Skip to main content

Advertisement

Log in

Approaches to Regulating Adolescent Sexual Behavior in Ghana: Qualitative Evidence from Somanya and Adidome

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

This article examines perceptions of why HIV infection is severe among adolescents in Somanya and less so in Adidome—two seemingly similar communities in Ghana—through analysis of the social control measures employed by these communities to regulate adolescent sexual initiation. Using focus group discussions with parents and caregivers of adolescent children, the study found that parents in Somanya and Adidome used different regulatory mechanisms to influence adolescent sexual initiation. While parents in Somanya relied largely on parental monitoring, parents in Adidome depended more on a combination of neighborhood monitoring and community barriers (informal rules) to control adolescent sexual onset. The study findings showed that contextual factors (socioeconomic and cultural) shaped the social realities of people in these two communities accounting for the differences in HIV prevalence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Yilo Krobo District Assembly website http://northtongu.ghanadistricts.gov.gh/?arrow=atd&_=128&sa=2638; http://www.ghanadistricts.com/districts/?r=4&_=77&sa=3822. Accessed September 28, 2016.

References

  • Akumatey, B., & Darkwah, A. (2009). Gender norms, domestic violence and women’s vulnerability to HIV/AIDS: Report of a National Study. Accra: The Gender Centre.

    Google Scholar 

  • Anarfi, J. (1990). Female migration, occupation and diseases linkages: The Abidjan case study. Paper presented at informal workshop on researching sexual networking in West Africa, Ibadan, 22–23 March, 1990.

  • Anarfi, J. K. (2003). To change or not to change: Obstacles and resistance to sexual behavioral change among the youth in Ghana in the era of AIDS. Institute of African Studies Research Review, 19, 27–45.

    Google Scholar 

  • Asampong, E., Osafo, J., Bingenheimer, J. B., & Ahiadeke, C. (2013). Adolescents and parents’ perceptions of best time for sex and sexual communications from two communities in the Eastern and Volta Regions of Ghana: Implications for HIV and AIDS education. BMC International Health and Human Rights Journal, 13, 1–11.

    Article  Google Scholar 

  • Atobrah, D. (2004). Children of dead mothers and ‘unknown’ fathers. Research Review Supplement, 16, 59–76.

    Google Scholar 

  • Auerbach, J. D., Hayes, R. J., & Kandathila, S. M. (2006). Overview of effective and promising interventions to HIV infection. In D. A. Ross, B. Dick, & J. Ferguson (Eds.), Preventing HIV/AIDS in young people: A systematic review of the evidence from developing countries (pp. 43–63). Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • Bandura, A. (1986). The explanatory and predictive scope of self-efficacy theory. Journal of Clinical and Social Psychology, 4, 359–373.

    Article  Google Scholar 

  • Baumer, E. P., & South, S. J. (2001). Community effects on youth sexual activity. Journal of Marriage and Family, 63, 540–545.

    Article  Google Scholar 

  • Baumrind, D., & Black, A. E. (1967). Socialization practices associated with dimensions of competence in preschool boys and girls. Child Development, 38, 291–327.

    Article  PubMed  Google Scholar 

  • Billy, J. O. G., Brewster, K. L., & Grady, W. R. (1994). Contextual effects on the sexual behavior of adolescent women. Journal of Marriage and the Family, 56, 387–404.

    Article  Google Scholar 

  • Bingenheimer, J. B., Asante, E., & Ahiadeke, C. (2015). Peer influences on sexual activity among adolescents in Ghana. Studies in Family Planning, 46, 1–19.

    Article  PubMed  PubMed Central  Google Scholar 

  • Boakye, P. A. (2010). A rite of passage among the Krobos of Eastern Region, Ghana. Master’s thesis, University of Tromsa, Norway. Retrieved from http://munin.uit.no/bitstream/handle/10037/2673.

  • Brewster, K. L., Cooksey, E. C., Guilkey, D. K., & Rindfuss, R. R. (1998). The changing impact of religion on the sexual and contraceptive behaviour of adolescent women in the United States. Journal of Marriage and the Family, 60, 493–504.

    Article  Google Scholar 

  • Browning, C. R., Leventhal, T., & Brooks-Gunn, J. (2005). Sexual initiation during early adolescence: The nexus of parental and community control. American Sociological Review, 70, 758–778.

    Article  Google Scholar 

  • Burgard, S., & Lee-Rife, S. M. (2009). Community characteristics, sexual initiation, and condom use among young black South Africans. Journal of Health and Behaviour, 50, 293–309.

