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Peer Reviewed

Title: Sexual activity and contraceptive use among young female students of tertiary educational institutions in Ilorin, Nigeria.
Author: Abiodun OM; Balogun OR
Source: Contraception. 2009 Feb;79(2):146-9.
Abstract: BACKGROUND: A survey was conducted to evaluate the pattern of sexual behavior and contraceptive use among female students aged 15 to 24 years attending tertiary institutions in Ilorin, Nigeria. STUDY DESIGN: A valid and reliable semistructured questionnaire was self-administered to a sampled population of 600 students aged 15 to 24 years. RESULTS: Of the 600 students, 562 (93.7%) completed the questionnaire. Most (98.6%) of the respondents were unmarried, 77.6% have had sexual intercourse, 67.8% have had an unwanted pregnancy while 63.5% have had induced abortion. All the respondents were aware of contraceptives, but only 25.4% have ever used any contraceptive method. The most common sources of information about contraception among the respondents were friends/relatives (73.7%), while the fear of side effects of modern contraceptives was the most common reason (77.5%) for nonuse. CONCLUSION: The fear of side effects is the main reason for low contraceptive prevalence among young female students of tertiary institutions in Ilorin. Reproductive health services should focus more on delivery of adequate and accurate information about contraceptives to improve use among young women.
Language: English
Keywords:
NIGERIA | RESEARCH REPORT | QUESTIONNAIRES | ADOLESCENTS, FEMALE | YOUTH | CONTRACEPTIVE USAGE | SEXUALITY | SEX BEHAVIOR | CONTRACEPTIVE PREVALENCE | Africa, Western | Africa, Sub Saharan | Africa | Developing Countries | Adolescents | Age Factors | Population Characteristics | Demographic Factors | Population | Contraception | Family Planning | Personality | Psychological Factors | Behavior
Document Number: 329609

Peer Reviewed

Title: Changes in sexual behavior following a sex education program in Brazilian public schools. Mudancas no comportamento sexual de adolescentes de escolas publicas no Brasil apos um programa de educacao sexual.
Author: Andrade HH; de Mello MB; Sousa MH; Makuch MY; Bertoni N; Faundes A
Source: Cadernos�de Saude Publica. 2009 May;25(5):1168-1176.
Abstract: This paper describes an evaluation of possible changes in sexual behavior in adolescents who participated in a school-based sex education program in selected public schools in four municipalities in the state of Minas Gerais, Brazil. The program, given within the context of reproductive rights, dealt with risks involved in unsafe sexual practices, and focused on the positive aspects of sexuality. A quasi-experimental design with pre- and post-tests and a nonequivalent control group was used to evaluate the intervention. A total of 4,795 questionnaires were included in this analysis. The program succeeded in more than doubling consistent condom use with casual partners and in increasing the use of modern contraceptives during last intercourse by 68%. The intervention had no effect on age at first intercourse or on adolescents' engagement in sexual activities. The sex education program was effective in generating positive changes in the sexual behavior of adolescents, while not stimulating participation in sexual activities.
Language: Portuguese
Keywords:
BRAZIL | RESEARCH REPORT | SECONDARY SCHOOLS | ADOLESCENTS | SEX EDUCATION | PARTICIPATION | CHANGES | SEX BEHAVIOR | REPRODUCTIVE RIGHTS | SEXUALITY | RISK REDUCTION BEHAVIOR | CONDOM USE | PROGRAM EVALUATION | South America, Eastern | South America | Latin America | Americas | Developing Countries | Schools | Education | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Social Behavior | Behavior | Social Change | Sociocultural Factors | Human Rights | Political Factors | Personality | Psychological Factors | Programs | Organization and Administration
Document Number: 340176

Title: [Challenges of youth contraception: intersections between gender, sexuality and health] Desafios da contracepcao juvenil: intersecoes entre genero, sexualidade e saude.
Author: Brandao ER
Source: Ciencia and Saude Coletiva. 2009 Jul-Aug;14(4):1063-71.
Abstract: This qualitative paper discusses some of the difficulties young people have when dealing with contraception and also identifies circumstances in which they tend not to use contraceptive methods. The authors conducted 73 in-depth interviews with young men and women, ages 18 to 24, living in three state capitals in Brazil (Salvador, Rio de Janeiro, Porto Alegre), who went through at least one experience of teenage pregnancy. Data were analyzed by theme in order to assemble similar and repeated elements in the testimonies. The reasons young people have difficulty adopting continued use of contraceptive methods were listed according to the following themes: relationship context; relationship with the family regarding sexuality; side effects of hormonal contraceptive methods; negligence with contraception; problems with health services; failure of contraceptive methods; a strong sense of fatherhood; use of condoms with unknown female partners; and use of withdrawal with no knowledge of the partner�s menstrual cycle.
Language: Portuguese
Keywords:
BRAZIL | RESEARCH REPORT | QUALITATIVE RESEARCH | INTERVIEWS | YOUTH | SEXUALITY | ADOLESCENT PREGNANCY | CONTRACEPTION | ORAL CONTRACEPTIVES, SIDE EFFECTS | INTERPERSONAL RELATIONS | SEX BEHAVIOR | South America, Eastern | South America | Latin America | Americas | Developing Countries | Research Methodology | Data Collection | Age Factors | Population Characteristics | Demographic Factors | Population | Personality | Psychological Factors | Behavior | Reproductive Behavior | Fertility | Population Dynamics | Family Planning | Contraceptive Safety | Safety | Public Health | Health
Document Number: 342619

