Skip to main content
Top
Published in: BMC Women's Health 1/2008

Open Access 01-12-2008 | Research article

Study of knowledge, perception and attitude of adolescent girls towards STIs/HIV, safer sex and sex education: (A cross sectional survey of urban adolescent school girls in South Delhi, India)

Authors: Alexandra McManus, Lipi Dhar

Published in: BMC Women's Health | Issue 1/2008

Login to get access

Abstract

Background

Sexually Transmitted Infections (STI's), including HIV (Human Immunodeficiency Virus) mainly affects sexually active young people. Young adults aged 15–29 years, account for 32% of AIDS (Acquired Immunodeficiency Syndrome) cases reported in India and the number of young women living with HIV/AIDS is twice that of young men. The aim of the study was to evaluate adolescent school girls' knowledge, perceptions and attitudes towards STIs/HIV and safer sex practice and sex education and to explore their current sexual behaviour in India.

Methods

A cross sectional study was carried out in 2007 in South Delhi, India to investigate the perception, knowledge and attitude of adolescent urban schoolgirls towards sexually transmitted Infections (STIs), HIV/AIDS, safer sex practice and sex education. the self-administered questionnaire was completed by 251 female students from two senior secondary schools.

Results

More than one third of students in this study had no accurate understanding about the signs and symptoms of STIs other than HIV/AIDS. About 30% of respondents considered HIV/AIDS could be cured, 49% felt that condoms should not be available to youth, 41% were confused about whether the contraceptive pill could protect against HIV infection and 32% thought it should only be taken by married women.

