期刊论文详细信息
BMC Public Health
Effects of parenting practices on sexual risk-taking among young people in Cameroon
Barthelemy Kuate Defo2  Estelle M Sidze1 
[1] African Population and Health Research Center (APHRC), P.O. Box 10787–00100, Nairobi, Kenya;Institut de Recherche en Santé Publique & Centre de Recherche du Centre Hospitalier Universitaire, Université de Montreal, C.P. 6128, Succursale Centre-ville, Montréal, H3C 3J7, Canada
关键词: Cameroon;    Africa;    Life course;    Sexual risk-taking;    Parenting practices;   
Others  :  1162066
DOI  :  10.1186/1471-2458-13-616
 received in 2012-10-12, accepted in 2013-06-26,  发布年份 2013
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【 摘 要 】

Background

There is scanty evidence regarding the impact of parenting practices on young people’s sexual risk-taking in sub-Saharan Africa. Moreover, the extent to which such practices have enduring consequences on adolescents and young adults is little documented. This study uses repeated measures of parent–child relationships, parental monitoring, and parent–child communication about sexual matters to shed some light in these two areas.

Methods

The analysis is based on time-dependent retrospective data on parenting practices which were retrieved from the Cameroon Family and Health Survey (CFHS). The study sample includes 447 sexually active and unmarried individuals aged 15–24 years old. Correlation analysis and multivariate logistic regressions are used.

Results

Young males and females reported high levels of parental monitoring, moderate quality of parent–child relationships and low levels of parent–child communication on sexual matters. This study substantiates that the higher the quality of parent–child relationships, the lower the odds of young males having multiple sexual partners (0.63, p < 0.05), and the lower the odds of young females being sexually active (0.52, p < 0.10) or of having multiple sexual partners (0.64, p < 0.10) or of having occasional sexual partners (0.51, p < 0.05). Living with the biological father only was associated with higher odds of having multiple sexual partners (3.21, p < 0.10) and higher odds of occasional concurrent sexual partners (3.26, p < 0.10) among young males. Compared with their out-of-school counterparts, young males still enrolled in school were less likely to be sexually active in the last 12 months (0.33, p < 0.05) and less likely to have occasional concurrent sexual partners (0.57, p < 0.10), whereas young females still enrolled in school were more likely to be sexually active (2.25, p < 0.10) and less likely to use contraceptive consistently (0.36, p < 0.001).

Conclusions

Reproductive health programs and interventions for preventing young people’s risky sexual behaviors in sub-Saharan African settings must take into account the protective effects of parent–child relationships and the significance of parental monitoring over time.