Peer Reviewed

Title: Sexual behaviour among Italian adolescents: Knowledge and use of contraceptives.
Author: Capuano S; Simeone S; Scaravilli G; Raimondo D; Balbi C
Source: European Journal of Contraception and Reproductive Health Care. 2009 Apr 18;:1-5.
Abstract: Background Comprehensive data concerning the sexual behaviour of Italian adolescents are lacking; the planning of prevention programmes is therefore difficult. Methods The current study evaluates the knowledge of Italian adolescents about sexuality and their use of methods to prevent pregnancy and sexually transmitted infections. The age at first intercourse in the current sample was compared to that found in past samples to ascertain whether sex education was needed at an earlier age. The efficacy of one school-based sex education programme was analysed. Results Overall 630 students in three Italian cities were surveyed. Just over half the students were sexually active. Among these, the mean age at first intercourse was 15.6 years (SD +/- 1.3). The contraception most widely used was the condom although 'coitus interruptus', 'natural family planning' and 'no method' were also mentioned. The knowledge among students from Latina, after they had received sex education, was significantly better. Conclusion Our data show a lower mean age at first intercourse than has been reported for earlier periods by other authors. School-based sexual education is effective in improving knowledge. Sexual health services for young people must be available and counselling services improved.
Language: English
Keywords:
ITALY | RESEARCH REPORT | KAP SURVEYS | ADOLESCENTS | KNOWLEDGE | SEX BEHAVIOR | CONTRACEPTIVE USAGE | CONTRACEPTION | SEXUALITY | SEXUALLY TRANSMITTED DISEASE PREVENTION | FIRST INTERCOURSE | AGE FACTORS | SEX EDUCATION | PROGRAM EVALUATION | Developed Countries | Europe, Southern | Europe | Surveys | Sampling Studies | Studies | Research Methodology | Youth | Population Characteristics | Demographic Factors | Population | Sociocultural Factors | Behavior | Family Planning | Personality | Psychological Factors | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Diseases | Education | Programs | Organization and Administration
Document Number: 331123

6.
Title: Mainstreaming early and exclusive breastfeeding for improving child survival.
Author: Dadhich JP; Agarwal RK
Source: Indian Pediatrics. 2009 Jan;46(1):11-7.
Abstract: India is home to maximum number of under-five deaths and underweight children in the world. In 2006, for the first time, the number of children in the world dying before their fifth birthday fell below 10 million, to 9.7 million annually. South Asia's contribution to this figure was 3.1 million out of which 2.1 million deaths occurred in India i.e., 21 percent of the global burden of under five deaths. Most of these deaths occur during the neonatal period. A reduction in the number of deaths among the under-five children reflects the country's progress on the fourth Millennium Development Goal (MDG 4). About 55 million, or one-third of the world's underweight children under the age of five years, live in India. Malnutrition has been estimated to be an underlying cause of up to 50-60 percent of under five deaths. The number of young underweight children reflects the country's progress on the first Millennium Development Goal (MDG 1), which deals with eradication of extreme poverty and hunger. In India, the average annual rate of decline in malnutrition has been around 0.9% since 1990. Considerably accelerated progress is needed for India to meet its MDG target of halving the percentage of underweight children by 2015. Despite breastfeeding's numerous recognized advantages, early and exclusive breastfeeding rates in most states of the India are low. There are many gaps in policy and programs related to infant and young child feeding in India. The big challenge is how to mainstream IYCF counseling and support interventions to help women to succeed both in early and exclusive breastfeeding. The rationale for supporting a major program to protect, promote and support breastfeeding action, backed by a budgetary support, is compelling for our country. Child health and development policies should urgently address this major concern.
Language: English
Keywords:
INDIA | RECOMMENDATIONS | HEALTH SURVEYS | MOTHERS | INFANT | BREASTFEEDING, EXCLUSIVE | CHILD SURVIVAL | MALNUTRITION | BODY WEIGHT | TIME FACTORS | POSTPARTUM PROGRAMS | LONGTERM EFFECTS | INTELLIGENCE | HIV PREVENTION | PREVENTION OF MOTHER-TO-CHILD TRANSMISSION | Asia, Southern | Asia | Developing Countries | Health | Parents | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Breastfeeding | Infant Nutrition | Nutrition | Survivorship | Length of Life | Mortality | Population Dynamics | Nutrition Disorders | Diseases | Physiology | Biology | Family Planning Programs | Family Planning | Personality | Psychological Factors | Behavior | HIV Infections | Viral Diseases | Disease Transmission Control | Prevention and Control
Document Number: 331250

