity and had limited agency when facing sexual demands. Their accounts revealed that they negotiate their agency in an atmosphere of coercion and the threat of rape. However, areas of agency included their consistent condom use even when facing pressure to have unprotected sex, and their active accessing of sexual health services for hormonal contraception. These insights serve to better inform sexual and reproductive health education and intervention programmes for young women. Moreover, educators, researchers and programme developers alike may gain useful insights from the personalised accounts derived from this study.

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Kobenan, Kouame Boye. "Les enfants et les adolescents face aux enjeux du développement: le cas de la Côte d'Ivoire." Doctoral thesis, Universite Libre de Bruxelles, 1994. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/212657.

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Scheldeman, Griet. "Performing diabetes : balancing between 'patients' and 'carers', bodies and pumps, Scotland and beyond." Thesis, University of St Andrews, 2006. http://hdl.handle.net/10023/11085.

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This study is about young people (age 11-16) with diabetes. Based on fieldwork in a paediatric diabetes centre in Scotland, it describes the ways diabetes is lived and done by young people, their health carers and insulin pumps. This enactment is contrasted with other ways of doing diabetes, as observed on short fieldwork trips to paediatric centres in Brussels, Gothenburg and Boston. I explore the dynamics of diabetes care on two levels. I consider the interaction between health carers and patients. Comparative data from various paediatric centres make apparent how culturally and socially informed approaches towards adolescence, health and illness shape both care practices and patients' experiences, resulting in different medical outcomes. Concretely in the Scottish centre, a non-hierarchical holistic care approach by health carers emphasizing quality of life over health, informs the young people's perspective on diabetes. Being a free adolescent takes priority over managing diabetes, with the results of ill health and possible future complications. The existing dynamics in this care framework change as a third actor enters the scene: the insulin pump, a pager-sized technological device continuously attached to the body. I explore the balancing act between young people and their pumps. As the adolescents actively engage with their pumps not to search for better health but rather to pursue a better quality of life, the guiding question becomes: how can a technological device for insulin injection double as a tool towards a desired identity and a different illness? This work then, can be read as a concrete case study of how a uniform technological device is embedded and used in a specific cultural and social context. It can also be read as an argument for a re-orientation of paediatric diabetes care in the Scottish centre: care centred on collaboration and inclusion rather than focused on merely containing underlying conflict (between adults and adolescents, diabetes and life, health and quality of life). Centres in Brussels, Gothenburg and Boston, and the insulin pump concretely, show how collaboration can lead to good health and quality of life. To leave us to wonder: is 'doing diabetes differently' synonymous with 'doing a different diabetes'?

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Jaars, Cleopatra. "HIV knowledge and sexual risk behaviour of grade 12 learners in the Cape Metropole, Cape Town." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85690.

