Using Social Ecological Theory to Identify Factors Associated With Risky Sexual Behavior in Cambodian Adolescent Girls and Young Women Aged 10 to 24 Years: A Systematic Review

2020 ◽  
Vol 32 (2-3) ◽  
pp. 71-80 ◽  
Author(s):  
Farwa Rizvi ◽  
Joanne Williams ◽  
Humaira Maheen ◽  
Elizabeth Hoban
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Sex Education ◽  
Risky Sexual Behavior ◽  
Sexual And Reproductive Health ◽  
Sexual Debut ◽  
Modern Contraceptive ◽  
Unintended Pregnancies ◽  
Social Ecological ◽  
Increased Risk

There is an increase in risky sexual behavior (RSB) in Cambodian female youth aged 10 to 24 years, which can contribute to detrimental sexual and reproductive health due to the increased risk of acquiring sexually transmitted infections, unintended pregnancies, or abortions. Bronfenbrenner’s social ecological model was used to identify factors at personal, microenvironment, and macroenvironment levels potentially associated with RSB. A systematic literature review employing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was conducted to search 8 databases for articles published between 1994 and 2019. A risk of bias tool was applied for methodological quality of the 4 included studies. RSB is associated with multiple factors including sexual debut at young age, alcohol and substance abuse, multiple partners, living away from parents or orphan status, peer delinquency, non-use of condoms by partners, transactional sex, low education and socioeconomic status, and no access to sexual and reproductive health services. Multipronged preventive strategies operating at different levels are recommended in terms of including sex education and increasing reproductive health literacy programs at the schools and community programs for safe sex, condom use and sexual negotiation skills, and access to modern contraceptive methods.

scholarly journals Sexual behavior among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012)

2014 ◽  
Vol 17 (suppl 1) ◽  
pp. 116-130 ◽  
Author(s):  
Maryane Oliveira-Campos ◽  
Marília Lavocart Nunes ◽  
Fátima de Carvalho Madeira ◽  
Maria Goreth Santos ◽  
Silvia Reise Bregmann ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Behavior ◽  
Reproductive Health ◽  
Sexual Intercourse ◽  
Risky Sexual Behavior ◽  
Sexual And Reproductive Health ◽  
Social Inequalities ◽  
Unprotected Sex ◽  
Psychoactive Substances ◽  
School Based

OBJECTIVE: This study describes the sexual behavior among students who participated in the National Adolescent School-based Health Survey (PeNSE) 2012 and investigates whether social inequalities, the use of psychoactive substances and the dissemination of information on sexual and reproductive health in school are associated with differences in behavior. METHODOLOGY: The response variable was the sexual behavior described in three categories (never had sexual intercourse, had protected sexual intercourse, had unprotected sexual intercourse). The explanatory variables were grouped into socio- demographic characteristics, substance use and information on sexual and reproductive health in school. Variables associated with the conduct and unprotected sex were identified through multinomial logistic regression, using "never had sexual intercourse" as a reference. RESULTS: Over nearly a quarter of the adolescents have had sexual intercourse in life, being more frequent among boys. About 25% did not use a condom in the last intercourse. Low maternal education and work increased the chance of risky sexual behavior. Any chance of protected and unprotected sex increased with the number of psychoactive substances used. Among those who don't receive guidance on the prevention of pregnancy in school, the chance to have sexual intercourse increased, with the largest magnitude for unprotected sex (OR = 1.41 and OR = 1.87 ). CONCLUSION: The information on preventing pregnancy and STD/AIDS need to be disseminated before the 9th grade. Social inequalities negatively affect risky sexual behavior. Substance use is strongly associated with unprotected sex. Information on the prevention of pregnancy and STD/AIDS need to be disseminated early.

scholarly journals Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 251-256
Author(s):  
Ranjeeta Subedi ◽  
Israt Jahan ◽  
Pam Baatsen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Health Workers ◽  
Influential Factors ◽  
Modern Contraceptive ◽  
Factors Influencing ◽  
Modern Contraceptive Use ◽  
Health Rights

In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use.Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information.A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed. Keywords: Adolescent; barriers; contraceptive; Nepal; SRHR.

scholarly journals Factors Influencing Modern Contraceptive Use among Adolescents in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 251-256 ◽  
Author(s):  
Ranjeeta Subedi ◽  
Israt Jahan ◽  
Pam Baatsen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Health Workers ◽  
Influential Factors ◽  
Modern Contraceptive ◽  
Factors Influencing ◽  
Modern Contraceptive Use ◽  
Health Rights