    Article  Google Scholar 

  • Clark, S. (2004). Early marriage and HIV risks in Sub-Saharan Africa. Studies in Family Planning, 35, 149–160.

    Article  PubMed  Google Scholar 

  • Coleman, J. C. (1988). Social capital in the creation of human capital. American Journal of Sociology, 94, 95–120.

    Article  Google Scholar 

  • Coleman, J. S. (1990). Foundations of social theory. Cambridge, MA: University Press.

    Google Scholar 

  • Dekker, P., & Uslaner, E. M. (2001). Introduction. In E. M. Uslaner (Ed.), Social capital and participation in everyday life (pp. 1–8). London: Routledge.

    Google Scholar 

  • DeVore, E. R., & Ginsburg, K. R. (2005). The protective effects of good parenting on adolescents. Current Opinion in Pediatrics, 17, 60–465.

    Google Scholar 

  • Freudenberg, W. R. (1986). The density of acquaintanceship: An overlooked variable in community research. American Journal of Sociology, 92, 27–63.

    Article  Google Scholar 

  • Ghana Health Service. (2016). 2015 HIV Sentinel Survey Report. Accra, Ghana: National AIDS/STI Control Programme.

    Google Scholar 

  • Gibbs, J. T. (1986). Psychosocial correlates of sexual attitudes and behaviour in urban and early adolescent females: Implications for intervention. Journal of Social Work and Human Sexuality, 5, 81–97.

    Article  Google Scholar 

  • Hoffman, L. (1991). Changes in family roles, socialization, and sex differences. American Psychologist, 32, 644–657.

    Article  Google Scholar 

  • Kirby, D. (2002). The impact of schools and school programs upon Adolescent sexual behavior. Journal of Sex Research, 39, 27–33.

    Article  PubMed  Google Scholar 

  • Kornhauser, R. R. (1978). Social sources of delinquency. Chicago, IL: University of Chicago Press.

    Google Scholar 

  • Kubrin, C. E., & Weitzer, R. (2003). New directions in social disorganization theory. Journal of Research in Crime and Delinquency, 40, 374–402.

    Article  Google Scholar 

  • Kumi-Kyereme, A., Awusabo-Asare, K., Biddlecom, A., & Tanle, A. (2007). Influence of social connectedness, communication and monitoring on adolescent sexual activity in Ghana. African Journal of Reproductive Health, 11, 133–136.

    Article  PubMed  PubMed Central  Google Scholar 

  • Langmagne, S. (2016). High HIV/AIDS prevalence in a suburban area in Ghana: A context analysis of its relationship to human trafficking. Doctor of philosophy dissertation submitted to the University of Saskatchewan.

  • Liamputtong, P. (2009). Focus group methodology: Principle and practice. Los Angeles: Sage Publications.

    Google Scholar 

  • Lund, R., & Agyei-Mensah, S. (2008). Queens and mothers: The role of the traditional safety net of care and support for HIV/AIDS orphans and vulnerable children in Ghana. Journal of Geography, 71, 93–106.

    Google Scholar 

  • Mash, E. J., & Barkley, R. A. (2003). Child psychopathology. New York: Guilford Press.

    Google Scholar 

  • Miller, B. C. (1998). Families matter: A research synthesis of family influences on adolescent pregnancy. Washington, DC: National Campaign to Prevent Teen Pregnancy.

    Google Scholar 

  • Miller, B. C., & Sneesby, K. R. (1988). Educational correlates of adolescents’ sexual attitudes and behavior. Journal of Youth and Adolescence, 17, 521–530.

    Article  PubMed  Google Scholar 

  • Murry, V. M. (1992). Incidence of first pregnancy among Black adolescent females over three decades. Youth and Society, 23, 478–506.

    Article  Google Scholar 

  • Nandoya, E. (2014). Sociocultural factors influencing the spread of HIV/AIDS in Africa. Posted on Linkedin. Retrieved from https://www.linkedin.com/pulse/20140916193747-107857132 on December 14, 2017.

  • Osafo, J., Asampong, E., Langmagne, S., & Ahiedeke, C. (2013). Perceptions of parents on how religion influences adolescents sexual behaviours in two Ghanaian communities: Implications for HIV and AIDS prevention. Journal of Religion and Health, 52, 959–971.

    Article  Google Scholar 

  • Osgood, D. W., Chambers, J. M. (2003). Community correlates of rural youth violence. Juvenile Justice Bulletin. https://www.ncjrs.gov/pdffiles1/ojjdp/193591.pdf. Retrieved September 17, 2016.