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Thesis (MCurr)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: The HIV pandemic threatens the social, emotional, and physical development of all persons, especially the youth. Adolescents are more at risk of contracting HIV as their lifestyle often involves sexual exploration and experimentation. Effective educational interventions are central to HIV prevention in South Africa. Being a clinical nurse practitioner in a primary health care (PHC) facility, the principal investigator observed that school learners failed to practice safe sex and demonstrated little knowledge about HIV/AIDS prevention. The aim of the study was to investigate the reported level of HIV knowledge and sexual risk behaviour of grade 12 school learners in the Eastern Sub-District of the Cape Metropole, Cape Town. A descriptive, non-experimental, research design was employed with a primarily quantitative approach. The study population comprised grade 12 learners from high schools in the Eastern Sub-District of the Cape Metropole in Cape Town (N=7940). A total of 92 participants from four schools (2 public and 2 private) were included in the sample by using a cluster sampling method. A self-completion semi-structured questionnaire was used to collect the data. Data was collected by the principal investigator and a trained field worker. Ethical approval was obtained from the Health Research Ethics Committee of the Faculty of Health Sciences, Stellenbosch University (N11/07/225). Permission to conduct the research was obtained from the Department of Education. Reliability and validity were assured by means of a pilot study and the use of experts in the field of nursing research and statistics. Descriptive statistics were used to analyse data. Statistical associations were determined using ANOVA and the Mann-Whitney U tests. The qualitative data was analysed thematically and then quantified. The results show that the average HIV/AIDS knowledge score of participants was 60.73%. However, many gaps in HIV/AIDS knowledge were identified. Only 77.2% (n=71) of participants knew the meaning of HIV, 80.4% (n=74) did not know all the ways in which HIV can be transmitted and only 8.7% (n=8) knew how to safely use a condom. The majority of participants (67.4%; n=62) believed in the myth that HIV can be cured and 18.5% (n=17) reported that a traditional healer can cure HIV. With regard to risky behaviour, half of the participants at the time of the study (51%; n=47) reported sexual engagement and 20% (n=9) of these respondents did not use condoms. Furthermore, 25% (n=23) had used alcohol before having sex. There were no association found between the knowledge about HIV/AIDS of participants and their sexual risk behaviour. In view of these study findings, participants are exposing themselves to high risk sexual behaviour that may increase their chances of acquiring sexually transmitted infections including HIV. Several recommendations were identified, including the strengthening of HIV and STI education linked to sexual risk reduction, open communication and additional information sources, availability of condoms at schools and improved access to HIV testing at schools.
AFRIKAANSE OPSOMMING: Die jeug se sosiale, emosionele en fisiese ontwikkeling word deur die MIV-pandemie gekortwiek. As gevolg van hulle seksuele eksperimentering, word adolessente as ŉ hoë risikogroep beskou, sover dit die ontwikkeling van MIV aangaan. Gevolglik speel onderrig ŉ belangrike rol in MIV voorkoming. Die beoefening van onveilige seks, en onvoldoende kennis rakende MIV/VIGS-voorkoming, is deur die primêre navorser, ŉ kliniese verpleegpraktisyn in die primêre gesondheidsorg omgewing, waargeneem. Die studie het dit ten doel om te bepaal wat die MIV-kennis vlakke, en die seksuele gedrag risiko van Graad 12 leerders in die Oostelike sub-distrik van die Kaapstadse Metropool is. ŉ Beskrywende, nie-eksperimentele navorsingsontwerp is gebruik, met ŉ hoofsaaklike kwantitatiewe benadering. Uit die studie populasie van Graad 12 leerders in die Oostelike sub-distrik van die Kaapstadse Metropool hoërskole (N=7940), is ŉ steekproef van 92 deelnemers uit vier hoërskole (twee staatskole en twee privaatskole) gekies – die trossteekproefnemingsmetode is gebruik. Data is versamel deur middel van ŉ semi-gestruktureerde vraelys wat deur die deelnemers self voltooi is. Toestemming vir die uitvoer van die studie is verkry van die Etiese Komitee van die Mediese Fakulteit van die Universiteit van Stellenbosch (N11/07/225), asook die Wes-Kaapse Departement van Onderwys. Die betroubaarheid en geldigheid van die studie is verseker deur die uitvoer van ŉ voorstudie, en is verder versterk deur gebruik te maak van kundiges in die veld van statistiek en verpleegnavorsing. Data is ontleed deur middel van beskrywende statistiese metodes en assosiasies is bepaal deur gebruik te maak van variansie-analise (“ANOVA”) en Mann-Whitney U toetse. Die bevindinge is in frekwensie tabelle en histogramme vervat. Die kwalitatiewe data is gekodeer en gekategoriseer, waarna temas geïdentifiseer is. Alhoewel die studie-bevindinge aangedui het dat die deelnemers ŉ gemiddelde MIV/VIGS-kennis telling van 60.73% behaal het, is verskeie leemtes in hulle bestaande kennis geïdentifiseer. Slegs 77.2% (n=71) van die deelnemers het geweet wat MIV beteken, terwyl 80.4% (n=74) nie geweet het hoe MIV oorgedra word nie. Slegs 8.7% (n=8) van die deelnemers het kennis gehad rakende veilige kondoom gebruik. Die meerderheid van die deelnemers (67.4%; n=62) glo dat MIV genees kan word en 18.5% (n=17) het aangedui dat MIV deur ŉ tradisionele geneesheer genees kan word. Hoë-risiko gedrag, spesifiek seksuele aktiwiteit (51%; n=47%) sonder kondome (20%; n=9) is rapporteer. ŉ Verdere 25% (n=23) van die deelnemers het rapporteer dat hulle alkohol gebruik voor seks, maar daar was geen assosiasie tussen die vlak van MIV/VIGS-kennis en hoë-risiko gedrag nie. Die bevindinge dui daarop dat die deelnemers hulself blootstel aan hoë-risiko seksuele gedrag met die gevolg dat hul kans om MIV te kry verhoog. Die aanbevelings, gegrond op die bevindinge, sluit in: ŉ groter fokus op onderrig wat verband hou met MIV en seksueel oordraagbare infeksies wat gekoppel is aan ŉ verlaging in hoe-risiko seksuele gedrag, openhartige kommunikasie en bykomende inligtingshulpbronne, beskikbaarheid van kondome by skole, asook verbeterde toegang tot MIV toetsing by skole.

