Archives


Psychosocial Influences on Adolescent Sexuality and Identity in Rural Kenya

Anne Kamau
School of Public Health, University of Bielefeld, Germany

Reinhard Bornemann
School of Public Health, University of Bielefeld, Germany

Ulrich Laaser
Section of International Public Health (S-IPH), Faculty of Health Sciences, University of Bielefeld, Germany

Abstract

This article examines the influence of psychosocial factors on adolescent sexuality and identity in Kenya. It focuses on male circumcision, peer and parental relationships.

The article is based on a study which investigated factors influencing access and utilisation of preventive reproductive health services by adolescents in Murang'a District, Kenya. Structured interviews were conducted with 113 in-school adolescents. Findings show that adolescents held sexuality myths. They lacked understanding about circumcision and maturation on physical changes they experienced. They yielded to negative peer pressure because of myths and threats following circumcision, fear of alienation, feeling like outcasts, and desire for acceptance.

Despite this, adolescents feared to share their sexual health concerns with their parents because of fear of parents' suspicion. We conclude that psychosocial factors influence adolescents sexual behaviour. Adolescents are in a stage where they seek identity and acceptance, approval and not suspicion, to be understood and not to be judged.

Keywords

sociology, adolescent sexuality, psychosocial concerns, circumcision, identity, Kenya


Toggle references

References

Ahlberg BM (1996) Do young women in tropical regions constitute a recognized social category? Acta Tropica 62:201-207.

Ahlberg BM et al (1998) Male circumcision: practice and implication for transmission and prevention of STD/HIV in Central Kenya. In C Becker et al (eds) Experiencing And Understanding AIDS In Africa, Codesria: Karthala & IRD, pp.599-612.

Amuyunzu-Nyamongo M et al (1999) Barriers to behaviour change as a response to STD including HIV/AIDS: the East African experience. Resistances To Behavioural Change To Reduce HIV/AIDS Infection: African Medical Research Foundation, Nairobi: AMREF.

Askew I et al (2004) A multi-sectoral approach to providing reproductive health information and services to young people in western Kenya: Kenya adolescent reproductive health project. Frontiers In Reproductive Health, Population Council; Program for Appropriate Technology in Health (PATH), and Government of Kenya.

Best K (2001) Does circumcision reduce HIV risks! More research is needed to understand the association between circumcision and HIV prevention: special report from FHI. Singapore Journal of Obstetrics and Gynaecology 32(1):59-62.

Central Bureau of Statistics (CBS) et al (2003) Kenya Demographic And Health Survey 2003: Preliminary Report, Republic of Kenya, Nairobi: CBS.

D'angelo LJ and DiClemente RJ (1996) Sexually transmitted diseases including human immunodeficiency virus infection. In R J DiClemente et al (eds) Handbook Of Adolescent Health Risk Behaviour, New York: Plenum Press, pp.333-367.

Empelen P et al (2003) Effective methods to change sex-risk among drug users: a review of psychosocial interventions. Social Science & Medicine 57:1593-1608.

Erulkar AS et al (2004) Behavior change evaluation of a culturally consistent reproductive health program for young Kenyans. International Family Planning Perspectives 30(2).

Forman FS and Emans JS (2000) Clinical review article: current goals for adolescent health care. Hospital Physician 36(1):27-42.

Frankowski BL et al (2004) Sexual orientation and adolescents. Pediatrics 113(6):1827-1832.

Furstenberg F (2001) Adolescence: sociology of. International Encyclopedia of the Social & Behavioral Sciences 94-97.

Galbraith A et al (1997) Health care utilization among pregnant adolescents. Journal of Adolescent Health 21:253-258.

Green V and Basiro D (1995) Adolescent development and risk taking. In D Basiro (ed) Birth To Old Age: Health In Transition, Open University Press, pp.92-109.

Guest G et al (2006) How many interviews are enough? An experiment with data saturation and variability. Field Methods 18(1):59-82.

Heaven PL (ed) (1996) Adolescent Health: The Role of Individual Differences, New York: Routledge Publishers.

Kamau AW (forthcoming) Factors Influencing Access and Utilisation of Preventive Reproductive Health Services by Adolescents in Kenya. A Case Study of Murang'a District, Dissertation: School of Public Health, University of Bielefeld.

King RM (2004) Adolescence: overview, history, theories. King's Psychology Network available at http://www.psyking.net/id183.htm.

Kiragu K et al (1998) Adolescent Reproductive Health Needs in Kenya: A Communication Response Evaluation of the Kenya Youth Initiatives Project, Baltimore: Population Communication Services, John Hopkins University.

Liljeström R et al (1994) The pubescent girl: past and present. In T Masambo and R Liljeström (eds) Chelewa Chelewa: The Dilemma Of Teenage Girls, Uppsala: The Scandinavian Institute of African Studies, pp.35-53.