Peer Reviewed

Title: Towards a sexual ethics of rights and responsibilities.
Author: Dixon-Mueller R; Germain A; Fredrick B; Bourne K
Source: Reproductive Health Matters. 2009 May;17(33):111-119.
Abstract: Sexual rights as human rights encompass individual freedoms and social entitlements. Both depend for their realisation on equally important social responsibilities on the part of individuals, couples, families, other social institutions, and the State. The principle that all persons must understand their own sexual rights and responsibilities and respect the equal rights of others - particularly those of their sexual partners - informs our interpretation of the ethical basis of sexual behaviours. We propose a conceptual framework for defining a sexual ethics of equal rights and responsibilities pertaining to five dimensions of sexual behaviour: 1) sexual relationships and the right to choose one�s partner; 2) sexual expression and the right to seek pleasure; 3) sexual consequences and the right to cooperation from one�s partner; 4) sexual harm and the right to protection; and 5) sexual health and the right to information, education and health services. We suggest that the ethical principles presented here pertaining to sexual partnerships should be incorporated into sexuality education, sexual and reproductive health services, and social policies aimed at promoting the health and rights of all persons regardless of gender, marital status, sexual orientation, religion, ethnicity and other personal or group identities.
Spanish Abstract: Los derechos sexuales como derechos humanos abarcan libertades individuales y derechos sociales. La realizaci�n de ambos depende de responsabilidades sociales de igual importancia por parte de particulares, parejas, familias, otras instituciones sociales y el Estado. El principio de que todas las personas deben comprender sus propios derechos y responsabilidades sexuales y respetar la igualdad de derechos de los dem�s, particularmente de las parejas sexuales, influye en nuestra interpretaci�n de la base �tica de los comportamientos sexuales. Proponemos un marco conceptual para definir la �tica sexual de la igualdad de derechos y responsabilidades concernientes a cinco dimensiones del comportamiento sexual: 1) relaciones sexuales y el derecho de escoger su pareja; 2) expresi�n sexual y el derecho de buscar placer; 3) consecuencias sexuales y el derecho a la cooperaci�n de la pareja; 4) da�o sexual y el derecho a la protecci�n; y 5) salud sexual y el derecho a la informaci�n, educaci�n y servicios de salud. Sugerimos que los principios �ticos aqu� presentados concernientes a las parejas sexuales se incorporen en la educaci�n sexual, los servicios de salud sexual y reproductiva y las pol�ticas sociales destinadas a promover la salud y los derechos de cada persona independientemente de su sexo, estado civil, orientaci�n sexual, religi�n, etnia y otras identidades personales o de grupo.
French Abstract: Les droits sexuels en tant que droits de l�homme englobent les libert�s individuelles et les prestations sociales. La r�alisation de ces deux types de droits d�pend de responsabilit�s sociales aussi importantes de la part des individus, des couples, des familles, d�autres institutions sociales et de l��tat. Notre interpr�tation du fondement �thique des comportements sexuels est bas�e sur le principe selon lequel tous les individus doivent comprendre leurs responsabilit�s et leurs droits sexuels, et respecter l��galit� des droits de l�autre, en particulier leurs partenaires sexuels. Nous proposons un cadre conceptuel pour d�finir une �thique sexuelle d��galit� des droits et des responsabilit�s touchant cinq dimensions du comportement sexuel : 1) les relations sexuelles et le droit de choisir son partenaire ; 2) l�expression sexuelle et le droit de rechercher le plaisir ; 3) les cons�quences sexuelles et le droit � la coop�ration du partenaire ; 4) les atteintes sexuelles et le droit � la protection ; et 5) la sant� sexuelle et le droit � des services d�information, d��ducation et de sant�. Nous recommandons que les principes �thiques pr�sent�s ici sur les partenariats sexuels soient int�gr�s dans l��ducation sexuelle, les services de sant� g�n�sique et les politiques sociales de promotion de la sant� et des droits de toutes les personnes, quels que soient leur sexe, leur �tat civil, leur orientation sexuelle, leur religion, leur origine ethnique et autres identit�s personnelles ou collectives.
Language: English
Keywords:
GLOBAL | PHILOSOPHICAL OVERVIEW | SEXUAL PARTNERS | HUMAN RIGHTS | SEX BEHAVIOR | SEXUAL RESPONSIBILITY | ETHICS | SEXUALITY | REPRODUCTIVE HEALTH | SEX EDUCATION | POLICY DEVELOPMENT | Behavior | Political Factors | Sociocultural Factors | Personality | Psychological Factors | Health | Education | Planning | Organization and Administration
Document Number: 342020

Title: The right to contraception and the wrongs of restrictive services.
Author: Edouard L
Source: International Journal of Gynaecology and Obstetrics. 2009 May 1;
Abstract: Rights come with responsibilities for individuals, service providers, and purveyors. The operationalization of the right to contraception, for universal access to a wide range of effective methods, necessitates very different but complementary interventions. A rights-based approach should aim to respect, protect, and fulfill rights. The wishes of individuals concerning childbearing necessitate informed choice, access to services, and lack of prejudice. Equity should be addressed through the strengthening of health systems, especially primary health care, with emphasis on the needs of underserved populations. Official pronouncements on population issues necessitate commitments. A philosophy of rights is particularly useful for service implementation, including the introduction of new contraceptive methods, by addressing the responsibilities of duty bearers and the claims of right holders. With the rights to and overwhelming health benefits of contraception, it is imperative to reverse the wrongs of limited reproductive health services.
Language: English
Keywords:
ALGERIA | RESEARCH REPORT | FAMILY PLANNING | HUMAN RIGHTS | SOCIAL DEVELOPMENT | GOALS | SEXUALITY | HEALTH | GENDER ISSUES | Africa, North | Africa | Developing Countries | Political Factors | Sociocultural Factors | Economic Factors | Planning | Organization and Administration | Personality | Psychological Factors | Behavior
Document Number: 341047

Peer Reviewed

Title: [Sexuality, bodily experiences, and gender: an ethnographic study of persons living with HIV in Greater Metropolitan Buenos Aires, Argentina] Sexualidad, experiencias corporales y g�nero: un estudio etnogr�fi co entre personas viviendo con VIH en el �rea Metropolitana de Buenos Aires, Argentina.
Author: Grimberg M
Source: Cadernos�de Saude Publica. 2009 Jan;25(1):133-141.
Abstract: Based on the results of an ethnographic study on daily experience with HIV in Greater Metropolitan Buenos Aires, Argentina, the article discusses behavioral approaches that reduce the sexuality of persons living with HIV to an issue of safety and protection. By articulating a social construction perspective and the notion of hegemony, the author proposes that sexuality can be understood as a process of individual and social construction shaped by power relations and social regulations. The analysis of the experiences of living with HIV in marginalized populations shows how chronic social inequality, violence, discrimination, and stigmatization generate particular characteristics of sexual issues. These social processes become driving forces that shape sexual experience as a field of danger, repression, and restriction rather than pleasure and exploration. Finally, daily confrontation with social metaphors places strain on gender relations, practices, and identities.
Language: Portuguese
Keywords:
ARGENTINA | RESEARCH REPORT | PERSONS LIVING WITH HIV/AIDS | ETHNIC GROUPS | SEXUALITY | SEX BEHAVIOR | SAFETY | INEQUALITIES | South America, Southern | South America | Latin America | Americas | Developing Countries | HIV Infections | Viral Diseases | Diseases | Cultural Background | Population Characteristics | Demographic Factors | Population | Personality | Psychological Factors | Behavior | Public Health | Health | Socioeconomic Factors | Economic Factors
Document Number: 341871

