Abstract
Young people in sub-Saharan Africa are at the centre of the global HIV epidemic as they account for a disproportionate share of new infections. Their vulnerability to HIV has been attributed to a myriad of factors, in particular, risky sexual behaviours. While economic factors are important, increasing attention has been devoted to religion on the discourse on sexual decision-making because religious values provide a perspective on life that often conflicts with risky sexual behaviours. Given the centrality of religion in the African social fabric, this study assesses the relationship between adolescent religiousness and involvement in risky sexual behaviours using data from the informal settlements of Nairobi. Guided by social control theory, the paper explores if and how religion and religiosity affect sexual risk-taking among adolescents.
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Notes
Unfortunately, no information was solicited on the use of condoms in the most recent sexual encounter so we could not use that as an indication of risky behavior.
References
Abdulraheem, I. S., & Fawlole, I. O. (2009). Young people’s sexual risk behaviors in Nigeria. Journal of Adolescent Research, 24(4), 505–527.
Adepegba, B. (2001). Canada rises up for Sharia convict, PM News, Lagos 2 January 2001.
Adogame, A. (2007). HIV/AIDS support and African Pentecostalism: The case of the redeemed Christian Church of God (RCCG). Journal of Health Psychology, 12(3), 475–483.
Agadjanian, V. (2001). Religion, social milieu, and contraceptive revolution. Population Studies, 55, 135–148.
Awusabo-Asare, K., Abane, A. M., & Kumi-Kyereme, A. (2004). Adolescent sexual and reproductive health: A synthesis of research evidence. New York: The Alan Guttmacher Institute, No. 13.
BBC News. (2005). Africans trust religious leaders. Available at http://news.bbc.co.uk/1/hi/world/africa/4246754.stm. Accessed 4 Sept 2005.
BBC News. (2009). HIV infections and deaths fall as drugs have impact. Available at http://news.bbc.co.uk/2/hi/health/8375297.stm. Accessed 24 Nov 2009.
Bediako, K. (1995). Christianity in Africa: Renewal of a non-western religion. Edinburgh: Edinburgh University Press.
Boudreaux, E. D., O’Hea, E. L., & Chasuk, R. (2002). Spirituality and healing: An alternative way of thinking. Primary Care: Clinics in Office Practice, 29, 1–16.
Brockerhoff, M., & Brennan, E. (1998). The poverty of cities in developing countries. Population and Development Review, 24(1), 75–114.
Buga, G. (1996). Sexual behavior, contraceptive practice and reproductive health among school adolescents in rural Transkei. South African Medical Journal, 86, 523–527.
Caldwell, J. (2000). Rethinking the African AIDS epidemic. Population and Development Review, 26(1), 117–135.
Chesnut, R. A. (1997). Born again in Brazil: The Pentecostal Boom and the Pathogens of Poverty. New Brunswick, NJ: Rutgers University Press.
Dimbuene, Z. T., & Kuate Defo, B. (2010). Risky sexual behavior among unmarried young people in Cameroon: Another look at family environment. Journal of Biosocial Science, 43(2), 129–153.
Forster, S. J., & Furley, K. E. (1989). 1988 public awareness survey on AIDS and condoms in Uganda. AIDS, 3, 147.
Garner, R. C. (2000). Safe sect? Dynamic religion and AIDS in South Africa. Journal of Modern African Studies, 38, 41–69.
Gifford, P. (1994). Some recent developments in African Christianity. African Affairs, 93, 513–534.
Gyimah, S. O. (2007). What has faith got to do with it? Religion and child survival in Ghana. Journal of Biosocial Science, 39(6), 923–937.
Gyimah, S. O., Takyi, B., & Eric Tenkorang, E. (2008). Denominational affiliation and fertility behavior in an African context: An examination of couple data from Ghana. Journal of Biosocial Science, 40(3), 445–458.
Gyimah, S. O., Tenkorang, E., Takyi, B., Adjei, J., & Fosu, G. (2010). Religion, HIV/AIDS and sexual-risk taking among men in Ghana. Journal of Biosocial Science, 42, 531–547.
Hirschi, T. (1969). Causes of delinquency. Berkeley: University of California Press.
Hoffmann, J. P. (2009). Gender, risk, and religiousness: Can power control provide the theory? Journal for the Scientific Study of Religion, 48(2), 232–240.
Hummer, R. A., Ellison, C., Rogers, R. G., Moulton, B. E., & Romero, R. R. (2004). Religious involvement and adult mortality in the United States: Review and perspectives. Southern Medical Journal, 97(12), 1223–1230.
Jenkins, P. (2002). The next Christendom: The coming of global Christianity. Oxford and New York: Oxford University Press.
