Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-27T13:32:08.508Z Has data issue: false hasContentIssue false

FAMILIES' RESPONSE TO AIDS: NEW INSIGHTS INTO PARENTAL ROLES IN FOSTERING HIV/AIDS KNOWLEDGE

Published online by Cambridge University Press:  30 September 2014

ZACHARIE TSALA DIMBUENE*
Affiliation:
Department of Population Science and Development, University of Kinshasa, Democratic Republic of the Congo PRONUSTIC Research Laboratory, University of Montreal, Canada Statistics Canada, Ottawa, Canada

Summary

Worldwide, there is a consensus that parents must be involved in children's HIV/AIDS education. However, there is little evidence that speaks to this advocacy for improving adolescent health. This study developed and tested four hypotheses about (i) the relationship between parents' and adolescents' knowledge of HIV/AIDS transmission routes and prevention strategies conditional upon (ii) parents' gender, (iii) communication about sexuality, and (iv) the parent–adolescent education gap. The sample consisted of 306 parent–adolescent dyads from the 2002 Cameroon Family and Health Survey. Adolescents were aged 12–19 years. Overall, fifteen items about HIV/AIDS transmission routes and prevention strategies were analysed. Descriptive results showed that parents fared better than adolescents regardless of the AIDS fact considered. An exception was the correct use of condoms (parents 57% vs adolescents 61%). The generation gap probably explains this result: parents are more conservative, reluctant and distant from condoms compared with adolescents, who are more receptive and open to discussing sex with peers. Multivariate ordered logistic regressions showed a significant positive effect of parents' HIV/AIDS knowledge on adolescents' HIV/AIDS knowledge, thus supporting the main hypothesis of direct parental influences. Parent–adolescent communication about sexuality showed positive and significant effects on adolescents' HIV/AIDS knowledge, suggesting an ‘enhancing effect’ when combined with the effect of parents' HIV/AIDS knowledge. Against the background that parents in sub-Saharan Africa do not teach their children about sexuality, the study demonstrated that families can play an important role in HIV/AIDS education. These findings have major implications for HIV/AIDS interventions involving adolescents, parents or both, in fostering accurate HIV/AIDS knowledge among adolescents, which could lead to protective sexual behaviours.

