Influence of parental factors on adolescents’ transition to first sexual intercourse in Nairobi, Kenya: a longitudinal study

Reproductive Health

Donatien Beguy³  Sanyu A. Mojola¹  Joyce N. Mumah³  Caroline W. Kabiru³  Chinelo C. Okigbo² 

[1] Department of Sociology and Institute of Behavioral Science, University of Colorado Boulder, Boulder, CO, USA;Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA;African Population and Health Research Center, APHRC Campus, Manga Close, Off Kirawa Road, Nairobi, Kenya

关键词: Urban slums;    Sexual debut;    Adolescents;    Parental discipline;    Parent-child communication;    Parental monitoring;   

Others  :  1226999
DOI  :  10.1186/s12978-015-0069-9

 received in 2014-10-27, accepted in 2015-08-11,  发布年份 2015

【 摘 要 】

Background

Several studies have demonstrated a link between young people’s sexual behavior and levels of parental monitoring, parent-child communication, and parental discipline in Western countries. However, little is known about this association in African settings, especially among young people living in high poverty settings such as urban slums. The objective of the study was to assess the influence of parental factors (monitoring, communication, and discipline) on the transition to first sexual intercourse among unmarried adolescents living in urban slums in Kenya.

Methods

Longitudinal data collected from young people living in two slums in Nairobi, Kenya were used. The sample was restricted to unmarried adolescents aged 12–19 years at Wave 1 (weighted n = 1927). Parental factors at Wave 1 were used to predict adolescents’ transition to first sexual intercourse by Wave 2. Relevant covariates including the adolescents’ age, sex, residence, school enrollment, religiosity, delinquency, and peer models for risk behavior were controlled for. Multivariate logistic regression models were used to assess the associations of interest. All analyses were conducted using Stata version 13.

Results

Approximately 6 % of our sample transitioned to first sexual intercourse within the one-year study period; there was no sex difference in the transition rate. In the multivariate analyses, male adolescents who reported communication with their mothers were less likely to transition to first sexual intercourse compared to those who did not (p < 0.05). This association persisted even after controlling for relevant covariates (OR: ≤0.33; p < 0.05). However, parental monitoring, discipline, and communication with their fathers did not predict transition to first sexual intercourse for male adolescents. For female adolescents, parental monitoring, discipline, and communication with fathers predicted transition to first sexual intercourse; however, only communication with fathers remained statistically significant after controlling for relevant covariates (OR: 0.30; 95 % C.I.: 0.13–0.68).

Conclusion

This study provides evidence that cross-gender communication with parents is associated with a delay in the onset of sexual intercourse among slum-dwelling adolescents. Targeted adolescent sexual and reproductive health programmatic interventions that include parents may have significant impacts on delaying sexual debut, and possibly reducing sexual risk behaviors, among young people in high-risk settings such as slums.

