Barriers to sexual health communication between parents and teenagers: Perspectives of parents in a rural community in Mpumalanga province, South Africa

Nothando M. Mngomezulu(1), Majapi E. Masala-Chokwe(2), Tshiamo N. Ramalepa(3),


(1) Adelaide Tambo School of Nursing Science Tshwane University of Technology Staatsartillerie Road, Pretoria west, Pretoria 0001
(2) Adelaide Tambo School of Nursing Science Tshwane University of Technology Staatsartillerie Road, Pretoria west, Pretoria 0001
(3) Department of Nursing School of Healthcare Sciences Sefako Makgatho Health Sciences University Molotlegi Street, Ga-Rankuwa Pretoria 0001
Corresponding Author

Abstract


Teenagers are affected by negative sexual and reproductive health outcomes because of the lack of knowledge and risky decisionmaking. This may be worsened by teenagers seeking information from questionable sources such as the internet, and social media. This highlights the need for parent-teen communication on sexual health practices. The study aimed to explore the perspectives of parents regarding the barriers to sexual health communication with their teenagers in the Masoyi rural community, Mpumalanga province, South Africa. This exploratory, descriptive, qualitative study was conducted using in-depth interviews and analyzed using content analysis. Purposive sampling was used to select 14 parents who had teenagers aged 12 to 19 years. Parents revealed that the barriers that hindered parent-teen communication include cultural influences, unavailability of parents and conflicting messages from parents and media, age difference and media (television). Parents need to be confident or comfortable in engaging with their teenagers about sexual health content.

References


Lantos H, Manlove J, Wildsmith E, Faccio B, Guzman L and

Moore KA. Parent-teen communication about sexual

and reproductive health: Cohort differences by

race/ethnicity and nativity. International Journal of

Environmental Research and Public Health 2019;

(5): 1-15. https://doi.org/10.3390/ijerph16050833

Speizer IS, Xiong K, Mandal M, Makinh-Zimalirana N,

Hattori A and Dorno D. ‘HIV- related knowledge,

attitudes and behaviours among grade 10 girls and

boys in Mpumalanga and KwaZulu-Natal: crosssectional results’. The open AIDS journal 2020,

:75-83.

http://dx.doi.org/10.2174/1874613602014010075

Monse B, Benzian H, Naliponguit E, Belizario V, Schratz A

and Van Palenstein Helderman, W. The Fit for School

Health Outcome Study-a Longitudinal Survey to

Assess Health Impacts of an Integrated School Health

Programme in the Philippines. BMC Public Health

; 13(1): 1-10. https://doi.org/10.1186/1471-

-13-256

Dagnachew AN, Demissie GD and Gelagy AA. Parentadolescent communication on sexual and

reproductive health issues and associated factors

among preparatory and secondary school students of

Dabat town, Northwest Ethiopia. Journal of

Environment and Public Health 2020; 1-7.

https://doi.org/10.1155/2020/4708091

Bekele D, Deksisa A, Abera W and Megesisa G. Parental

communication on sexual and reproductive health

issues to their adolescents and affecting factors at

Asella town, Ethiopia: A community-based crosssectional study. Reprod Health 2022; 19(1): 114-122.

https://doi.org/10.1186/s12978-022-01408-8

Mpondo F, Ruiter RA, Schaafsma D, Van Den Borne B and

Reddy PS. Understanding the role played by parents,

culture and the school curriculum in socializing

young women on sexual health issues in rural South

African communities. Journal of Social Aspects of

HIV/AIDS 2018; 15(1): 42-49.

https://doi.org/10.1080/17290376.2018.1455603

Motsomi K, Makanjee C, Baseru T and Nyasulu P. Factors

affecting effective communication about sexual and

reproductive health issues between parents and

adolescents in Zandspruit informal settlement,

Johannesburg, South Africa. The Pan African

Medical Journal 2016; 25: 1-7

https://doi.org/10.11604/pamj.2016.25.120.9208

Ramalepa T N, Ramukumba TS and Masala-Chokwe, ME.