【 授权许可】

   
2013 Sidze and Kuate Defo; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]International M: Youth reproductive and sexual health. DHS Comparative Reports No. 19. Calverton, Maryland: Macro International Inc; 2008.
  • [2]Kuate Defo B (Ed): Sexuality and reproductive health during adolescence in Africa. Ottawa: University of Ottawa Press; 1998.
  • [3]UNAIDS: UNAIDS Report on the global AIDS epidemic 2012. Geneva: UNAIDS; 2012.
  • [4]World Health Organization: Preventing HIV/AIDS in young people. A systematic review of the evidence from developing countries. In WHO Technical Report Series No. 938. Geneva: World Health Organization; 2006.
  • [5]Kuate Defo B, Tsala Dimbuene Z: Influences of family structure dynamics on sexual debut in Africa: Implications for research, practice and policies in reproductive health and social development. Afr J Reprod Health 2011, 15(4):42-50.
  • [6]Rohner RP, Britner PA: Worldwide mental health correlates of parental acceptance-rejection: review of cross-cultural and intracultural evidence. Cross-cultural Res 2002, 36:16-47.
  • [7]Barber BK, Stolz HE, Olsen JA: Parental support, psychological control, and behavioural control: relevance across time, culture, and method. Boston: Wiley-Blackwell; 2005.
  • [8]Longmore MA, Eng AL, Giordano PC, Manning WD: Parenting and adolescents’ sexual initiation. J Marriage Fam 2009, 71:969-982.
  • [9]Miller BC: Family influences on adolescent sexual and contraceptive behavior. J Sex Res Health 2002, 39:22-26.
  • [10]Markham CM, Lormand D, Gloppen KM, Peskin MF, Flores B, Low B, House LD: Connectedness as a predictor of sexual and reproductive health outcomes for youth. J Adolesc Health 2010, 46:23-41.
  • [11]Barber BK, Schluterman JM: Connectedness in the lives of children and adolescents: A call for greater conceptual clarity. J Adolesc Health 2008, 43:209-216.
  • [12]Babalola S, Tambashe BO, Vondrasek C: Parental factors and sexual risk-taking among young people in Côte-d’Ivoire. Afr J Reprod Health 2005, 9:49-65.
  • [13]Ngom P, Magadi MA, Owuor T: Parental presence and adolescent reproductive health among the Nairobi urban poor. J Adolesc Health 2003, 33:369-377.
  • [14]Biddlecom A, Awusabo-Asare K, Bankole A: Role of parents in adolescent sexual activity and contraceptive use in four African countries. Int Perspect Sex Reprod Health 2009, 35:72-81.
  • [15]Diop-Sidibé N: Siblings’ premarital childbearing and the timing of first sex in three major cities of Côte d’Ivoire. Int Fam Plan Perspect 2005, 31:54-62.
  • [16]Kabiru CW, Ezeh A: Factors associated with sexual abstinence among adolescents in four sub-Saharan African countries. Afr J Reprod Health 2007, 11:111-132.
  • [17]Karim AM, Magnani RJ, Morgan GT, Bond KC: Reproductive health risk and protective factors among unmarried youth in Ghana. Int Fam Plan Perspect 2003, 29:14-24.
  • [18]Kayembe KP, Mapatano MA, Busangu FA, Nyandwe KJ, Mashinda KD, Musema MG, Kibungu FP, Matamba TL, Mayala MG: Correlates of ever had sex and of recent sex among teenagers and young unmarried adults in the democratic republic of Congo. AIDS Behav 2008, 12:585-593.
  • [19]Kiragu K, Zabin LS: The correlates of premarital sexual activity among school-age adolescents in Kenya. Int Fam Plan Perspect 1993, 19:92-109.
  • [20]Kumi-Kyereme A, Awusabo-Asare K, Biddlecom A, Tanle A: Infuence of social connectedness, communication and monitoring on adolescent sexual activity in Ghana. Afr J Reprod Health 2007, 11:133-147.
  • [21]Magnani RJ, Karim AM, Weiss LA, Bond KC, Lemba M, Morgan GT: Reproductive health risk and protective factors among youth in Lusaka, Zambia. J Adolesc Health 2002, 30:76-86.
  • [22]Slap GB, Lot L, Huang B, Daniyam CA, Zink TM, Succop PA: Sexual behaviour of adolescents in Nigeria: cross sectional survey of secondary school students. Brit Med J 2003, 326:15.
  • [23]Tsala Dimbuene Z, Kuate Defo B: Family environment and premarital intercourse in Bandjoun (West Cameroon). Arch Sex Behav 2012, 41:351-361.
  • [24]Dishion TJ, McMahon RJ: Parental monitoring and the prevention of child and adolescent problem behavior: a conceptual and empirical formulation. Clin Child Fam Psychol Rev 1998, 1:61-75.
  • [25]Meschke LL, Zweig JM, Barber BL: Demographic, biological, psychological, and social predictors of the timing of first intercourse. J Res Adol 2000, 10:315-338.
  • [26]Bastien S, Kajula LJ, Muhwezi WW: A review of studies of parent–child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reprod Health 2011, 8:25. BioMed Central Full Text
  • [27]Magadi MA, Agwanda AO: Determinants of transitions to first sexual intercourse, marriage and pregnancy among female adolescents: evidence from south Nyanza, Kenya. J Biosoc Sci 2008, 41:409-427.