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Iraka, Timothy Atwine. "An analysis of HIV/AIDS policy development and implimentation at two Ugandan Universities." Diss., 2011. http://hdl.handle.net/10500/4968.

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Title on printed copy differs slightly from ETD. Title on printed copy: A critical analysis of HIV/AIDS policy development and implementation at selected Ugandan universities
The main objectives of the study were to analyse the process involved in HIV/AIDS policy development and implementation at two selected universities in Uganda. The rationale for the study was to describe the policy development process and to identify how such institutional policies can be planned, operationalised, monitored and evaluated. The study used a qualitative approach which involved key informant interviews and focus group discussions. The selected institutions were Makerere University Kampala (MUK)and Mbarara University of Science and Technology (MUST). The findings show that MUST have a comprehensive HIV/AIDS Institutional Policy (HIP) which followed several stages during policy development. The basic stages identified were policy formulation, policy adoption, policy implementation and policy evaluation. The findings also show that MUST have a comprehensive implementation plan. In contrast, MUK had no record of the HIV/AIDS institutional policy development process. However, MUK had implemented the policy successfully through the University Hospital and Gender Mainstreaming Division.
Social Work
M.A. (Social Behaviour Studies in HIV/AIDS)

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Elliot, Elizabeth Linda. "Youth as researchers : co-creating sexual health education." 2005. http://hdl.handle.net/1828/673.

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Alli, Farzana. "Comprehensive sexual and reproductive health care services for youth : a health sector priority." Thesis, 2011. http://hdl.handle.net/10413/8639.

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Sexual and reproductive health care have become key priorities both within developing and developed nations. Young people have been identified as particularly vulnerable to negative health outcomes. South Africa is one such example of a country that presently faces significant challenges in addressing the unmet sexual and reproductive health needs of young people. With the enormous burden of reproductive health problems and the accelerating HIV epidemic, the provision of sexual and reproductive health services remains a challenge. Though various studies highlight the importance of comprehensive services targeted at youth, there is a lack of adequate research in evaluating the extent to which health services are addressing the health needs of clients. This study aimed to address this gap by examining a health care facility for students at one of the largest tertiary institutions in KwaZulu-Natal. The core objective was to determine the extent to which the health services are responding to the sexual and reproductive needs of young people by, exploring the experiences and perspectives of service providers and young men and women in relation to comprehensive, youth-friendly sexual and reproductive health care. This was assessed using a revised version of the Bruce-Jain quality of care framework. Information for this study was obtained using quantitative and qualitative data collection methods including: an inventory of the facility and services, in-depth interviews with staff and exit interviews with 200 clients aged 18 to 24 years. The findings of the study reveal that logistical constraints hindered effective implementation of comprehensive, youth-friendly services by providers. Providers missed opportunities to provide clients with much needed information and services due to staff shortage, client overload, lack of infrastructure, and poor continuity mechanisms. HIV, STIs and unwanted pregnancies were some of the most important health issues among young people visiting the health facility. Very few young men utilised the services. Some of the key findings were that clients continue to experience barriers in interpersonal relations while many expressed the need for more information from providers. In addition, many young women still have an unmet need for contraception. Policy makers need to incorporate the needs of young clients within sexual and reproductive health initiatives. Ideally young people should be involved in the design and implementation process of comprehensive, youth-friendly health initiatives. This would form a platform for addressing the barriers that hinder health service provision.
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.

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Herling, Allison M. "The pursuit of bright futures : delayed sexual debut, declining HIV prevalence, and the social construction of sexual attitudes, values, and norms among adolescents in Uganda." Thesis, 2004. http://hdl.handle.net/1957/29711.