In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use. Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information. A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed.

scholarly journals Adolescents’ Communication on Sexual and Reproductive Health Matters with Their Parents and Associated Factors among Secondary and Preparatory School Students in Ambo Town, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Shibiru Bikila ◽  
Nagasa Dida ◽  
Gizachew Abdissa Bulto ◽  
Bikila Tefera Debelo ◽  
Kababa Temesgen
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Risky Sexual Behavior ◽  
Private School ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Systematic Sampling ◽  
School Students ◽  
Cross Sectional ◽  
Preparatory School

Background. Sexual and reproductive health (SRH) communication is most likely to promote healthy sexual practices and to reduce risky sexual behavior among adolescents. Communication is the principal means for parents to transmit sexual values and knowledge to their children. Although there are few studies conducted on parent-adolescent communication, there is no study conducted in the town of Ambo. This study was aimed at assessing the level of parent-adolescent communication on SRH issues and its associated factors among school students in Ambo town, Oromia, Ethiopia. Method. An institution-based concurrent mixed-method cross-sectional study was conducted among 591 secondary and preparatory school students in Ambo town from February 24th to March 9th, 2019. A systematic sampling technique was used to select the study subject. Data were collected through self-administered questionnaires, and FGD was conducted with parents of students. Data was entered using EpiData version 3.1 and exported to SPSS version 23.0 for statistical analysis. Binary and multivariable logistic regression analyses were used to ascertain the association using a 95% confidence interval (CI) and p value (<0.05). Results. The proportion of students who had communication on sexual and reproductive health issues with their parents was 222 (37.6%). Being female ( AOR = 2.07 , 95% CI: 1.40-3.07), private school ( AOR = 2.77 , 95% CI: 1.17-3.69), a father with secondary education ( AOR = 2.93 , 95% CI: 1.05-8.12) and diploma and above ( AOR = 3.27 , 95% CI: 1.23-8.71), considering sex education necessary ( AOR = 2.83 , 95% CI: 1.22-6.57), got information about SRH issues from school ( AOR = 2.01 , 95% CI: 1.06-2.36) and media ( AOR = 2.92 , 95% CI: 1.49-3.71), and mother’s openness to communicate about SRH issues ( AOR = 3.30 , 95% CI: 1.31-4.05) were found to be significantly associated with parent-adolescent communication on SRH issues. Conclusions. The study showed that parent-adolescent communication on SRH issues is low. Being female, those from a private school, father’s education, perceived importance of sex education, source of information about SRH issues (school and media), and mother’s openness to communicate about SRH issues were identified to be factors associated with the communication. Therefore, the concerned body should consider the identified factors to improve the current level of parent-adolescent communication and adolescent reproductive health.

scholarly journals DESENVOLVIMENTO DAS POLÍTICAS E DOS CUIDADOS DE SAÚDE SEXUAL E REPRODUTIVA EM PORTUGAL

2019 ◽  
Vol 20 ◽  
pp. 303-315
Author(s):  
Maria José De Oliveira Santos ◽  
Elisabete Soares Ferreira ◽  
Anabela Martins Pinto de Figueiredo ◽  
Manuela Maria Da Conceição Ferreira
Keyword(s):  
Twentieth Century ◽  
Reproductive Health ◽  
Sex Education ◽  
Risky Sexual Behavior ◽  
Political Development ◽  
Cultural Context ◽  
Sexual And Reproductive Health ◽  
Youth Sexuality ◽  
1960S And 1970S ◽  
The Right

