Dating Violence and Self-Efficacy for Delayed Sex among Adolescents in Cape Town, South Africa

Isaac M. Boafo, Emmanuel A. Dagbanu, Kwaku Oppong Asante

Abstract

In South Africa, dating violence is known to be widespread among adolescents, and is therefore a major public health issue because of its association with sexual risk behaviours. The objective of the study was to examine the relationship between dating violence and self-efficacy for delayed sex among school-going adolescents in Cape Town, South Africa. The study is based on analyses of data from a school-based health education programme targeting sexual and reproductive health issues.The study involved 3,655 school-going adolescents aged between 12 and 17 in Cape Town, South Africa. The data was collected by means of a self-administered questionnaire composed of 153 items on sexual and reproductive health, dating violence as well as sociodemographic characteristics. The results indicated that males showed a higher percentage of both dating violence victimization and perpetration, as compared to females. It was also found that adolescents from lower socio-economic backgrounds were more likely to be the victims of dating violence as compared to those from a higher socio-economic background. Female learners showed higher levels of self-efficacy for delayed sex than their male counterparts. Although the result revealed that there was a significant association between self-efficacy for delayed sex and socio-economic status, this link decreased with age. It is concluded that educational programmes aimed solely at improving self-efficacy for delayed sex is insufficient. Such programmes must also aim at preventing dating violence and equipping adolescents with the skills to negotiate their way out of dating violence. Afr J Reprod Health 2014; 18[2]: 46-57).

 

Keywords: STI, HIV, Sexual Risk Behavior, Sexual Debut, Coerced Sex

 

Résumé

 

En Afrique du Sud, la violence dans les fréquentations est  très répandue chez les adolescents, et constitue donc un probleme majeur de santé publique en raison de son association avec les comportements sexuels à risque. L'objectif de l'étude était d'étudier la relation entre la violence dans les fréquentations et l'auto-efficacité pour le rapport sexuel retardé chez les adolescents qui fréquentent encore l’école  à Cape Town, en Afrique du Sud. L'étude est basée sur l'analyse des données d'un programme d'éducation sur la santé en milieu scolaire qui vise l’étude des problèmes de santé sexuelle et de la reproduction des adolescents.  L’étude concernait 3655 adolescents  âgés d’entre 12 et 17 ans au Cap, en Afrique du Sud. Les données ont été recueillies à l’aide d'un questionnaire auto-administré composé de 153 articles sur la santé sexuelle et de la reproduction, la violence dans les fréquentations ainsi que les caractéristiques socio- démographiques. Les résultats ont indiqué que les hommes ont enregistré un pourcentage plus élevé de victimes de la violence et sa dans les fréquentations et sa perpétration, par rapport aux femmes. Il a également été constaté que les adolescents issus de milieux socio-économiques défavorisés sont plus susceptibles d'être victimes de violence dans les fréquentations par rapport à ceux d'un milieu socio-économique plus élevé. Les apprenants de sexe féminin ont montré des niveaux plus élevés d'auto-efficacité pour le rapport sexuel retardé que leurs homologues masculins. Bien que le résultat ait révélé qu'il y avait une association significative entre l'auto-efficacité pour le rapport sexuel retardé et la situation socio-économique, ce lien diminue avec l'âge. Nous avons conclu que les programmes éducatifs qui visent uniquement à améliorer l'auto-efficacité pour le rapport sexuel retardé ne sont pas suffisants. Ces programmes doivent également viser à prévenir la violence dans les fréquentations et à donner aux adolescents les compétences nécessaires pour négocier leur moyen de sortir de violence dans les fréquentations. Afr J Reprod Health 2014; 18[2]: 46-57).

 

Mots-clés: IST,  VIH,  risque de comportement sexuel,  premiers rapports sexuels, rapports sexuels forcés

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References

Orr D, Beiter M and Ingersoll G. Premature sexual activity as an indicator of psychosocial risk. Paediatrics 1991; 87: 141-147.

Howard M and McCabe J. Helping teenagers postpone sexual involvement. Family Planning Perspective 1990; 22: 21-26.

Kirby D, Barth RP, Leland N and Fetro JV. Reducing the risk: Impact of a new curriculum on sexual risktaking. Family Planning Perspectives 1991; 23: 253263.

Zabin L, Hirsch M, Smith E, Street R and Hardy J. (1986). Evaluation of a pregnancy prevention programme for urban teenagers. Family Planning Perspectives 1986; 18(3): 119-126.