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Uganda has experienced the largest decline of HIV prevalence of any country in the world, from a peak of 15% in 1991 to 5% today. In cooperation with community-based and faith-based organizations, the Ugandan government has pursued an AIDS prevention strategy centered on urging people to Abstain from sex, Be faithful to one partner, or use Condoms (the so-called ABC model). It is believed that the large drop in AIDS prevalence has been due to behavior change, especially reduction of number of sexual partners among adults and abstinence and delayed sexual debut among youth. The purpose of this study was to conduct a qualitative investigation of Ugandan adolescent's attitudes and values towards relationships and sexuality, and the ways in which their social environment sends messages and creates perceived norms which shape sexual behavior, especially the behavior of abstinence. Focus groups were conducted with youth between the ages of 13 and 16 years in the districts of Soroti and Masaka. Youth discussed reasons for having relationships, both platonic and sexual; the benefits and risks of relationships; the proper age for boys and girls to initiate sexual relationships; messages they have received regarding sexuality and perceptions of family, peer, and community norms; and values regarding ideal sexual behavior. Youth expressed that the right age to begin having sex is 18 years and above, so that sex does not interfere with education and cause other adverse consequences such as early pregnancy, family strife, and infection with HIV/AIDS.
Graduation date: 2005

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Matshediso, Ellah. "The facilitation of youth friendliness in a Youth Activity Centre (YAC) in Botswana." Thesis, 2008. http://hdl.handle.net/10500/2968.

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The concept of youth activity centre (YAC) has not yet been evaluated. The purpose of this study was to evaluate the YAC in Botswana. Accordingly, the researcher explored and described the lived experience of young people utilising the YAC as well as the perceptions of service providers at the Mochudi Centre in the Kgatleng District, in Botswana. Furthermore, the objective was to develop and describe guidelines for the facilitation of youth-friendly services (YFS) at YAC. A phenomenological, qualitative, explorative, descriptive and contextual research design was used to extract young people’s experiences and perceptions of service providers. Thirty-two young people and 27 service providers (peer educators and service delivery officers [SDOs]) were purposefully selected. Methods of data collection used were unstructured individual in-depth interviews, focus group discussions and observations in the forms of field notes. The data, mainly tape-recorded interviews and field notes were transcribed verbatim for data analysis. Tesch’s eight-step data analysis model (Creswell 1994:155) was used. One major theme, youth friendliness emerged with three categories, namely: physical, administrative, and psychological aspects of youth-friendly services. All the respondents indicated that they benefited and affirmed they were empowered and better people after using the facility. However, limited access to the facility by the target group due to location, cost of reaching the facility, and attitudes of service providers as well as failure to implement planned activities due to financial and staff shortage were obstacles to youth friendliness of the YAC. Based on the findings and literature review, the researcher developed guidelines to facilitate YFS and improved access to the YAC. Recommendations made are for practise in the YAC, education of SDOs and for further research.
Health Studies
D. Litt. et Phil. (Health Studies)

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37

Ajok, Florence Odong Pinny. "Exploring community support of adolescent's sexual reproductive health in the Acholi sub-region, Uganda." Thesis, 2017. http://hdl.handle.net/10500/23155.

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The study explored the community role in support of adolescents’ sexual reproductive health (ASRH) in Acholi sub-region, which was affected by over two decades of LRA war. The study aimed at establishing the impact of the war on Acholi socio-cultural norms of adolescents’ socialisation on sexual matters by exploring the effects of the war, mass media and the modern education system on the socio-cultural norms of socialisation and compared with the current modes of promoting sexual education among adolescents as mandated by the national adolescent health policy; the study then assessed the community responsiveness to ASRH needs. Based on the findings, community strategy for enhancing community response to adolescent health was developed. Exploratory, descriptive and case study methodology was used to execute a three- phased concurrent study with five sub-studies. Data were collected from selected participants and respondents including teen mothers, guardians, midwives, parents, adolescents, local, cultural and religious leaders as well as policy makers, technocrats and implementers at the community and district levels. The study was implemented in Gulu, Kitgum and Pader districts of Northern UgandaThe study results found that the LRA war greatly impacted on the Acholi tradition of socialising children; the war destroyed the socio-cultural, economic and family protection structures. The teen mothers’ case study vividly documented the stories. Confounded by the influence of mass media and modern education system, the Acholi community is experiencing what the study called ‘intergenerational cultural shock’ in which the old and young generations are shocked and amazed with the cultural difference. community responsiveness to adolescent health needs, amidst the societal changing contexts and emerging new youth cultures, the study proposes a community model and a strategy to promote community participation in ASRH but with many implications to policy, programs, and further research as detailed under the recommendations..
Health Studies
D. Litt. et Phil. (Health Studies)

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38

Roman, Mike T. "I-Kiribati youth perceptions of HIV/AIDS and related risk behaviors." Thesis, 2005. http://hdl.handle.net/1957/28992.