Conclusion

Though controversial, there is an immense need to implement gender-based sex education regarding STIs, safe sex options and contraceptives in schools in India
Literature
1.
2.
go back to reference Harms G, Corea A, Iyambo S, Radebe F, Fehler H, Ballard R: Perceptions and patterns of reproductive tract infections in a young rural population in Namibia. 2nd European Congress on Tropical Medicine. 1998, Liverpool, UK Harms G, Corea A, Iyambo S, Radebe F, Fehler H, Ballard R: Perceptions and patterns of reproductive tract infections in a young rural population in Namibia. 2nd European Congress on Tropical Medicine. 1998, Liverpool, UK
3.
go back to reference UNFPA: Sexually Transmitted Infections: Breaking The Cycle of Transmission. 2004, New York: United Nations Population Fund UNFPA: Sexually Transmitted Infections: Breaking The Cycle of Transmission. 2004, New York: United Nations Population Fund
4.
go back to reference DSACS, PFI, PRB: HIV/AIDS in Delhi. Meeting the challenge. Delhi, India: Delhi States AIDS control Society, Popilation Foundation of India, Population Reference Bureau. 2005 DSACS, PFI, PRB: HIV/AIDS in Delhi. Meeting the challenge. Delhi, India: Delhi States AIDS control Society, Popilation Foundation of India, Population Reference Bureau. 2005
5.
go back to reference SPSS(Inc): Statistical package for Social Sciences(SPSS) Version 12.0. 2006, John Wiley & Sons Australia Ltd. Sydney SPSS(Inc): Statistical package for Social Sciences(SPSS) Version 12.0. 2006, John Wiley & Sons Australia Ltd. Sydney
7.
go back to reference Kumarasamy N, Solomon S, Flanigan T, Hemalatha R, Thyagarajan S, Mayer K: Natural history of human immunodeficiency virus disease in southern India. Clinical Infectious Diseases. 2003, 36: 79-85. 10.1086/344756.CrossRefPubMed Kumarasamy N, Solomon S, Flanigan T, Hemalatha R, Thyagarajan S, Mayer K: Natural history of human immunodeficiency virus disease in southern India. Clinical Infectious Diseases. 2003, 36: 79-85. 10.1086/344756.CrossRefPubMed
8.
go back to reference Gupta A, Mehta S, Ghate M, Reynolds S, Sahay S, Godbole S: Same-sex behavior, sexually transmitted infections (STI) and HIV risks among men attending STI clinics in Pune, India, 1993–2002. Abstract no. WePeC6109. XV International AIDS Conference; Bangkok, Thailand. 2004 Gupta A, Mehta S, Ghate M, Reynolds S, Sahay S, Godbole S: Same-sex behavior, sexually transmitted infections (STI) and HIV risks among men attending STI clinics in Pune, India, 1993–2002. Abstract no. WePeC6109. XV International AIDS Conference; Bangkok, Thailand. 2004
9.
go back to reference Aggarwal A, Kumar R: Awareness of AIDS among school children in Haryana. Indian Journal of Public Health. 1996, 40: 38-45.PubMed Aggarwal A, Kumar R: Awareness of AIDS among school children in Haryana. Indian Journal of Public Health. 1996, 40: 38-45.PubMed
10.
go back to reference NACO: UNGASS (United Nations General Assembley Special Session On HIV/AIDS) India Report: Progress Report on the Declaration of Commitment on HIV/AIDS. New Delhi: National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India. 2005 NACO: UNGASS (United Nations General Assembley Special Session On HIV/AIDS) India Report: Progress Report on the Declaration of Commitment on HIV/AIDS. New Delhi: National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India. 2005
11.
go back to reference Godbole S, Mehendale S: HIV/AIDS epidemic in India: risk factors, risk behaviour & strategies for prevention & control. Indian J Med Res. 2005, 121: 356-368.PubMed Godbole S, Mehendale S: HIV/AIDS epidemic in India: risk factors, risk behaviour & strategies for prevention & control. Indian J Med Res. 2005, 121: 356-368.PubMed
12.
go back to reference Greene K, Rubin D, Hale J: Egocentrism, message explicitness, and AIDS messages directed toward adolescents: an application of the theory of reasoned action. Journal of Social Behavior and Personality. 1995, 10: 547-570. Greene K, Rubin D, Hale J: Egocentrism, message explicitness, and AIDS messages directed toward adolescents: an application of the theory of reasoned action. Journal of Social Behavior and Personality. 1995, 10: 547-570.
13.
go back to reference Smith A, Agius P, Dyson S, Mitchell A, Pitts M: Secondary Students and Sexual Health. Summary of findings from the 3rd National Survey of Australian Secondary Students, HIV/AIDS and Sexual Health. 2002 Smith A, Agius P, Dyson S, Mitchell A, Pitts M: Secondary Students and Sexual Health. Summary of findings from the 3rd National Survey of Australian Secondary Students, HIV/AIDS and Sexual Health. 2002
14.
go back to reference Goyal R: Socio-psychological Constructs of Premarital Sex Behavior among Adolescent Girls in India. Jaipur: Indian Institute of Health Management Research, India. 2005 Goyal R: Socio-psychological Constructs of Premarital Sex Behavior among Adolescent Girls in India. Jaipur: Indian Institute of Health Management Research, India. 2005
15.
go back to reference Chen S, Gibson S, Katz M, Klausner J, Dilley J, Schwarcz S: Cotinuing increase in sexual risk behaviour and sexually transmitted disease among men who have sex with men. Sanfrancisco, California. 1992–2001. American Journal of Public Health. 2002, 92: 1387.CrossRefPubMedPubMedCentral Chen S, Gibson S, Katz M, Klausner J, Dilley J, Schwarcz S: Cotinuing increase in sexual risk behaviour and sexually transmitted disease among men who have sex with men. Sanfrancisco, California. 1992–2001. American Journal of Public Health. 2002, 92: 1387.CrossRefPubMedPubMedCentral