LoPresti F (2005) Textual data analysis software matures: SPSS text analysis for surveys. Connect Information Technology at NYU 15(2):11-12.

Martikainen P et al (2002) Psychosocial determinants of health in social epidemiology. International Journal of Epidemiology 31:1091-1093.

McCarry M and Baxter L (2004) The school for policy studies study skills manual. University of Bristol available at http://www.bris.ac.uk/sps/downloads/study_skills/13.pdf.

Medical Research Council (MRC) (1999) Guidelines for Ethical Evaluation of Medical Research Involving Human Subjects: The Policy and Organisation of Research Ethics in Sweden, Stockholm: MRC.

Millstein SG and Halpern-Felsher BL (2001) Perceptions of risk and vulnerability. In B Fischhoff et al (eds) Adolescent Risk And Vulnerability: Concepts And Measurement, Washington DC: National Academy Press, pp.15-49.

Ministry of Health (MOH) (2004) National Profile: The Status of Children's Environmental Health, Republic of Kenya, Nairobi: MOH.

Moses S et al (1990) Geographical patterns of male circumcision practices in Africa: association with HIV prevalence. International Journal of Epidemiology 19:693-697.

Muriuki M and Chesos R (2004) Call to repeal abortion law. Daily Nation Newspaper: Nation Media Group, Nairobi: November 08 available at http://www.nationmedia.com/dailynation/nmgcontententry.asp?category_id=1&newsid=19363.

Mziray JC (1998) 'Boys' view on sexuality, girls, and pregnancies. In M Rwemangira and R Liljeström (eds) Haraka, Haraka... Look Before Your Leap: Youth At The Crossroad of Custom and Modernity, Uppsala: Nordiska Afrikainstitutet, pp.144-164.

National AIDS Control Council (NACC) (2005) National HIV/AIDS Monitoring And Evaluation Framework Republic of Kenya, Nairobi: NACC.

National AIDS and STI Control Programme (NASCOP) (2005) AIDS In Kenya, Ministry of Health, Nairobi: NASCOP 7th ed.

Nduati R and Kiai W (1997) Communicating With Adolescents About Aids: Experience From Eastern and Southern Africa, International Development Research Centre (IDRC).

Ngesa M (2005) Cover story: from boys to men. In Living, Daily Nation Newspaper: NationMediaGroup Nairobi: 2005 August 31 available at http://www.nationmedia.com/dailynation/nmgcontententry.asp?category_id=29&newsid=56153.

Ntozi JP (1995) The East African AIDS epidemic and the absence of male circumcision: what is the link? Using circumcision to prevent HIV infection in sub-Saharan Africa: the view of an African. Forum: Health Transition Review 5:97-117.

Nzioka C (2000) Obstacles in managing the dual risks of unwanted pregnancy and sexually transmitted infections among young men in Kenya. Paper Presented At The WHO/UNAIDS Afro Regional Meeting In Pretoria, South Africa 27-29 September 2000.

Nzioka C (2001) Perspectives of adolescent boys on the risks of unwanted pregnancy and sexually transmitted infections: Kenya. Reproductive Health Matters 9(17):57-66.

Oguttu M and Odongo P (2001) Middlevel providers' role in abortion care: Kenya country report. A Paper For The Conference Expanding Access: Midlevel Providers In Menstrual Regulation And Elective Abortion Care, South Africa, 2-6 December 2001.

Perry LC (2000) Preadolescent and adolescent influence on health. In BD Smedley and SL Syme (eds) Promoting Health: Intervention Strategies From Social And Behavioural Research, Washington DC: National Academy Press, pp.217 - 253.

Peterson CC (1996) Foreword. In PL Heaven (ed) Adolescent Health: The Role of Individual Differences, New York: Routledge Publishers.

Population Council (2001) Improving the reproductive health of youth in Kenya: KARHP at a glance. Kenya Adolescent Reproductive Health Project FRONTIERS In Reproductive Health, Adolescent Reproductive Health Project, Research Update Kenya, Nairobi: Popcouncil.

Republic of Kenya (ROK) (2003) Adolescent Reproductive Health & Development Policy. National Council for Population and Development (NCPD), Ministry of Planning and National Development, and Division of Reproductive Health, Ministry of Health, Nairobi: ROK.

Republic of Kenya and Ministry of Health (ROK & MOH) (2001) National Guidelines For Voluntary Counselling and Testing National AIDS and STD Control Programme (NASCOP) & National AIDS Control Council (NACC), Nairobi: ROK and MOH.

Republic of Kenya (ROK) et al (2005) Adolescent Reproductive Health and Development Policy: Plan of Action 2005-2015 Division of Reproductive Health, Ministry of Health (MOH), and National Coordinating Agency for Population and Development (NCAPD) Ministry of Planning and National Development, Nairobi: ROK.

