Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania

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dc.contributor.authorNamisi, Francisen_ZA
dc.contributor.authorAaro, Leifen_ZA
dc.contributor.authorKaaya, Sylviaen_ZA
dc.contributor.authorOnya, Hansen_ZA
dc.contributor.authorWubs, Annegreeten_ZA
dc.contributor.authorMathews, Catherineen_ZA
dc.date.accessioned2015-11-23T11:42:41Z
dc.date.available2015-11-23T11:42:41Z
dc.date.issued2013en_ZA
dc.description.abstractBACKGROUND: Fostering adolescents' communication on sexuality issues with their parents and other significant adults is often assumed to be an important component of intervention programmes aimed at promoting healthy adolescent sexual practices. However, there are few studies describing the relationship between such communication and sexual practices, particularly in sub-Saharan Africa. This study examined the relationships between adolescents' communication with significant adults and their condom use in three sites in this region. METHODS: Data stem from a multi-site randomized controlled trial of a school-based HIV prevention intervention implemented in Cape Town and Mankweng, South Africa and Dar es Salaam, Tanzania. Only data from comparison schools were used. The design is therefore a prospective panel study with three waves of data collections. Data were collected in 2004 from 6,251 participants in 40 schools. Associations between adolescents' communication with adults about sexuality issues and their use of condoms were analysed cross-sectionally using analysis of variance, as well as prospectively using multiple ordinal logistic regression analysis. RESULTS: Cross-sectional analyses showed that consistent condom users had significantly higher mean scores on communication (across topics and communication partners) than both occasional users and never-users, who had the lowest scores. After controlling for condom use at the first data collection occasion in each model as well as for possible confounders, communication scores significantly predicted consistent condom use prospectively in all three ordinal logistic regression models (Model R2 = .23 to .31). CONCLUSION: The findings are consistent with the assertion that communication on sexuality issues between adolescents and significant adults results in safer sexual practices, as reflected by condom use, among in-school adolescents. The associations between communication variables and condom use might have been stronger if we had measured additional aspects of communication such as whether or not it was initiated by the adolescents themselves, the quality of advice provided by adults, and if it took place in a context of positive adult-adolescent interaction. Studies with experimental designs are needed in order to provide stronger evidence of causality.en_ZA
dc.identifier.apacitationNamisi, F., Aaro, L., Kaaya, S., Onya, H., Wubs, A., & Mathews, C. (2013). Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania. <i>BMC Public Health</i>, http://hdl.handle.net/11427/15236en_ZA
dc.identifier.chicagocitationNamisi, Francis, Leif Aaro, Sylvia Kaaya, Hans Onya, Annegreet Wubs, and Catherine Mathews "Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania." <i>BMC Public Health</i> (2013) http://hdl.handle.net/11427/15236en_ZA
dc.identifier.citationNamisi, F. S., Aarø, L. E., Kaaya, S., Onya, H. E., Wubs, A., & Mathews, C. (2013). Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania. BMC public health, 13(1), 874.en_ZA
dc.identifier.ris TY - Journal Article AU - Namisi, Francis AU - Aaro, Leif AU - Kaaya, Sylvia AU - Onya, Hans AU - Wubs, Annegreet AU - Mathews, Catherine AB - BACKGROUND: Fostering adolescents' communication on sexuality issues with their parents and other significant adults is often assumed to be an important component of intervention programmes aimed at promoting healthy adolescent sexual practices. However, there are few studies describing the relationship between such communication and sexual practices, particularly in sub-Saharan Africa. This study examined the relationships between adolescents' communication with significant adults and their condom use in three sites in this region. METHODS: Data stem from a multi-site randomized controlled trial of a school-based HIV prevention intervention implemented in Cape Town and Mankweng, South Africa and Dar es Salaam, Tanzania. Only data from comparison schools were used. The design is therefore a prospective panel study with three waves of data collections. Data were collected in 2004 from 6,251 participants in 40 schools. Associations between adolescents' communication with adults about sexuality issues and their use of condoms were analysed cross-sectionally using analysis of variance, as well as prospectively using multiple ordinal logistic regression analysis. RESULTS: Cross-sectional analyses showed that consistent condom users had significantly higher mean scores on communication (across topics and communication partners) than both occasional users and never-users, who had the lowest scores. After controlling for condom use at the first data collection occasion in each model as well as for possible confounders, communication scores significantly predicted consistent condom use prospectively in all three ordinal logistic regression models (Model R2 = .23 to .31). CONCLUSION: The findings are consistent with the assertion that communication on sexuality issues between adolescents and significant adults results in safer sexual practices, as reflected by condom use, among in-school adolescents. The associations between communication variables and condom use might have been stronger if we had measured additional aspects of communication such as whether or not it was initiated by the adolescents themselves, the quality of advice provided by adults, and if it took place in a context of positive adult-adolescent interaction. Studies with experimental designs are needed in order to provide stronger evidence of causality. DA - 2013 DB - OpenUCT DO - 10.1186/1471-2458-13-874 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania TI - Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania UR - http://hdl.handle.net/11427/15236 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15236
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-13-874
dc.identifier.vancouvercitationNamisi F, Aaro L, Kaaya S, Onya H, Wubs A, Mathews C. Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania. BMC Public Health. 2013; http://hdl.handle.net/11427/15236.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentWomen's Health Research Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2013 Namisi et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherAdolescentsen_ZA
dc.subject.otherParentsen_ZA
dc.subject.otherCondom useen_ZA
dc.subject.otherCommunicationen_ZA
dc.subject.otherSouth Africaen_ZA
dc.subject.otherTanzaniaen_ZA
dc.titleCondom use and sexuality communication with adults: a study among high school students in South Africa and Tanzaniaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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