  • [28]Amoran O, Fawole OE: Parental influence on reproductive health behaviour of youths in Ibadan, Nigeria. Afr J Med Med Sci 2008, 37:21-27.
  • [29]Kawai K, Kaaya SF, Kajula L, Mbwambo J, Kilonzo GP, Fawzi WW: Parents’ and teachers’ communication about HIV and sex in relation to the timing of sexual initiation among young adolescents in Tanzania. Scand J Public Healt 2008, 36:879-888.
  • [30]Breinbauer C, Maddaleno M (Eds): Adolescent developmental changes and goals: The importance of early intervention In Youth: Choices and change. Promoting healthy behaviors in adolescents. Washington, DC: Pan American Health Organization; 2005.
  • [31]Li X, Stanton B, Feigelman S: Impact of perceived parental monitoring on adolescent risk behavior over 4 years. J Adolesc Health 2000, 27:49-56.
  • [32]Stanton B, Li X, Pack R, Cottrell L, Harris C, Burns JM: Longitudinal influence of perceptions of peer and parental factors on African American adolescent risk involvement. J Urban Healt 2002, 79:536-548.
  • [33]Bersamin M, Todd M, Fisher DA, Hill DL, Grube JW, Walke S: Parenting practices and adolescent sexual behavior: a longitudinal study. J Marriage Fam 2008, 70(1):97-112.
  • [34]Roche KM, Ahmed S, Blum RW: Enduring consequences of parenting for risk behaviors from adolescence into early adulthood. Soc Sci Med 2008, 66(9):2023-2034.
  • [35]DeVore ER, Ginsburg K: The protective effects of good parenting on adolescents. Curr Opin Pediatr 2005, 17:460-465.
  • [36]Kincaid C, Jones DJ, Sterrett E, McKee L: A review of parenting and adolescent sexual behavior: the moderating role of gender. Clin Psychol Rev 2012, 32:177-188.
  • [37]Harrison A, Cleland J, Gouws E, Frohlich J: Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk? STI 2005, 81(3):259-261.
  • [38]Pettifor AE, van der Straten A, Dunbar MS, Shiboski SC, Padian NS: Early age of first sex: a risk factor for HIV infection among women in Zimbabwe. AIDS 2004, 18(10):1435-1442.
  • [39]Bureau des Recensements et des Études de Population: Recencement général de la population et de l’habitat 2005. Yaoundé: BUCREP; 2010. [Rapport de présentation]
  • [40]Kouinche A, Tagne E, ACAFEM: Traditional norms, beliefs and practices regarding adolescent sexuality in Bandjoun (Western Cameroon). In Sexuality and reproductive health during adolescence in Africa with special reference to Cameroon. Edited by Kuate Defo B. Ottawa: University of Ottawa Press; 1998:109-118.
  • [41]Kuate Defo B: Cameroon Family and Health Survey (CFHS): Data collection and exploitation. EFSC-CFHS Working Paper Series N0 3. Montreal: Department of Demography, University of Montreal; 1998.
  • [42]Kuate Defo B, Lepage Y: Cameroon Family and Health Survey (CFHS): Sampling procedure. EFSC-CFHS Working Paper Series N0 2. Montreal: Department of Demography, University of Montreal; 1997.
  • [43]Gelman A, Hill J: Data analysis using regression and multilevel/hierarchical models. Cambridge: Cambridge University Press; 2007.
  • [44]Sande Namisi F, Flisher AJ, Overland S, Bastien S, Onya H, Kaaya S, Aarø LE: Sociodemographic variations in communication on sexuality and HIV/AIDS with parents, family members and teachers among in-school adolescents: a multi-site study in Tanzania and south Africa. Scand J Public Healt 2009, 37(2):65-74.
  • [45]Amuyunzu-Nyamongo M, Biddlecom A, Ouedraogo C, Woog V: Qualitative evidence on adolescents’ views of sexual and reproductive health in sub-Saharan Africa, Occasional Report N0 16. New York: Allan Guttmacher Institute; 2005.
  • [46]Bankole A, Biddlecom A, Guiella G, Singh S, Zulu E: Sexual behavior, knowledge and information sources of very young adolescents in four sub-Saharan African countries. Afr J Reprod Health 2007, 11:28-43.
  • [47]Muyinda H, Nakuya J, Whitworth JA, Pool R: Community sex education among adolescents in rural Uganda: utilizing indigenous institutions. AIDS Care 2004, 16:69-79.
  • [48]Munthali AC, Zulu EM: The timing and role of initiation rites in preparing young people for adolescence and responsible sexual and reproductive behavior in Malawi. Afr J Reprod Health 2007, 11:150-167.
  • [49]Cattell MG: Nowadays it isn’t easy to advice the young: grandmothers and grand-daughters among Abaluyia in Kenya. J Cross-Cultural Gerontol 1994, 9:157-178.
  • [50]Diop N, Diagne A: Improving communication between parents and adolescents on reproductive health and HIV/AIDS, FRONTIERS Final Report. Washington, DC: Population Council; 2008.
  • [51]World Health Organization: Summary of projects in developing countries assisting parents of adolescents. Geneva: World Health Organization; 2007.
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