【 授权许可】

   
2015 Okigbo et al.

【 参考文献 】

• [1]Adolescents: health risks and solutions. Fact sheet No 345. World Health Organization, Geneva; 2014.
• [2]Kotchick BA, Shaffer A, Miller KS, Forehand R. Adolescent sexual risk behavior: a multi-system perspective. Clin Psychol Rev. 2001; 21:493-519.
• [3]Kirby D, Coyle K, Alton F, Rolleri L, Robin L. Reducing adolescent sexual risk: a theoretical guide for developing and adapting curriculum-based programs. ETR Associates, Scotts Valley; 2011.
• [4]Babalola S, Tambashe BO, Vondrasek C. Parental factors and sexual risk-taking among young people in Cote d'Ivoire. Afr J Reprod Health. 2005; 9:49-65.
• [5]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: original research article. Afr J Reprod Health. 2007; 11:28-43.
• [6]Adolescent pregnancy. Fact sheet No 364. World Health Organization, Geneva; 2014.
• [7]Global strategy for the prevention and control of sexually transmitted infections: 2006–2015: breaking the chain of transmission. World Health Organization, Geneva; 2007.
• [8]Adedimeji AA, Omololu FO, Odutolu O. HIV risk perception and constraints to protective behaviour among young slum dwellers in Ibadan, Nigeria. J Health Popul Nutr. 2007; 25:146-157.
• [9]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.
• [10]Huebner AJ, Howell LW. Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication, and parenting styles. J Adolesc Health. 2003; 33:71-78.
• [11]DiClemente RJ, Wingood GM, Crosby R, Sionean C, Cobb BK, Harrington K, Davies S, Hook EW, Oh MK. Parental monitoring: Association with adolescents' risk behaviors. Pediatrics. 2001; 107:1363-1368.
• [12]Yang H, Stanton B, Li X, Cottrel L, Galbraith J, Kaljee L. Dynamic association between parental monitoring and communication and adolescent risk involvement among African-American adolescents. J Natl Med Assoc. 2007; 99:517-524.
• [13]Wang B, Stanton B, Deveaux L, Li X, Lunn S. Dynamic relationships between parental monitoring, peer risk involvement and sexual risk behavior among Bahamian mid-adolescents. Int Perspect Sex Reprod Health. 2015; 41:89-98.
• [14]Wang B, Li X, Stanton B, Kamali V, Naar-King S, Shah I, Thomas R. Sexual attitudes, pattern of communication, and sexual behavior among unmarried out-of-school youth in China. BMC Public Health. 2007; 7:189-198. BioMed Central Full Text
• [15]Dodoo FN-A, Zulu EM, Ezeh AC. Urban–rural differences in the socioeconomic deprivation–Sexual behavior link in Kenya. Soc Sci Med. 2007; 64:1019-1031.
• [16]Kabiru CW, Beguy D, Undie C-C, Zulu EM, Ezeh AC. Transition into first sex among adolescents in slum and non-slum communities in Nairobi, Kenya. J Youth Stud. 2010; 13:453-471.
• [17]Zulu EM, Dodoo FN-A, Chika-Ezeh A. Sexual risk-taking in the slums of Nairobi, Kenya, 1993–98. Popul Stud. 2002; 56:311-323.
• [18]Ngom P, Magadi MA, Owuor T. Parental presence and adolescent reproductive health among the Nairobi urban poor. J Adolesc Health. 2003; 33:369-377.
• [19]Stattin H, Kerr M. Parental monitoring: A reinterpretation. Child Dev. 2000; 71:1072-1085.
• [20]Miller KS, Forehand R, Kotchick BA. Adolescent sexual behavior in two ethnic minority samples: The role of family variables. J Marriage Fam. 1999; 61:85-98.
• [21]Borawski EA, Ievers-Landis CE, Lovegreen LD, Trapl ES. Parental monitoring, negotiated unsupervised time, and parental trust: The role of perceived parenting practices in adolescent health risk behaviors. J Adolesc Health. 2003; 33:60-70.
• [22]Romer D, Stanton B, Galbraith J, Feigelman S, Black MM, Li X. Parental influence on adolescent sexual behavior in high-poverty settings. Arch Pediatr Adolesc Med. 1999; 153:1055-1062.
• [23]McNeely C, Shew ML, Beuhring T, Sieving R, Miller BC, Blum RW. Mothers’ influence on the timing of first sex among 14-and 15-year-olds. J Adolesc Health. 2002; 31:256-265.
