The Factors Influencing the Sexual Practices of Adolescents in Three African Nations

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The Factors Influencing the Sexual Practices of Adolescents in Three African Nations

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dc.contributor.advisor Ahearn, Frederick L en_US
dc.contributor.author Minnick, Dorlisa J. en_US
dc.contributor.other Conrad, Ann Patrick en_US
dc.contributor.other BrintzenhofeSzoc, Karlynn en_US
dc.date.accessioned 2012-09-11T17:08:22Z
dc.date.available 2012-09-11T17:08:22Z
dc.date.created 2010 en_US
dc.date.issued 2012-09-11
dc.identifier.other Minnick_cua_0043A_10089 en_US
dc.identifier.uri http://hdl.handle.net/1961/11507
dc.description Degree awarded: Ph.D. Social Work. The Catholic University of America en_US
dc.description.abstract Presently, 3,280,000 youth in sub-Saharan Africa between the ages of 15-24 are living with HIV (UNAIDS, 2008a). Ghana, Malawi, and Uganda are three sub-Saharan African nations that have started examining the sexual practices of adolescents via population-based studies. These three nations are similar in that each falls into the last quartile on the Human Development Index (HDI) signifying the lowest levels of human development in the world. The study explores how knowledge and persuasion dimensions influence choices in condom use or sexual abstinence among adolescents from Ghana, Malawi, and Uganda. Further, the study examines whether differences exist in adoption of condoms between nations. In testing the three hypotheses of this study on adoption of condom use and sexual abstinence by adolescents, binary logistic regression and analysis of covariance were utilized. Scale development and instrument reliability were examined through Cronbach alphas and item deletion. The first binary logistic regression model demonstrated that when controlling for background variables, family planning, condom knowledge and efficacy, and media intervention on family planning and HIV prevention increased the likelihood of condom use. In the second binary logistic regression model, family planning, AIDS knowledge, and pressure from family to remain sexually abstinent were statistically significant in the odds on sexual abstinence when controlling for background variables. The testing of the third hypothesis showed that Uganda had a higher mean for condom utilization compared to Ghana and Malawi but only the mean difference between Uganda and Ghana was statistically significant. Implications for macro, mezzo, and micro-level social work practice are discussed. Additional attention was given to macro-level social work practice due to international social development modeling which is most appropriately practiced at the macro-level involving both social policy and community practice. There are four main areas of social policy that the findings from this study can influence: AIDS, family, education, and labor. Implications for community practice in addressing HIV prevention and intervention among adolescents involve community development and community organizing. Implications for social work groupwork were explored as much community organization involves mezzo-level social work practice through the use of small groups. en_US
dc.format.extent 144 p. en_US
dc.format.mimetype application/pdf en_US
dc.language eng en_US
dc.publisher The Catholic University of America en_US
dc.subject Social Work en_US
dc.subject Health Sciences, Public Health en_US
dc.subject Sub Saharan Africa Studies en_US
dc.subject.other adolescents en_US
dc.subject.other AIDS en_US
dc.subject.other condoms en_US
dc.subject.other diffusion of innovations theory en_US
dc.subject.other sexual abstinence en_US
dc.subject.other social work en_US
dc.title The Factors Influencing the Sexual Practices of Adolescents in Three African Nations en_US
dc.type Text en_US
dc.type Dissertation en_US


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