Dissertations / Theses: 'Youth – Sexual behaviour – Nigeria'

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Abels, Melissa Dione. "Assessing the high-risk behaviour of first year students entering the University of the Western Cape." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4120_1256202100.

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the motivation of this study is to assess the high risk behaviors that contribute to the spread of HIV and AIDS among the youth. The most influential high risk behaviours that contribute to the spread of HIV and AIDS are unprotected sexual intercourse and having more than one sexual partner.The population for this study includes all full time first year students who registered for the first time in 2006 that attended the orientation week. A stratified, sequential random sample was drawn from the students attending the orientation.

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McGeeney, Ester. "What is good sex? : young people, sexual pleasure and sexual health services." Thesis, Open University, 2013. http://oro.open.ac.uk/54704/.

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This thesis investigates young people's understandings and experiences of 'good sex' and sexual pleasure, documenting the resources young people use to make sense of these meanings in the context of their everyday lives and relationships. The study uses a situated approach to explore the methodological possibilities for researching sexual pleasure with a diverse group of young people in one urban location and to examine the ways in which pleasure is embedded, mediated and gendered in young people's sexual cultures. The research is used to contribute to debates about the inclusion of pleasure in sexual health services for young people and make suggestions for future research/practice. Drawing on data from survey, focus group and interview methods the thesis documents the diversity of young people's understandings of 'good sex' and sexual pleasure, suggesting that young people have access to a range of competing discursive and affective frameworks for making distinctions between what counts as 'good' and 'bad' sex. Analyses suggest that sexual meanings and values are contested and contingent on young people's shifting sex and relationship experiences and social locations. Timeliness and reciprocity emerged as key contested areas, shaped by enduring gender arrangements and participants' evolving sexual biographies. The thesis provides a reflexive account of the practice of researching sexual pleasure with young people, reporting on each method to argue that the findings are situated, shaped by interactive and material context. The research documents the benefits of using critical feminist reflexivity to interrogate how researcher/practitioners can create safe spaces for engaging young people in work around sexual pleasure and concludes that possibilities for realising the 'pleasure project' in practice will depend on local, institutional and political context.

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Goldenberg, Shira. "Sexual behaviour and barriers to STI testing among youth in Northeastern BC." Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/534.

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Introduction: Oil/gas communities across Northeastern British Columbia are experiencing rapid in-migration of young, primarily male workers in response to an economic ‘boom’ in the oil/gas sectors. Accompanying the ‘boom’ has been a rise in rates of sexually transmitted infections (STIs) among young people, with Chlamydia rates among youth in the Northeast exceeding the provincial average by 22%. Previous research indicates that socio-cultural and structural determinants of youth sexual behaviour and access to STI testing are important for understanding youth sexual health disparities – and represent key targets for STI prevention efforts. No other research has explored STIs in this rapidly developing, under-resourced context. Therefore, objectives of this thesis were to: (1) Examine how socio-cultural and structural features related to the oil/gas ‘boom’ affect the sexual behaviour of young people in Fort St. John (FSJ), BC; (2) Gather the perspectives of youth and their service providers on the socio-cultural and structural barriers to STI testing in FSJ; (3) Develop recommendations to improve the accessibility of STI testing. Results: Participants identified 4 main ways in which the socio-cultural and structural conditions created by the ‘boom’ affect sexual behaviours, fuelling the spread of STIs in FSJ: mobility of oil/gas workers; binge partying; high levels of disposable income; and gendered power dynamics. As well, 5 key barriers to STI testing among youth were identified: limited opportunities for access; geographic inaccessibility; local social norms; limited information; and negative interactions with providers. Discussion: These data indicate that the conditions fostered by the ‘boom’ in FSJ exacerbate sexual health inequalities among young people. They can be more widely contextualized as an example of the unintended – but not unexpected – health and social implications of a resource-extraction ‘boom’, illustrating the fallacy of ‘development’ as representing uniformly positive ‘progress’. Recommended actions include STI prevention and testing service delivery models that incorporate a locally tailored public awareness campaign, outreach to oil/gas workers, condom distribution, expanded clinic hours and drop-in appointments, specialized training for health care providers, and intersectoral partnerships between public health, non-profit organizations, and industry. An ongoing knowledge translation internship has been undertaken to implement some of these recommendations.

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Botes, Liesel. "'n Ondersoek na die waarde van liggaamsteologie om 'n inklusiewe verstaan van seksualiteit te bevorder tydens adolessensie." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97884.

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Thesis (MTh)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: This study examines the value that body theology can add to an inclusive understanding of sexuality in adolescence. Sexuality was understood differently throughout different periods in time, but even today there is still no real clarity on what is meant by the term sexuality. Sexuality is a difficult term to define and its meaning plays an important role in the way people treat each other. Throughout the different periods the church has largely been either silent about sexuality or considered it a sin. As a result the church would not necessarily be seen as a good resource for advice on sexual matters. Adolescents go through a dramatic period of developing on a physical, cognitive and moral level, which all occur simultaneously, but sexual development is the most prominent. Sexual development prepares adolescents on a physical level to reproduce and to enter into sexual relationships, but cognitive and moral development also takes place; these two processes are supportive for the adolescent to understand and process the sexual development. These developing processes, together with the context in which an adolescent is growing up, has an impact on the type of moral value system compiled by adolescents, which determines how they behave. As already mentioned, the church is not necessarily involved in these discussions, and therefore this study challenges the churches to become involved again by making use of body theology. The research question can be formulated as follows: What contribution can body theology make to promote an inclusive understanding of sexuality during adolescence? To answer the research question, the first objective is discussed in chapter 2, namely to give a historical overview to obtain an understanding of sexuality and see how the understanding of sexuality changed over the different periods, but also to see that there were certain times when the understanding of sexuality was the same. The second objective is discussed in chapter 3, where the focus is on a historical overview of the understanding of the body. This historical overview is discussed to understand that the body often stood in an ambiguous position and dualisms formed part of the understanding of the body, but it also affects a deeper understanding of life. In chapter 4, the third objective is discussed by examining the centrality of sexual development during adolescence to understand the important role that sexual development plays in the adolescent's life, but also to realise that it affects other aspects of life. The fourth objective is discussed in chapter 5, which contains the discussion of body theology to indicate how it can promote an inclusive understanding of sexuality. This chapter also discusses how body theology developed and the importance of the body in body theology. Chapter 6 includes conclusions and recommendations, such as that youth workers and church leaders need to recognise their own understanding of sexuality and the body, but that body theology can promote an inclusive understanding of sexuality if youth workers and church leaders are able to make a theological shift and use body theology as a theological lens.
AFRIKAANSE OPSOMMING: Hierdie studie ondersoek die waarde wat liggaamsteologie tot ŉ inklusiewe verstaan van seksualiteit tydens adolessensie kan byvoeg. Seksualiteit is deur verskillende tydperke verskillend verstaan, maar daar is selfs vandag nog nie werklik uitsluitsel van wat met die term seksualiteit bedoel word nie. Seksualiteit is ŉ moeilike term om te definieer en die verstaan daarvan speel ŉ belangrike rol in die wyse waarop mense mekaar hanteer. Die kerk was grootliks deur die verskillende tydperke óf stil oor seksualiteit óf het dit as ŉ sonde beskou, met die gevolg dat die kerk nie noodwendig as ŉ goeie hulpbron vir raad rakende seksuele sake beskou word nie. Adolessente gaan deur ŉ dramatiese tydperk waar alle ontwikkelingsprosesse, waarvan die seksuele ontwikkeling die prominentste is, gelyktydig plaasvind. Die seksuele ontwikkeling berei adolessente liggaamlik voor om voort te plant en in seksuele verhoudings te tree, maar kognitiewe en morele ontwikkeling vind ook plaas; hierdie twee prosesse is ondersteunend vir die adolessent om die seksuele ontwikkeling te kan verstaan en verwerk. Hierdie ontwikkelingsprosesse, tesame met die konteks waarin ŉ adolessent groot word, het ŉ invloed op die tipe morele waardestelsel wat adolessente saamstel, en wat bepaal hoe hulle optree. Soos reeds genoem, is die kerk nie noodwendig betrokke by hierdie gesprekke nie, en daarom stel hierdie studie voor dat kerke weer betrokke moet raak deur gebruik te maak van liggaamsteologie. Die navorsingsvraag kan soos volg geformuleer word: Watter bydrae kan liggaamsteologie maak tot die bevordering van ŉ inklusiewe verstaan van seksualiteit tydens adolessensie? Om die navorsingsvraag te beantwoord word die eerste doelstelling, om ŉ historiese oorsig oor die verstaan van seksualiteit te kry, om te sien hoe die verstaan van seksualiteit oor verskillende tydperke verander het, maar ook op sekere tye dieselfde verstaan van seksualiteit gehandaaf is, in hoofstuk 2 bespreek. Die tweede doelstelling word in hoofstuk 3 bespreek, waar die fokus op ŉ historiese oorsig van die verstaan van die liggaam val. Die historiese oorsig oor die verstaan van die liggaam word bespreek om ook te verstaan dat die liggaam baie keer in ŉ dubbelsinnige posisie gestaan het en dat dualismes deel gevorm het van die verstaan daarvan, maar dat dit ook verdere verstaan van die lewe beïnvloed het. In hoofstuk 4 word die derde doelstelling bespreek deur die sentrale rol van seksuele ontwikkeling tydens adolessensie te ondersoek om te verstaan watter belangrike rol seksuele ontwikkeling in die adolessent se lewe speel, maar ook dat dit ander aspekte van die lewe beïnvloed. Die vierde doelstelling word bespreek in hoofstuk 5, wat die bespreking van liggaamsteologie bevat om aan te dui hoe dit ŉ inklusiewe verstaan van seksualiteit kan bevorder. In hierdie hoofstuk word daar ook bespreek hoe liggaamsteologie ontstaan het en wat die belangrikheid van die liggaam in liggaamsteologie is. Hoofstuk 6 sluit die studie af met gevolgtrekkings en aanbevelings soos dat jeugwerkers en gemeenteleiers bewus moet word van hulle eie verstaan van seksualiteit en die liggaam, maar ook dat liggaamsteologie ŉ inklusiewe verstaan van seksualiteit kan bevorder, indien jeugwerkers en gemeenteleiers ŉ teologiese skuif maak en liggaamteologie as ŉ teologiese lens gebruik.

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Jonsson, Linda S. "Online Sexual Behaviours Among Swedish Youth : Characteristics, Associations and Consequences." Doctoral thesis, Linköpings universitet, Institutionen för klinisk och experimentell medicin, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-114542.

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Online sexual behaviours refer to sexual activities where the Internet and/or mobile phone are used. The aims of this thesis were to investigate young people and their experiences of different online sexual behaviours with regard to characteristics, associations and consequences, by using data from a representative sample of 3,503 Swedish youth (m= 18.3 years). In addition 16 interviews were made with young women who had sold sex online before the age of 18. Focus in these interviews were in which ways contacts between buyer and seller were established and the motivational factors for selling sex online. In study I (n= 3,288), 20.9% (19.2% boys and 22.3% girls) reported experiences of voluntary online sexual exposure: flashing in webcam/mobile; posted partially undressed pictures or films; masturbated on webcam; had sex on webcam. Multivariate analysis showed a significant association between voluntary online sexual exposure and a number of different forms of harassments online. Neither poorer psychological health nor problematic relations with parents remained significant in the final model predicting voluntary online sexual exposure. In study II (n= 3,432) four online sexual behaviours were studied: meeting a person online for sex online; meeting a person online for sex offline; posted sexual pictures online; selling sex online. These were investigated in relation to socio-demographic factors, psychosocial wellbeing and risk behaviours. Bivariate logistic regressions were followed by multiple logistic regressions. The data suggested that most Swedish youth do not perform any of the assessed online sexual behaviours, but those who did (15.2%) reported a more problematic background, rated their health as poorer, had a more sexualised life and had experienced more sexual or physical abuse. This was especially prevalent among those who had sold sex online. In study III, young women with experiences of selling sex online before the age of 18 were interviewed. The interviews focused on the role Internet and mobile phone play and the methods of contacts and characteristics of the communication between buyer and seller. Two main themes were identified: Internet use - part of daily life for good and bad, depending on mood; Patterns of contacts - innocent/curious, dating, advertising. In the fourth study the interviews with the young women who had sold sex online before the age of 18 were analysed focusing on the women’s perceptions of the reasons why they started, continued and stopped selling sex. Three themes and eight sub-themes were identified in relation to different stages in their lives in the sex trade, each with its own storyline: Entering, adverse life experiences - traumatic events, feeling different and being excluded; Immersion, using the body as a regulating tool - being seen, being touched, being in control, affect regulation and self-harming; Exiting, change or die - living close to death, the process of quitting. In conclusion, the results from this thesis showed that most young people use Internet and mobile phones for non-sexual activities. Sexual behaviours online were associated with a more problematic background and poorer wellbeing. More research, attention and support are needed, especially related to young people selling sex online.

