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Community influences on young people's sexual behavior in 3 African countries

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  • Stephenson, R.

Abstract

Objectives. I examined the role of community-level factors in the reporting of risky sexual behaviors among young people aged 15 to 24 years in 3 African countries with varying HIV prevalence rates. Methods. I analyzed demographic and health survey data from Burkina Faso, Ghana, and Zambia during the period 2001 through 2003 to identify individual, household, and community factors associated with reports of risky sexual behaviors. Results. The mechanisms through which the community environment shaped sexual behaviors varied among young men and young women. Community demographic profiles were not associated with reports of risky sexual behavior among young women but were influential in shaping the behavior of young men. Prevailing economic conditions and the behaviors and attitudes of adults in the community were strong influences on young people's sexual behaviors. Conclusions. These results provide strong support for a focus on community-level influences as an intervention point for behavioral change. Such interventions, however, should recognize specific cultural settings and the different pathways through which the community can shape the sexual behaviors of young men and women.

Suggested Citation

  • Stephenson, R., 2009. "Community influences on young people's sexual behavior in 3 African countries," American Journal of Public Health, American Public Health Association, vol. 99(1), pages 102-109.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.126904_8
    DOI: 10.2105/AJPH.2007.126904
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    Cited by:

    1. Nkomba Kayeyi & Knut Fylkesnes & Nora Wiium & Ingvild F Sandøy, 2013. "Decline in Sexual Risk Behaviours among Young People in Zambia (2000–2009): Do Neighbourhood Contextual Effects Play a Role?," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-15, May.
    2. Ha Ngoc Do & Diep Ngoc Nguyen & Hoa Quynh Thi Nguyen & Anh Tuan Nguyen & Hiep Duy Nguyen & Thanh Phuong Bui & Thao Bich Thi Vu & Khiet Thanh Le & Dung Tuan Nguyen & Cuong Tat Nguyen & Linh Gia Vu & Gi, 2020. "Patterns of Risky Sexual Behaviors and Associated Factors among Youths and Adolescents in Vietnam," IJERPH, MDPI, vol. 17(6), pages 1-14, March.
    3. Billings, Katie R. & Cort, David A. & Rozario, Tannuja D. & Siegel, Derek P., 2021. "HIV stigma beliefs in context: Country and regional variation in the effects of instrumental stigma beliefs on protective sexual behaviors in Latin America, the Caribbean, and Southern Africa," Social Science & Medicine, Elsevier, vol. 269(C).
    4. Kevin Schneider & Ioannis Skevas & Alfons Oude Lansink, 2021. "Spatial Spillovers on Input‐specific Inefficiency of Dutch Arable Farms," Journal of Agricultural Economics, Wiley Blackwell, vol. 72(1), pages 224-243, February.

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