WHO. Word report on violence and heath: Summary. Geneva, Switzerland. 2002.

NCIPC. Division of violence prevention, Centre for Disease Control and Prevention. Atlanta, GA, 1997.

Swart L, Seedat M, Stevens G and Ricardo I. Violence in adolescents' romantic relationship: Findings from a survey amongst school-going youth in a South African community. Journal of Adolescence 2002; 25: 385-395.

Flisher A, Myer L, Marais A, Lombard C and Reddy P. Prevalence and correlates of partner violence among South African adolescents. Journal of Child Psychology and Psychiatry 2007; 48(6): 619-627.

King G, Flisher A, Noubary F, Reece R, Marais A and Lombard C. Substance abuse and behavioural correlates of sexual assault among South African adolescents. Child Abuse and Neglect 2004; 28(6): 683-696.

UNAIDS. Facing the Future Together: Report of the Secretary General's Task Force on Women, Girls and HIV/AIDS in Southern Africa, 2004. www.unaids.org, Retrieved April, 2007.

Mathews C, Aarø L, Flisher A, Mukoma W, Wubs A and Schaalma H. Predictors of early first sexual intercourse among adolescents in Cape Town, South Africa. Health Education Research 2009; 24(1): 1-10.

Laflin, MT, Wang J and Barry MA longitudinal study of adolescent transition from virgin to non-virgin status. Journal of Adolescent Health 2008; 42(3): 228-236.

Eaton D, Kann L and Kinchen S. Youth risk behaviour surveillance - United States, 2005. Journal of School Health 2006; 76(7): 353-372.

Albert B. With one voice 2004: America's adults and teens sound off about teen pregnancy; an annual national survey. National campaign to prevent teen pregnancy. Washington DC, 2004.

Zimmer-Gembeck M and Heefand M. Ten years of longitudinal research on US adolescent sexual behaviour: Developmental correlates of sexual intercourse, and importance of age, gender and ethnic background. Developmental Review 2008; 28: 153– 224.

Costa F, Jessor R, Donovan J and Fortenberry J. Early initiation of sexual intercourse: The influences of psychosocial unconventionality. Journal of Research on Adolescence 1995; 5: 93-121.

Buga G, Amoko D and Ncayiyana, D. Sexual behaviour, contraceptive practice and reproductive health among school adolescents in rural Transkei. South African Medical Journal 1996; 80(5): 523-527.

Jewkes R, Vundule C, Maforah F and Jordaan, E. Relationship dynamics and teenage pregnancy in South Africa. Social Science and Medicine 2001; 52:733-744.

Eaton L, Flisher A and Aarø L. Unsafe sexual behaviour in South African youth. Social Science & Medicine 2002; 56: 149-165.

Harrison A, Cleland J, Gouws E and Frohlich J. Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk. Sexually Transmitted Infections 2005; 81: 259-261.

Bandura A. Self-efficacy: The exercise of control. New York: Freeman, 1997.

Aarø L, Flisher A, Kaaya S, Onya H, Fuglesang M, Klepp K., et al. Promoting sexual and reproductive health in early adolescence in South Africa and Tanzania: Development of a theory-and-evidence-based intervention programme. Scandinavian Journal of Public Health 2006; 34:150-158.

Fisher J and Fisher W. Changing AIDS-risk behaviour. Psychological Bulletin 1992; 111:455-474.

Jemmott JB and Jemmott LS. HIV risk reduction behavioural interventions with heterosexual adolescents. AIDS 2000; 14: S40-S52.

Kaplan RM, Ries, AL, Prewitt LM and Eakin E. (1994). Self-efficacy expectations predict survival for patients with chronic obstructive pulmonary disease. Health Psychology, 1994; 13(4): 366-368.

Maman S, Mbwambo J, Hogan N, Kilonzo G, Campbell JC, Weiss E. HIV-positive women report more lifetime partner violence: findings from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. American Journal of Public Health 2002; 92(8):1331–1337.

Wingood GM, DiClemente RJ. The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women. American Journal of Public Health 1997; 87:1016– 1018.

Mukoma W, Mathews C, Flisher AJ., et al. Use of electronic questionnaire on handled devise to evaluate the effect of a school based HIV prevention programme on adolescent sexual behaviour. XV International AIDS Conference (July 11-16), Bangkok, 2004.

Straus M, Hamby S, Boney-McCoy S and Sugaman D. The revised Conflict Tactics Scales (CTS2) - Development and preliminary psychometric data. Journal of Family Issues 1996; 17(3): 286-316.

