Background Globally, the HIV epidemic is increasing faster amongst young women than young men and nowhere is this trend more apparent than in sub-Saharan Africa [ 1 ]. They're my three sons and I'm their Mom, Momma and Ma respectively. I think condoms are good but, aai, I hate those things': The following themes relating to risky sexual behaviour emerged from the interviews, FGDs and observations and are discussed below: Some also report watching porn at home or at the home of a friend: All authors have read and approved the final manuscript. They also found baby oil and condoms. Some girls were lured into secluded places such as a boy's cube [separate living quarter for boys], and were forced to have sex: During one observation, several adolescents engaged in sex in the darkness of the hall. Further research is needed to study the generalizability of our findings. This may be due to underreporting, but also may indicate high transmission during loss of virginity [ 5 ]. Reports of forced sex were many: Young men should be targeted in prevention activities, to change their attitudes related to power and control in relationships. Lastly, there are young men whose opinion of me I do value. Video halls - rooms with a TV and VCR - often show pornography at night for a very small fee, and minors are allowed. A study in Kisumu, Kenya and Ndola, Zambia.
Young girls are coerced into sexual activities with older men for survival and to access material goods [ 34 , 39 - 42 ]. Readings in gender in Africa. Using the sampling framework of the multicentre study, quota sampling was used to ensure diversity in age, socio economic status SES of household, and education [ 9 ]. Girls should be empowered how to negotiate safe sex, and their poverty should be addressed through income-generating activities. The authors extend great appreciation to the adolescents for the insightful information that they have reported. Youth may be wasted on the young but it also belongs to them in both its splendor and struggle. Bicycle-taxi operators were reportedly popular, offering a few shillings, some food, or free transport to young women in exchange for sex: Because we used purposive quota sampling, it cannot be concluded that our results are fully representative for the total Kisumu youth population. Lastly, there are young men whose opinion of me I do value. Abstract Background Kisumu has shown a rising HIV prevalence over the past sentinel surveillance surveys, and most new infections are occurring among youth. These findings are consistent with recent studies in sub-Saharan Africa that show that factors such as cultural norms and gender roles place young women at risk of HIV infection [ 33 , 34 ]. These children are often left in the household with limited or no resources, where they often sink into poverty, forfeit their education, suffer from unattended psychological trauma, and become infected with HIV themselves [ 31 , 32 ]. We sought permission from the persons in charge and ensured confidentiality of all collected information. Why do young women have a much higher prevalence of HIV than young men? Results Porn video shows and local brew dens were identified as popular events where unprotected multipartner, concurrent, coerced and transactional sex occurs between adolescents. They're my three sons and I'm their Mom, Momma and Ma respectively. For example, pre-marital and multi-partner sex, while typically portrayed in Kisumu and elsewhere as a breach of social norms, is also said to be a fundamental dimension of gendered social organization [ 25 ]. Their poverty should be addressed, e. Am J Public Health. Where quotes are used in the Results section, they are from the in-depth interviews unless indicated otherwise. Exposure to sexually explicit materials: Although more recent figures for Kisumu are slightly lower, the numbers are still alarmingly high, and higher than in other parts of the country [ 9 , 6 ]. Even if they weren't. Kenyatta National Hospital, Nairobi; Komba-Malekela B, Liljestrom R.
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