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BMC Public Health
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Human Immunodeficiency Virus | Research article

Social cohesion, social trust, social participation and sexual behaviors of adolescents in rural Tanzania

Authors: Albino Kalolo, Jacob Mazalale, Anja Krumeich, Michelene Chenault

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Social cohesion, defined as a glue holding society together, has been found to influence several aspects of human behavior. Social cohesion, being composed of social trust and social participation, is a social factor that may influence sexual behaviors. Unfortunately, studies investigating the influence of social cohesion on sexual behaviors among young people are scarce. This study examined the influence of social cohesion on safe sexual behavior among adolescents in rural Tanzania.

Methods

A cross-sectional study was conducted among 403 school adolescents of the Newala district, between May and August 2010. Socio-demographic characteristics, social cohesion (social trust and social participation) and sexual behavior (age at sexual debut, intention to use and reported condom use, number of sexual partners) were obtained through self-administered questionnaires. Data analysis was performed using descriptive statistics and binary logistic regression.

Results

Sexual debut at under 13 years of age was reported by 12% of the respondent. A majority (71%) reported multiple sexual partnerships and half of the participants reported to have used a condom at their last sexual encounter. The intention to use a condom was reported by 77% of the respondents. Having multiple sexual partnerships was associated with social trust only (odds ratio: 3.5, 95% CI 1.01–12.3) whereas reported condom use was related with social cohesion (odds ratio 4.8 95% CI 1.66–14.06). Social cohesion, trust or participation was not associated with young age at sexual debut or intention to use a condom. Being a female (odds ratio 2.07 95% CI 1.04–4.12.) was associated with intention to use a condom.