10.
Peer Reviewed

Title: [Sexuality, bodily experiences, and gender: an ethnographic study of persons living with HIV in Greater Metropolitan Buenos Aires, Argentina] Sexualidad, experiencias corporales y genero: un estudio etnografico entre
Author: Grimberg M
Source: Cadernos De Saude Publica. 2009 Jan;25(1):133-41.
Abstract: Based on the results of an ethnographic study on daily experience with HIV in Greater Metropolitan Buenos Aires, Argentina, the article discusses behavioral approaches that reduce the sexuality of persons living with HIV to an issue of safety and protection. By articulating a social construction perspective and the notion of hegemony, the author proposes that sexuality can be understood as a process of individual and social construction shaped by power relations and social regulations. The analysis of the experiences of living with HIV in marginalized populations shows how chronic social inequality, violence, discrimination, and stigmatization generate particular characteristics of sexual issues. These social processes become driving forces that shape sexual experience as a field of danger, repression, and restriction rather than pleasure and exploration. Finally, daily confrontation with social metaphors places strain on gender relations, practices, and identities.
Language: Spanish
Keywords:
ARGENTINA | RESEARCH REPORT | PERSONS LIVING WITH HIV/AIDS | SEXUALITY | BEHAVIOR CHANGE | SAFETY | SOCIAL DISCRIMINATION | STIGMA | INEQUALITIES | VIOLENCE | PROGRAM APPROPRIATENESS | South America, Southern | South America | Latin America | Americas | Developing Countries | HIV Infections | Viral Diseases | Diseases | Personality | Psychological Factors | Behavior | Public Health | Health | Social Problems | Sociocultural Factors | Socioeconomic Factors | Economic Factors | Program Evaluation | Programs | Organization and Administration
Document Number: 342671

11.

Peer Reviewed

Title: Health discourse, sexual slang and ideological contradictions among Mozambican youth: implications for method.
Author: Groes-Green C
Source: Culture, Health and Sexuality. 2009 Aug;11(6):655-668.
Abstract: Findings from fieldwork on condom use among young people in Mozambique confirm the need to remain alert to the ideological and linguistic bias of applied research methods. Using conventional health discourse to interview young people about their sexuality resulted in incorrect or socially acceptable answers rather than accurate information about their sexual behavior. In order to gain a deeper understanding of sexual cultures and to make HIV prevention efforts relevant to young people, the author suggests that researchers and policy-makers approach respondents with a language that is sensitive to the local ideological and linguistic context.
Language: English
Keywords:
MOZAMBIQUE | CRITIQUE | RESEARCH METHODOLOGY | FOCUS GROUPS | STUDENTS | CONDOM USE | SEX BEHAVIOR | SEXUALITY | LANGUAGE | INTERVIEWS | INTERPERSONAL COMMUNICATION | VALIDITY | Africa, Southern | Africa, Sub Saharan | Africa | Developing Countries | Data Collection | Education | Risk Reduction Behavior | Behavior | Personality | Psychological Factors | Communication | Measurement
Document Number: 339891

12.

13.

Peer Reviewed

Title: South African teachers' reflections on the impact of culture on their teaching of sexuality and HIV/AIDS.
Author: Helleve A; Flisher AJ; Onya H; Mukoma W; Klepp KI
Source: Culture, Health and Sexuality. 2009 Feb;11(2):189-204.
Abstract: The authors investigated how teachers respond to perceived cultural differences between the local community and the content of their teaching. Data were collected through interviews with teachers who taught students in grades 8 or 9 in public high schools. The teachers expressed differing viewpoints on the rationale for teaching about HIV/AIDS and sexuality. Many teachers saw teaching these topics as a response to declining moral standards, while others suggested that they were teaching issues that parents failed to address. The teachers were more concerned about young people's sexual behavior than about preventing HIV/AIDS. They perceived that cultural contradictions between what was taught and local cultural values were an issue to which they needed to respond, although they differed in terms of how to respond. Some took an adaptive approach to try to avoid conflicts, while others claimed the moral neutrality of their teaching. Teaching about sexuality was perceived to be challenging in terms of language and communication norms. Teaching about HIV/AIDS was perceived as challenging because teachers often needed to convince students about the reality of AIDS.
Language: English
Keywords:
SOUTH AFRICA | RESEARCH REPORT | KAP SURVEYS | TEACHERS | COMMUNITY | CULTURE | SEX EDUCATION | SEXUALITY | HIV TRANSMISSION | HIV PREVENTION | PERCEPTION | MOTIVATION | VALUE ORIENTATION | LANGUAGE | INTERPERSONAL COMMUNICATION | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Surveys | Sampling Studies | Studies | Research Methodology | Education | Residence Characteristics | Population Distribution | Geographic Factors | Population | Sociocultural Factors | Personality | Psychological Factors | Behavior | HIV Infections | Viral Diseases | Diseases | Communication
Document Number: 341086

14.