Kabiru, C. W., & Orpinas, P. (2009). Factors associated with sexual activity among high-school students in Nairobi, Kenya. Journal of Adolescence, 32(4), 1023–1039.
Kirby, D. (1999). Looking for reasons why: The antecedents of adolescent sexual risk-taking, pregnancy, and childbearing. Washington, DC: National Campaign to Prevent Teen Pregnancy.
Lehrer, E. L. (2004). The role of religion in union formation: An economic perspective. Population Research and Policy Review, 23, 161–185.
Long, J. S. (1997). Regression models for categorical and limited dependent variables. Thousand Oaks, CA: Sage Publications.
Maxwell, D. (1998). Delivered from the spirit of poverty? Pentecostalism, prosperity and modernity in Zimbabwe. Journal of Religion in Africa, 28(3), 350–373.
Mbiti, J. S. (1992). African religions and philosophy. London: Heinemann.
Miller, A. S., & Stark, R. (2002). Gender and religiousness: Can socialization explanations be saved? American Journal of Sociology, 107(6), 1399–1423.
Parkhurst, J. (2001). The crisis of AIDS and the politics of response: The case of Uganda. International Relations, 15, 69–87.
Rohrbaugh, J., & Jessor, R. (1975). Religiosity in youth: A personal control against deviant behavior. Journal of Personality, 43, 136–155.
Rutenberg, N., & Watkins, S. (1997). The buzz outside the clinics: Conversations and contraception in Nyanza Province, Kenya. Studies in Family Planning, 28(4), 290–307.
Stephenson, R. (2009). Stephenson, community influences on young people’s sexual behavior in 3 African countries. American Journal of Public Health, 99(1), 102–109.
Tenkorang, E. Y., Rajulton F., & Maticka-Tyndale, E. (2010). A multi-level analysis of risk perception, poverty and sexual risk-taking among young people in Cape Town, South Africa. Health and Place, 17(2), 525–535.
Trinitapoli, J. A., & Regnerus, M. D. (2006). Religion and HIV risk behaviors among married men: Initial results from a study in rural sub-Saharan Africa. Journal for the Scientific Study of Religion, 45(4), 505–528.
UNAIDS and WHO. (2008). Sub-Saharan Africa: AIDS epidemic update regional summary. Available at http://data.unaids.org/pub/Report/2008/jc1526_epibriefs_ssafrica_en.pdf. Accessed 18 July 2008.
UNAIDS and WHO. (2009). AIDS epidemic update. http://data.unaids.org/pub/Report/2009/2009_epidemic_update_en.pdf.
UNFPA. (2005). Youth and HIV/AIDS fact sheet. http://www.unfpa.org/swp/2005/presskit/factsheets/facts_youth.htm#ftn1.
White, R., Cleland, J., & Carael, M. (2000). Links between premarital sexual behaviour and extramarital intercourse: A multi-site analysis. AIDS, 14(15), 2323–2331.
World Bank. (1997). Confronting AIDS: Public priorities in a global epidemic. New York: Oxford University Press.
Yamba, B. (1997). Cosmologies in turmoil: Witchfinding and AIDS in Chiawa, Zambia. Africa, 67, 200–223.
Zaba, B., Pisani, E., Slaymaker, E., & Boerma, T. J. (2004). Age at first sex: Understanding recent trends in African demographic surveys. Sexually Transmitted Infections, 80, 28–35.
Zenebe, M. (2007). Intersection between religion and HIV/AIDS in Addis Ababa: Some contradictions and paradoxes. Paper presented at AEGIS Conference; Leiden, NL.
Zulu, E. M., Dodoo, F. N.-A., & Ezeh, A. C. (2002). Sexual risk-taking in the slums of Nairobi, Kenya, 1993–1998. Population Studies, 56(3), 311–323.
Acknowledgments
We acknowledge the Social Science and Humanities Research Council of Canada’s standard research grant to Stephen. The study was initiated while Stephen was a sabbatical fellow at the APHRC, Nairobi. The Transitions-To-Adulthood study is part of a larger project on Urbanization, Poverty and Health Dynamics at APHRC funded by the Wellcome Trust. We are grateful to the colleagues at APHRC for their contributions and the adolescents in the study communities for participating in this study.
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Obeng Gyimah, S., Kodzi, I., Emina, J. et al. Adolescent Sexual Risk-Taking in the Informal Settlements of Nairobi, Kenya: Understanding the Contributions of Religion. J Relig Health 53, 13–26 (2014). https://doi.org/10.1007/s10943-012-9580-2
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DOI: https://doi.org/10.1007/s10943-012-9580-2