Type
Articles
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agarwal, S., de Araujo, P. & Paudel, J. (2013) HIV-related knowledge and risky sexual behaviour in sub-Saharan Africa. Oxford Development Studies, doi: 10.1080/13600818.2013.790950 Google Scholar
Ahmed, N., Flisher, A. J., Mathews, C., Mukoma, W. & Jansen, S. (2009) HIV education in South African schools: the dilemma and conflicts of educators. Scandinavian Journal of Public Health 37, 4854.Google Scholar
Amoran, O. E., Onadeko, M. O. & Adeniyi, J. D. (2005) Parental influence on adolescent sexual initiation. International Quarterly of Community Health Education 23, 7381.Google Scholar
Andrews, D. W. & Buchinsky, M. (2000) A three-step method for choosing the number of bootstrap repetitions. Econometrica 68, 2351.Google Scholar
Arnett, J. J. (1995) Broad and narrow socialization: the family in a context of a cultural theory. Journal of Marriage and the Family 57, 617628.Google Scholar
Bastien, S., Kajula, L. J. & Muhwezi, W. W. (2011) A review of studies of parent–child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reproductive Health 8, 25, doi: 10.1186/1742-4755-8-25 Google Scholar
Boehmke, F. (2006) Grinter: A Stata Utility for Graphing the Marginal Effect of an Interacted Variable in Regression Models. URL: http://myweb.uiowa.edu/fboehmke/methods.html Google Scholar
Boileau, C., Rashed, S., Sylla, M. & Zunzunegui, M. V. (2008) Monitoring HIV risk and evaluating interventions among young people in urban West Africa: Development and validation of an instrument. AIDS Education & Prevention 20, 203219.Google Scholar
BUCREP (2010) Rapport de Présentation des Résultats Définitifs, 3e Recensement Général de la Population et de l'Habitat du Cameroun. Bureau Central des Recensements et Études de Population (BUCREP), Yaoundé, Cameroon.Google Scholar
Buseh, A. G., Glass, L. K., McElmurry, B. J., Mkhabela, M. & Sukati, N. A. (2002) Primary and preferred sources for HIV/AIDS and sexual risk behaviour information among adolescents in Swaziland, southern Africa. International Journal of Nursing Studies 39, 525538.Google Scholar
Cohen, J. (1968) Weighted kappa: nominal scale with provision to scaled disagreement or partial credit. Psychological Bulletin 70, 213220.Google Scholar
Crichton, J., Ibisomi, L. & Gyimah, S. O. (2012) Mother–daughter communication about sexual maturation, abstinence and unintended pregnancy: experiences from an informal settlement in Nairobi, Kenya. Journal of Adolescence 35, 2130.Google Scholar
Davidson, R. & MacKinnon, J. G. (1992) Regression-based methods for using control variates in Monte Carlo experiments. Journal of Econometrics 54, 203222.Google Scholar
Davidson, R. & MacKinnon, J. G. (2000) Bootstrap tests: how many bootstraps? Econometric Reviews 19, 5568, doi: http://dx.doi.org/10.1080/07474930008800459 Google Scholar
Denison, J. A., Tsui, S., Bratt, J., Torpey, K., Weaver, M. A. & Kabaso, M. (2012) Do peer educators make a difference? An evaluation of a youth-led HIV prevention model in Zambian Schools. Health Education Research 27, 237247.Google Scholar
DiClemente, R. J. & Crosby, R. A. (2003) Sexually transmitted diseases among adolescents: risk factors, antecedents, and prevention strategies. In Adams, G. R. & Berzonsky, M. D. (eds) Blackwell Handbook of Adolescence. Blackwell, Malden, MA, pp. 573605.Google Scholar
DiClemente, R. J., Wingood, G. M., Crosby, R. A., Sionean, C., Cobb, B. K., Harrington, K. & Davies, S. L. (2001) Parent–adolescent communication and sexual risk behaviours among African American adolescent females. Journal of Pediatrics 139, 407412.Google Scholar
DiIoro, C., Kelly, M. & Hockenberry-Eaton, M. (1999) Communication about sexual issues: mothers, fathers, and friends. Journal of Adolescent Research 24, 181189.Google Scholar
Friedrich, R. J. (1982) In defense of multiplicative terms in multiple regression equations. American Journal of Political Science 26, 797833.Google Scholar
Harrison, A., Newell, M. & Hoddinott, G. (2010) HIV prevention for South African youth: which interventions work? A systematic review of current evidence. BMC Public Health 10, 102.Google Scholar
Kam, C. D. & Franzese, R. J. Jr (2007) Modeling and Interpreting Interactive Hypotheses in Regression Analysis. University of Michigan Press, Ann Arbor, MI.Google Scholar
King, G., Tomz, M. & Wittenberg, J. (2000) Making the most of statistical analyses: improving interpretation and presentation. American Journal of Political Science 44, 347361.Google Scholar
Klein, J. D., Sabaratman, P., Pazos, B., Auerbach, M. M., Havens, C. G. & Brach, M. J. (2005) Evaluation of the parents as primary sexuality educators program. Journal of Adolescent Health 37, S9499.Google Scholar