  • Patton, M. Q. (1990). Qualitative evaluation and research methods. London: Sage Publications.

    Google Scholar 

  • Pieterse, J. N. (2003). Social capital and migration: Beyond ethnic economies. Ethnicities, 3, 29–58.

    Article  Google Scholar 

  • Putnam, R. D. (1995). Bowling alone: America’s declining social capital. Journal of Democracy, 6, 65–78.

    Article  Google Scholar 

  • Romer, D., Stanton, B., Galbraith, J., Freigelman, S., Black, M. M., & Li, X. (1999). Parental influence on adolescent sexual behaviour in high-poverty settings. Archives of Pediatrics and Adolescent Medicine, 153, 1055–1062.

    Article  PubMed  Google Scholar 

  • Sackey, B. M. (2001). Cultural responses to the managementof HIV/AIDS: The repackaging of puberty rites. Institute of African Studies Research Review, 17, 5–14.

    Article  Google Scholar 

  • Sampson, R. J. (1983). Structural density and criminal victimization. Criminology, 21, 276–293.

    Article  Google Scholar 

  • Sampson, R. J. (2004). Neighborhood and community: Collective efficacy and community safety. New Economy, 11, 106–113.

    Article  Google Scholar 

  • Sampson, R. J., Morenoff, J. D., & Gannon-Rowley, T. (2002). Assessing neighbourhood effects: Social processes and new direction in research. Annual Review of Sociology, 28, 443–478.

    Article  Google Scholar 

  • Sauvé, N., Dzokoto, A., Opare, B., Kaitoo, E. E., Khonde, N., Mondor, M., … Pépin, J. (2002). The price of development: HIV infection in a semi-urban community of Ghana. Journal of Acquired Immune Deficiency Syndromes, 20, 402–408.

    Article  Google Scholar 

  • Schroeder, R. M. & Danquah, S. (2000). Prevention of HIV/AIDS through traditional means: The cultural practice of dipo rites. In Psych discourse “Indigenization” of African psychology, 31. Retrieved March 2012, from http://pzacad.pitzer.edu/~hfairchi/PsychDiscourse.

  • Shaw, C. R., & McKay, H. D. (1942). Juvenile delinquency and urban areas: A study of rates of delinquents in relation to differential characteristics of local communities in American cities. Chicago: University of Chicago Press.

    Google Scholar 

  • Small, S. A., & Luster, T. (1994). Adolescent sexual activity: An ecological risk-factor approach. Journal of Marriage and Family, 56, 181–192.

    Article  Google Scholar 

  • Sossou, M. (2007). Gender inequality and lack of sexual and reproductive rights of women in Ghana: Implications for social work education. Professional Development: International Journal of Continuing Social Work Education, 10, 1–35.

    Google Scholar 

  • Stephenson, R. (2009). Community influences on young people’s sexual behavior in 3 African countries. American Journal of Public Health, 99, 102–109.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tenkorang, E., & Maticka-Tyndale, E. (2008). Factors influencing the timing of first sexual intercourse among young people in Nyanza, Kenya. International Family Planning Perspectives, 34, 177–188.

    Article  PubMed  Google Scholar 

  • Tenkorang, E. Y., Maticka-Tyndale, E., & Fernando, R. (2011). A multi-level analysis of risk perception, poverty and sexual risk-taking among young people in Cape Town, South Africa. Health & Place, 17, 525–535.

    Article  Google Scholar 

  • Teye, J. K. (2005). Condom use as a means of HIV/AIDS prevention and fertility control among the Krobos of Ghana. Norwegian Journal of Geography, 59, 65–73.

    Google Scholar 

  • UNAIDS. (2010). UNAIDS report on the global AIDS epidemic. Geneva: UNAIDS. Retrieved from http://www.unaids.org/globalreport/documents/20101123_GlobalReport_full.

  • Wilson, W. J. (1996). When work disappears. New York: Vintage Books.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan Langmagne.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

Ethics approval for this study was granted by the Institutional Review Boards at the George Washington University and the Noguchi Memorial Institute for Medical Research at the University of Ghana.

Informed Consent

Informed consent was obtained from all individual participants involved in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Langmagne, S., Tenkorang, E.Y., Asampong, E. et al. Approaches to Regulating Adolescent Sexual Behavior in Ghana: Qualitative Evidence from Somanya and Adidome. Arch Sex Behav 47, 1779–1790 (2018). https://doi.org/10.1007/s10508-018-1161-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-018-1161-3

Keywords

Navigation