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Kemp, Julia Rachel. "A study of the sexual behaviour and reproductive health of adolescent girls in southeast Nigeria." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490844.

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Kemp, Julia Rachel. "A study of the sexual behaviour and reproductive health of adolescent girls on southeast Nigeria." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367825.

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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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Xoko, Tobeka. "Insights of urban and rural female youth regarding the nature and consequences of sexual risk behaviour." Diss., University of Pretoria, 2016. http://hdl.handle.net/2263/60443.

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Like other developing countries in sub-Saharan Africa, South Africa is faced with the following social welfare issues: teenage pregnancies, high HIV rates, sexually transmitted diseases (STDs), and a high number of abortions. South Africa is dealing with the repercussions of risky sexual behaviour of female youth on a daily basis and these include: youth with STDs, teenage pregnancies, HIV infection, cervical cancer, abortion, and youth selling their bodies for money. All of these can lead to serious health risks. There are psychological and behavioural factors associated with the risk of STDs like Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) (Gebregiorgis, 2000:15). Gebregiorgis reported that understanding sexual risk behaviours is one of the most important issues in preventing the spread of HIV and AIDS. Doing so will result in the design and implementation of health education programmes with the view of preventing these infections, or at least minimising their occurrence (Damtie, 2013:1). Very limited research has been done on this topic in South Africa and Africa. A need for a similar study was recommended in Ethiopia, where it was stated that no published empirical studies were available on factors relating to sexual risk behaviours in rural districts such as the Enemay District, East Gojjam Zone of Ethiopia (Anemaw, 2009:5). Hence, this study will explore and describe factors that may influence female youths to engage in unsafe sexual behaviours. The focus of the study was on the risky sexual behaviour of female youth in rural and urban areas. The goal of the study was to explore and describe the nature and consequences of risky sexual behaviour of female youth in rural and urban areas. The research question of this study was: do female youth in urban and rural areas have insight regarding the nature and consequences of their risky sexual behaviour? A qualitative approach was followed with a case study research design, as the researcher wanted to compare cases in urban and rural areas. The population was school-going females aged between 18 and 20 years in Gauteng province. There were two targeted groups of population. The first one was in Kameeldrift Village, Hammanskraal in Tshwane Municipality, Gauteng province, classified as a rural area. The second population was in Tembisa, Ekurhuleni Municipality, Gauteng province, classified as an urban area. In this study non-probability, purposive sampling was used to generate a sample. The criteria for sampling participants were as follows: ? Female youth between the ages of 18 and 20 years old. ? Female youth who are sexually active, as they request contraceptives at the clinic. ? Female youth who are from Ivory Park in Tembisa and Kameeldrift Village in Hammanskraal, both in Gauteng. Twelve participants, namely six female youth from a rural area and six from an urban area, who were at the above-mentioned clinics to access family planning within the above-mentioned age groups were chosen for the study. Semi-structured interviews were conducted with participants individually. Interviews were voice recorded with the permission of the participants and were transcribed by the researcher. The data was analysed by the researcher and themes and sub-themes were generated. The research findings were presented by providing a profile of the research participants and presenting a thematic analysis of the themes and sub-themes, including literature and verbatim quotes from the transcriptions to support the findings. The themes included the following: Theme 1 Knowledge of female youth regarding reproductive health; Theme 2 Knowledge of preventative measures and prevention of pregnancy; Theme 3 Sexual risk behaviour and exploration of multiple sexual partners or concurrent partners; Theme 4 Consequences of risky sexual behaviour; and Theme 5 Attitudes experienced as a result of consequences of risky sexual behaviour. The conclusions of this study reflect that that a limited understanding of reproductive health is a contributing factor to the sexual risk behaviour displayed by female youths in both rural and urban areas. It was further concluded that fear of dealing with the consequences of risky sexual behaviour does not prevent female youth from early sexual debut. Another conclusion is that early sexual debut is the biggest factor to risky sexual behaviour, as the majority of participants started engaging in sexual activities very early in life while they were not mature enough to negotiate safer sex practices. Recommendations of this study can be used by professionals working with female youth in the health field in order to understand the dynamics involved, such as the biological, psychological, and social influences that result in the sexual behaviour of female youth. These will address the complex issues related to environmental influences that shape risky sexual behaviour of female youth.
Mini Dissertation (MSW)--University of Pretoria, 2016.
Social Work and Criminology
MSW
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Adie, Achinyang O. "Knowledge of and attitudes towards HIV and risky sexual behaviour among adolescent secondary school students in Bekwarra, Nigeria." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3720_1360592074.

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

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Pietersen, Marisa. "Child care workers' management of sexualised behaviour displayed by children in residential child and youth care centres." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/1644.

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Children have been shown to respond differently to the hurt that they suffer at the hands of others. Some of these responses involve internalised behaviours (i.e., repression of feelings, bodily symptoms, etc.); whilst others hurt manifest as externalised behaviours, such as physical attacks on others. These may include sexualised behaviours. The latter is particularly common amongst (but not restricted to) children who have been sexually abused (The American Psychological Association, 2001). For the purposes of this study a distinction is made between developmentally appropriate sexual behaviour and non normative sexualised behaviour which evoke complaints from and discomfort in those involved in the behaviour. The manifestation of these sexualised behaviours is especially pronounced amongst children in institutional care; and hence, it calls for constructive and effective management by the child care workers who are primarily responsible for their safe care and behaviour modification whilst in the institution. This qualitative study – with an exploratory, descriptive and contextual research design – served to explore how the child care workers’ effective management of such behaviours could be enhanced, so that the emotional wellbeing of both the “offender” and the “perpetrator” of this behaviour can be promoted. A non-probability purposive sampling technique was employed to recruit research participants from three different child and youth care centres in Port Elizabeth. A total number of 10 research participants were involved and data was collected up to the point of data saturation. Thematic content analysis was utilised for the analysis of the data and the necessary strategies were employed to enhance the trustworthiness of the data and to meet all the ethical requirements of the study. The main findings alert to the key requirements of Child and Youth Care Workers; it confirms the occurrence of sexualised behaviours; the urgent need for a consistent approach to the management of such behaviours; and for enhanced team work between the helping professionals in the team. The value of the study is embedded in the contributions it can make to practical interventions for children in institutional care, and to the sparse body of knowledge in this area.

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Takatshana, Sinovuyo. "The impact of alcohol on the sexual behaviour of adolescent males in Nkonkobe municipality." Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1005986.

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The study aimed at investigating the impact of alcohol on the sexual behaviour of male adolescents, with the purpose of establishing whether a relationship exists between alcohol use and risky sexual behaviour (i.e. multiple partners, unprotected, and unplanned sex) by adolescent males. Data was collected by means of an anonymous, self-administered questionnaire. The sample consisted of 176 male high school learners, aged between 14 and 25, from one school in the Nkonkobe Municipality, Eastern Cape Province. The Statistical Package for Social Sciences (SPSS) was used to obtain data analyses which included descriptive statistics and cross-tabulation (with specific reference to Chi-square analysis), and all procedures were performed at 0.05 level of significance with 95% Confidence Interval. A relationship between alcohol use and risky sexual behaviour was found to exist. A statistically significant correlation was found in support of the alcohol/risky sex hypothesis. Another significant finding was the increase noted in safer sex practises among adolescents. Finally, the findings were correlated to implications.

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Häggström-Nordin, Elisabet. "Worlds Apart? : Sexual Behaviour, Contraceptive Use, and Pornography Consumption Among Young Women and Men." Doctoral thesis, Uppsala University, Department of Women's and Children's Health, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4779.

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The overall aim of this thesis was to investigate the knowledge of, attitudes toward, and experiences of the emergency contraceptive pill (ECP), sexual behaviour, and pornography consumption among high school students and young people. Data were obtained by questionnaires (studies I, II, and III), and by qualitative in-depth interviews (study IV).

A majority of 16-year old high-school students were aware that ECP existed, and knew where to obtain it. Attitudes toward using ECP were generally positive, but more girls than boys were hesitant as to whether ECP should be available without a prescription. Of those having experienced sexual intercourse, more than one fourth stated that they themselves or their partner had ever used ECP (I).

Almost half of the 16-year old high-school students surveyed (46%) had had sexual intercourse, a number similar in studies conducted 10 and 20 years earlier. Use of contraceptives at first intercourse had increased (to 76%) and use of alcohol had decreased (to 23%). More students in practical rather than theoretical programs smoked, had sexual intercourse at an earlier age, had more partners, and used contraceptives at first intercourse less often (II).

Three out of four 18-year old students had had sexual intercourse, of which almost three quarters reported contraceptive use at first intercourse. Anal intercourse was reported by one sixth, with infrequent condom use. Males who consumed more pornography were more likely than males who consumed less pornography to engage in a variety of sexual activities, as were males with an early age at first sexual intercourse (III).

The core category that emerged in the interviews was “Living with the current sexual norm”, pornography created sexual expectations and demands. The interviewees expressed contradictory feelings towards pornography and felt that sexuality was separated from intimacy. In order to deal with the current sexual norm, participants had different individual handling strategies, including liberal-, normalization-, distance-, feminist- and conservative strategies (IV).

Overall, the studies highlight several differences between genders and between students attending practical- and theoretical study programs in questions concerning ECP, sexual behaviour and pornography. These differences should be addressed while planning for counselling and sex education. We suggest that health- and school personnel discuss how sexuality is portrayed in pornographic material with young people.

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Werner, Åse. ""Klamydia – var har du fått det ifrån?" Om ökningen av klamydia hos ungdomar och unga vuxna samt preventionsstrategier." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26772.

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Klamydia ökar bland ungdomar och unga vuxna i Sverige. Eftersom infektionen ofta är asymptomatisk och kan leda till infertilitet är det viktigt att de som utsatts för smitta testar sig. Även ett ökat utövande av säkrare sex är viktigt för att stoppa utvecklingen. En litteraturstudie har gjorts för att kartlägga preventionsinsatser som görs inom området sexuell hälsa och ta reda på hur ungdomar och unga vuxna ser på sexualitet, sexuellt riskbeteende och säkrare sex. Nio vetenskapliga artiklar användes för att få en bild av ungdomskultur och sexualitet. Frågan om säkrare sex präglas enligt litteraturen av subjektiva riskbedömningar, traditionella könsnormer, uppbyggd tillit, ojämlik kommunikation och förhandling kring kondomanvändning samt skam och rädsla. När preventionsstrategier och handlingsplaner som används i Sverige ställs mot detta syns det att modernisering och konkretisering av befintliga metoder behövs för att möta dagens generation ungdomar.
"Chlamydia – where did you get that?" About the increase of Chlamydia among adolescents and young adults and prevention strategies. Chlamydia is increasing among adolescents and young adults in Sweden. It is important that they who have been exposed to the infection are tested for STI because the disease can be asymptomatic and lead to infertility. An increased practise of safer sex is also important to stop the current development. A literature study has been conducted to survey health promoting efforts made in the sexual health area and to find out how adolescents and young adults perceive sexuality, sexual risk behaviour, and safer sex. Nine scientific articles were used to create an image of youth culture and sexuality. The question of safer sex is, according to the reviewed literature, characterized by subjective risk assessments, traditional gender roles, constructed trust, unequal communication and negotiation about condom use and also shame and fear. When the health promoting strategies and plans of action in Sweden are put against this, it is clear that modernization and concretization of existing methods are needed to meet today’s adolescent generation.