16.
go back to reference Lal S, Vasan R, Sarma P, Thankappan K: Knowledge and attitude of college students in Kerala towards HIV/AIDS, sexually transmitted diseases and sexuality. Natl Med J India. 2000, 13: 231-236.PubMed Lal S, Vasan R, Sarma P, Thankappan K: Knowledge and attitude of college students in Kerala towards HIV/AIDS, sexually transmitted diseases and sexuality. Natl Med J India. 2000, 13: 231-236.PubMed
17.
go back to reference Hogan DR, Baltussen R, Hayashi C, Lauer JA, Salomon JA: Cost effectiveness analysis of strategies to combat HIV/AIDS in developing countries. Bmj. 2005, 331: 1431-1437. 10.1136/bmj.38643.368692.68.CrossRefPubMedPubMedCentral Hogan DR, Baltussen R, Hayashi C, Lauer JA, Salomon JA: Cost effectiveness analysis of strategies to combat HIV/AIDS in developing countries. Bmj. 2005, 331: 1431-1437. 10.1136/bmj.38643.368692.68.CrossRefPubMedPubMedCentral
18.
go back to reference Warner L, Stone K, Macaluso M, Buehler J, Austin H: Condom use and risk of gonorrhea and chlamydia: a systematic review of design and measurement factors assessed in epidemiologic studies. Sexually Transmitted Diseases. 2006, 33: 36-51. 10.1097/01.olq.0000187908.42622.fd.CrossRefPubMed Warner L, Stone K, Macaluso M, Buehler J, Austin H: Condom use and risk of gonorrhea and chlamydia: a systematic review of design and measurement factors assessed in epidemiologic studies. Sexually Transmitted Diseases. 2006, 33: 36-51. 10.1097/01.olq.0000187908.42622.fd.CrossRefPubMed
19.
go back to reference Wald A, Langenberg A, Krantz E: The relationship between condom use and herpes simplex virus acquisition. Ann Intern Med. 2005, 143: 707-713.CrossRefPubMed Wald A, Langenberg A, Krantz E: The relationship between condom use and herpes simplex virus acquisition. Ann Intern Med. 2005, 143: 707-713.CrossRefPubMed
20.
go back to reference Mindel A, Kippax S: A national sexually transmissible infections strategy: the need for an all-embracing approach. Medical journal of Australia. 2005, 183: 502-503.PubMed Mindel A, Kippax S: A national sexually transmissible infections strategy: the need for an all-embracing approach. Medical journal of Australia. 2005, 183: 502-503.PubMed
21.
go back to reference Whitt JK: Current research on children's and adolescents' HIV/AIDS-related knowledge, attitudes, and behaviour. Journal of Pediatric Psychology. 1995, 20: 37-40. 10.1093/jpepsy/20.1.37.CrossRefPubMed Whitt JK: Current research on children's and adolescents' HIV/AIDS-related knowledge, attitudes, and behaviour. Journal of Pediatric Psychology. 1995, 20: 37-40. 10.1093/jpepsy/20.1.37.CrossRefPubMed
22.
go back to reference Boler T, Adoss R, Ibrahim A, Shaw M: Sound of silence: difficulties in communicating on HIV/AIDS in school. London: ActionAid. 2003, Published in 2003 by ActionAid, Hamlyn House, Macdonald Road. London N19 5PG. © ActionAid 2003 Boler T, Adoss R, Ibrahim A, Shaw M: Sound of silence: difficulties in communicating on HIV/AIDS in school. London: ActionAid. 2003, Published in 2003 by ActionAid, Hamlyn House, Macdonald Road. London N19 5PG. © ActionAid 2003
23.
go back to reference Nair MKC: Adolescent Sexual and Reproductive Health. Indian Pediatrics. 2004, 41: 1-8. Nair MKC: Adolescent Sexual and Reproductive Health. Indian Pediatrics. 2004, 41: 1-8.
24.
go back to reference Kore SJ, Pandole A, Nemade Y, Putharaya S, Ambiya VR: Attitude, knowledge, beliefs about HIV/AIDS in college going adolescents. Bombay Hospital Journal. 2004, 46. Kore SJ, Pandole A, Nemade Y, Putharaya S, Ambiya VR: Attitude, knowledge, beliefs about HIV/AIDS in college going adolescents. Bombay Hospital Journal. 2004, 46.
25.
go back to reference Gupta S: Chauhan bars sex-education classes in MP. The Times of India. Bhopal. 2007 Gupta S: Chauhan bars sex-education classes in MP. The Times of India. Bhopal. 2007
26.
go back to reference Report: Indian state rejects introduction of sex education in schools. International Herald Tribune: Asia-Pacific. Paris. Report: Indian state rejects introduction of sex education in schools. International Herald Tribune: Asia-Pacific. Paris.
27.
go back to reference Special Correspondent: Horatti rules out sex education in schools. THE HINDU. Bangalore. 2007 Special Correspondent: Horatti rules out sex education in schools. THE HINDU. Bangalore. 2007
28.
go back to reference Special correspondent: No more sex education in Gujarat schools. Times of India. Gandhinagar. 2007 Special correspondent: No more sex education in Gujarat schools. Times of India. Gandhinagar. 2007
29.
go back to reference Special Correspondent: Report: Indian state rejects introduction of sex education in schools. International Herald Tribune: Asia-Pacific. Paris. 2007 Special Correspondent: Report: Indian state rejects introduction of sex education in schools. International Herald Tribune: Asia-Pacific. Paris. 2007
30.
go back to reference Mukherjee K: Sex education creates storm in AIDS-stricken India. Hindustan Times. New Delhi. 2007 Mukherjee K: Sex education creates storm in AIDS-stricken India. Hindustan Times. New Delhi. 2007
Metadata
Title
Study of knowledge, perception and attitude of adolescent girls towards STIs/HIV, safer sex and sex education: (A cross sectional survey of urban adolescent school girls in South Delhi, India)
Authors
Alexandra McManus
Lipi Dhar
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2008
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/1472-6874-8-12

Other articles of this Issue 1/2008

BMC Women's Health 1/2008 Go to the issue