Peer Reviewed

Title: Empowering teenagers to prevent pregnancy: lessons from South Africa.
Author: Jewkes R; Morrell R; Christofides N
Source: Culture, Health and Sexuality. 2009 Oct;11(7):675-688.
Abstract: In South Africa, the rate of teenage pregnancy is high but has declined substantially over the last 20 years. In this paper, the authors argue that the key to the country�s success has been an empowering social policy agenda that has sought to make young people aware of their rights and the risks of sexual intercourse. Furthermore, family responses and education policy have greatly reduced the potential negative impact of teenage pregnancy on the lives of teenage girls. However, more attention should be paid to issues of gender and sexuality, including the terms and conditions under which teenagers have sex. There needs to be critical reflection and engagement with men and boys on issues of masculinity, including their role in child rearing, as well as examination within families of their support for pregnancy prevention and their responses to pregnancies.
Language: English
Keywords:
SOUTH AFRICA | CRITIQUE | RECOMMENDATIONS | KAP SURVEYS | ADOLESCENTS | ADOLESCENT PREGNANCY | PREVENTION AND CONTROL | SOCIAL POLICY | SEX EDUCATION | FAMILY RELATIONSHIPS | GENDER ISSUES | SEXUALITY | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Surveys | Sampling Studies | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Reproductive Behavior | Fertility | Population Dynamics | Diseases | Policy | Political Factors | Sociocultural Factors | Education | Family Characteristics | Family and Household | Personality | Psychological Factors | Behavior
Document Number: 341492

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18.

Title: Being a woman: perspectives of low-german-speaking mennonite women.
Author: Kulig JC; Babcock R; Wall M; Hill S
Source: Health Care For Women International. 2009 Apr;30(4):324-38.
Abstract: Understanding the beliefs and knowledge related to women's sexuality is important when working with unique religious groups in order to provide culturally appropriate care. An exploratory, descriptive qualitative study generated knowledge, beliefs, and practices related to menstruation, ovulation, and family planning among Low German-speaking (LGS) Mennonite women (n = 38). There is a pervasive silence that surrounds sexuality among this group, who have a limited understanding of the physiological changes they experience. Honoring religious principles and family and community expectations through acceptable female behavior is essential. Adherence to religious principles varies by family but is not shared with the group to avoid disfavor.
Language: English
Keywords:
CANADA | RESEARCH REPORT | QUALITATIVE RESEARCH | WOMEN | SEXUALITY | RELIGIOUS ASPECTS | BELIEFS | KNOWLEDGE | INTERVIEWS | Developed Countries | North America, Northern | Americas | Research Methodology | Demographic Factors | Population | Personality | Psychological Factors | Behavior | Religion | Sociocultural Factors | Culture | Data Collection
Document Number: 341659

19.

Peer Reviewed

Title: Cultural scripts for multiple and concurrent partnerships in southern Africa: Why HIV prevention needs anthropology.
Author: Leclerc-Madlala S
Source: Sexual Health. 2009;6(2):103-110.
Abstract: Background: Multiple and concurrent sexual partnerships have been identified as southern Africa's key behavioural driver of HIV, resulting in calls to make partner reduction programming central to an intensified HIV prevention focus. Various efforts are currently being made in the region in response to this call. Such efforts will likely have as limited success as past prevention efforts if the cultural milieu in which sexual partnering practices are located and reproduced remains poorly understood, unaccounted for, and unaddressed in prevention programming. Methods: Focussed ethnographic discussions were held between October 2007 and November 2008 with 228 members of southern African non-government organisations representing seven countries. Discussions formed part of follow-up activities to a high level regional meeting and were aimed at exploring contextual factors in HIV transmission, most especially the role of culture in relation to multiple and concurrent partnerships. Results: Common patterns in cultural scripts for the performance of sexuality were discernable. Several predominant scripts that tend to affirm and lend cultural legitimacy to multiple and concurrent partnering were identified, discussed and analysed. Conclusion: Effectuating change at the level of cultural scripting to discourage multiple and concurrent partnerships is required for sustainable long-term protection of people and communities against HIV. The success of partner reduction programs will be largely determined by the extent to which they are informed by anthropological knowledge and work with cultural logics to allow people to envision how they can transform obstacles into support for risk reduction. (author's)
Language: English
Keywords:
AFRICA, SOUTHERN | CRITIQUE | NONGOVERNMENTAL ORGANIZATIONS | MULTIPLE PARTNERS | CULTURE | HIV PREVENTION | ANTHROPOLOGY, CULTURAL | SEXUALITY | INFIDELITY | SEXUAL ABUSE | RISK REDUCTION BEHAVIOR | WORKSHOPS | Developing Countries | Africa, Sub Saharan | Africa | Organizations | Political Factors | Sociocultural Factors | Sexual Partners | Sex Behavior | Behavior | HIV Infections | Viral Diseases | Diseases | Anthropology | Social Sciences | Science | Personality | Psychological Factors | Crime | Social Problems | Education
Document Number: 342231

20.