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The Republic of Kiribati is one of the last countries to face the HIV/AIDS epidemic in the Pacific. First appearing in the region in 1982, HIV/AIDS was recognized as a national concern during the late 90s. Partnering with the National AIDS Committee, research was conducted using qualitative and quantitative methods which included focus groups, surveys, personal interviews and quasi experiments. These methods were used to explore population and individual perceptions and behaviors related to HIV/AIDS. Once perceptions and behaviors were understood, HIV/AIDS was placed in a broader historical and social context. Placing the illness in these contexts, I examined how history and social environments influenced the spread of the virus. Focusing on youth, research exposed complex social structures which produced opportunities for varying levels of stigma, economic development, migration, education and modernity, all contributing to a systematic promotion and prevention of the spread of HI V/AIDS. Conclusions showed that gender roles, modernity, educational and economic opportunity, overpopulation, religious beliefs and limited resources contributed to greater amounts of high risk behaviors taken by individuals. Conversely, gender roles, religious beliefs, and modernity also assisted in the prevention of transmission.
Graduation date: 2006

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39

Shumba, Constance Sibongile. "Experiences of intimate partner violence and the health needs of women living in urban slums in Kampala, Uganda." Thesis, 2015. http://hdl.handle.net/10500/20216.

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Intimate Partner Violence (IPV) is a major problem among women of child-bearing age in Uganda. This study explored the IPV experiences of women living in urban slums and their health needs in order to assist in developing strategies to prevent and respond to IPV. This was a cross-sectional explanatory study using a mixed methods approach among women aged 20-45 years in Kabalagala slums, Kampala, Uganda. The quantitative survey data was collected using a structured questionnaire while qualitative data was collected using in-depth interviews. Quantitative data were collected from a random sample of 372 women and qualitative data from a purposive sample of 48 women with IPV experiences. The quantitative data was analysed using STATA (version 11), and the qualitative data was coded and analysed manually into thematic content. The study revealed a high overall lifetime prevalence of IPV. The different IPV forms prevalent in the study population included psychological (99.7%), economic (93%), physical (92%) and sexual (88%). Physical violence in the last one year was 91%. The qualitative findings revealed the manifestations of IPV in this context. Furthermore, the physical and psychological health impacts of IPV included but were not limited to injuries; chronic pain and complications; HIV infection; low self-esteem; stress and fear of death, and loss of relationships. The researcher proposed three strategies to prevent and respond to IPV, namely implementing economic empowerment and poverty reduction programmes for women; strengthening the legal and justice system to respond appropriately to the problem of IPV, and improving the social and institutional support including training of health workers to prevent and respond to IPV. The proposed regulation of substance and alcohol use would also contribute to reducing IPV prevalence and scaling-up the response.
Health Studies
D. Litt. et Phil. (Health Studies)

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Banana, Catrine. "An investigation into the risk behaviour regarding HIV transmission among youth in Bulawayo." Diss., 2007. http://hdl.handle.net/10500/2342.

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The study sought to explore and describe the risk behaviour regarding HIV transmission among youth in Bulawayo, their knowledge of HIV transmission and the sources of information on HIV transmission accessible to them. A quantitative, descriptive exploratory design was used and 238 youth from three secondary schools in Bulawayo, the second largest city in Zimbabwe were the respondents. The Health Belief Model (HBM) was used to facilitate and acquire insight into the risk behaviour among the youth. The inferences drawn from the study were that youth have inadequate knowledge about HIV transmission and therefore do not fully understand their risk of infection. Youth also find shyness and fear of rejection serious barriers to communicating openly about sexuality, sexual and HIV/AIDS issues. The findings of the study have implications for programmes to limit HIV transmission among youth and should assist policymakers and educators in developing and implementing such programmes in order to improve the health of youth in Zimbabwe.
Health Studies
M.A. (Health Studies)

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Bbosa, Richard Serunkuma. "Factors that influence pregnant women’s utilisation of anti-malaria services in the Buikwe district of Uganda." Thesis, 2015. http://hdl.handle.net/10500/20713.

