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Abstract
This study examined the messages perceived by adolescent girls with orphanhood to influence their sexual decision making. Participants were 125 students (mean age = 14.7 years), 54% of whom attended church schools in a rural district of eastern Zimbabwe. We collected and analyzed data using concept mapping, a mixed method approach that enabled the construction of message clusters, with weighting for their relative importance. Messages that clustered under Biblical Teachings and Life Planning ranked highest in salience among students in both church and secular schools. Protecting Family Honor, HIV Prevention, and Social Stigma messages ranked next, respectively. Contrary to study hypotheses, the messages that orphan adolescent girls perceived to influence their sexual decisions did not vary by type of school attended.
References
Section:
|
Agha, S., Rossem, R. V. (2004). Impact of a school-based peer sexual health intervention on normative beliefs, risk perceptions, and sexual behavior of Zambian adolescents. Journal of Adolescent Health, 34, 441-452. Google Scholar | Crossref | Medline | ISI | |
|
Basinga, P., Bizimana, J. D., Munyanshongore, C. (2009). Assessment of the role of forum theatre in HIV/AIDS behavioral change process among secondary school adolescents in Butare Province, Rwanda. International Journal on Disability and Human Development, 8, 163-173. Google Scholar | Crossref | |
|
Birdthistle, I., Foyd, S., Machingura, A., Mudziwapasi, N., Gregson, S., Glynn, J. R. (2008). From affected to infected: Orphanhood and HIV risk among female adolescents in urban Zimbabwe. AIDS, 22, 759-766. Google Scholar | Crossref | Medline | ISI | |
|
Block, J. (1961). The Q-sort method in personality assessment and psychiatric research. Spring-field, IL: Charles C. Thomas. Google Scholar | Crossref | |
|
Bourdillon, M. F. C. (1982). The Shona peoples: An ethnography of the Shona with special reference to their religion. Gweru, Zimbabwe: Mambo Press. Google Scholar | |
|
Brenner, L. (2001). Controlling knowledge: Religion, power and schooling in a West African Muslim society. Bloomington: Indiana University Press. Google Scholar | |
|
Centers for Disease Control and Prevention . (2011). HIV among youth. Retrieved from http://www.cdc.gov/hiv/youth/ Google Scholar | |
|
Central Intelligence Agency . (2012). HIV/AIDS: Adult prevalence rate. In The world factbook. Retrieved from https://www.cia.gov/library/publications/the-world-factbook/rankorder/2155rank.html Google Scholar | |
|
Concept Systems . (2010). Group concept mapping. Ithaca, NY: Author. Retrieved from http://www.conceptsystems.com/content/category/concept-mapping.html Google Scholar | |
|
Central Statistical Office (CSO)[Zimbabwe] . (2007). Macro International Inc. Zimbabwe demographic and health survey, 2005-2006. Central Statistical Office and Macro International, Inc.; Calverton, MD: 2007 Google Scholar | |
|
Everitt, B. (1980). Cluster analysis (2nd ed.). New York, NY: Halstead Press. Google Scholar | |
|
Gelfand, M. (1978). The genuine Shona. Gweru, Zimbabwe: Mambo Press. Google Scholar | |
|
Gregson, S., Nyamukapa, C. A., Garnett, G. P., Wambe, M., Lewis, J. J., Mason, P. R., . . . Anderson, R. M. (2005). HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in Zimbabwe. AIDS Care, 17, 785-794. Google Scholar | Crossref | Medline | ISI | |
|
Hallfors, D., Cho, H., Iritani, B., Mapfumo, J., Mpofu, E., Luseno, W., January, J. (2013). Preventing HIV by providing support for orphan girls to stay in school: Does religion matter? Ethnicity & Health, 18, 53-65. Google Scholar | Crossref | Medline | ISI | |
|
Hallfors, D., Cho, H., Rusakaniko, S., Iritani, B., Mapfumo, J., Halpern, C. (2011). Supporting adolescent orphan girls to stay in school as HIV risk prevention: Evidence from a randomized controlled trial in Zimbabwe. American Journal of Public Health, 101, 1082-1088. Google Scholar | Crossref | Medline | ISI | |