Peer Reviewed

Title: Effects of maternal multimicronutrient supplementation on the mental development of infants in rural western China: follow-up evaluation of a double-blind, randomized, controlled trial.
Author: Li Q; Yan H; Zeng L; Cheng Y; Liang W; Dang S; Wang Q; Tsuji I
Source: Pediatrics. 2009 Apr;123(4):e685-92.
Abstract: OBJECTIVE: We investigated the benefits of maternal multimicronutrient supplementation during gestation on the mental and psychomotor development of infants. METHODS: In a double-blind, randomized, controlled trial, pregnant women (N = 5828) in 2 rural counties in western China were assigned randomly to receive multimicronutrient (5 minerals and 10 vitamins at levels approximating the recommended daily allowance), folic acid plus iron, or folic acid supplementation daily from approximately 14 weeks of gestation until delivery. We assessed a subset of the newborns (N = 1305) from the 3 supplementation groups by measuring their mental and psychomotor development with the Bayley Scales of Infant Development, at 3, 6, and 12 months of age. Multilevel analyses were used to compare the mental development and psychomotor development raw scores at 3, 6, and 12 months. RESULTS: Multimicronutrient supplementation was associated with mean increases in mental development raw scores for infants at 1 year of age of 1.00 and 1.22 points, compared with folic acid only and folic acid plus iron supplementation, respectively. However, supplementation did not increase significantly the psychomotor development raw scores up to 1 year of age. CONCLUSION: Compared with iron and folic acid supplementation, the administration of multimicronutrients to pregnant women improved the mental development of their children at 1 year of age.
Language: English
Keywords:
CHINA | RESEARCH REPORT | CLINICAL TRIALS | FOLLOW-UP STUDIES | DOUBLE-BLIND STUDIES | MULTIVARIATE ANALYSIS | RURAL POPULATION | INFANT | PREGNANT WOMEN | WOMEN IN DEVELOPMENT | VITAMINS AND MINERALS | FOOD SUPPLEMENTATION | CHILD DEVELOPMENT | INTELLIGENCE | ANTENATAL CARE | Asia, Eastern | Asia | Developing Countries | Clinical Research | Research Methodology | Studies | Data Analysis | Population Characteristics | Demographic Factors | Population | Youth | Age Factors | Economic Development | Economic Factors | Physiology | Biology | Nutrition Programs | Primary Health Care | Health Services | Delivery of Health Care | Health | Personality | Psychological Factors | Behavior | Maternal Health Services | Maternal-Child Health Services
Document Number: 331245

21.
Title: Military men and sexual practices: discourses of 'othering' in safer sex in the light of HIV/AIDS.
Author: Mankayi N
Source: SAHARA J. 2009 Mar;6(1):33-41.
Abstract: Despite recent reports that there is increasing condom use, generally resistance to condom use is still high. This paper focuses on factors inhibiting condom use and explores issues of responsibility for safe sex practices to prevent infection among a group of 14 South African male soldiers. Military men are particularly vulnerable to HIV because of their working conditions; for example, working far from home and being among communities where they have greater economic and political power, as well as in relation to their identities and sexualities as men, and how that is exaggerated by the institutional framework of the military. The data in this paper were drawn from a larger qualitative study exploring a group of military men's narratives on their masculinity, sexuality, sexual relationships and HIV/AIDS. Semi-structured interviews were the main data collection method, and the interview transcripts were analysed primarily through interpretive discourse analysis. Findings of this study show that most participants used the socially desirable discourse that safe sex practices (specifically condom use) should be everybody's responsibility. However, there was also the discourse of the 'other' responsible person, which was linked to gender, race, ethnicity, education and rank. The paper concludes with a recommendation that tackling HIV in the military needs to involve the rigorous examination of social factors such as gender, race and ethnicity.
Language: English
Keywords:
SOUTH AFRICA | RESEARCH REPORT | QUALITATIVE RESEARCH | MILITARY PERSONNEL | AIDS | CONDOM USE | PERCEPTION | SEXUALITY | SEX BEHAVIOR | INTERVIEWS | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Research Methodology | Government | Political Factors | Sociocultural Factors | HIV Infections | Viral Diseases | Diseases | Risk Reduction Behavior | Behavior | Psychological Factors | Personality | Data Collection
Document Number: 341414

22.
Title: Setting up a nurse-led contraceptive clinic for young parents.
Author: Mansey J
Source: Nursing Times. 2009 Mar 24-30;105(11):12-4.
Abstract: This article describes the development of a nurse-led contraceptive and sexual health drop-in clinic, which runs alongside an existing young parents' drop-in service provided by a charity called Key to the Door. The clinic provides young parents, whose average age is 16-25, with access to a variety of first-issue contraceptive methods and screening for sexually transmitted infections (STIs). The article explains how the service was developed and provides information from an audit, which shows the clinic's effectiveness and positive outcomes for service users.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | PARENTS | REPRODUCTIVE HEALTH | SEXUALITY | CONTRACEPTION | HEALTH EDUCATION | PROMOTION | Developed Countries | North America | Americas | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Health | Personality | Psychological Factors | Behavior | Family Planning | Education | Marketing | Economic Factors
Document Number: 331148

23.

Peer Reviewed

Title: WEALTH, INTELLIGENCE, POLITICS AND GLOBAL FERTILITY DIFFERENTIALS.
Author: Meisenberg G
Source: Journal of Biosocial Science. 2009 Mar 27;41:519-535.
Abstract: SummaryDemographic trends in today's world are dominated by large fertility differentials between nations, with 'less developed' nations having higher fertility than the more advanced nations. The present study investigates whether these fertility differences are related primarily to indicators of economic development, the intellectual level of the population, or political modernity in the form of liberal democracy. Results obtained with multiple regression, path models and latent variable models are compared. Both log-transformed GDP and measures of intelligence independently reduce fertility across all methods, whereas the effects of liberal democracy are weak and inconsistent. At present rates of fertility and mortality and in the absence of changes within countries, the average IQ of the young world population would decline by 1.34 points per decade and the average per capita income would decline by 0.79% per year.
Language: English
Keywords:
GLOBAL | RESEARCH REPORT | MATHEMATICAL MODEL | STATISTICAL REGRESSION | POPULATION | FERTILITY RATE | DIFFERENTIAL FERTILITY | POLITICAL FACTORS | ECONOMIC DEVELOPMENT | DEMOCRACY | GROSS NATIONAL PRODUCT | FERTILITY DETERMINANTS | DEATH RATE | INTELLIGENCE | Theoretical Models | Research Methodology | Data Analysis | Birth Rate | Fertility Measurements | Fertility | Population Dynamics | Demographic Factors | Sociocultural Factors | Economic Factors | Political Systems | Production | Macroeconomic Factors | Mortality | Personality | Psychological Factors | Behavior
Document Number: 341480

24.

