8 research outputs found
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Visualizing Young Men’s Fertility Desires: A View from Balaka, Malawi
Fertility desires may not indicate precise plans; nonetheless, they contain important clues for understanding future fertility. On the basis of the dual assertion that fertility desires are (1) meaningful and (2) subject to revision with changing circumstances, this visualization provides a snapshot of young men’s fertility desires using data from the Tsogolo La Thanzi study set in Balaka, Malawi. Scholars typically measure desires by summarizing how many children respondents would like to have (numeric) and when (timing). This visualization adds a third dimension, flexibility, asking how changing circumstances would alter fertility desires, as typically measured. HIV-related concerns reduce most young men’s numeric desires while also accelerating family formation; the only scenario that increases desired fertility for many men is an imbalanced gender ratio in the family. Visualizing flexibility as a dimension of fertility desires clarifies that young men’s stated fertility desires are often tentative and subject to revision
Behavioral disinhibition and sexual risk behavior among adolescents and young adults in Malawi.
While behavioral factors such as early age of sexual debut, inconsistent use of condoms and multiple sexual partners have been studied in Africa, less is known about how characteristics such as impulsivity and externalizing behaviors relate to HIV-related sexual risk-taking in that region. The purpose of this study was to develop a culturally adapted behavioral disinhibition index in a sample of adolescents and young adults in Malawi. We then sought to examine the relationship between the index and sexual risk behavior as measured by multiple sexual partners and number of lifetime sexual partners.Cross-sectional data were collected from 2342 participants in rural Malawi aged 15 to 29 years. We constructed a disinhibitory behavior score (DBS) using questions assessing disinhibitory behaviors. Bivariate analyses were conducted to assess the relationships among the individual DBS component behaviors. We utilized multivariable logistic regression to determine the association of the DBS with multiple sexual partners, and negative binomial regression to model the relationship between the DBS and number of lifetime sexual partners.Nearly all the DBS component behaviors were significantly associated in the bivariate analyses. The DBS was associated with having multiple sexual partners (OR 1.97; 95% CI 1.57-2.48) in the multivariable logistic regression analysis. Further, negative binomial regression results demonstrated that the DBS was associated with an increased number of lifetime sexual partners (OR 1.11; 95% CI 1.07-1.16).HIV preventive programs in Africa should take into consideration disinhibitory behaviors that may be associated with sexual risk-taking. The DBS can be used as a simple tool to identify those who may be more likely to engage in these behaviors and provide useful information regarding which groups of individuals particularly need to be targeted for behavior change interventions
Frequency distribution of the number of lifetime sexual partners.
<p>Frequency distribution of the number of lifetime sexual partners.</p
Frequency distribution of disinhibitory behavior scores.
<p>Frequency distribution of disinhibitory behavior scores.</p
Sociodemographic and risky behavior characteristics of the study sample.
<p>Sociodemographic and risky behavior characteristics of the study sample.</p
Odds ratios and 95% confidence intervals of unadjusted associations among components of the DBS.
<p>Odds ratios and 95% confidence intervals of unadjusted associations among components of the DBS.</p
Logistic regression analyses of the relationship between the DBS and multiple sexual partners.
<p>Logistic regression analyses of the relationship between the DBS and multiple sexual partners.</p