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Zaggi, Hilary Yacham. "Contraceptive knowledge and practices among students in federal polytechnic Kaduna, Nigeria : an exploratory study." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/96083.

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Thesis (MA)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: The Population Reference Bureau (PRB) in 2011 reported a low rate of contraceptive use among Nigerian youths at 29%, despite reported high rates of sexual activity and increased awareness of the existence of contraceptive methods. This exposes the youths to the risk of contracting sexually transmitted infections and the effects associated with unwanted pregnancy. From a social constructionist standpoint, I used a mixed method research design to explore contraceptive knowledge and practices among students (18 to 25 years of age) at the Federal Polytechnic Kaduna. I see students’ attitudes towards contraception as being historically and culturally located and dependent on the prevailing cultural arrangement at that period. I thus distance myself from the position of the Health Belief Model (HBM) by recognising that individuals’ attitudes towards contraception is not only informed by the perceived benefits of contraceptive use but also by certain external social factors which could serve as barriers to the individual’s decision to use contraceptives. I collected data from 187 students out of a sample of 200 who had been systematically selected from the Departments of Mass Communication and Architecture at the polytechnic between August and September 2013. In addition, I conducted fifteen follow-up semi-structured interviews with students and three key informant interviews; two staff at the polytechnic clinic and one private pharmacist close to the polytechnic. Similar to other Nigerian studies among tertiary students, there is a relatively high level of sexual activity as well as high level awareness of contraceptive methods among students; however, they lack sufficient knowledge of how contraceptives function. Contraceptive use among sexually active students was also low either due to negative attitudes towards contraceptives resulting from inadequate or incomplete contraceptive information from friends or due to lack of easy access to contraceptive methods by students, partners’ influence or influences from cultural, including religious, beliefs and practices, thereby making students vulnerable to the risk associated with unprotected sex. There is therefore the need for interventions by relevant stakeholders that will seek to provide adequate information to students and develop in them positive attitudes towards contraceptive use.
AFRIKAANSE OPSOMMING: In 2011 het Nigerië se Bevolkingsverwysingsburo (PRB) ’n lae gebruikskoers van kontrasepsiemiddels (29%) onder Nigeriese jeugdiges gerapporteer, afgesien van die hoë koers van seksuele aktiwiteit en verhoogde bewustheid oor die bestaan van kontrasepsiemetodes. Dit stel jongmense bloot aan die risiko om seksueel-oordraagbare infeksies op te doen, sowel as aan die negatiewe gevolge wat met ongewensde swangerskap gepaard gaan. Vanuit ’n sosiaal-konstruksionistiese standpunt het ek ’n gemengdemetodenavorsingsontwerp gebruik om kennis oor voorbehoedmiddels en gebruike onder studente (18 tot 25 jaar oud) aan die Federal Polytechnic Kaduna (’n politegniese tersiêre instelling) in noordelike Nigerië te ondersoek. Ek beskou studente se ingesteldheid jeens kontrasepsie as histories- en kultuurgefundeerd en onderworpe aan die heersende kulturele reëlings van die tydperk. Ek distansieer my dus van die posisie van die gesondheidoortuigingsmodel (HBM) deur erkenning te gee aan die feit dat individue se ingesteldheid jeens kontrasepsie nie net deur die waargenome voordele van kontrasepsiegebruik ingelig word nie, maar ook deur bepaalde eksterne maatskaplike faktore wat struikelblokke kan skep by ’n individu se besluit om kontrasepsiemiddels te gebruik. Tussen Augustus en September 2013 het ek data van 187 studente uit ’n steekproef van 200, wat stelselmatig in die Departement Massakommunikasie en Argitektuur aan die Politegniese skool gedoen is, versamel. Verder het ek vyftien semigestruktureerde opvolgonderhoude met studente gevoer, asook drie sleutelinformantonderhoude, waaronder twee met personeellede by die Politegniese kliniek en een met ŉ privaat apteker in die omgewing van die Politegniese skool. Soortgelyk aan ander Nigeriese studies onder tersiêre studente het ek gevind dat ofskoon daar ’n relatief hoë seksueleaktiwiteitsvlak, asook ’n hoë bewustheidsvlak van kontrasepsiemetodes onder studente bestaan, die meeste studente onvoldoende ingelig was oor hoe kontrasepsiemiddels regtig werk. Daar is ook gevind dat kontrasepsiegebruik onder seksueel-aktiewe studente weens verskeie faktore redelik laag was, ingesluit negatiewe ingesteldhede oor kontrasepsiemetodes as gevolg van onvoldoende of onvolledige kontrasepsie-inligting (wat hoofsaaklik van vriende bekom is); ’n gebrek aan maklike toegang tot kontrasepsiemetodes; beïnvloeding deur seksmaats; asook invloede vanweë kulturele oortuigings en gebruike, met inbegrip van geloof. Die gevolg is dat studente kwesbaar is vir die risiko’s wat met onbeskermde seks gepaard gaan. Daar bestaan dus ’n behoefte aan intervensies deur die betrokke belanghebbendes wat studente van voldoende inligting sal voorsien en positiewe ingesteldhede oor die gebruik van kontrasepsiemiddels by studente sal kweek.

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Cerqueira-Santos, Elder. "Comportamento sexual e religiosidade : um estudo com jovens brasileiros." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2008. http://hdl.handle.net/10183/13113.

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O objetivo desta pesquisa foi investigar a relação entre comportamentos sexuais de risco e religiosidade entre jovens brasileiros de nível socioeconômico baixo. A pesquisa foi dividida em dois estudos: transversal (em São Paulo, Porto Alegre, Recife e Campo Grande) e longitudinal (em Porto Alegre). Participaram 4078 jovens com idades entre 14 e 24 anos, 46,5% masculino e 53,5% feminino, vivendo em situação de pobreza. Foi utilizado um instrumento auto-aplicável e confidencial de 109 questões. Os dados foram coletados em escolas e ONGs de forma coletiva. Foram desenvolvidas duas escalas, uma medindo religiosidade e outra comportamento de risco sexual (um indice composto por idade da primeira relação sexual, uso de camisinha, uso de métodos contraceptivos, abuso sexual e gravidez). A média de idade dos jovens participantes foi de 16,14 anos (SD=1,83) e não foi encontrada diferença entre moças e rapazes. Os resultados indicam que 97,2% são heterossexuais e 46,8% já tiveram a primeira relação sexual. A média de idade para o debute sexual foi de 14,24 anos (SD=0,60). A média do escore de comportamento de risco sexual foi de 0,60 (SD 0,60) com diferença significativa entre moças e rapazes (t=8,99; p<0,001), com média mais elevada para as moças (0,68 e 0,51). Em termos de religiosidade, a maioria se auto-declarou como católicos (40,8%), seguidos por aqueles que não têm uma religião (24,5%) e protestantes (20,5%). Houve uma diferença significativa para o nível de religiosidade (t=11,47; p<0,001) entre moças e rapazes, a média do índice de religiosidade para eles foi de -0,21 (SD=1,03) e para elas foi de 0,19 (SD=0,94). A amostra foi dividida em três grupos de religiosidade: alta, média e baixa religiosidade. O grupo com alta religiosidade teve o maior indice de comportamento sexual de risco (F=7,82; p<0,001). De seis indicadores de risco sexual, somente a relação sexual foi associada ao nível de religiosidade (participantes mais religiosos tenderam a atrasar a idade da primeira relação sexual). Dados longitudinais revelaram que a experiência sexual tende a diminuir o nível de religiosidade. Os resultados sugerem que, embora a religiosidade seja um fator de proteção atrasando a primeira relação sexual, esta não se mantem como um fator de proteção significativo após o debute sexual.
The aim of this research was to investigate the relationship between sexual risk taking behavior and religiosity among poor youth in Brazil. The research was divided into two studies: cross-sectional (in the cities of São Paulo, Porto Alegre, Recife and Campo Grande) and longitudinal (in Porto Alegre). The research was conducted with 4078 young people, ages 14-24, 46.5 % males and 53.5% females, living in poor social conditions. Data were collected using a confidential self-administered questionnaire with 109 questions. Data collection was conducted in groups at schools and non-governmental organizations (NGOs). Two scales were developed from the data, the first measuring religiosity and the second measuring sexual risk taking behavior (a composite of age of first sexual intercourse, condom use, contraception method, sexual abuse and pregnancy). The mean age was 16.14 years old (SD 1.83) and there is no age difference between males and females. Results indicate that 97.2% were heterosexual and 46,8% have had their first sexual intercourse. The mean age for the sexual debut was 14.24 years old (SD 1.93). The mean score of sexual risk taking behavior was 0.60 (SD 0.60) for the overall sample. A significant difference was found between males and females (t=8.99; p<0,001), showing that the girls have higher scores than the boys (0.68 and 0.51). Concerning religiosity, the majority was catholic (40.8%), followed by people who do not have a religion (24.5%) and protestants (20.5%). There was a significant gender difference for religiosity (t=11.47; p<0.001), the mean for males was -0.21 (SD 1.03) and for females was 0.19 (SD 0.94). The sample was divided into three groups of religiosity: high, medium or low religiosity. The high religiosity group has the highest level of sexual risk taking behavior (F=7.82; p<0.001). Of the six risk-taking indicators, only sexual debut was associated with religiosity (respondents who were more religious tended to delay sexual intercourse). Longitudinal data showed that experiencing sexual intercourse decrease religiosity levels. The findings suggest that, although religiosity plays a protective role delaying sexual debut, this is not a predictive variable for sexual risk taking behavior among poor young people in Brazil, once they are not abstinent.

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Iliyasu, Zubairu. "Sexual and reproductive behaviour of HIV-positive men and the response of the health care service : a mixed methods study in Kano, northern Nigeria." Thesis, University of Sheffield, 2016. http://etheses.whiterose.ac.uk/18676/.

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Background: HIV/AIDS remains a major public health challenge in sub-Saharan Africa. Despite their important role in the spread of HIV, the impact of a HIV-positive diagnosis and treatment on the sexual and reproductive behaviour of heterosexual Nigerian men is under-researched. Aim: To determine the sexual and reproductive behaviour of HIV-positive men in Kano, Nigeria in the era of antiretroviral therapy and the health care service response. Methods: A sequential, explanatory mixed methods design was used. First, a quantitative study collected and analyzed survey data on a clinic-based sample of HIV-positive men (n=270) and matched controls (n=270). This was followed by in-depth interviews with a sub-sample of survey participants (n=22) and health workers/health managers (n=5). Findings: Compared to controls, a greater proportion of HIV-positive men were sexually active (91.9% vs. 82.2%, P < 0.05). However, they had reduced coital frequency, out of fear of transmission, psychological effect, energy expenditure and perceived nutrient loss. Post-diagnosis consistent condom use was higher compared to controls (18.9% vs. 13.0%, P < 0.05). Lack of interest, reduced pleasure, partner’s refusal and desire to conceive were the reasons for low condom use. A smaller proportion of HIV-positive men desired more children than controls (79.3% vs. 91.1%, P < 0.05) and intent to have a child within three years (57.0% vs. 67.0%, P < 0.05). Being married and employed significantly predicted sexual activity among HIV-positive men. Also, marital status, religion and spousal HIV status predicted risky sexual behaviour while fertility intention was predicted by marital status and duration, religion, employment and existing children. Late diagnosis, inadequate health worker safe conception skills were evident. Conclusions: The majority of HIV-positive men were sexually active and desired to have children, but the health care service response was inadequate. The findings highlight the need for improved reproductive health education and services to reduce risky behaviour and promote safe conception.

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Dareng, Eileen Onyeche. "Human papillomavirus infections and human papillomavirus associated diseases in Nigeria : distribution, determinants and control." Thesis, University of Cambridge, 2018. https://www.repository.cam.ac.uk/handle/1810/284551.