Peer Reviewed

Title: Impact of bariatric surgery on female reproduction.
Author: Merhi ZO
Source: Fertility and Sterility. 2009 Aug 7;
Abstract: OBJECTIVE: To evaluate the current literature on the impact and potential mechanisms of surgical weight loss on female reproduction, with a focus on changes in reproductive hormone profile, fertility status, measures of ovarian reserve, efficacy of oral contraception, sexuality, and pregnancy. DESIGN: Appraisal of articles relevant to surgical weight loss and female reproduction. RESULT(S): The altered reproductive hormone profile associated with morbid obesity seems to reverse, either partially or totally, after surgical weight loss. Although bariatric surgery seems to improve fertility status and many of the complications associated with obesity in pregnancy, it may be linked to oral contraceptive failure. Although mullerian-inhibiting substance is a direct measure of ovarian reserve, its level changes with obesity and after surgical weight loss. There is a decrease or no change in the risk of miscarriage after bariatric surgery. An improvement in sexual function may follow dramatic surgical weight reduction; however, the possibility of a detrimental influence afterward can occur. CONCLUSION(S): The increasing popularity of bariatric surgery in reproductive-age women calls for greater clinician awareness of its impact on female reproduction.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | LITERATURE REVIEW | WOMEN | REPRODUCTIVE AGE | BODY WEIGHT | SURGERY | FERTILITY | OBESITY | CONTRACEPTION | PREGNANCY | SEXUALITY | RISK FACTORS | IMPACT | Developed Countries | North America | Americas | Demographic Factors | Population | Reproduction | Physiology | Biology | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Population Dynamics | Family Planning | Personality | Psychological Factors | Behavior | Communication
Document Number: 342537

25.

Peer Reviewed

Title: Reproductive health in Malta.
Author: Mifsud M; Buttigieg GG; Savona-Ventura C; Delicata S
Source: European Journal of Contraception and Reproductive Health Care. 2009 Aug;14(4):249-57.
Abstract: OBJECTIVES: The Maltese population traditionally harbours Roman Catholic beliefs that have been gradually secularised. The present study sets out to quantify the consequences of more liberal sexual attitudes in this community. METHODS: We reviewed the reproductive and sexual health indicators reported from Malta and from other selected European countries. We then analysed the findings of a questionnaire study which was carried out among 200 Maltese and 2200 other European individuals to investigate various aspects of their sexual history. RESULTS: A greater proportion of Maltese births occur in teenagers but the out-of-wedlock maternity rate in Malta appears to be the third lowest in Europe. However, the rate appears to have nearly trebled over seven years. Sexually transmitted infections rates in Maltese are either similar to or lower than those reported from the other European countries. The Maltese reported a higher mean age at first intercourse and a lower mean number of sexual partners mainly in women aged over 35 years. They received an earlier sexual education but they still predominantly resorted to unreliable contraception methods at their first sexual encounter. CONCLUSIONS: The study confirms that sexual behaviour has changed. The educational support to deal with these altered practices is in place but still needs to be reinforced.
Language: English
Keywords:
MALTA | RESEARCH REPORT | COMPARATIVE STUDIES | REPRODUCTIVE HEALTH | SOCIAL CHANGE | CATHOLICISM | ABORTION | CONTRACEPTION | SEXUALITY | ATTITUDES | QUESTIONNAIRES | SEXUALLY TRANSMITTED DISEASES | SEX EDUCATION | Europe, Southern | Europe | Developed Countries | Studies | Research Methodology | Health | Sociocultural Factors | Christianity | Religion | Fertility Control, Postconception | Family Planning | Personality | Psychological Factors | Behavior | Reproductive Tract Infections | Infections | Diseases | Education
Document Number: 342941 Notification

26.

Peer Reviewed

Title: Barriers and facilitators to maternal communication with preadolescents about age-relevant sexual topics.
Author: Miller KS; Fasula AM; Dittus P; Wiegand RE; Wyckoff SC; McNair L
Source: AIDS and Behavior. 2009 Apr;13(2):365-74.
Abstract: The present study examined factors that promote parent-child discussions about sex topics. A sample of 1,066 dyads of African American mothers and their 9-12-year-old children participated completing computer-administered surveys. After controlling for all other covariates, mother's sexual communication responsiveness (i.e., knowledge, comfort, skills, and confidence) was the most consistent predictor of discussions. Mothers with higher responsiveness had significantly increased odds of discussions about abstinence, puberty, and reproduction, based on both mother and child reports. In addition, child's age, pubertal development, readiness to learn about sex, and being female were positively associated with an increase in the odds of discussions in most models. Findings indicate that encouraging parents to talk with their children early may not be sufficient to promote parent-child sex discussions. Parents also need the knowledge, comfort, skills, and confidence to communicate effectively and keep them from avoiding these often difficult and emotional conversations with their children.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | BLACKS | MOTHERS | CHILDREN | SEXUALITY | INTERPERSONAL COMMUNICATION | OBSTACLES | SEX EDUCATION | PARENTAL INVOLVEMENT | ATTITUDES | SEX FACTORS | Developed Countries | North America | Americas | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Parents | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Youth | Age Factors | Personality | Psychological Factors | Behavior | Communication | Organization and Administration | Education | Child Rearing
Document Number: 342862