Rich M and Ginsburg K (1999) The reason and rhyme of qualitative research: why, when and how to use qualitative methods in the study of adolescent health. Journal of Adolescent Health 25:371-378.

Sandelowski M (2000) Focus on research methods: whatever happened to qualitative research. Research in Nursing and Health 23(4):334-340.

Siegfried N et al (2003) Male circumcision for prevention of heterosexual acquisition of HIV in men (Cochrane Review). The Cochrane Library, Issue 3.

Smith RC (ca 1992) Female circumcision: bringing women's perspectives into the international debate. Southern California Law Review 65(2449) available at: http://www.law-lib.utoronto.ca/Diana/fulltext/smit.htm.

Suris JC et al (2004) The adolescent with a chronic condition. Part I: developmental issues. Arch. Dis. Child 89:938-942.

Trochim WM (2004) The research methods knowledge base 2nd edn, available at http://www.socialresearchmethods.net/kb/qualdeb.htm.

United Nations Population Fund (UNFPA) (1997) Annual Report 1997: UNFPA.

United Nations Population Fund (UNFPA) (2005) Country Profiles for Population and Reproductive Health: Policy Developments and Indicators 2005, Population Reference Bureau (PRB): UNFPA.

Wamboldt DB (1992) Content analysis: method, applications, and issues. Health Care for Women International 13:313-321.

World Health Organization (WHO) (1998) The Second Decade: Improving Adolescent Health and Development: Adolescent Health and Development Programme, Family and Reproductive Health: WHO/FRH/ADH/98.18 Geneva: WHO.

World Health Organisation (WHO) (2002) Sexual coercion among young Nigerians. Progress in Reproductive Health Research: Progress 58.

World Health Organisation (2003) Special programme of research, development and research training in human reproduction guidelines for research on reproductive health involving adolescents. Preparing A Research Project Proposal. Guidelines and Forms: UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (Fourth Edition) Geneva: WHO.

World Health Organisation and Joint United Nations Programme on HIV and AIDS (WHO & UNAIDS) (1997) Sexually transmitted diseases: policies and principles for prevention and care. UNAIDS Best Practice Collection, Key Material: WHO and UNAIDS.



Web Feed

Latest Articles

Call for Papers

Expert Patient Policy
Volume 18/2
Deadline: 15th Aug 2008


Ageing, Anti-Ageing and Globalization: Transitions and limits in the governance of ageing
Volume 18/4
Deadline: 20th Feb 2009


Special Issues

Ageing, Anti-Ageing and Globalization: Transitions and limits in the governance of ageing
Vol 18/4, 1st Dec 2009


Expert Patient Policy
Vol 18/2, 1st Jun 2009


Social Determinants of Child Health and Wellbeing
Vol 18/1, 1st Mar 2009


Integrative, Complementary and Alternative Medicine: Challenges for Biomedicine?
Vol 17/4, 1st Dec 2008


Community, Family, Citizenship and the Health of LGBTIQ People
Vol 17/3, 1st Oct 2008


Re-imagining Preventive Health: Theoretical Perspectives
Vol 17/2, 1st Aug 2008


Death, Dying and Loss in the 21st Century
Vol 16/5, 1st Dec 2007


Social Equity and Health
Vol 16/2, 1st Jun 2007


Medical Dominance Revisited
Vol 15/5, 1st Dec 2006


Childbirth, Politics & the Culture of Risk
Vol 15/4, 1st Oct 2006


Revisiting Sexualities and Health
Vol 15/3, 1st Aug 2006


Closing Asylums for the Mentally Ill: Social Consequences
Vol 14/3, 1st Dec 2005


Workplace Health: The Injuries of Neoliberalism
Vol 14/1, 1st Aug 2005


Symposium on Rural Health: Patients and Practitioners
Vol 13/2, 1st Dec 2004


Symposium on Women's Health
Vol 13/1, 1st Sep 2004


Symposium on Indigenous Health and the Contribution of Sociology
Vol 10/2, 1st Nov 2001


Sponsored Links

Selected Articles

The Impact of Neoliberal Policy on Workplace Health
Toni Schofield


Avoiding Death
Kay Price, Julianne Cheek DipT, BEd, PhD


Consuming bodies: Mall walking and the possibilities of consumption
Megan Warin, Vivienne Moore, Michael Davies, Karen Turner


The Socioeconomic Impact of Antiretroviral Treatment on Individuals in Soweto, South Africa
Varsha Chhagan, John Luiz, Lerato Mohapi, James McIntyre, Neil Martinson


Unobtrusive research in the health social sciences
Allan Kellehear PhD


Memory-work: A critique
Glenda Koutroulis


Website by Arrowsmith Websites. Business, Government & Corporate Websites, Web Hosting, Domain Names & SEO. Maleny, Sunshine Coast, Australia.