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Background: Persistent infection with high risk HPV is a necessary but insufficient cause of cervical cancer. Behavioural, viral and host factors modulate the risk of HPV persistence. In this thesis, I explore the role of the vaginal microbiota, a host factor and the presence of multiple HPV infections, a viral factor in HPV persistence. Considering the limited data on the epidemiology of HPV related diseases in low and middle-countries (LMIC), and the limited success of cervical cancer screening strategies in many LMIC, I provide data on the distribution of HPV related diseases in Nigeria and evaluate the acceptability of innovative strategies to increase cervical cancer screening uptake. Methods/Results: To achieve my aims, I implemented a longitudinal cohort study of 1,020 women in Nigeria. I begin my results chapters with two methodological papers. Attrition is an important consideration for every longitudinal cohort, particularly in LMIC, therefore, I present my findings on attrition, determinants of attrition and practical strategies to ensure low attrition in studies conducted in LMIC. Considering that sexual behaviour is an important potential confounder in all HPV studies, and the reliability of self-reported history is often questioned, I present findings on the test-retest reliability of self-reported sexual behaviour history collected in my study. Having found that attrition levels were low and that self-reported sexual behaviour history was generally reliable within my cohort, I present my findings on the association between the vaginal microbiota and persistent hrHPV; and the role of multiple HPV infections in viral persistence. I found that the vaginal microbiota was associated with persistent hrHPV in HIV negative women, but not in HIV positive women; and that multiple HPV infections did not increase the risk of viral persistence when compared to single HPV infections. Next, I present my findings on the prevalence and incidence of anogenital warts in Nigeria, with additional reports on the prevalence of cervical cancer and other HPV associated cancers using data from two population based cancer registries. Finally, I present my findings on the acceptability of innovative strategies to improve cervical cancer screening uptake in Nigeria. I found that Nigerian women had a favorable attitude to the use of HPV DNA based screening as part of routine antenatal care, however attitudes towards the use of self-sampling techniques for HPV based cervical cancer screening varied by religious affiliations. Conclusion: In my thesis, I was able to systematically investigate the epidemiology of HPV infections in a LMIC. I considered the distribution of HPV related diseases, host and viral determinants of HPV persistence and investigated control strategies to reduce the burden of cervical cancer in a LMIC. My results provide useful data for surveillance, monitoring and evaluation of control programs on HPV and cervical cancer in Nigeria and may be useful to cervical cancer control programs in other LMIC.

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Onyedinachi, Okezie Enyinnaya. "The relationship between knowledge of HIV/AIDS and sexual behaviour among care workers (HCWs) in General Hospital Ogoja." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17838.

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Thesis (MPhil)--Stellenbosch University, 2011.
ENGLISH ABSTRACT: Nigeria has the second highest disease burden of HIV/AIDS in sub Saharan Africa after South Africa with adult HIV prevalence of 4.1%, with an estimated 3,130 million people living with HIV (Male-1,320,000: Female-1,820,000-2010) (FMOH, 2010). The HIV epidemic in Cross River state is 7.1% in 2010; and ranks as the 9th highest in the country. General Hospital Ogoja is one of the secondary level hospitals in Cross River State of Nigeria that offers Comprehensive HIV/AIDS services. Although the prevalence of HIV is very high in Cross River state (7%) that of General Hospital is not readily known. The uptake of HIV Counseling and Testing (HCT) among health care workers is relatively low, despite the fact that the awareness of HIV and AIDS in Nigeria by adult population is said to be generally very high (93.8%).The use of condom in the last sex act was low (16%) despite the fact that sexual transmission is the predominant mode of HIV spread in Nigeria (NARHS 2007) To determine whether the knowledge health care workers in GH Ogoja have about HIV/AIDS affect their sexual behaviour; a quantitative approach of research design was used through a questionnaire A total of one hundred and thirty questionnaires were distributed and all were returned. There were few abstentions on some of the questions possibly due to its private nature but generally the overall responses were devoid of inconsistencies and the response rate was well over 98%. The findings from the study showed that greater that 90% of the respondents are quite knowledgeable with the cause of HIV, modes of transmission and prevention of HIV. While the respondents exhibit a high knowledge with respect to modes of transmission through sexual intercourse(96.8%); their knowledge with respect to safer sex practices with use of condom in penetrative sex calls for further review. It would be expected that 100% of all respondent will be fully abreast with information on the modes of transmission of HIV and its prevention. Condom use in stable relationship connotes different meanings to the respondents. While 109(85.2%) of the 128 respondents agreed to the use of condom among couples when the status of one of their partner is unknown. The response to the question on whether the use of condom affects sexual relationship portrays an interesting finding. 71(55.4%) of the total respondents disagreed with the fact that condom use affect sexual relationship while 42(32.8%) respondents agreed. It may not be out of place to assume that a lot of HCWs may not be condomizing effectively based on the impression that condom use during sex affect sexual relationship. Health care workers live and interact freely with other members of the society and are potential bridging group for disseminating HIV into the larger population. The finding from GH Ogoja portrays the fact that though the knowledge of HIV among them is very high their full application of the knowledge with respect to sexual behavioural change is still doubtful. A more qualitative study like focus group discussion will assist in unraveling this observation.
AFRIKAANSE OPSOMMING: Nigerië het die tweede grootste voorkoms van MIV in Afrika suid van die Sahara. ‘n Beraamde 3,130 miljoen mense leef na beraming met MIV en die voorkoms in die Cross River Staat van die land was 7.1% in 2010; die negende grootste voorkoms in die land. Die doel van die studie was die bepalin van die kennisvlakke van werkers in die Algemene Hospitaal van Ogoda en ‘n kwantitatiewe benadering en navorsingsontwerp is vir die studie gebruik. ‘n Totaal van 130 vraelyste is geadministreer en ongeveer 90% s terug ontvang. Bevindings van die studie het aangetoon dat meer as 90% van die respondente ‘n bevredigende kennis van MIV het en dat hulle ook goed ingelig is oor die wyses waarop die epidemie versprei word en die metodes waarvolgens verspreiding van die epidemie beperk kan word. Die data van die studie word verder ontleed en meer spesifiekebevindings word gerapporteer. Aabeveling vir die beter opleiding van werkers by die Ogoda Hospitaal word gemaak en voorstelle vir verdere studies word ook gemaak.

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Ningpuanyeh, Wilson Chialepeh. "Determinants of youth sexual behaviours and knowledge of reproductive tract infections (RTIs) and sexually transmitted infections (STIs) in Malawi : evidenced from the Demographic Health Survey 2010." University of the Western Cape, 2015. http://hdl.handle.net/11394/4759.

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Philosophiae Doctor - PhD
The sexual behaviour of youths is believed to play a role in the spread of SexuallyTransmitted Infections (STIs) and Reproductive Tract Infections (RTIs). This study examinesthe determinants of youth sexual behaviours and knowledge of reproductive tract infections (RTIs) and sexually transmitted infections (STIs) in Malawi. It explores rural/urbandifferentials in sexual behaviours using indicators such as early sexual initiation, multiplesexual partnerships, and non-use of condoms, in order to establish policy recommendationstoward improving sexual behaviour among youths. The Malawi Demographic Health Survey2010 data was used. Out of a sample of 2987 males and 9559 females aged 15-24 years,5652 females and 1405 males (condom use), 675 females and 511 males (inconsistentcondom use), 6470 females and 2026 males (multiple sexual partnerships (MSP)), and 15217females and 1405 males (early sexual debut) were filtered in the study.Chi-square and logistic regression techniques were performed to test for association betweensexual behaviour indicators and socio-demographic variables. The prevalence of non-use ofcondom was higher among catholic females (OR=1.11), lower among Muslim males (OR=0.81) and higher among CCAP females (OR=1.19). Muslim females were (OR=1.42) more likely to initiate sexual activities early, while Muslim males were (OR= 0.57) less likelyto initiate sexually activities early. Females in the central region (OR=1.51) and catholicmales (OR=1.63) were more likely to have more sexual partners.Encouraging these young people to be faithful to one uninfected partner, abstinence fromsexual activities, use condoms consistently and delay sexual initiation will help curb the spread of STIs in Malawi.

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Tsik, Chung-hong Joseph. "A study of the sexual knowledge, attitudes and behaviour of the Hong Kong high school students : implications for teaching young people about sexuality /." Hong Kong : University of Hong Kong, 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13991590.

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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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Aderemi, Toyin Janet. "HIV/AIDS knowledge, attitudes and sexual practices among intellectually impaired and mainstream learners in selected schools in Oyo state, Nigeria." Thesis, 2011. http://hdl.handle.net/10413/5863.

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In the absence of a cure and/or vaccine, the best approach to HIV is to focus on prevention. However, preventative measures that are presently available in Nigeria do not target persons with intellectual disability despite their vulnerability to HIV infection. This study sought to compare the HIV knowledge, attitudes, and sexual practices of mildly/moderately intellectually impaired learners (IIL) and mainstream learners (ML) in Nigeria; to explore the contextual factors informing these, as well as both groups‗ exposure to HIV education. It also tested the relevance of the I-Change Model in predicting sexual abstinence among learners with intellectual disability. Findings can assist in developing tailored HIV prevention education for Nigerian learners with intellectual impairment. This cross-sectional, comparative study utilised mixed methods to investigate HIV knowledge, attitudes, and sexual practices among mildly/moderately IIL and ML in Nigeria. Mildly/moderately IIL (300) and ML (300) within the age range of 12-19 years in special and regular schools completed a questionnaire based on the I-Change Model. Focus group discussions and in-depth interviews were used with learners to explore contextual factors informing their HIV knowledge, risk perception, sexual behaviours and access to HIV education and services. Key informant interviews were used as independent sources of the same information with their teachers. Learners with intellectual impairment were less aware of HIV/AIDS than their non-disabled peers (p < 0.001), had lower HIV knowledge scores (p < 0.001) and lower HIV risk perception scores (p < 0.001). Sexual experience was reported by 79 (26.3%) of the IIL sample compared to 48 (16.0%) of the ML sample (p = 0.002). Girls with intellectual disability were 3.71 times more likely to report a history of sexual abuse than non-disabled girls (p = 0.041). Inconsistent condom use with casual partners (p < 0.001) and non-use of condoms during the last sexual activity (p < 0.001) was higher in IIL. The I-Change Model was most effective in predicting sexual abstinence among IIL, particularly regarding factors related to motivation and intention. Intellectually impaired learners were more vulnerable to HIV infection due to neglect, poverty, sexual abuse/exploitation, stigmatisation, pressure from non-disabled peers, denial of HIV education, and inaccessible HIV-related services. Teachers only provided them with sexuality and HIV education when sexual activity was suspected and/or from age 18. The content of such education comprised mainly warnings, misinformation and corporal punishment to instil fear and desexualise them. Thus, this group of learners was limited in the way they experienced and expressed their sexuality. Unlike with their non-disabled peers, teachers attributed sexual activity among IIL solely to natural urges without emotional involvement. Contrary to teachers‘ opinions, some IIL were involved in symbiotic, loving relationships with their II peers. In addition, those that were not yet in such relationships expressed the desire to find non-discriminatory partners in the future. They explored their sexuality through intimate relationships, sexual intercourse, peeping at the opposite sex, pornography, and masturbation. Condoms were less available to IIL than ML, and they lacked the self-efficacy to use them. They were also less available to II girls than II boys. Female learners with intellectual impairment often had older sexual partners due to sexual abuse/exploitation, unlike their non-disabled peers, who embarked on such relationships for financial/material gains. The findings of this study indicated that IIL were sexual beings, just like their non-disabled peers, and at higher risk of HIV infection than the latter. Stigma and discrimination are the root causes of all the disadvantages/barriers that IIL experience in accessing HIV information, education and related services. Therefore, there is the need to put stigma reduction strategies in HIV response to safeguard the health of IIL. In addition, there is a need for the development of a gender-sensitive, tailored sexuality and HIV/AIDS educational format for learners with intellectual disability in Nigeria.
Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2011.

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Jimoh, Morayo Ayopo. "Exploring Nigerian adolescent students perceptions of HIV/AIDS and their attitudes to prevention methods : a psycho of educational perspective." Thesis, 2009. http://hdl.handle.net/10500/3037.