27.
Peer Reviewed

Title: STD/AIDS prevention in Portuguese-speaking Africa: a review of the recent literature in the social sciences and health.
Author: Monteiro S
Source: Cadernos De Saude Publica. 2009 Mar;25(3):680-6.
Abstract: The article reviews academic literature in the social sciences and health on the problems and challenges of STD/AIDS prevention in Portuguese-speaking African countries. Based on a bibliographic survey of the SciELO, PubMed, and Sociological Abstracts databases between 1997 and 2007, the research under review was organized into two groups, according to content. The first group of studies sought to understand STD/AIDS vulnerability among social groups by examining local cultural and socioeconomic factors as related to gender dynamics, sexuality, color/race, religion and health care. The second group encompassed critical assessments of shortcomings in the STD/AIDS educational messages delivered by governments and international agencies. Attention is called to the way in which the presence of traditional medicine systems and the occurrence of civil wars in the post-colonial period impact the STD/AIDS epidemic in the African countries under study.
Language: English
Keywords:
AFRICA | MOZAMBIQUE | ANGOLA | GUINEA-BISSAU | CAPE VERDE | SAO TOME AND PRINCIPE | RESEARCH REPORT | LITERATURE REVIEW | SOCIOECONOMIC FACTORS | SEXUALITY | ETHNIC GROUPS | RELIGION | HEALTH SERVICES | SEXUALLY TRANSMITTED DISEASE PREVENTION | AIDS PREVENTION | GENDER RELATIONS | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa, Western | Economic Factors | Personality | Psychological Factors | Behavior | Cultural Background | Population Characteristics | Demographic Factors | Population | Sociocultural Factors | Delivery of Health Care | Health | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Diseases | AIDS | HIV Infections | Viral Diseases | Gender Issues
Document Number: 342665

28.
Title: [Knowledge of contraception, pregnancy, and sexuality in ninth grade pupils in the municipality of Viborg during a 21-year-period] Viden om praevention, graviditet og seksualitet gennem 21 ar hos 9. klasser i
Author: Nielsen JL; Boelskifte J; Falk J; Lauszus FF; Rasmussen KL
Source: Ugeskrift For Laeger. 2009 Mar 30;171(14):1163-7.
Abstract: INTRODUCTION: A study of the sources of and the changes in the knowledge about contraception, pregnancy, and sexuality during a 21-year-period. MATERIAL AND METHODS: A questionnaire was handed out on the same day in all ninth grade classes in the Municipality of Viborg without prior notice to teachers or pupils. The results were compared with similar studies performed in 1986, 1993, and 2000. RESULTS: In all 394 of 398 questionnaires were answered. The answers revealed that forty-three percent knew at which time in the cycle pregnancy can occur; boys with sexual debut scored lowest. The time limits for legal abortion were known by 64%, the girls had a higher level of knowledge on this item than the boys. The abortion limits for 16-year-old girls were known by 58%, but here the boys, who had made sexual debut, scored highest and the girls with no prior sexual experience scored lowest. The sources of knowledge changed over the years; screen-based media (TV, internet) now cover more than 30% of both gender's sources, and magazines/pornography comprise more than 50% of girls' and 30% of boys' sources of knowledge. The school's and friends' share in sexual education remained constant, while books and parents as knowledge sources show a downward trend. CONCLUSION: School and friends still play a substantial role in the sexual education of ninth grade pupils, but screen-based media and magazines are now the third-most important source of information and their importance have increased considerably over the past seven years. Knowledge of time limits for abortion, early pregnancy signs and cycle has not changed except for slight gender differences.
Language: Danish
Keywords:
RESEARCH REPORT | QUESTIONNAIRES | ADOLESCENTS | KNOWLEDGE | CONTRACEPTION | PREGNANCY | SEXUALITY | CHANGES | KNOWLEDGE SOURCES | FRIENDS AND RELATIVES | SEX EDUCATION | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Sociocultural Factors | Family Planning | Reproduction | Personality | Psychological Factors | Behavior | Social Change | Communication | Family and Household | Education
Document Number: 330931

29.

Title: A survey of New Zealand RANZCOG Fellows on their use of the levonorgestrel intrauterine device in adolescents.
Author: Paterson H; Miller D; Devenish C
Source: Australian and New Zealand Journal of Obstetrics and Gynaecology. 2009 Apr;49(2):220-5.
Abstract: BACKGROUND: The levonorgestrel intrauterine device (LNG-IUD) is an established treatment for adult women. Although it is being used in adolescents, there is little published research in this age group to date. Recent reviews and editorials have challenged the long-held views that intrauterine devices should not be used in young women. AIMS: This study aimed to identify the patterns of use, including indications and contraindications of the LNG-IUD in adolescents by RANZCOG Fellows practising in New Zealand. METHODS: A postal survey of New Zealand RANZCOG Fellows on their use of the LNG-IUD in females aged 10-19 years. RESULTS: There was a 72% response rate. Half of the respondents had inserted the LNG-IUD in adolescents. Non-inserters identified a significantly greater number of contraindications than inserters (chi2, P < 0.0001). Over half of those respondents who had inserted a device in an adolescent did so fewer than three times per year. Intellectual disability and endometriosis, both unlicensed indications, were the two most commonly identified circumstances for insertion by respondents. CONCLUSIONS: Patterns of insertion of the LNG-IUD in adolescents by RANZCOG Fellows in New Zealand differ and there was equipoise over its use. Further research is required to establish the efficacy, safety and acceptability of the LNG-IUD in adolescents.
Language: English
Keywords:
NEW ZEALAND | RESEARCH REPORT | SURVEYS | PHYSICIANS | ADOLESCENTS, FEMALE | IUD, HORMONE RELEASING | LEVONORGESTREL | CONTRAINDICATIONS | INSERTION | ENDOMETRIOSIS | MENTAL RETARDATION | QUESTIONNAIRES | Oceania | Developed Countries | Sampling Studies | Studies | Research Methodology | Health Personnel | Delivery of Health Care | Health | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | IUD | Contraceptive Methods | Contraception | Family Planning | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Treatment | Medical Procedures | Medicine | Health Services | Diseases | Intelligence | Personality | Psychological Factors | Behavior
Document Number: 342382

30.


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