Kouinche, A. & Tagne, E. (1998) Traditional norms, beliefs and practices regarding adolescent sexuality in Bandjoun (western Cameroon). In Kuate Defo, B. (ed.) Sexuality and Reproductive Health during Adolescence in Africa with a Special Attention to Cameroon. University of Ottawa Press, Ottawa, pp. 109117.Google Scholar
Kuate Defo, B. (2005) Facteurs associés à la santé perçue et à la capacité fonctionnelle des personnes âgées dans la préfecture de Bandjoun au Cameroun. Cahiers québécois de démographie 34, 146.Google Scholar
Kuate Defo, B. & Tsala Dimbuene, Z. (2012) Influences of family structure dynamics on sexual debut in Africa: implications for research, practice and policies in reproductive health and social development. African Journal of Reproductive Health 16, 147172.Google Scholar
Markham, C. M., Lormand, D., Gloppen, K. M., Peskin, M. F., Flores, B., Low, L. & Duane House, L. D. (2010) Connectedness as a predictor of sexual and reproductive health outcomes for youth. Journal of Adolescent Health 46, S2341.Google Scholar
Medley, A., Kennedy, C., O'Reilly, K. & Sweat, M. (2009) Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Education and Prevention 21, 181206.Google Scholar
Michielsen, K., Chersich, M. F., Luchters, S., De Kocker, P., Van Rossem, R. & Temmerman, M. (2010) Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and non-randomized trials. AIDS 24, 11931202.Google Scholar
Noden, B. H., Gomes, A. & Ferreira, A. (2010) Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviours among unmarried youth in rural central Mozambique. AIDS Care 22, 12851294.Google Scholar
Okonta, P. I. & Oseji, M. I. (2006) Relationship between knowledge of HIV/AIDS and sexual behaviour among in-school adolescents in Delta State, Nigeria. Nigerian Journal of Clinical Practice 9, 3739.Google Scholar
Paul-Ebhohimhen, V. A., Poobalan, A. & van Teijlingen, E. R. (2008) A systematic review of school-based sexual health interventions to prevent STI/HIV in sub-Saharan Africa. BMC Public Health 8, doi: 10.1186/1471-2458-8-4 Google Scholar
Pequegnat, W., Baunan, L. J., Bray, J. H., Diclemente, R. J., DiIorio, C., Hoppe, S. K. et al. (2001) Measurement of the role of families in prevention and adaptation to HIV/AIDS. AIDS and Behavior 5, 110.Google Scholar
Pequegnat, W. & Szapocznik, J. (2000) The role of families in preventing and adapting to HIV/AIDS: issues and answers. In Pequegnat, W. & Szapocznik, J. (eds) Working with Families in the Era of HIV/AIDS. Thousand Oaks, CA, pp. 326.Google Scholar
Perrino, T., González-Soldevilla, A., Pantin, H. & Szapocznik, J. (2000) The role of families in adolescent HIV prevention: a review. Clinical Child and Family Psychology Review 3, 8196.Google Scholar
Sigelman, C. K., Derenowski, E. B., Mullaney, H. A. & Siders, A. T. (1993) Parents' contributions to children's knowledge and attitudes regarding AIDS. Journal of Pediatric Psychology 18, 221235.Google Scholar
Sigelman, C. K., Mukai, T., Woods, T. & Alfeld, C. (1995) Parents' contributions to children's knowledge and attitudes regarding AIDS: Another look. Journal of Pediatric Psychology 20, 6177.Google Scholar
Tinsley, B. J. & Lees, N. B. (2004) Child and adolescent HIV risk: familial and cultural perspectives. Journal of Family Psychology 18, 208224.Google Scholar
Tsala Dimbuene, Z. & Kuate Defo, B. (2011a) Fostering accurate HIV/AIDS knowledge among unmarried youths in Cameroon: do family environment and peers matter? BMC Public Health, doi: 10.1186/1471-2458-11-348 11, 348.Google Scholar
Tsala Dimbuene, Z. & Kuate Defo, B. (2011b) Risky sexual behaviour among unmarried young people in Cameroon: another look at family environment. Journal of Biosocial Science 43, 129153.Google Scholar
Tsala Dimbuene, Z. & Kuate Defo, B. (2012) Family environment and premarital intercourse in Bandjoun (west Cameroon). Archives of Sexual Behavior 41, 351361.Google Scholar
UNAIDS (2014) Global AIDS Response Progress Reporting: Monitoring the 2011 United Nations Political Declaration on HIV/AIDS. Guidelines on construction of core indicators: 2014 reporting. UNAIDS, Geneva, Switzerland.Google Scholar
WHO (2007a) Helping Developing Countries Improve Adolescents' Health. WHO, Geneva, p. 44.Google Scholar
WHO (2007b) Summaries of the Projects Assisting the Parents of Adolescents. WHO, Geneva, p. 248.Google Scholar
Yoo, H., Lee, S. H., Kwon, B. E., Chung, S. & Kim, S. (2005) HIV/AIDS knowledge, attitudes, related behaviours, and sources of information among Korean adolescents. Journal of School Health 75, 393399.Google Scholar