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The quantitative study focuses on the perceptions of Nigerian adolescent students to HIV/AIDS and their attitudes to prevention methods. From the literature reviewed it was ascertained that adolescent students do have positive and optimistic perceptions of HIV/AIDS, and also adequate knowledge, but this has not translated into positive attitudes to prevention methods. The literature also indicated that peer group pressure, parental control and the mass media are some variables that probably influence adolescents’ sexual behaviour. This researcher developed the ‘Adolescent Students’ Perception of HIV/AIDS and Attitude to Prevention Methods Questionnaire’ to solicit information from the adolescent students. The results were coded and duly analysed. The results from the empirical study indicated that Nigerian adolescent students have positive perceptions regarding HIV/AIDS, as well as positive attitudes to prevention methods. Recommendations were made for curriculum experts, educators and parents based on current research methods.
Psychology of Education
Thesis (D. Ed. (Psychology of Education)

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Mpofu, Sibonginkosi. "Female genital cutting and sexual behaviour in Kenya and Nigeria." Thesis, 2014. http://hdl.handle.net/10539/15424.

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Context: This study seeks to examine the relationship between female genital cutting (FGC) and the sexual behavior of women in Kenya and Nigeria. Although research evidence has shown that female genital cutting is a serious problem in many countries and needs to be eradicated, prevalence in many countries remains high. One of the reasons given for the continuation of this harmful practice, despite widespread global campaigns against it, is that it is deemed an essential aspect of grooming the female child in preparation for marriage. It is supposed to control female sexuality thereby ensuring that a girl remains a virgin until marriage and it enhances her chances of marriage. Little research has been carried out to evaluate how far FGC tempers the sexual behavior of women. Methods: The study uses the Kenya Demographic and Health Survey of 2008/09 as well as the Nigeria Demographic and Health Survey of 2008. The population being examined is sexually active women who knew about circumcision and were thus asked if they had been circumcised or not to which the response was either yes or no. The sample size for Kenya is 5 187 women while in Nigeria it is 12 253 women. The study hypothesis is that there is a difference in the sexual behaviour of women who are circumcised and those who are not circumcised. Multiple linear regression, logistic regression as well as Poisson regression were used examine the effect of selected predictor variables on sexual behaviour. The outcome variable is sexual behavior which was measured using age at first intercourse as well total lifetime number of sexual partners. Findings: The study results suggest that there is no association between female genital cutting and the sexual behaviour of women in Kenya and Nigeria. There was no difference in the age at which women first engage in sexual intercourse and in the number of sexual partners for women who were circumcised and those who were not. Thus there is no scientific evidence that the practice of FGC could control the sexual activities of women. Conclusions: Female genital cutting does not have any effect on the sexual behaviour of women in Kenya and Nigeria. There is no difference in the sexual behaviour of women who are circumcised and those who are not circumcised in both countries. This is an indication that FGC does not serve the purpose it is purported to serve and should therefore be eradicated.

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Cofie, Nicholas. "Predicting Youth Sexual Deviance: The Case of Risky Sexual Behaviour among Adolescents in Ghana." Thesis, 2010. http://hdl.handle.net/1974/5951.

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ABSTRACT Although sub-Saharan Africa continues to bear the brunt of the global HIV/AIDS pandemic and other sexually transmitted diseases (UNAIDS and WHO 2008; Fatusi and Wang 2009), very few studies in the region and for that matter Ghana have systematically and exclusively examined adolescent risky sexual behaviour in a manner that is theoretically consistent with the unique socio-cultural norms that govern sexuality in the society. Given that involvement in risky sexual behaviour constitutes sexual deviance in the Ghanaian context, and from the ontological position that behaviour is a product of structure and human agency (Sewell 1992), this study extends the theories of social control (Hirschi 1969), power control (Hagan et al. 1979, 1985,1987, 2002; McCarthy et al. 1999) and rational choice (Cornish and Clarke 1986) in examining the predictors of risky sexual behavior among Ghanaian adolescents. Using the 2004 Ghana National Adolescent Survey data (N=3985), the study employs descriptive statistics, measures of association and complementary log-log regression models in predicting the likelihood of being sexually active before marriage, having more than one lifetime sexual partner and condom use. Overall findings provide mixed support for the theoretical expectations. From the perspective of Hirschi’s control theory, the findings suggest among others that while some measures of conventional behaviour do not discourage premarital sex, they do so with respect to multiple sexual partnerships. A puzzle that needs further elaboration is the finding that highly educated adolescents who hold leadership positions have a higher significant taste for premarital sex and multiple sexual relations than their uneducated counterparts who are not leaders. Overall findings regarding the predictions of power control theory are consistent with the revised version offered by McCarthy and Colleagues (1999) and Hagan and colleagues (2002); that daughters in less patriarchal or matriarchal households are more likely than sons to have premarital sex and be in multiple sexual partnerships. Findings regarding the predictions of rational theory suggest a mixed rationality; condom use among adolescents in many instances is inconsistent with rational choice behaviour. General and specific policy implications of the findings and direction for future research are also discussed.
Thesis (Master, Sociology) -- Queen's University, 2010-07-31 02:18:09.013

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Atolagbe, Afolabi Sulaimon. "Beyond adolescents : The study of sexual behaviour of middle-aged men in Nigeria." Thesis, 2008. http://hdl.handle.net/10539/5856.

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Studies on sexual behaviour in Nigeria have rather been lopsided largely focussing on adolescents while neglecting the older men. This may not be unconnected with the fact that the young people are often seen as being more sexually active than the older men. In this study, the patterns and the determinants of sexual behaviour of middle-aged men were investigated. This study is based on secondary data analysis of the 2003 Nigeria Demographic and Health Survey male dataset. Data collected from a sample of 633 men whose ages fall between 40 and 59 years in Nigeria were extracted and analysed to achieve the set objectives. The variables of interest were analysed by using relevant statistical techniques with the aid of SAS enterprise guide. Sexual behaviour was measured by three variables namely: current sexual activity, extra marital partnership and condom use. Also, three hypotheses were tested. The Health Belief Model (HBM) was the theoretical model used for this study. The study shows that a high proportion of men (71.2%) aged 40-59 years in Nigeria are sexually active. The study further reveals that about 12% of Nigerian middle-aged men engage in extramarital sex and 30% are in polygynous relationships (i.e. have multiple sex partners) while condom use is very low among them. Extramarital sex is more prevalent in the rural (7.05%) than urban (4.5%) areas. The study shows that the correlates of current sexual activity among the middle-aged men in Nigeria are education and religion while engagement in extramarital sexual activity is determined by ethnicity, age at first intercourse and knowledge of HIV/AIDS. Among the sexually active ones, condom use is influenced by ethnicity, marriage type and extramarital partnership. The sexual behaviour of middle-aged men in Nigeria follows the pattern described in the HBM. That is, individual, socio-economic and HIV/AIDS factors can influence the sexual behaviour of Middle-aged men. The study concludes that in addressing the problems associated with sexual and reproductive health of Nigerian, focus should also be extended to middle-aged men, instead of the narrow focus on only adolescents and youths. Further investigation, using multiple methods of data collection is also suggested.

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Irinoye, Omolola Oladunni. "The conceptions of sexual relationships among the Yoruba people in Nigeria." Thesis, 2005. http://hdl.handle.net/10413/3106.

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The study explored the cultural dynamics of construction of sexual intercourse within gender constructions of masculinity and femininity among the Yoruba people of South western Nigeria. The Explanatory Model Interview Catalogue (EMIC/ETIC) framework, a cultural explanatory social analytic framework with guides to looking at the insiders' perspectives, was used as the theoretical base to the study. The study was conducted to broaden understanding of sexual relationships in order to generate culturally relevant programmes that can promote sexual health, control sexual coercion, sexual violence and reduce the transmission and spread of HIV. It explored information about the conceptions of sexual relationships, social dynamics of sexual negotiations in marital and non-marital relationships, the expressions and process of knowledge acquisition as such translates to sexual behaviour by men and women. The prevalence of consensus, coercive and forced sexual intercourse and sexual morbidity were determined. Perceived link of sexual coercion and sexual violence to HIV transmission was also explored. Traditional practices, including regulatory mechanisms for the control of sexual behaviour of men and women in the culture were also explored. Equally focused in the study were differences in the conceptions of sexual relationships among the study population as moderated by sex, age, educational background and marital status, along with experiences of sexual coercion, forced sex, and sexual intercourse related morbidity. Adopting the ethnographic method, qualitative data from historical review of existing information about the Yoruba people, focus group discussions, in-depth individual interviews and observations were complemented by quantitative data generated through a survey in a sample Yoruba community of lIe-Ife. Findings showed the conception of sexual relationships and sexual intercourse built around the conception and social constructions of active masculinity and passive femininity. Conceptions of sexual relationship evolved as a transitional phenomenon that individuals were expected to learn informally instinctually and as they attain sexual biological maturity through language use and observations of practices among older people. Two typologies of masculinity and femininity were discernible in the study population that also give specifications to social and sexual behaviour of men and women. There appeared a changing conception of femininity especially among young people below 30 years, which is also informing sexual behaviour of young women. Relationships were moderated by age, economic status and marriage, which invariably put women in subordinate position to men either in social or sexual relationships. Behaviour of men and women were dictated by social role assignment of leadership through economic provisions for family and control of sexual act by the man. This was within a contractual relationship of older men with younger women with the primary motive of procreation in traditional orientation. Sexual intercourse was seen as a compulsory act for both men and women especially as it results to procreation though the initiation and control were part of the social responsibility of the man. It was socially approved within marriage but pre-marital and extra marital relationships were tolerated more for men. The act was also used "as a prove of self", for economic gains, to demonstrate love, for enjoyment and as a tool of punishment of women by some men. Knowledge acquisition about sexual relationships and sexual intercourse tended to be inadequate throughout the life span. There was never a time when individuals, even after marriage, have access to correct information about sexual intercourse. There was gross assumption of what sexual partners know about sexual intercourse in the population. Within the context of 13 identifiable topical knowledge areas desirable for sexual health, more than 50% of males and females expressed lack of knowledge. There were significant differences in expressed knowledge by male and female respondents of what sexual intercourse is and the motives of sexual intercourse
Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2005.

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Molefe, Kabomo Mabel. "Risky sexual behaviour among the youth of South Africa / kabomo mabel Molefe." Thesis, 2013. http://hdl.handle.net/10394/15667.

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Background: Risky sexual behaviour among the youth of South Africa is one of the major health concerns in the country because it is associated with negative reproductive health outcomes such as high teenage pregnancies and exposure to sexually transmitted infections including HIV/AIDS. Objective: The main objective for this study is to examine the factors influencing risky sexual behaviour among the youth in South Africa in order to make recommendations for strategies that would help reproductive health programmes in planning. Data and methods: The research uses data from the 2003 South African Demographic and Health survey. The study population comprised of 4597 female youth aged 15-34 years old. Bivariate analyses and multinomial logistic regression were used to determine the factors affecting risky sexual behaviour among the youth. The factors that were significant in the multiple regression models were regarded as the most important variables associated with risky sexual behaviour. Results: Out of 4597 female youth, 114 (2.5%) had low risk sexual behaviour, 2112 had medium risk sexual behaviour and 278 had high risk sexual behaviour. The results revealed that risky sexual behaviour varies by background variables. Risky sexual behaviour increases with age, is higher among urban than rural youth i higher among youth with secondary education than youth in other educational categories. In addition, the results showed that risky sexual behaviour vary according to province of residence. The highest risky behaviour was observed in Kwa-Zulu Natal (22.7%) and Western Cape (21.5%). whereas North West and Eastern Cape (5.1% and 3.9%) respectively, had low risky sexual behaviour. The multi-nominal analyses indicate that having a radio and marital status were significant) associated with risky sexual behavior), [OR=1.23, Cl=l.23] Conclusion: The study concludes that policies and programmes designed at reducing risky sexual behaviour among the youth should continue be supported and encouraged. Since having a radio is associated with low risky sexual behaviour. it is suggested that messages encouraging the youth on safe sex by use of condoms, reduce number of sexual partners, avoid receiving money or gifts in exchange of sex should continue to be reinforced through radio. Furthermore, parents should also be taught through a radio on how to educate their children to practice safe sex. Finally, the results show that there is still need for further research on risky sexual behaviour among the youth. Future research should, among other things focus on strategies to delay sexual debut among the youth, the role of parents and good cultural practices.
Thesis (M.Soc.Sc.(Population Studies) North-West University, Mafikeng Campus, 2013

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Agunbiade, Ojo Melvin. "Socio-cultural constructions of sexuality and help-seeking behaviour among elderly Yoruba people in urban Ibadan, Southwest Nigeria." Thesis, 2016. http://hdl.handle.net/10539/22814.

