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- Title
Typologies and Correlates of Caregiver-adolescent Sexual Health Communication among Adolescent Girls in Southwestern Uganda.
- Authors
Mutumba, Massy; Brathwaite, Rachel; Nabunya, Proscovia; Namuwonge, Flavia; Ssewamala, Fred M.
- Abstract
Caregiver-adolescent sexual health communication can reduce sexual risk attitudes and behaviors, but less is known about caregiver-adolescent sexual health communication in Uganda. Using a risk-focused approach, this paper seeks to characterize caregiver-adolescent sexual health communication and associated individual and family-based attributes, and associations with adolescents' sexual risk attitudes. We used latent class analyses to derive typologies (classes) of sexual health communication and assess their relationships with respondents' socio-demographic characteristics and sexual risk-taking attitudes. We derived three latent classes of sexual risk communication characterized as avoidant (class 1; 48%), functional (class 2; 22.2%) and comprehensive (class 3; 29.8%), each representing varying levels of frequency and type of content covered in the caregiver-adolescent sexual health communication. Primary caregiver's sex and respondents' comfort talking to their caregiver were significantly associated with membership in the functional class (RRR = 1.52; 95% CI: 1.05–2.19; p < 0.05) and comprehensive class (RRR = 1.68; 95% CI: 1.13–2.49; p < 0.05). Caregivers and their adolescents are attempting to engage in conversations related to sexual health, but many caregivers tend to shy away from potentially embarrassing topics such as sex. The wide variations in type and content of covered in caregiver-adolescent sexual health communications may compromise adolescents' sexual health knowledge, putting them at risk for poor sexual health outcomes. Given the cultural taboos around caregiver-adolescent communications on sex related topics, family interventions to address to strengthen caregiver-adolescent communication on sexual health are required. Highlights: Study findings revealed three latent caregiver-adolescent sexual health classes, dominated by avoidant communication. Caregiver gender and adolescents' comfort enhanced caregiver-adolescent sexual health communication. Interventions must tackle cultural norms and taboos for better caregiver-adolescent sexual health communication.
- Subjects
UGANDA; HIV prevention; HEALTH literacy; WOMEN; SECONDARY analysis; RISK-taking behavior; INCOME; PARENT-child relationships; INTERVIEWING; LOGISTIC regression analysis; ATTITUDES toward sex; STRUCTURAL equation modeling; DESCRIPTIVE statistics; CHI-squared test; FAMILY relations; COMMUNICATION; PSYCHOLOGY of caregivers; CONFIDENCE intervals; DATA analysis software; SOCIODEMOGRAPHIC factors; SEXUAL health; ADOLESCENCE
- Publication
Journal of Child & Family Studies, 2024, Vol 33, Issue 8, p2514
- ISSN
1062-1024
- Publication type
Article
- DOI
10.1007/s10826-024-02851-w