Resumo O entendimento sobre o conceito de saúde sexual e reprodutiva (SSR) é relativamente recente e tem conhecido transformações substanciais ao longo do tempo, resultado de um conjunto de fatores socioculturais, políticos e médico-científicos, que permitiram reconhecer que os indivíduos têm o direito a desfrutar da sexualidade de uma forma livre e esclarecida. As mudanças no contexto histórico, social e cultural que atravessaram todo o século XIX e XX influenciaram claramente a SSR em Portugal. Mudanças que foram mais significativas na segunda metade do século XX, observando-se nas décadas de 1960 e 1970 a promoção da contraceção e planeamento familiar, a legislação sobre sexualidade juvenil e o acesso dos jovens às consultas de planeamento familiar. Na década de 1980 e seguintes, a generalização do acesso à contraceção e os debates sobre a sexualidade juvenil e políticas de educação sexual. Nestas décadas, surgem novas preocupações relacionadas com pandemia do VIH/SIDA, que obrigam a equacionar os comportamentos sexuais como fator de risco para a saúde. Entre 2000 e 2010, assiste-se à integração da educação sexual em todos os níveis de ensino, com exceção do pré-escolar, numa aceção verdadeiramente democrática da educação sexual. Mais recentemente, realidades emergentes como a democratização do uso da internet e das redes sociais, levantam novos desafios e novos riscos para a saúde que não devem ser negligenciados. Com este artigo pretendemos descrever e analisar o desenvolvimento político-social e dos cuidados na SSR em Portugal, como garantia do direito à informação e a serviços de saúde de qualidade, acessíveis a todos os cidadãos. Palavras-chave: Cuidados de saúde; Políticas; Saúde Sexual e Reprodutiva. Abstract The understanding of the concept of sexual and reproductive health (SRH) is relatively recent and has undergone substantial transformations over time, as a result of a set of sociocultural, political and medical-scientific factors that have allowed the recognition that individuals have the right to enjoy of sexuality in a free and enlightened way. Changes in historical, social and cultural context that crossed all the nineteenth and twentieth century clearly influenced the SRH in Portugal. Changes that were most significant in the second half of the twentieth century saw the promotion of contraception and family planning and legislation on youth sexuality in the 1960s and 1970s. In the 1980s and beyond, the generalization of access to contraception and debates on youth sexuality and sexual education policies In recent decades, new concerns about the HIV/AIDS pandemic have arisen, and there is a need to address risky sexual behavior. Between 2000 and 2010, the integration of sex education at all levels of education, with the exception of preschool, in a truly democratic sense of sex education is observed. More recently, emerging realities such as the democratization of the use of the Internet and media, pose new challenges and new risks to health that should not be neglected. With this article we intend to describe and analyze the socio-political development and care in the SRH in Portugal, as a guarantee of the right to information and quality health services, accessible to all citizens. Keywords: Care Health; Policies; Sexual and Reproductive Health.

Trends in adolescent sexual behavior, health, and education

2018 ◽  
Vol 100 (2) ◽  
pp. 35-39
Author(s):  
Rafael Heller
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Pregnancy Rates ◽  
Adolescent Sexual Behavior ◽  
School Based ◽  
Behavior Health

Kappan editor Rafael Heller talks with the Guttmacher Institute’s Laura Lindberg, one of the nation’s leading researchers in the field of adolescent sexual and reproductive health, about recent data and trends related to teens’ sexual behavior, contraceptive use, pregnancy rates, and more, including their experiences with school-based sex education.

scholarly journals Religiosity and Risky Sexual Behavior Among Adolescents in Sarawak, Malaysia

2020 ◽  
Vol 12 (13) ◽  
pp. 49
Author(s):  
Albeny Joslyn Panting ◽  
Teresa Yong Sui Mien
Keyword(s):  
Sexual Behavior ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Protective Factor ◽  
Sexual Debut ◽  
Religious Practice ◽  
Unsafe Sex ◽  
Sexually Transmitted ◽  
Unintended Pregnancies ◽  
The Relationship

INTRODUCTION: Risky sexual behavior is defined as a behavior that increases one&rsquo;s risk of contracting or being infected by sexually transmitted infections (STIs) and experiencing unintended pregnancies. This study examined the relationship between religiosity and risky sexual behavior among adolescents in the state of Sarawak, Malaysia. METHODS: The inclusion criteria included 1,146 unmarried adolescents aged between 16 and 19 years, whereby they answered a validated self-administered questionnaire using the modified Religion Scale and Risky Sexual Behavior &ndash; Unsafe Sex Scale. The analysis was restricted to respondents who reported to have had sex. RESULTS: Overall, the response rate recorded 95% (n=1,086), whereby the prevalence of respondents who reported that they have had sex was 9.5%, n=103 (71 males, 32 females, mean age 17.82).&nbsp; Descriptive results further showed that the prevalence of those who have had sex for male and female were 6.53% and 2.94%, respectively. The earliest sexual debut was revealed to be at 13 years of age. Moreover, bivariate analyses indicated a significant and negative correlation between religious practice and risky sexual behavior (r= -.23; p&lt;.05). CONCLUSION: The study revealed that religious adolescents are more likely to avoid risky sexual behavior. This means that religious practice may become a potential protective factor in influencing adolescents to avoid risky sexual behaviors.