• [24]MacPhail C, Campbell C. ‘I think condoms are good but, aai, I hate those things’: condom use among adolescents and young people in a Southern African township. Soc Sci Med. 2001; 52:1613-1627.
• [25]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.
• [26]Sieving RE, McNeely CS, Blum RW. Maternal expectations, mother-child connectedness, and adolescent sexual debut. Arch Pediatr Adolesc Med. 2000; 154:809-816.
• [27]Petts RJ. Family and religious characteristics' influence on delinquency trajectories from adolescence to young adulthood. Am Sociol Rev. 2009; 74:465-483.
• [28]Kabiru CW, Mojola SA, Beguy D, Okigbo C. Growing up at the “margins”: concerns, aspirations, and expectations of young people living in Nairobi's slums. J Res Adolesc. 2013; 23:81-94.
• [29]Kabiru CW, Elung’ata P, Mojola SA, Beguy D. Adverse life events and delinquent behavior among Kenyan adolescents: a cross-sectional study on the protective role of parental monitoring, religiosity, and self-esteem. Child Adolesc Psychiatr Mental Health. 2014; 8:1-11. BioMed Central Full Text
• [30]Bersamin M, Todd M, Fisher DA, Hill DL, Grube JW, Walker S. Parenting practices and adolescent sexual behavior: A longitudinal study. J Marriage Fam. 2008; 70:97-112.
• [31]Izugbara CO. Home-based sexuality education: Nigerian parents discussing sex with their children. Youth Soc. 2007; 8:24-40.
• [32]Mbugua N. Factors inhibiting educated mothers in Kenya from giving meaningful sex-education to their daughters. Soc Sci Med. 2007; 64:1079-1089.
• [33]Babalola S, Ouedraogo D, Vondrasek C. Motivation for late sexual debut in Cote d'Ivoire and Burkina Faso: a positive deviance inquiry. J HIV/AIDS Prevent Children Youth. 2007; 7:65-87.
• [34]Perrino T, González-Soldevilla A, Pantin H, Szapocznik J. The role of families in adolescent HIV prevention: A review. Clin Child Fam Psychol Rev. 2000; 3:81-96.
• [35]Jessor R, Turbin MS, Costa FM. Risk and protection in successful outcomes among disadvantaged adolescents. Appl Dev Sci. 1998; 2:194-208.
• [36]Stata Statistical Software: Release 13. StataCorp LP, College Station; 2013.
• [37]Huang DY, Murphy DA, Hser Y-I. Parental monitoring during early adolescence deters adolescent sexual initiation: discrete-time survival mixture analysis. J Child Fam Stud. 2011; 20:511-520.
• [38]Kalina O, Geckova AM, Klein D, Jarcuska P, Orosova O, van Dijk JP, Reijneveld SA. Mother's and father's monitoring is more important than parental social support regarding sexual risk behaviour among 15-year-old adolescents. Eur J Contracept Reprod Health Care. 2013; 18:95-103.
• [39]Parkes A, Henderson M, Wight D, Nixon C. Is Parenting Associated with Teenagers’ Early Sexual Risk‐Taking, Autonomy And Relationship with Sexual Partners? Perspect Sex Reprod Health. 2011; 43:30-40.
• [40]Usher-Seriki KK, Bynum MS, Callands TA. Mother–daughter communication about sex and sexual intercourse among middle-to upper-class African American girls. J Fam Issues. 2008; 29:901-917.
• [41]Simons RL, Wu CI, Lin KH, Gordon L, Conger RD. A cross‐cultural examination of the link between corporal punishment and adolescent antisocial behavior*. Criminology. 2000; 38:47-80.
• [42]Mott FL, Fondell MM, Hu PN, Kowaleski-Jones L, Menaghan EG. The determinants of first sex by age 14 in a high-risk adolescent population. Fam Plann Perspect. 1996; 28:13-18.
• [43]Maxwell KA. Friends: The role of peer influence across adolescent risk behaviors. J Youth Adolesc. 2002; 31:267-277.
• [44]Miller RB, Wright DW. Detecting and correcting attrition bias in longitudinal family research. J Marriage Fam. 1995; 57:921-929.
• [45]Beguy D, Kabiru CW, Nderu EN, Ngware MW. Inconsistencies in self-reporting of sexual activity among young people in Nairobi, Kenya. J Adolesc Health. 2009; 45:595-601.
• [46]Eggleston E, Leitch J, Jackson J. Consistency of self-reports of sexual activity among young adolescents in Jamaica. Int Fam Plan Perspect. 2000; 26:79-83.