Parents' and teachers' communication about HIV and sex in relation to the timing of sexual initiation among young adolescents in Tanzania
Parents' and teachers' communication about HIV and sex in relation to the timing of sexual initiation among young adolescents in Tanzania
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DOI：
10.1177/1403494808094243
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发表时间：
2008-11-01
影响因子：
3.4
通讯作者：
Fawzi, Wafaie W.
中科院分区：
文献类型：
--
作者：
Kawai, Kosuke;Kaaya, Sylvia F.;Fawzi, Wafaie W.
目的：在撒哈拉以南非洲地区，过早的初次性行为与青少年艾滋病毒感染风险增加有关。我们的研究调查了坦桑尼亚达累斯萨拉姆12 - 14岁学生中父母和教师关于性问题的沟通与性开始时间的关系。方法：未婚小学生前瞻性随访6个月，以评估性启动。社会人口，心理和行为因素进行了评估与结构化问卷。进行单因素和多因素Logistic回归分析。结果：在2477名青少年中，26.9%的学生报告与父母沟通艾滋病毒和性，35.6%的学生与老师沟通。调整潜在混杂因素后，与教师就艾滋病毒和性进行沟通与青少年延迟性行为有关（OR=0.59，95%CI =0.40-0.89，p=0.01）。然而，父母的沟通与性开始的时间无关。大多数同龄人性活跃的看法是一个显着的预测性早熟（线性趋势检验，p=0.002）。与与亲生母亲生活在一起的学生相比，不与亲生母亲生活在一起的学生更有可能开始性行为（OR=1.39，95%CI =0.97-1.99，p=0.08）。结论：教师可以在与青少年讨论艾滋病和性方面发挥有效作用。我们的研究强调了在撒哈拉以南非洲负责任的成年人与青少年讨论性问题的必要性。需要进行更多的研究，以更好地了解父母在性问题上沟通的作用，以及提高父母沟通质量的战略。
Aims: Early sexual debut is associated with increased HIV risk among young adolescents in sub-Saharan Africa. Our study examines parents' and teachers' communication about sexual matters in relation to the timing of sexual initiation among students aged 12 - 14 years old inDares Salaam, Tanzania. Methods: Virgin primary school students were followed prospectively for 6 months to assess sexual initiation. Socio-demographic, psychosocial, and behavioural factors were assessed with a structured questionnaire. Univariate and multivariate logistic regression analyses were performed. Results: Of 2477 adolescents, 26.9% of students reported communicating about HIV and sex with parents and 35.6% communicated with teachers. Communication with teachers about HIV and sex was associated with delayed sexual initiation among adolescents after adjusting for potential confounding factors ( OR=0.59, 95% CI=0.40-0.89, p=0.01). However, parental communication was not associated with the timing of sexual initiation. The perception that most peers are sexually active was a significant predictor of early sexual debut ( test for linear trend, p=0.002). Students who do not live with a biological mother were marginally more likely to initiate sex compared to those who live with a biological mother ( OR=1.39, 95% CI=0.97-1.99, p=0.08). Conclusions: Teachers can play an effective role in discussing HIV and sex with young adolescents. Our study highlights the necessity of responsible adults discussing sexual matters with young adolescents in sub-Saharan Africa. More research is required to better understand the role of parental communication about sexual matters and strategies for improving the quality of parental communication.