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A research project submitted in fulfilment of the requirements for the degree of Master of arts in psychology through the Faculty of humanities, University of the Witwatersrand, Johannesburg
Socio-cultural factors and contexts influence sexuality and associated practices across the life course. Few studies have questioned what constitutes sexuality, sexual pleasure, and notions of risky sexual practices, and how elderly people engage in help-seeking for sexual health promotion and problem-solving. In response to the dearth of such research in Africa, this thesis explores the cultural interpretations, values, beliefs, and embodied practices associated with sexuality and help-seeking behaviour among urban-dwelling elderly Yoruba people (60–80 years and above) in the city of Ibadan, Southwest Nigeria. In addition, it investigates healthcare providers’ (biomedical and traditional) perceptions of sexuality and the prevention, treatment, and promotion of sexual health in old age. The thesis is rooted in Bourdieu’s social practice theory, Harré and Langenhove social positioning theory and an anthropological perspective on age-graded sexualities. From an interpretative constructivist framework, the thesis adopts an exploratory sequential mixed design. The design entails collecting and analysing qualitative and quantitative data in a single study. The choice of research design was informed by the perspective that diverse but relevant methodological positions opens the window into contextual understanding of sexuality in old age. The qualitative data consists of 12 vignettes based on focus group discussion (FGD) with three categories (60-69, 70-79 and 80 years and above) of 107 elderly men and women. From a thematic analysis, the FGD findings informed the conduct of 18 semi-structured interviews on equal proportion with elderly men and women (60+) and 11 semi-structured interviews with 2 healthcare providers (biomedicine and traditional medical systems). Subsequently, the thematic findings from the FGDs and interviews informed the development of a structured questionnaire. The questionnaire was administered among 252 elderly Yoruba people (60+). The findings reveal a dominance normative beliefs and cultural expectations around bodily changes characterised the gendered differences in sexual experiences and expectations in old age. From the exemplary perspective, the ‘good old age’ connotes compliance with normative sexual orientations, beliefs, and practices. The qualitative and quantitative results affirmed the existence and engagement in penetrative and pleasurable sex at differentiated degrees for elderly men and women. The qualitative findings reveal a lack of consensus regarding the age elderly women or men should disengage from sexual activities. The survey shows that more women (75.8%) than men (54%) agreed that elderly people of their age should stop having sex. The qualitative findings also reveal that health challenges, psychosocial satisfactions in marriage, differences in sexual prowess, and financial independence affect engagement and desires in sexual activities. Two-thirds (60.3%) of the survey respondents also agreed that elderly men and women should engage in sexual activities if their health allows. The body as a ‘site of moral action’ places elderly women and men at differentiated positions within heterosexual normativity. From a disadvantaged stance, sexual intercourse with a menstruating woman can result in a folk sexual dysfunction known as idakole (poor erection and quick ejaculation) for men. Furthermore, sex with menstruating or menopausal women could cause loss of spiritual powers for men. These views resonate with some taboos on sex and efficacy of some traditional medicine. As a form of contestation, bodily changes during menopause represent a period of abstaining, suppressing or disengaging from obligatory sexual duties. It also affords women the avenue to avoid the experience of oyun iju (a socially constructed folk pregnancy). As a counter reaction, menopause also provides valid positions 3 for some sexually active elderly men to seek new intimate relations with younger women. By expounding on the privileged position of men, the findings portray a normative view that elongates men’s sexual retirement until death. Without doubting the possibilities of losing sexual prowess with age, the use of traditional aphrodisiacs was perceived to improve sexual performance and pleasures. Such measures are scarce for women, except those that could aid male’s sexual pleasures when used by women like ado dun (pleasurable and irresistible vagina sex). In this light, the thesis argues that the differentiated gendered framing of bodily changes and sexuality take the body as a moral and health site to arrive at an interpretation of old age that could influence ageing experience as ‘good’ or ‘miserable’. The findings also show that the premium on penetrative sex and pleasures create differentiated opportunities for elderly men to contract sexual infections. The possibilities of contracting sexual infections among sexually active elderly people was not doubted. Gonorrhoea, syphilis and magun (a folk sexual infection) emerged as common examples of sexual infections among old and young in the study settings. Gonorrhoea and syphilis can be treated via biomedicine and traditional medicine. Magun and HIV are untreated sexual infections but are preventable through sexual abstinence and use of traditional medical measures. Traditional preventive measures such as onde (amulet), ajesara (incisions and digestible concoctions) perform dual functions: prevent disease and guarantee pleasurable sex. Both qualitative and quantitative results reveal that condom use can prevent sexually transmitted infections. However, condom use was also conceived to reduce sexual pleasures for men and women. In this direction, the survey results affirm that condom use can reduce sexual pleasures for elderly men (77.8%) and women (22.2%), respectively. More than average (55.7%) of the female and about one-third (44.3%) of the male respondents also perceive the condom as more useful for younger people. 4 With the possibilities of contracting sexual infections, the qualitative findings affirm that aetiological explanations around a sexual health problem can act as a constraint and also facilitate medical help-seeking. Also, shameful feelings, stigma, and unstable or poor financial conditions inhibit responsive help-seeking. More than one-third (49.6%) of the survey respondents perceived doctors’ indifference as a constraint. This was followed by shame (22.6%), neglect from other family members (10.7%) and neglect of children (10.3%). Contraction of sexual infection in old age can also lead to withdrawal of quality support from significant others. The thesis argues that the social framework of the exemplary elder influence post-reproductive sexual health outcomes within the study context. Healthcare providers from the two medical systems acknowledged the need for post-reproductive sexual health care services. Such services were, however, perceived along the gender divide as more elderly males than females expressed and sought help from both systems. The provisions of post-reproductive sexual health services within the biomedical system attracted some pluses. A few of the female participants acknowledge the efforts of biomedical trained physicians and nurses in creating awareness on how to overcome menopausal challenges. The findings highlight that socio-cultural understandings of the intersections among ageing, sexuality, and gender influence framing of sexual health needs and unequal sexual health outcomes in old age. The possibility of such influences lie in cultural conceptions of the ideal body and the appropriate timing of sexual activities. Such normative views therefore influence how elderly people make sense of bodily changes, their sexuality, help-seeking, and response to sexual health needs from health care providers. Healthcare professionals from both medical systems are also prone to the influence of normative social frameworks in responding to post-reproductive sexual health needs. With the need to achieve a healthy ageing population and the 5 existing gaps in post-reproductive sexual health services, this thesis argues that normative beliefs, values and practices around sexuality influence sexual experiences, practices, dispositions to sexual infections, availability and access to post-reproductive sexual healthcare services within the study settings. Public enlightenment around sexual rights across the life course are needed to complement a review of existing sexual healthcare services in Nigeria. It will also improve the therapeutic relations between professional healthcare providers and their elderly clients. These initiatives can position professional healthcare providers for responsive diagnosis, prevention and management of post-reproductive sexual health needs and a possible realisation of healthy ageing population in Nigeria.
GR2017

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Shoba, Dumisani W. "An investigation into factors contributing to sexual behaviours among adolescents in rural KwaZulu-Natal." Thesis, 2009. http://hdl.handle.net/10413/495.

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Mbhele, Agnes N. "Youth understanding of sexuality and sexual relationships in Dududu, southern KwaZulu Natal." Thesis, 2004. http://hdl.handle.net/10413/4360.

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This research study aimed at investigating the understanding the rural youth have about sexuality and sexual relationships. The study begins with the literature review related to youth sexuality and sexual relationships. The main focus of the research was to gather information regarding the understanding the youth have on sexuality and sexual relationships, their sources of information, and level of comfort with the topic. An exploratory research design guided the study. A systematic random sampling procedure was used to identify twenty youth from grade ten at Zithokozise high school in the Dududu area. Three focus group discussions were conducted with the group followed by a questionnaire, which was administered to individual participants in a group setting. Qualitative and quantitative methods were used to in analysing the results from which conclusions were drawn. The findings of the study revealed that rural youth were not well informed on their sexuality and had misconceptions about sexual relationships. The youth that were sexually active were mostly not using safe sex methods. The popular informants of youth on sexuality issues were their own peers who also had inadequate information on the issues. The role of parents and educators in providing information to the youth was minimal and inadequate. Health facilities were not always available and if available were not adequately utilized. Resulting from the findings of the study a youth sexuality manual for rural schools was designed. The facilitators from the Departments of Community Health and Social Work from the University of Natal piloted the manual in the same schools that were involved in the community development projects.
Thesis (M.Dev.Studies)-University of Natal, Durban, 2004.

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Masvawure, Tsitsi Beatrice. "‘Low-risk youth?’ : students, campus life and HIV at a university in Zimbabwe." Thesis, 2011. http://hdl.handle.net/2263/24767.

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University and government authorities in Zimbabwe, and indeed in many African countries, have tended to downplay the presence of HIV and AIDS on university campuses. The general belief seems to be that university students’ high levels of schooling somehow protect them from HIV infection, even though existing evidence suggests otherwise. Consequently, very little is known about university students’ specific vulnerabilities to HIV infection. The few interventions that are being implemented in university campuses are often based on generic models of ‘youth sexual behaviour’ that fail to take into account the many ways that university students’ experiences are different from those of other young people. Through the use of ethnography, the thesis examines how institutional factors and ‘campus cultures’ shape students sexual behaviour at the University of Zimbabwe, as well as students’ expectations from intimate relationships and the meanings that they attach to sex, sexuality, love and romance. A key point I make throughout the thesis is that where individuals are located - both spatially and temporally - is just as important for understanding youth sexuality and the HIV epidemic as are other ‘risk’ factors, such as socio-cultural beliefs and poverty. The thesis also explores how ‘HIV risk’ is constituted, understood, deployed and avoided by university students. I argue here that ‘HIV risk’ behaviours such as transactional sex, multiple and concurrent partnerships and the non-use of condoms take on vastly different meanings when they are practiced by university students and within the context of a university campus. It is therefore incorrect to abstract ‘HIV risk’ behaviours from their immediate contexts as many interventions do.
Thesis (DPhil)--University of Pretoria, 2011.
Anthropology and Archaeology
unrestricted

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Lee-Foon, Nakia. "Exploring Black-Canadian parent-youth sex communication." Thesis, 2012. http://hdl.handle.net/10155/220.

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Black-Canadian populations are disproportionately affected by HIV/AIDS. In particular, Black-Canadian youth are noted to be at a greater risk of HIV infection due to their sexual risk behaviours. Many international studies indicate that open parent-youth sex communication may counter the potentially negative impact of peers, mass media and inadequate sexual health education programs on youth sexual risk behaviour. However, there is a paucity of Canadian studies on Black-Canadian parent-youth sex communication and ways to enhance this communication. As such, a qualitative based exploratory study was conducted using a community based research approach to determine the state of Black-Canadian parent-youth sex communication in Toronto, Ontario. Data was collected through 17 Key Informant interviews; that is individuals who work in Black Toronto communities and are knowledgeable about the subject matter. The results noted several factors which affect Black-Canadian parent-youth sex communication such as religion and cultural taboos surrounding the discussion of sexual health. The impact of these factors along with potential implications of this study on Black-Canadian populations and recommendations to enhance Black-Canadian parent- youth sex communication are discussed.
UOIT

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Vhembo, Tichaona. "Sexual behaviour among adolescents living with HIV in Zimbabwe." Diss., 2013. http://hdl.handle.net/10500/14499.