|
Jansen, J. D. (2009). Knowledge in the blood: Confronting race and the apartheid past. Cape Town: South Africa: University of Cape Town Press. Google Scholar | |
|
Juma, M., Alaii, J., Bartholomew, L. R., Askew, I., Van den Borne, B. (2013). Risky sexual behavior among orphan and non-orphan adolescents in Nyanza Province, Western Kenya. AIDS & Behavior, 17, 951-960. Google Scholar | Crossref | Medline | ISI | |
|
Kafterian, S., Robertson, E., Compton, W., Davis, B. W., Volkow, N. (2004). Blending prevention research and practice in schools: Critical issues and suggestions. Prevention Science, 5, 1-3. Google Scholar | Crossref | Medline | ISI | |
|
Karmon, A. (2007). Institution organization of knowledge: The missing link in educational discourse. Teacher’s College Record, 109, 603-634. Google Scholar | ISI | |
|
Levers, L. L., Mpofu, E., Ferreira, R. (2011). HIV and AIDS counseling. In Mpofu, E. (Ed.), Counseling people of African ancestry (pp. 249-264). New York, NY: Cambridge University Press. Google Scholar | Crossref | |
|
Mbizvo, M. T., Kasule, J., Gupta, V., Rusakaniko, S., Kinoti, S. N., Mpanju-Shumbushu, W., . . . Padayachy, J. (1997). Effects of a randomized health education intervention on aspects of reproductive health knowledge and reported behaviour among adolescents in Zimbabwe. Social Science & Medicine, 44, 573-577. Google Scholar | Crossref | Medline | ISI | |
|
Mkandawire, P., Tenkorang, E. (2013). Orphan status and first sex among adolescents in Northern Malawi. AIDS & Behavior, 17, 939-950. Google Scholar | Crossref | Medline | ISI | |
|
Mpofu, E., Mutepfa, M., Hallfors, D. (2012). Mapping structural influences on sex and HIV education in church and secular schools. Evaluation and the Health Professions, 35, 346-359. Google Scholar | SAGE Journals | ISI | |
|
Mpofu, E., Ruhode, N., Mutepfa-Mhaka, M., January, J., Mapfumo, J. (in press). Resilience among among Zimbawean youths with orphan-hood. In Theron, L., Ungar, M., Liebenberg, L. (Eds.). Resilience and Culture(s): Commonalities and Complexities. NY, NY: Springer Google Scholar | |
|
Mutepfa, M. M., Phasha, N., Mpofu, E., Tchomber, T., Mwamwenda, T., Kizzito, S., Jere-Folotiya, J. (2008). Child-headed households in sub-Saharan Africa. In Maundeni, T., Levers, L. L., Jacques, G. (Eds.), Changing family systems: A global perspective (pp. 328-336). Gaborone, Botswana: Bay. Google Scholar | |
|
Nyambedha, E. O., Wandibba, S., Aagaard-Hansenb, J. (2003). Changing patterns of orphan care due to the HIV epidemic in western Kenya. Social Science & Medicine, 57, 301-311. Google Scholar | Crossref | Medline | ISI | |
|
Nyamukapa, C., Gregson, S. (2005). Extended family’s and women’s roles in safeguarding orphans’ education in AIDS-afflicted rural Zimbabwe. Social Science & Medicine, 60, 2155-2167. Google Scholar | Crossref | Medline | ISI | |
|
Payne, A. A., Eckert, R. (2010). The relative importance of provider, program, school, and community predictors of the implementation quality of school-based prevention programs. Prevention Science, 11, 126-141. Google Scholar | Crossref | Medline | ISI | |
|
Pinto, R. M. (2013). What makes or breaks provider-researcher collaborations in HIV research? A mixed method analysis of providers’ willingness to partner. Health Education & Behavior, 40, 223-230. doi:10.1177/1090198112447616 Google Scholar | SAGE Journals | ISI | |
|
Pinto, R. M., McKay, M. M. (2006). A mixed method analysis of African American women’s attendance at an HIV prevention intervention. Journal of Community Psychology, 34, 601-616. Google Scholar | Crossref | ISI | |
|
UNAIDS . (2011). Zimbabwe—UNAIDS. Retrieved from http://www.unaids.org/en/regionscountries/countries/zimbabwe/ Google Scholar | |
|
UNAIDS, UNICEF, & USAID . (2010). Protecting Africa’s future: Livelihood-based social protection for orphaned and vulnerable children in east and southern Africa. Retrieved from www.fao.org/fileadmin/templates/tc/tce/pdf/REOSA_Brief1__May2010.pdf Google Scholar |