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Malaria is endemic throughout Uganda and the leading cause of morbidity and mortality. Malaria causes complications in 80.0% of all pregnancies in Uganda. This study attempted to identify factors that influence pregnant women’s utilisation of anti-malaria services in the Buikwe district of Uganda. These factors were contextualised within the Social Learning Theory’s major concepts. The target populations comprised pregnant women attending antenatal clinics (phase 1) and midwives providing antenatal services (phase 2) at 16 clinics in the Buikwe district of Uganda during the data collection phase of the study. Structured interviews were conducted with a sample of 400 randomly selected pregnant women and with the accessible population of 40 midwives. Pregnant women, who had progressed beyond primary school level education, were more likely to take intermittent preventive treatment (IPT) drugs and to use long lasting insecticide treated nets (LLINs) to prevent malaria. Pregnant women were more likely to implement malaria-preventive actions if they lived within five kilometres of clinics, were satisfied with available health services, were knowledgeable about the malaria preventive measures and had used IPT during previous pregnancies. Pregnant women who implemented one malaria-preventive action were likely to implement other actions as well (Pearson’s correlation coefficient was 0.65; p<0.05). Midwives’ provision of malaria-preventive services to pregnant women were influenced by the availability of IPT drugs, accessibility of safe drinking water, frequency of giving health education to pregnant women, cooperation with village health teams, malaria-related in-service training, midwives’ education level and experience. Although 97.9% of the pregnant women had taken IPT and 84.2% of those who had received LLINs, utilised these nets, malaria prevention during pregnancy could be improved. All pregnant women should attend antenatal clinics at least four times during each pregnancy, commencing during the first trimester of pregnancy to receive adequate health education and prenatal services, including IPT and LLINs. All midwives should receive malaria-related in-service training. Regular audits of midwives’ records should identify and address strengths and weaknesses related to the prevention and management of malaria during pregnancy. Such actions could enhance the prevention and management of malaria, estimated to affect 80% of pregnant women in Uganda.
Health Studies
D. Litt. et Phil. (Health Studies)

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"The effect of parental hypertension on cardiovascular reactivity and anxiety amongst black youth." Thesis, 2012. http://hdl.handle.net/10210/5487.

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M.A.
Because of the high incidence of hypertension amongst South African blacks, many hypothesis have been forwarded to account for the relative higher index of hypertension amongst South African blacks when compared to whites. Because of the virtue lack of endemic proportions of hypertension in South African blacks at the beginning of this century, the often - quoted genetic hypothesis that hypertension is genetically determined would seem not to hold for South African situation. However, this was not yet tested as one of the risk factors or precursors to hypertension, namely the higher indices of cardiovascular reactivity had not been compared in the South African group between white and black subjects. This study investigated the hypothesis that the offspring of black hypertensive parents would show greater cardiovascular reactivity than those of black non-hypertensive parents, and also show greater cardiovascular reactivity than the children of white hypertensive parents as well as the children of white non-hypertensive parents. These hypotheses were partially supported. As expected the children of black hypertensives did show greater indices of cardiovascular reactivity when compared to both children of white hypertensives and the children of black non-hypertensives. An interesting finding however, was that the children of white hypertensives had shown greater indices of the psychological construct of state anxiety than the children of black hypertensive and black non-hypertensive subjects. Whereas this study supported the hypothesis that an inherited cardiovascular reactivity would and could account for the greater index of hypertension amongst South African blacks, it is also possible that the non-psychological expression of tension or cardiovascular reactivity in the form of state anxiety could partially account for the results herein obtained.

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Kkonde, Anthony. "Factors that influence pregnant women's choice of delivery site in Mukono district, Uganda." Diss., 2010. http://hdl.handle.net/10500/3601.

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The purpose of this study was to analyse and describe the factors that influence the choice of site of delivery by pregnant women in Mukono district. By employing quantitative, non experimental research methods, 431 women were interviewed by using structured questionnaires. These women had either delivered at; home, TBA, private or public clinic and 72% had been delivered by skilled attendants. Choice of delivery site was influenced by the attitudes of health workers which were rather poor in public sites, proximity of site, attendance of antenatal clinic at a site, availability of supplies and drugs, plus level of care including emergency obstetric care.
Health Studies
M. A. (Public Health)

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Fakudze, Simangele. "Young people's perceptions of access to sexual and reproductive health services in Manzini, Swaziland." Diss., 2018. http://hdl.handle.net/10500/25472.

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The purpose of the study was to explore and describe young people’s perceptions of access to sexual and reproductive health (SRH) services in Swaziland. The study provided insights into the SRH services currently available to the young people of Swaziland and reveals the opportunities that can be used to improve accessibility and utilisation of the current reproductive health services. The findings will inform policy-making and appropriate future interventions for young people’s sexual and reproductive needs and services. Data were collected through a descriptive exploratory study design. Colaizzi’s seven steps of data analysis were used. The study provides ample evidence that young people face sexual health risks that justify their need to access and utilise SRH services. The findings revealed that access to service is an important but complex element of quality care, as it determines whether a client gets to the service provider.
Health Studies
M.A. (Health Studies)

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Mphaya, Joyce Caroline. "Factors that motivate young people aged 14 - 25 years to go for voluntary counseling and testing for HIV in Malawi." Diss., 2006. http://hdl.handle.net/10500/2302.