scholarly journals Social Ecological Predictors of Risky Sexual Behavior Among Young Adults

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Maureen Muchimba
Keyword(s):  
Young Adults ◽  
Sexual Behavior ◽  
Young Adulthood ◽  
Risky Sexual Behavior ◽  
School Connectedness ◽  
Sexual Debut ◽  
Sexual Partners ◽  
Early Sexual Debut ◽  
Social Ecological ◽  
Ecological Predictors

Most studies on sexual behavior outcomes are restricted to adolescents. However, rates of sexually transmitted diseases (STDs) are highest among young adults. This study examined social–ecological predictors in adolescence that predict risky sexual behavior in young adulthood. Using longitudinal data, logistic regression was used to determine social–ecological factors that predict early sexual debut and a high number of lifetime sexual partners among 3,109 young adults. Risk-taking was associated with early sexual debut and a high number of lifetime sexual partners. Father–child connectedness decreased the odds of early sexual debut and a high number of lifetime sexual. School connectedness also decreased the odds of early sexual debut and a high number of lifetime sexual. There was no relationship between mother–child connectedness and the risky sexual behavior. The influence of childhood factors may encompass young adulthood. Personality traits could be used by programs aimed at preventing STD–related behaviors to characterize those at higher risk for risky sexual behavior. These programs also could be more effective by developing approaches that foster parent–child connectedness, and by gaining a greater understanding of the mechanisms through which school connectedness protects against risky sexual behavior, which could decrease the prevalence of risky sexual behaviors, and subsequently lower the rates of STDs among young adults.

ADOLESCENT BEHAVIOR IN UNWANTED PREGNANCY PREVENTION

2019 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Arip Ambulan Panjaitan
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Risky Sexual Behavior ◽  
Parental Education ◽  
Unwanted Pregnancy ◽  
Sampling Technique ◽  
Adolescent Behavior ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional

Introduction: Adolescent are at high risk of unwanted pragnency, including abortion, STIs, HIV/AIDS. Risky sexual behavior is one of the entrance transmissions of unwanted pregnancy. Such behavior can be influenced by various factors, beyond and within the individual factors. Teens need the support and motivation in deciding not to do risky sexual behavior. The purpose of this study was to investigate the determinants of adolescent behavior in the prevention of unwanted pregnancy.Methods: This research used cross-sectional design. The populations were students of senior high school in District Sintang. The were 123 respondents chosen by cluster sampling technique for this study. All data were collected using questionnaires and then analysed using bivariate (chi square) and multivariate analysis (logistic regression).Results: The results showed that the majority of respondents did not have good knowledge about the prevention of unwanted pregnancy. Related variable is the level of parental education (p=0.001), the support of parents/guardians (p=0.009), support teachers (p=0.005), peer support (p=0.039), residency (p=0.009), a pastime activity (p=0.000), knowledge of adolescents about reproductive health (p=0.016), perception ability of adolescents (p=0.006) and attitude of adolescents (p=0.049). Adolescent self-perception abilities are variables that most influence on the behavior of adolescents in the prevention of unwanted pregnancy.Conclusions: Efforts to improve reproductive health programs should be early and adolescent have responsibilities as well as healthy behaviors.

An application of Systematic Anomalous Case Analysis to improve models predicting contraceptive use in the Philippines

2021 ◽  
pp. 1-14
Author(s):  
Subasri Narasimhan ◽  
Jessica D. Gipson
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Case Analysis ◽  
Reproductive Behaviour ◽  
The Philippines ◽  
Health And Nutrition ◽  
Depth Interviews

Abstract Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) – a mixed-methods technique – was employed to examine predictors of women’s lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998–2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013–2014) for further examination. Qualitative findings from 24 women highlighted ‘control over life circumstances’ was critical, prompting the addition of two items to the original quantitative models predicting any contraceptive use (n=532). Each of the items, ‘what happens to [them] is their own doing’ and ‘[I] do not [have] enough control over direction life is taking [me]’, significantly and independently predicted any contraceptive use (aOR: 2.37 (CI: 1.24–4.55) and aOR: 0.46 (CI: 0.28–0.77), respectively). The findings demonstrate the utility of SACA to improve the understanding and measurement of sexual and reproductive health outcomes and underscore the importance of integrating psychosocial constructs into existing models of fertility and reproductive behaviour in the Philippines to improve sexual and reproductive health outcomes.

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