Conclusion

This study indicates that social cohesion and socio-demographic factors influence actual behavior performance and behavioral intentions. The findings point to the importance of collecting more evidence on social cohesion and sexual behaviors in different settings and designing interventions that enhance social cohesion among adolescents in order to reinforce positive sexual behaviors.
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Literature
1.
2.
UNAIDS. Global report : UNAIDS report on the global AIDS epidemic 2013. WHO; 2013.
3.
4.
Kharsany ABM, Karim QA. HIV infection and AIDS in sub-Saharan Africa: current status, challenges and opportunities. Open AIDS J. 2016;10:34–48.CrossRef
5.
Kazaura MR, Masatu MC. Sexual practices among unmarried adolescents in Tanzania. BMC Public Health. 2009;9:373.CrossRef
6.
Exavery A, Lutambi AM, Mubyazi GM, Kweka K, Mbaruku G, Masanja H. Multiple sexual partners and condom use among 10 - 19 year-olds in four districts in Tanzania: what do we learn? BMC Public Health. 2011;11:490.CrossRef
7.
8.
Singh RK, Patra S. What factors are responsible for higher prevalence of HIV infection among urban women than rural women in Tanzania? Ethiop J Health Sci. 2015;25:321–8.CrossRef
9.
Mwita W, Urassa M, Isingo R, Ndege M, Marston M, Slaymaker E, et al. HIV prevalence and incidence in rural Tanzania: results from 10 years of follow-up in an open cohort study. J Acquir Immune Defic Syndr. 2007;1999(46):616–23.
10.
11.
Plummer ML, Wight D, Wamoyi J, Mshana G, Hayes RJ, Ross DA. Farming with your hoe in a sack: condom attitudes, access, and use in rural Tanzania. Stud Fam Plan. 2006;37:29–40.CrossRef
12.
Okkolin M-A, Lehtomäki E, Bhalalusesa E. The successful education sector development in Tanzania – comment on gender balance and inclusive education. Gend Educ. 2010;22:63–71.CrossRef
13.
14.
Thye SR, Willer D, Borch C, Willer R. Building a model for solidarity and cohesion using three theories. In: Group Cohesion, Trust and Solidarity. Bingley: Emerald Group Publishing; 2002.
15.
Easterly W, Ritzen J, Woolcock M. Social cohesion, institutions, and growth. Econ Polit. 2006;18:103–20.CrossRef
16.
Mooij T, Smeets E, de Wit W. Multi-level aspects of social cohesion of secondary schools and pupils’ feelings of safety. Br J Educ Psychol. 2011;81:369–90.CrossRef
17.
Woolcock M. What distinctive contribution can social cohesion make to development theory, research, and policy? In: Organisation for economic cooperation and development international conference on social cohesion and development. Paris: OECD; 2011.
18.
Janmaat JG. Social cohesion as a real-life phenomenon: assessing the explanatory power of the universalist and Particularist perspectives. Soc Indic Res. 2010;100:61–83.CrossRef
19.
Berger-Schmitt R. Social cohesion as an aspect of the quality of societies: concept and measurement.
20.
Woolley F. Social cohesion and voluntary activity: making connections. In: CSLS conference on the state of living standards and the quality of life in Canada,“1998. p. 30–1.
21.
Chuang Y-C, Chuang K-Y, Yang T-H. Social cohesion matters in health. Int J Equity Health. 2013;12:87.CrossRef
22.
Cloete A. Social cohesion and social capital: possible implications for the common good. Verbum Eccles. 2014;35:1–6.CrossRef
23.
Dayton-Johnson J. Social capital, social cohesion, community: A microeconomic analysis. Econ Implic Soc Cohes. 2003:43–78.
24.
Laiglesia J. Perspectives on global development 2012 social cohesion in a shifting world? 2011.
25.
Chandra-Mouli V, Lane C, Wong S. What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices. Glob Health Sci Pract. 2015;3:333–40.CrossRef
26.
Kaaya SF, Flisher AJ, Mbwambo JK, Schaalma H, Aarø LE. Klepp K-I. A review of studies of sexual behaviour of school students in sub-Saharan Africa. Scand J Public Health. 2002;30:148–60.PubMed
27.
Aoro L, Schaalma H, Amstrom A. Social cognition models and social cognition theory : predicting sexual and reproductive behaviour among adolescents in Subsaharan Africa. In: Klepp K-I, Flisher AJ, Kaaya SF, editors. Promoting adolescent, sexual and reproductive health in east and southern Africa. Cape Town, South Africa: HSRC PRESS; 2008. p. 37–55.
28.
Fonner VA, Kerrigan D, Mnisi Z, Ketende S, Kennedy CE, Baral S. Social cohesion, social participation, and HIV related risk among female sex Workers in Swaziland. PLoS One. 2014;9:e87527.CrossRef
29.
Campbell C, Williams B, Gilgen D. Is social capital a useful conceptual tool for exploring community level influences on HIV infection? An exploratory case study from South Africa. AIDS Care. 2002;14:41–54.CrossRef
30.
Crosby RA, Holtgrave DR, DiClemente RJ, Wingood GM, Gayle JA. Social capital as a predictor of adolescents’ sexual risk behavior: a state-level exploratory study. AIDS Behav. 2003;7:245–52.CrossRef
31.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef
32.
Hogben M, Byrne D. Using social learning theory to explain individual differences in human sexuality. J Sex Res. 1998;35:58–71.CrossRef
33.
MSW RPC. Sociological theories of disability, gender, and sexuality: a review of the literature. J Hum Behav Soc Environ. 2009;19:112–22.CrossRef
34.
Benda BB, Corwyn RF. Testing a theoretical model of adolescent sexual behavior among rural families in poverty. Child Adolesc Soc Work J. 1996;13:469–94.CrossRef
35.
National Bureau of Statistics. United Republic of Tanzania population distribution by age and sex. Dar es Salaam; 2013.
36.
O’Rourke N, Hatcher L, Stepanksi EJ. Principal component analysis. In: A step-by-step approach to using SAS for univariate and multivariate statistics. 2nd edition. 2005. p. 1–56.
37.
Jackson DL, Arthur J, Purc-Stephenson R. Reporting practices in confirmatory factor analysis: an overview and some recommendations. Psychol Methods. 2009;14:6–23.CrossRef
38.
Ayele D, Zewotir T, Mwambi H. Multiple correspondence analysis as a tool for analysis of large health surveys in African settings. Afr Health Sci. 2014;14:1036–45.CrossRef
39.
Doyle AM, Mavedzenge SN, Plummer ML, Ross DA. The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys. Trop Med Int Health TM IH. 2012;17:796–807.CrossRef
40.
Mmbaga EJ, Leonard F, Leyna GH. Incidence and predictors of Adolescent’s early sexual debut after three decades of HIV interventions in Tanzania: a time to debut analysis. PLoS One. 2012;7:e41700.CrossRef
41.
Njau B, Mwakalo V, Mushi D. Correlates of use of condoms among sexually active youth in southern highlands, Tanzania. SAGE Open. 2013;3:2158244013491406.CrossRef
42.
Bramadat PA. Religion, social capital, and “The day that changed the world”. J Int Migr Integr Rev Integr Migr Int. 2005;6:201–17.
Metadata
Title
Social cohesion, social trust, social participation and sexual behaviors of adolescents in rural Tanzania
Authors
Albino Kalolo
Jacob Mazalale
Anja Krumeich
Michelene Chenault
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-6428-7

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