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The study sought to identify factors motivating young people aged 14-25 years to use voluntary counseling and testing (VCT) for HIV in Malawi by interviewing 145 young people. The study identified barriers affecting and strategies promoting young people's access to VCT. The research results indicate that young people go for VCT mainly to know their HIV status. The availability of VCT services, and the provision of VCT services by peers motivate young people to access VCT. Some young people do not access VCT services due to fears of being found HIV+ve and because of the poor attitudes of the health service providers. Providing more information about VCT, involving young people as VCT providers, using youth friendly health service providers, providing VCT in a separate room for young people and through mobile services will increase young people's access to VCT services in Malawi.
Health Studies
M.A. (Public Health)

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46

Frantz, JosÃ© Merle. "Physical inactivity among high school learners in Belhar -- a public health concern." Thesis, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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For many decades, the World Health Organisation had highlighted the growing importance of chronic non-communicable diseases in developed and developing countries, with an increase in lifestyle-related diseases. Physical inactivity has been identified as one of the risk factors, in addition to other leading risk factors like diet, and the use of tobacco and alcohol, contributing to the occurrence of non-communicable diseases like cardiovascular diseases, cancers, obesity and type 2 diabetes mellitus. Based on the researcher's observations while living in Belhar community for more then ten years, it was hypothesized that the level of physical inactivity among adolescents could become a public health problem in the future if not addressed immediately.

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47

Bennie, Progress Tholakele. "The relationship between perceived parental monitoring and involvement in health related risk-taking behaviours in adolescents in Pietermaritzburg, South Africa." Thesis, 2003. http://hdl.handle.net/10413/3256.

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This study sought to investigate the relationship between perceived parental monitoring and adolescents' engagement in risky behaviour, in Pietermaritzburg, South Africa. A total of 705 adolescents from both township and suburban schools in and around the city of Pietermaritzburg were involved in this study. Data collection took place during April and May of2002. Among the questions the study aimed to answer was whether there would be gender and school grade or age differences with regards to perceived parental monitoring, what the relationship would be between age, gender, perceived parental monitoring, level of religiosity, family structure, family conflict and attitudes towards condom use and, lastly, what the main predictors of engagement in risky behaviour would be. A survey which measured amongst other things, perceived parental monitoring, attitudes towards condom use, level of religiosity and the type of risky behaviours the adolescent might be involved in, was administered to the participants. Results showed perceived parental monitoring to be inversely correlated with involvement in risky behaviours and that, girls and the younger youth, were more monitored than boys and the older youth. Gender, level of religiosity, attitudes towards condom use, and age were identified by regression analysis as the four main predictors of engagement in risky behaviour. Longitudinal studies are needed to determine the long-term relationship between perceived parental monitoring and engagement in risky behaviour.
Thesis (M.Soc.Sc.)-University of Natal, Pietermaritzburg, 2003.
National Research Foundation.

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48

McDonald, Samantha M. "The effects of a S.M.A.R.T. goal setting and self-monitoring intervention on physical activity and fitness in middle school students." Thesis, 2012. http://hdl.handle.net/1957/31582.