Teenage pregnancies in Bapong schools, Madibeng

local municipality: Teachers’ views. South African

Journal of Education 2021; 41(2): 1-8.

https://doi.org/10.15700/saje.v41n2a1646

Santa Maria D, Guilamo-Ramos V, Jemmott LS, Derouin A

and Villarruel A. Nurses on the Front Lines:

Improving Adolescent Sexual and Reproductive

Health Across Health Care Settings. Am J Nurs 2017;

(1): 42-

https://doi.org/10.1097/01.naj.0000511566.1244

45

Chilambe K, Mulubwa C, Zulu JM and Chavula MP.

Experiences of teachers and community-based health

workers in addressing adolescents' sexual

reproductive health and rights problems in rural

health systems: a case of the RISE project in Zambia.

BMC Public Health 2023; 23(1): 335.

https://doi.org/10.1186/s12889-023-15199-5

Fatehi F, Smith AC, Maeder A, Wade V and Gray LC. How

to formulate research questions and design studies for

telehealth assessment and evaluation. Journal of

telemedicine and telecare 2017; 23(9): 759-763.

https://doi.org/10.1177/1357633x16673274

Modise MA. Parent sex education beliefs in a rural South

African setting. Journal of Psychology in Africa

; 29(1): 84-6.

https://doi.org/10.1080/14330237.2019.1568047

Klu D, Agordoh P, Azagba C, Acquah E, Doegah P and

Ofosu A. Determinants of communication on sexual

issues between adolescents and the parents in the

Adaklu district of the Volta region, Ghana: A

multinomial logical regression analysis.

Reproductive Health 2022; 19(1): 1-9.

https://doi.org/10.1186/s12978-022-01402-0

Usonwu I, Ahmad R and Curtis-Tyler K. Parent-adolescent

communication on adolescent sexual and

reproductive health in sub-Saharan Africa: a

qualitative review and thematic synthesis.

Reproductive Health 2021; 18: 1-15.

https://doi.org/10.1186/s12978-021-01246-0

Ndugga P, Kwagala B, Wandera SO, Kisaakye P, Mbonye

MK and Ngabirano F. “If your mother does not teach

you, the world will…”: a qualitative study of parentsadolescent communication on sexual and

reproductive health issues in Border districts of

eastern Uganda. BMC Public Health 2023; 23(1): 1-

https://doi.org/10.1186/s12889-023-15562-6

Al Zaabi O, Heffernan ME, Holroyd E and Jackson M.

Parent-adolescent communication about sexual and

reproductive health including HIV and STIs in Oman.

Sex Education 2021; 22(5): 611-627.

https://doi.org/10.1080/14681811.2021.1980719

Othman A, Shaheen A, Otoum M, Aldiqs M, Hamad I and

Dabobe M. Parent-child communication about sexual and reproductive health: perspectives of Jordanian

and Syrian parents. Sex Reproductive Health Matter

; 28(1): 313-323.

https://doi.org/10.1080/26410397.2020.1758444

Maina BW, Ushie BA and Kabiru CW. Parent-child sexual

and reproductive health communication among very

young adolescents in Korogocho informal settlement

in Nairobi, Kenya. Reproductive Health 2020;

(79): 1-14. https://doi.org/10.1186/s12978-020-

-3

Pasqualini M and De Rose A. Parent-child communication

about sex and romantic feelings: does having older

siblings make a difference?. Genus 2020; 76(24): 1-

https://doi.org/10.1186/s41118-020-00097-0

Singh DR, Shrestha S, Karki K, Sunuwar DR, Khadka DB,

Maharjan D, Sah LK, Simkhada B and Sah RK.

Parental knowledge and communication with their

adolescent on sexual and reproductive health issues in

Nepal. Plos One 2023; 18(7).

https://doi.org/10.1371/journal.pone.0289116

Yibrew MS and Mbwele B. Parent-adolescent

communication on sexual and reproductive health:

the qualitative evidence from parents and students of

Addis Ababa. Ethiopia. Reproductive health 2020;

(1): 1-9. https://doi.org/10.1186/s12978-020-

-6

Babayanzad AS, Behboodi MZ, Azin SA and Maasoumi R.

Concernd and educational needs of Iranian parents

regarding the sexual heath of their male adolescent: a

qualitative study. Reproductive Health 2020; 17(24):

-9. https://doi.org/10.1186/s12978-020-0883-6


Full Text: PDF

Article Metrics

Abstract View : 893 times
PDF Download : 380 times

Refbacks

  • There are currently no refbacks.