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This study described sexual behaviours among adolescents living with the Human Immunodeficiency Virus (HIV) in Zimbabwe. This study utilised a quantitative descriptive design. Data was collected using structured questionnaires from 341 adolescents living with HIV. Findings revealed that some adolescents were sexually active and had early onset of sexual activity (before their sixteenth birthday). A good proportion of sexually active adolescents were noted not to practise safer sex and the main reason was condom inaccessibility and some had multiple sex partners. Factors independently associated with being sexually active included exposure to erotic content on television programmes, having a psychiatric diagnosis, discussions of sexuality with health worker and older age. Adolescents` behaviours living with HIV and the issue of availability of condoms may play a part in the spread of HIV. More discussions and research on sexuality of adolescents are recommended
Health Studies
M.A. (Public Health)

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"A psychosocial framework for understanding condom use among urban Black adolescents." Thesis, 2001. http://hdl.handle.net/10413/4439.

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Using lessor's psychosocial framework of risk behaviour, this study examined the impact of variables within a number of risk domains on condom use at last sex. The sample was 587 sexually active male and female black youth between the ages of 16 and 20 years old from the township areas of Soweto (Johannesburg), Umlazi (Durban) and Khayelitsha (Cape Town). Binary logistic regression models were used in the analysis. Within the biological risk domain, gender was a significant predictor of condom use at last sex. None of the proximate social context variables, viz. parental education, family structure, and parent-adolescent communication, were significant predictors. Health services' promotion of condom use was a significant predictor within the distal social context. Within the perceived environment in relation to the self, perception of risk and perception of barriers were significant predictors of condom use at last sex. None of the variables within the perceived environment in relation to peers domain, viz. perceived peer attitudes to condoms and peers suffering the negative consequences of unprotected sex, were significant. The personality domain contained measures of self-esteem, future time orientation, locus of control and fatalism. Locus of control was the only significant predictor within this domain of condom use at last. Engagement in other risk taking behaviour, such as smoking cigarettes, alcohol and drug use, was a significant predictor within the general behaviour domain. Within the sexual behaviour domain, partner discussion and contraceptive use were significant predictors of condom use at last sex. 2 In the final model, the significant predictors in order of importance, were the perception of risk, the promotion of condom use by a health professional, locus of control, discussion with a partner, the perception of barriers, the use of contraceptives, and risk taking behaviour. The only interaction in the final model of condom use at last sex was between the promotion of condom use by a health professional and concurrent use of other forms of non-barrier contraception.
Thesis (M.A.)- University of Natal, Pietermaritzburg, 2001.

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Mashamba, Livhuwani Mashudu. "Examination of factors contributing to early childbearing in Sub-Saharan Africa : using the findings from the South African demographic and health survey of 1998 and Zimbabwean demographic and health survey of 1999." Thesis, 2009. http://hdl.handle.net/10413/496.

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Dlamini, Siyabonga Blessing. "Investigating the influences on sexual abstinent behaviour of rural African high school going youth in KwaZulu-Natal." Thesis, 2007. http://hdl.handle.net/10413/2379.

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Introduction: The high prevalence of HIV in South Africa was confirmed by Department of Health (2005) which reported an HIV prevalence rate of 40.7 percent amongst antenatal clinic attendees at public facilities in KwaZulu-Natal in 2004. Abstinence is one of the strategies used by many different cultures where young unmarried people are encouraged to abstain from sex until marriage, to prevent young girls from getting pregnant and acquiring sexually transmitted infections (STIs). Aim: The aim of this study was to investigate African rural high school learners' choice of sexual abstinence and to compare abstinent versus non-abstinent African rural high school learners in order to be able to develop tailored educational messages. Abstinence was defined as not having penetrative sex, since this is the accepted definition of abstinence in Zulu culture. Objectives: a) To investigate the prevalence of abstinence from sexual intercourse amongst African rural high school learners, b) To assess demographic, psychosocial, and economic determinants of abstinence from sexual intercourse, c) To make recommendations about abstinence interventions. Method: A descriptive cross-sectional study was carried out in a rural area (Ugu District in southern KwaZulu-Natal). One class of Grade 9 learners, ages 14-20 years, was selected from each often randomly selected rural high schools. An anonymous selfreporting semi-structured questionnaire used the I-Change model to investigate demographic and economic information, attitudes, social influences, self-efficacy and intentions towards sexual abstinence. Chi square and T-tests were used for bivariate analysis and Logistic regression was used to develop a model for abstinence from sexual intercourse. Results: A total of 454 learners participated with a mean age of 16.76 years (SD 1.41) age range 14-20 years. Of the sample 208 (45.8%) were male and 246 (54.2%) female. The majority were Christian (84.6% (n=384)) and of this population, 28.3% (n=127) reported that they had 'ever had sex'. Furthermore, 24.5% (n=91) of learners reported that they were currently sexually active. Fifty six percent (n=252) of learners reported that they abstained from sex. When comparing learners reporting abstinence (n= 252) with those not abstinent (n= 202), abstinent learners were significantly more often females, who had never had sex (p
Thesis (M.Med.)-University of KwaZulu-Natal, Durban, 2007.

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Oulo, Brenda Anyango. "Effect of sexual behaviour on the spatial distribution of HIV among Kenyan youth in 2003 and 2008." Thesis, 2018. https://hdl.handle.net/10539/25387.

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A research report submitted to the Faculty of Health Sciences, the University of the Witwatersrand in partial fulfilment of the requirements for the Degree of Masters in Epidemiology in the field of Infectious Disease Epidemiology. March,2018.
Background: Kenya is among the fifteen countries contributing more than 75% of the global HIV prevalence and incidence. In these countries, clustering of risk behaviour across geographical space and population sub-groups such as young people contributes significantly to the disease burden. Low levels of knowledge on HIV and rejecting attitudes towards HIV infected people influence sexual risk behaviour among young people. Objectives: The primary aim of this research study was to determine and compare the relationship between sexual behaviour and the spatial distribution of HIV among young Kenyans across two-time periods, 2003 and 2008. The secondary aim was to investigate the direct and indirect determinants of HIV distribution. Methods: Secondary data analysis was performed using cross-sectional data obtained from two two-stage population based surveys conducted in Kenya. The main outcome investigated was HIV status among young people aged 15-24 years. The study employed Bayesian-based multivariable logistic regression models adjusting for both non-spatial and spatial random effects. A conceptual framework based on knowledge, attitudes and practices (KAP) was the basis of a generalised structural equation model (GSEM) fitted to investigate the complex relationship between sexual risk behaviour and HIV status. Results: Among 2,650 and 2,857 young people aged 15-24 years in 2003 and 2008 respectively, 3.6% and 2.9% were HIV positive with the majority being female. The level of comprehensive HIV knowledge increased from 42% to 78% between 2003 and 2008. In both years, there was county spatial variability in HIV prevalence among young Kenyan people. Having a partner with concurrent sexual partners had the greatest direct effect on the odds of HIV infection (adjusted OR 2.26; 95%CI 1.63-3.12), but this was indirectly affected by knowledge levels during the latter survey year. Conclusion: This study revealed significant spatial variability in the HIV prevalence among young Kenyan youth and significant association between HIV knowledge, high-risk sexual behaviour and HIV infection. Interventions targeting sexual behaviour in this age group should focus on the counties with the greatest disease burden before implementing a wider national approach. Keywords: HIV, young people, spatial analysis, GSEM, Kenya.
LG2018

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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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Wilson, Alyssa Courtney Prien. "The impact of sexual coercion and violence on sexual decision- making : a look at youth in KwaZulu Natal." Thesis, 2002. http://hdl.handle.net/10413/4835.

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Westcott, Alexandra. "HIV-related sexual risk behaviour, parenting styles and socio-economic status in South African adolescents." Thesis, 2013. http://hdl.handle.net/10539/12587.

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With increasing rates of HIV prevalence in South Africa, research focus is on examining factors that may affect HIV-related sexual risk behaviour, especially in adolescents. Two such factors, parenting styles and socio-economic status (SES) have been highlighted. Despite remarkable consistence in parenting style research, with the authoritative parenting style reliably associated with positive outcomes, the applicability of this model in diverse contexts is questioned given that the majority of this research was conducted in White, middle-class populations. Both parenting practices and SES have produced some inconsistent results in relation to sexual risk behaviours; where results have been dependable, they have failed to account for the mechanisms influencing such relationships. The current study aimed to determine if the documented parenting styles – and SES - sexual risk behaviour relationships could be found in 366 South African adolescents. The study also explored parenting style as a moderator and/or a mediator in the SES – sexual risk behaviour relationship, and SES as a moderator on the parenting style – sexual risk behaviour model. The participants completed adapted self report questionnaires (Parenting Style Index (PSI) and Adolescent Sexual Risk Behaviour Questionnaire) and a self-developed biographical questionnaire. Both the parenting styles – sexual risk behaviour and the SES – sexual risk behaviour relationships were found (r =-.21 and -.24 respectively, p <.0001). While the mediation model was disproven, SES and parenting style were both found to act as moderators (F6, 363=2.15, p=.0469). These results are valuable in terms of providing knowledge that may help to develop relevant and effective sexual risk behaviour intervention programmes, as well as adding richness to the current fields of parenting style, and sexual risk behaviour research.

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Mlingo, Margaret. "HIV/AIDS knowledge and sexual behaviour among school learners in Harare, Zimbabwe." Thesis, 2008. http://hdl.handle.net/10500/3095.

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This study describes the HIV/AIDS knowledge of Form 1 secondary school learners in Harare. Structured interviews were conducted with 75 learners from four schools representing a low density, a high density, a rural and a private school. Most learners had obtained their HIVAIDS knowledge from schools and a few did so from their parents. None of the learners had reportedly yet engaged in sexual activities and all had heard about HIV, but not all knew what HIV was, and even fewer could define AIDS. Generally the learners’ HIV/AIDS knowledge levels were high but some misconceptions persisted. Future programmes should emphasise that there is no cure for HIV/AIDS, and that condoms should be used at every sexual encounter. Radio, television and school programmes should emphasise that every person can become infected with HIV/AIDS, if preventive measures are disregarded.
Public Health
M.A. (Public Health)

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Tillotson, Jonathan D. "Barriers to HIV/AIDS protective behaviour among African adolescent males in township secondary schools in Durban, South Africa." Thesis, 2001. http://hdl.handle.net/10413/8999.

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This exploratory qualitative study investigates possible barriers to HIV preventive behavior amongst Zulu-speaking, black adolescent males, aged 15-23, in township secondary schools in Durban, South Africa. Perceptions, attitudes, beliefs, and practices concerning HIV prevention and transmission are elicited using semi-structured focus groups and mixed open-ended and closed-ended questionnaires. Thematic analysis of the data is used to identify possible barriers to protection. Issues specifically investigated are condom use and multiple sexual partners. Belief in the ability to choose uninfected girlfriends, a distrust of and misperceptions about condoms, the importance of trust to a sexual relationship, false optimism engendered by fast-spreading myths about cures, and skewed risk perception engendered by conspiracy theory narratives and overestimation of the severity of the epidemic were found to be possible barriers to protection amongst males and controlling the spread of HIV. A discussion of these barriers ensues the results.
Thesis (M.Dev.)-University of Natal, Durban, 2001.

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Mataboge, Palesa Daisy. "The association between violence and early sexual debut among youth in South Africa, 2012." Thesis, 2016. http://hdl.handle.net/10539/21889.

