AIDS and Behavior

, Volume 19, Issue 12, pp 2162–2176 | Cite as

Adolescents’ Communication with Parents, Other Adult Family Members and Teachers on Sexuality: Effects of School-Based Interventions in South Africa and Tanzania

  • Francis Namisi
  • Leif Edvard Aarø
  • Sylvia Kaaya
  • Lusajo J. Kajula
  • Gad. P. Kilonzo
  • Hans Onya
  • Annegreet Wubs
  • Catherine Mathews
Original Paper

Abstract

Cluster-randomized controlled trials were carried out to examine effects on sexual practices of school-based interventions among adolescents in three sites in sub-Saharan Africa. In this publication, effects on communication about sexuality with significant adults (including parents) and such communication as a mediator of other outcomes were examined. Belonging to the intervention group was significantly associated with fewer reported sexual debuts in Dar es Salaam only (OR 0.648). Effects on communication with adults about sexuality issues were stronger for Dar es Salaam than for the other sites. In Dar, increase in communication with adults proved to partially mediate associations between intervention and a number of social cognition outcomes. The hypothesized mediational effect of communication on sexual debut was not confirmed. Promoting intergenerational communication on sexuality issues is associated with several positive outcomes and therefore important. Future research should search for mediating factors influencing behavior beyond those examined in the present study.

Keywords

Adolescents Intervention Interpersonal communication HIV/AIDS Statistical mediation 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Francis Namisi
    • 1
    • 3
  • Leif Edvard Aarø
    • 2
    • 3
  • Sylvia Kaaya
    • 4
  • Lusajo J. Kajula
    • 4
  • Gad. P. Kilonzo
    • 4
  • Hans Onya
    • 5
  • Annegreet Wubs
    • 3
  • Catherine Mathews
    • 6
    • 7
  1. 1.African Medical and Research Foundation (AMREF)NairobiKenya
  2. 2.Division of Mental HealthNorwegian Institute of Public HealthOsloNorway
  3. 3.Department of Health Promotion and Development, Faculty of PsychologyUniversity of BergenBergenNorway
  4. 4.Department of PsychiatryMuhimbili University of Health and Allied SciencesDar es SalaamTanzania
  5. 5.Department of Medical Sciences, Public Health and Health Promotion, School of Health SciencesUniversity of Limpopo, Turfloop CampusSovengaSouth Africa
  6. 6.Health Systems Research UnitMedical Research CouncilCape TownSouth Africa
  7. 7.Adolescent Health Research Unit, Department of Psychiatry and Mental HealthUniversity of Cape Town, University Private BagCape TownSouth Africa

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