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A large body of evidence suggests physical activity is inversely associated with several cardio-metabolic risk factors among children and adolescents. Despite these health benefits, a majority of youth are not meeting the physical activity guidelines set forth by the USDHHS. Schools have been identified as an ideal vehicle for interventions; however, research evidence indicates school-based interventions are not effective at increasing outside of school physical activity. Goal setting may be a potential effective strategy for increasing physical activity among youth; however no previous studies have examined the effects of goal setting on cardiorespiratory fitness and physical activity in middle school students. Therefore, the purpose of this study is to evaluate the effects of a S.M.A.R.T. goal setting and self-monitoring intervention on fitness and physical activity in middle school students. Two middle schools in Tallahassee, FL participated in this study. One school served as the intervention and the other served as a delayed intervention measurement only control. The students in the intervention school completed a one-time S.M.A.R.T. goal setting lesson. During the lesson, students were taught the definition of a goal, the importance of goal setting, and how to set S.M.A.R.T. goals. As part of the lesson, students completed a S.M.A.R.T. goal setting worksheet. The objectives of the worksheet activity were to teach students the concepts of S.M.A.R.T. goal setting and to apply this knowledge by creating personal fitness goals. Student fitness goals were entered into an interactive website that acted as a self-monitoring tool. Before and after the intervention, participating students completed a survey assessing student demographics, physical activity, and physical activity self-efficacy. Cardiorespiratory fitness levels, assessed by the PACER test, were also measured pre and post. Betweengroup differences in post-test scores, adjusted for baseline levels, were assessed for statistical significance using ANCOVA. Additional covariates included gender, race/ethnicity, grade level and weight status. After adjustment for baseline levels, students in the intervention school exhibited significantly higher PACER laps in comparison to the control school ((F[subscript (1,257)] = 58.0) p<0.0001)). The PACER scores in intervention school increased from 40.6 laps to 45.9 laps while the PACER scores in the comparison school decreased. There were no significant between-group differences for physical activity or self-efficacy Although these results require replication in larger studies using a group randomized study design and objective measures of physical activity, the results suggest that teaching students about S.M.A.R.T. goal setting may be a potentially effective strategy for increasing fitness in middle school students and worthy of further investigation
Graduation date: 2013

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49

Ndzombane, Lindelwa. "An investigation of the uptake of voluntary counselling and testing by adolescents aged 15 to 19 at two integrated youth friendly service sites in Gauteng, South Africa." Diss., 2012. http://hdl.handle.net/10500/8050.

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Voluntary Counselling and Testing (VCT) is at the core of HIV and AIDS prevention, treatment and care programmes. Timely access to treatment and related services requires knowledge of one‟s HIV status. Adolescents are at the epicentre of the HIV and AIDS pandemic. This study investigated the factors that influence adolescents‟ decisions to actively seek VCT. Semi-structured, in-depth individual interviews were conducted with twelve adolescents aged 15 to 19 who were conveniently selected to participate in the study. The study found that adolescents have extensive knowledge regarding the benefits of VCT and acknowledge the need to test for HIV. However, fear of the consequences of testing positive for HIV such as stigmatisation by family and the community, inability to influence their partners to take an HIV test and the inability to make their own decisions and follow through on them still hinder their maximum uptake of VCT.
Sociology
M.A. (Social Behaviour Studies in HIV/AIDS

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50

Crowder, Sharron Johnson. "Illness representations and self-management behaviors of African American adolescents with asthma." Thesis, 2013. http://hdl.handle.net/1805/3617.

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Indiana University-Purdue University Indianapolis (IUPUI)
African American adolescents have inadequate self-management behaviors, particularly during middle adolescence (14-16 years of age). Inaccurate beliefs, degree of asthma impairment (well controlled or not well controlled), and gender could influence asthma self-management (symptom management, medication management, and environmental control). The researcher used the illness representations concept from the common sense self-regulation model as the framework for this study. The descriptive correlational study explored (1) differences in illness representations (cognitive and emotional) and self-management behaviors by gender, asthma impairment, and gender by asthma impairment of African American adolescents with asthma; and (2) relationships between illness representations and asthma self-management behaviors, gender, and asthma impairment in 133 African American adolescents with asthma. Data were collected using the Asthma Control Test, the Illness Perceptions Questionnaire-Revised, and the Asthma Self-Care Practice Instrument. Data were analyzed using ANOVA, MANOVA, Pearson correlations, and multiple regressions. Findings indicated that females whose asthma was not well controlled had more beliefs about the chronicity of their asthma than those who were well controlled. However, there were no differences in such beliefs among males whose asthma was not well controlled from those who were well controlled. Well controlled adolescents differed from not well controlled adolescents for cognitive representations of cyclic timeline, treatment control, psychological attributes, and consequences as well as for emotional representations. There were no significant differences in the means of the self-management behaviors by gender, by asthma impairment, or by gender by asthma impairment. A significant bivariate relationship was found between representations of identity, consequences, treatment control, and symptom management. In the multiple regression model, representations of treatment control and consequences contributed to variances in symptom management; however, no other representations, gender, or asthma impairment variables were statistically significant. The representations, gender, and asthma impairment variables did not contribute to variances in medication management or environmental control. Limited studies have been conducted with African American adolescents with asthma; therefore, the findings will contribute information to the literature on their illness representations and self-management behaviors. The findings also contribute to the literature information based on adolescents' genders and levels of asthma impairment.

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Dissertations / Theses on the topic 'Youth – Health and hygiene – Uganda'

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