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A research report submitted to the School of Social Science, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Arts in the field of Demography and Population Studies for the year 2015
Introduction: Early sexual debut remains a public health concern, and it continues to gather interest among researchers. In part interest is driven by the unchanging age at sexual debut and even though the age of sexual debut remains unchanged, the rate of early sexual debut keeps rising in many developing countries (Pettifor et al, 2009). Approximately 60% of young people in South Africa report to have had sexual intercourse by the time they are 16 years old (Peltzer, 2006). Furthermore early sexual debut has been identified as an indicator of risky sexual behaviour; as it exacerbates the individuals exposure to sexually transmitted diseases especially HIV, which is most prevalent among the youth in the ages 15-24 years old (Mchunu, 2012). Similarly, violence also remains a public health concern as it endangers the development of young people. Approximately 3.5 million people report injuries caused by violence every year, and violence accounts for 30% of mortality (Norman et al, 2010). A prevalent feature of violence is the dual role of young men as victims and as perpetrators of violence (Seedat et al, 2009). In some areas of South Africa homicide deaths of males outnumber those of females at a rate of 7 males to 1 female death (Seedat et al, 2009). Furthermore other reported consequences of violence among the youth are mental health problems, injuries and a negative education outcome among young people in South Africa. Young people are future leaders and parents of South Africa and it is therefore important to have a study that will examine the association between two factors that have been deemed as risk factors for the development of young people. The general objective of this study is to examine the association between violence and early sexual debut among youth in South Africa. The first specific objective of the study is to identify the level of early sexual debut among youth in South Africa, while the second specific objective of the study is to examine the association between violence and early sexual debut controlling for socio-economic and demographic variables. Methodology: Data was obtained from the National HIV communication survey with a sample of 1 873,956 females and 932,397 males. who are in their youth (15-24 years old). Data was managed using the STATA 12 and was analysed in a way that answers the objectives of the study. For descriptive analysis, frequency tables and graphs were used. A chi-square test was conducted, to test for an association between violence and early sexual debut and for multivariate analysis the study employed a multinomial logistic model
GR2017

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Sibanda, Laura P. V. "Female university students' motivations for undergoing voluntary counselling and testing (VCT) and the percieved effectiveness of the test on sexual risk behaviour : an exploratory study." Thesis, 2009. http://hdl.handle.net/10413/900.

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Voluntary Counselling and Testing (VCT) has been predominantly used for diagnostic purposes and it has been suggested VCT could help reduce the spread of the disease by preventing those who test HIV-negative from contracting the disease and also preventing those who are HIV positive from further spreading it by practising safer sex. While there is research focusing on understanding the implications of VCT for HIV positive individuals, little is to be found on the influence of the experience of VCT on the sexual behaviour of individuals who undergo VCT and obtain HIV negative results. Even less is known about the influence of VCT on university students in South Africa. The aim of the study is to explore the perceived influence of VCT on the sexual risk behaviour of HIV negative female University of KwaZulu-Natal students. This qualitative study made use of in-depth interviews conducted with 6 female university students recruited from the HIVAN Support Centre at the University of KwaZulu- Natal, Howard Collage Campus. The findings of this study suggest that VCT is generally perceived as effective in helping to reduce risktaking among HIV negative participants. At the same time participants felt motivated to do what it takes to obtain a negative result on their next test. However, one participants' felt that her negative results could make her vulnerable to pressures from her partner to practice unsafe sex. For VCT to have a positive impact on the sexual behaviour of individuals who test negative, programmes should provide up to date information, as part of pre and post test counselling, in a clear manner to avoid miscommunication and misunderstanding on the part of participants. Further, more support needs to be provided to individuals who are HIV negative in the form of support groups or open forums that encourage young people to discuss what situations put them at risk as well as assist other members of the group to deal with such situations.
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

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Bruneau, Kristiana. "'Yolo so party like a Swazi': youth and digital space." Thesis, 2016. http://hdl.handle.net/10539/21970.

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University of the Witwatersrand A dissertation submitted in fulfillment of the requirements for the award of the degree of Master of Arts by Coursework in the Department of Social Anthropology July 5, 2016
There is a culture arising among young people in Swaziland that believes that to be young and Swazi is an ephemeral, temporary, and directionless existence, and having sex and ‘partying like a Swazi’ is desired, celebrated and the fashion. I illustrate that this construction is a reaction to the banal, routine and regulation of their social spaces. Furthermore, in addition to the spaces being limited in number, imbued within each are structures and routines that reproduce discourses that privilege performances surrounding their normative behaviour and development (including the development of their sexualities). As a result, Swazi society has excluded young people from being active agents in the very discourses that govern and inform their lives, status, agency and citizenship. Drawing from a phenomenological analysis of WhatsApp conversations combined with fieldwork in Swaziland, this dissertation explores the locality of digital space via WhatsApp in the landscape of the lives of Swazi young. The data illustrated that digital space is residual and resistive, as a reaction to the regulated and restricted spaces in their lives, in digital space young people enact performances of masculinity, secrecy and morality. As well as determined values systems and currencies around sex (and sexual status), vis a vis the exchange of social capital (nude and semi nude photos)- all of which are inherently self destructive. Lastly, in their resistance, Swazi young people are the local agents of their self-destruction
MT2017

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Fortune, Clare-Ann Gabrielle. "Not just ‘old men in raincoats’: effectiveness of specialised community treatment programmes for sexually abusive children and youth in New Zealand." 2007. http://hdl.handle.net/2292/2609.

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This study addresses the hitherto limited research on sexually abusive children and youths in New Zealand (NZ). It encompasses children (12 years or younger) and youths (13 to 19 years) referred to the three largest specialised community sexual offender treatment programmes in Auckland, Wellington, and Christchurch over a 9½ year period. Additionally, three special populations are considered: female sexually abusive youth, youth with ‘special needs’ and children (12 years and under). To increase our understanding of the individual, offending and family characteristics of these children and youths in specialised community treatment programmes in New Zealand Study One audited client’s clinical files (N = 702). Consistent with international research, New Zealand children and youth who engaged in sexually abusive behaviours not only presented with sexually abusive behaviour(s) but also had other psychological and behavioural issues. These included a history of childhood sexual and physical abuse (38%, n = 263 and 39%, n = 272 respectively), behavioural (63%, n = 442) and mental health problems (65%, n = 457), drug and alcohol misuse (22%, n = 156) and a history of suicide ideation or deliberate self-harm (27%, n = 187). They often had poor social skills (46%, n = 326) and had struggled to establish appropriate peer relationships (44%, n = 306). Many of the children and youth came from multi-problem and chaotic family backgrounds (e.g., 55%, n = 387 of parents were divorced or separated, 38%, n = 267 were exposed to domestic violence and 32%, n = 222 had family member(s) with a substance abuse problem) and had experienced numerous out-of-home placements (57%, n = 389). Factors associated with resiliency were also investigated. It was found that children and youth primarily victimised male and female children (12 years or younger) (70%, n = 1407), who were acquaintances (57%, n = 1295) or relatives (32%, n = 730). Very few victimised strangers (7%, n = 86 of victims were strangers). They engaged in both ‘hands on’ (e.g., penetrative acts) and ‘hands off’ offences (e.g., voyeurism). Study Two was a naturalistic treatment outcome study to explore treatment outcomes and involved 682 sexually abusive children and youth who attended three specialised community treatment programmes in New Zealand. The main outcome of interest was sexual recidivism (prevalence rate of re-offending during the follow-up period) with secondary outcome variables of general and violent recidivism. The follow-up period ranged from 1 year to 10 years (mean 4.5 years, SD = 2.2). Three groups were compared: the ‘Comparison’ group (referral or assessment only, n = 300), ‘Treatment Dropout’ group (those who prematurely terminated their involvement in treatment, n = 165) and the ‘Treatment Completer’ group (those successfully completing treatment, n = 217). To allow for triangulation of offences that were dealt with through the youth and adult justice system’s recidivism data were collected from multiple sources (Child, Youth and Family , Youth Court, and Police criminal charges and convictions data). Post-treatment sexual, general (nonsexual and non-violent) and violent recidivism are reported from each data source as well as overall sexual, general and violent recidivism. Sexual, general and violent re-offending that occurred while the children and youths were attending treatment are also presented. Changes in behavioural problems and the psychological functioning of sexually abusive children and youth between assessment and the end of treatment (as assessed by the Child Behavior Checklist, Youth Self Report and Millon Adolescent Clinical Inventory) contribute additional outcome measures. This naturalistic outcome study found that the treatment programmes were effective in reducing sexual recidivism amongst sexually abusive children and youth who completed treatment compared with those who did not complete treatment. Less than 3% (2.8%, n = 8) of Treatment Completers sexually re-offended compared with 6% (n = 17) of the Comparison group and 10% (n = 16) of the Treatment Dropout group. Treatment Dropouts were found to be at highest risk of sexual, general and violent recidivism. Recidivism for the three special populations (children, females and ‘special needs’ youth) are also presented. The results from the psychological measures indicate a general pattern of reduction in behavioural and psychological problems between assessment and end of treatment. Logistic regression analysis was used in Study Three (N = 682) to explore factors associated with the risk of sexual and nonsexual (violent and general offending) re-offending post-treatment and dropping out of treatment. The factor predictive of sexual recidivism risk was having three or more victims and was associated with a decreased risk of sexual recidivism. Older age at first known sexual offence was associated with increased chance of nonsexual recidivism. Dropping out of treatment and having a history of nonsexual offending were associated with a decreased risk of nonsexual recidivism. Older age at referral and having no external mandate to attend treatment were associated with increased risk of youth dropping out of treatment. A history of mental health problems was associated with a decreased risk of treatment dropout. Conclusions This is the first study of the characteristics and treatment outcomes of sexually abusive children and youth in New Zealand. Its strengths include the large sample size, length of the follow-up period, use of a comparison group and data triangulation to determine recidivism. This study, therefore, compares favourably with international studies. This research enhances understanding of the individual, family and offending characteristics of sexually abusive youth in New Zealand as well as children, females and special needs youth. The Cognitive Behavioural Theory (CBT) based approach of the community programmes in New Zealand was found to be effective in reducing recidivism amongst children and youths who completed treatment. Specific recommendations relevant to treatment programmes and statutory agencies around programme development, referral processes and identification of sexually abusive children and youth are made. Directions for future research are also discussed. These include research exploring outcomes, other than recidivism, for those attending the Maori programmes, possible exploration of typologies within New Zealand sexually abusive children and youth, and subsequent follow-up research.
University of Auckland Doctoral Scholarship

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Steenkamp, Carlyn. "Sexual behaviour and perception of risk to HIV among Rosebank college students, Pretoria, South Africa." 2013. http://hdl.handle.net/11394/3871.

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Magister Public Health - MPH
The study had an observational, descriptive, cross sectional design. The sample consisted of 205 participants selected through convenience sampling. All students who presented for HIV testing during the colleges’ HIV Counselling and Testing campaign in December 2011 were asked to complete a self-administered closed-ended questionnaire voluntarily. The data was analysed with EPI Info versions 3.5.1. A frequency analysis was conducted for all the variables such as demographics, risk perception to HIV, knowledge of HIV, HIV testing behaviour. The association between HIV knowledge, risk perception and risk behaviours were assessed for gender differences. Chi-square analysis was conducted to determine the association between the main variable of interest HIV risk behaviour and each other explanatory variable (demographics, HIV knowledge, risk perception etc). Results were discussed using the theory of planned behaviour.

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Gqamane, Velile. "Assessing knowledge, attitudes and practices of boys and young men with regard to the prevention of pregnancy and HIV infection." Thesis, 2006. http://hdl.handle.net/10413/4352.

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This paper focuses on boys and young men's attitudes, knowledge and practices with regard to pregnancy and HIV infection. The objective of the study is to ascertain how boys and young men perceive the risks of pregnancy and HIV infection. The study further investigates the strategies which the sexually active respondents considered as appropriate, practical and effective in coping with these risks. The study was based on the secondary data which was extracted from the transitions to adulthood survey conducted in KwaZulu Natal during 2001. The analysis was restricted to young men aged 14 to 24 years. The major findings from the study revealed that young men did not perceive themselves at risk of HIV infection. Overall, respondents were fairly knowledgeable about HIV/AIDS and knew where to access condoms, how HIV is contracted or transmitted etc. Findings also indicated that many respondents regarded pregnancy as a matter of great concern. Many respondents perceived pregnancy as highly problematic and were concerned to protect themselves against this risk. The major finding for this study revealed that the majority of sexually active young men used condoms for preventing both pregnancy and HIV/AIDS; while some also used various contraceptive methods to prevent pregnancy. A major factor promoting consistent condom use was the perception of pregnancy as highly problematic.
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2006.

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Dissertations / Theses on the topic 'Youth – Sexual behaviour – Nigeria'

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