Lewis S and Fremouw W. Dating Violence: A critical review of the literature. Clinical Psychology Review, 2001; 21: 105-127.

Mirsky J. Beyond victims and villains. The adverse health and social outcomes of sexual coercion: Experiences of young women in developing countries. London, UK: Panos Institute, 2003.

Molidor C and Tolman R. Gender and Contextual factors in adolescent dating violence. Violence against Women 1998; 4:180-194.

Naugle A and Bell K. Effects of social desirability on students' self-reporting of partner abuse perpetration and victimization. Violence and Victims 2007; 22(2): 243-256.

Amoakohene MI. Violence against women in Ghana: a look at women's perceptions and review of policy and social responses. Social Science & Medicine 2004; 59(11): 2373-2385.

Hird M. An Empirical study of adolescent dating aggression in UK. Journal of Adolescence 2000; 23(1): 69-78.

Moore AM, Awusabo-Asare K, Madise N, John-Langba J and Kumi-Kyereme A. Coerced first sex among adolescent girls in Sub-Saharan Africa: Prevalence and context. African Journal of Reproductive Health 2007; 11: 62-82.

Wubs AG, Aarø, LE, Flisher AJ, Bastien S, Onya HE, Kaaya S, et al. Dating violence among school students in Tanzania and South Africa: Prevalence and sociodemographic variations. Scandinavian Journal of Public Health 2009; 37: 75-86.

Kelly K and Ntlabati P. Early adolescent sex in South Africa: HIV intervention challenges. Social Dynamics 2002; 28(1): 42-63.

Fonck K, Els L, Kidula N, Ndinya-Achola J and Temmerman M. Increased risk of HIV in women experiencing physical partner violence in Nairobi, Kenya. AIDS and Behaviour 2005; 9(3): 335-339.

Abrahams N, Mathews S and Ramela, P. Intersections of 'sanitation, sexual coercion and girls' safety in schools'. Tropical Medicine & International Health 2006; 11(5): 751-756.

Malcoe L, Duran B and Montgomery J. Socioeconomic disparities in intimate partner violence against Native American women: A cross-sectional study. BMC Medicine 2004; 2(1): 20.

Bandura A. Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review 1977; 84:191-215.

Conner M and Norman P. The role of social cognition in health behaviours. In: Conner M and Norman P (Ed.). Predicting Health Behaviour: Research and Practice with Social Cognition Models. Buckingham, UK: Open University Press, 1995.

Ampofo AA. "When Men Speak Women Listen": Gender Socialisation and Young Adolescents' Attitudes to Sexual and Reproductive Issues. African Journal of Reproductive Health 2001; 5(3):196-212.

Dahlbäck E, Makelele P, Yamb, CB, Bergström S and Ransjö-Arvidson AB. Zambian male adolescents' perceptions about premarital sexual relationships. African Journal of AIDS Research 2006; 5(3): 257264.

Abotchie C. Traditional Ghanaian Social Institutions. Accra, Ghana: Hans Publications, 2008.

Hulton L. The heat is on... Self-efficacy for sexual abstinence and gender differences in a rural adolescent population. Harrisonburg, VA: James Madison University, 2007.

Lammers C, Ireland M, Resnick M and Blum R. Influences on adolescents' decision to postpone onset of sexual intercourse: a survival analysis of virginity among youths aged 13 to 18 years. Journal of Adolescence Health 2000; 26: 42-48.

Paul C, Fitzjohn J, Herbison G and Dickson N. The determinants of sexual intercourse before age 16. Journal of Adolescent Health 2000; 27:136-147.

Raine TR, Jenkins R, Aarons SJ, Woodward K, Fairfax JL, El-Khorazaty MN, et al. Sociodemographic correlates of virginity in seventh-grade black and Latino students. Journal of Adolescent Health 1999; 24(5): 304-312.

Fabiano PM, Perkins HW, Berkowitz A, Linkenbach J and Stark C. Engaging men as social justice allies in ending violence against women: Evidence for a social norms approach. Journal of American College Health 2003; 52: 105-112.

Visser MJ. Life skills training as HIV/AIDS preventive strategy in secondary schools: evaluation of a large scale implementation process. Journal of Social Aspects of HIV/AIDS, 2005; 2(1): 203-216.

Armitage CJ and Conner M. (2001). Efficacy of the theory of planned behaviour: A meta analytic review. British Journal of Social Psychology 2001; 40(4): 471-499.

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