Skip to main content
Top
Gepubliceerd in:

22-05-2024 | Original Paper

Typologies and Correlates of Caregiver-adolescent Sexual Health Communication among Adolescent Girls in Southwestern Uganda

Auteurs: Massy Mutumba, Rachel Brathwaite, Proscovia Nabunya, Flavia Namuwonge, Fred M. Ssewamala

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 8/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

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.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Achen, D., Nyakato, V. N., Akatukwasa, C., Kemigisha, E., Mlahagwa, W., Kaziga, R., Ruzaaza, G. N., Rukundo, G. Z., Michielsen, K., & Neema, S. (2022). Gendered experiences of parent–child communication on sexual and Reproductive Health Issues: a qualitative study employing community-based participatory methods among primary caregivers and Community Stakeholders in Rural South-Western Uganda. International Journal of Environmental Research and Public Health, 19(9), 5052.PubMedPubMedCentralCrossRef Achen, D., Nyakato, V. N., Akatukwasa, C., Kemigisha, E., Mlahagwa, W., Kaziga, R., Ruzaaza, G. N., Rukundo, G. Z., Michielsen, K., & Neema, S. (2022). Gendered experiences of parent–child communication on sexual and Reproductive Health Issues: a qualitative study employing community-based participatory methods among primary caregivers and Community Stakeholders in Rural South-Western Uganda. International Journal of Environmental Research and Public Health, 19(9), 5052.PubMedPubMedCentralCrossRef
go back to reference Agbeve, A. S., Fiaveh, D. Y., & Anto-Ocrah, M. (2022). Parent-adolescent sexuality communication in the African context: a scoping review of the literature. Sexual Medicine Reviews, 10(4), 554–566.PubMedPubMedCentralCrossRef Agbeve, A. S., Fiaveh, D. Y., & Anto-Ocrah, M. (2022). Parent-adolescent sexuality communication in the African context: a scoping review of the literature. Sexual Medicine Reviews, 10(4), 554–566.PubMedPubMedCentralCrossRef
go back to reference Akatukwasa, C., Nyakato, V. N., Achen, D., Kemigisha, E., Atwine, D., Mlahagwa, W., Neema, S., Ruzaaza, G. N., Coene, G., & Rukundo, G. Z. (2022). Level and comfort of caregiver–young adolescent communication on sexual and reproductive health: a cross-sectional survey in south-western Uganda. BMC Public Health, 22(1), 1–14.CrossRef Akatukwasa, C., Nyakato, V. N., Achen, D., Kemigisha, E., Atwine, D., Mlahagwa, W., Neema, S., Ruzaaza, G. N., Coene, G., & Rukundo, G. Z. (2022). Level and comfort of caregiver–young adolescent communication on sexual and reproductive health: a cross-sectional survey in south-western Uganda. BMC Public Health, 22(1), 1–14.CrossRef
go back to reference Akers, A. Y., Holland, C. L., & Bost, J. (2011). Interventions to improve parental communication about sex: a systematic review. Pediatrics, 127(3), 494–510.PubMedPubMedCentralCrossRef Akers, A. Y., Holland, C. L., & Bost, J. (2011). Interventions to improve parental communication about sex: a systematic review. Pediatrics, 127(3), 494–510.PubMedPubMedCentralCrossRef
go back to reference Albert, D., & Steinberg, L. (2011). Peer influences on adolescent risk behavior. In Inhibitory control and drug abuse prevention: From research to translation, (pp. 211–226). New York, NY: Springer. Albert, D., & Steinberg, L. (2011). Peer influences on adolescent risk behavior. In Inhibitory control and drug abuse prevention: From research to translation, (pp. 211–226). New York, NY: Springer.
go back to reference 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(1), 1–17.CrossRef 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(1), 1–17.CrossRef
go back to reference Bhana, A., McKay, M. M., Mellins, C., Petersen, I., & Bell, C. (2010). Family‐based HIV prevention and intervention services for youth living in poverty‐affected contexts: the CHAMP model of collaborative, evidence‐informed programme development. Journal of the International AIDS Society, 13, S8–S8.PubMedPubMedCentralCrossRef Bhana, A., McKay, M. M., Mellins, C., Petersen, I., & Bell, C. (2010). Family‐based HIV prevention and intervention services for youth living in poverty‐affected contexts: the CHAMP model of collaborative, evidence‐informed programme development. Journal of the International AIDS Society, 13, S8–S8.PubMedPubMedCentralCrossRef
go back to reference Bhana, A., Petersen, I., Mason, A., Mahintsho, Z., Bell, C., & McKay, M. (2004b). Children and youth at risk: Adaptation and pilot study of the CHAMP (Amaqhawe) programme in South Africa. African journal of AIDS Research, 3(1), 33–41.PubMedCrossRef Bhana, A., Petersen, I., Mason, A., Mahintsho, Z., Bell, C., & McKay, M. (2004b). Children and youth at risk: Adaptation and pilot study of the CHAMP (Amaqhawe) programme in South Africa. African journal of AIDS Research, 3(1), 33–41.PubMedCrossRef
go back to reference Bull, S., Nabembezi, D., Birungi, R., Kiwanuka, J., & Ybarra, M. (2010). Cyber-Senga: Ugandan youth preferences for content in an internet-delivered comprehensive sexuality education programme. East African Journal of Public Health, 7(1), 58.PubMedPubMedCentral Bull, S., Nabembezi, D., Birungi, R., Kiwanuka, J., & Ybarra, M. (2010). Cyber-Senga: Ugandan youth preferences for content in an internet-delivered comprehensive sexuality education programme. East African Journal of Public Health, 7(1), 58.PubMedPubMedCentral
go back to reference Coetzee, J., Dietrich, J., Otwombe, K., Nkala, B., Khunwane, M., van der Watt, M., Sikkema, K. J., & Gray, G. E. (2014). Predictors of parent–adolescent communication in post-apartheid South Africa: A protective factor in adolescent sexual and reproductive health. Journal of Adolescence, 37(3), 313–324.PubMedPubMedCentralCrossRef Coetzee, J., Dietrich, J., Otwombe, K., Nkala, B., Khunwane, M., van der Watt, M., Sikkema, K. J., & Gray, G. E. (2014). Predictors of parent–adolescent communication in post-apartheid South Africa: A protective factor in adolescent sexual and reproductive health. Journal of Adolescence, 37(3), 313–324.PubMedPubMedCentralCrossRef
go back to reference Commendador, K. A. (2010). Parental influences on adolescent decision making and contraceptive use. Pediatric Nursing, 36(3), 147.PubMed Commendador, K. A. (2010). Parental influences on adolescent decision making and contraceptive use. Pediatric Nursing, 36(3), 147.PubMed
go back to reference Diiorio, C., Pluhar, E., & Belcher, L. (2003). Parent-child communication about sexuality: A review of the literature from 1980–2002. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 5(3-4), 7–32.CrossRef Diiorio, C., Pluhar, E., & Belcher, L. (2003). Parent-child communication about sexuality: A review of the literature from 1980–2002. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 5(3-4), 7–32.CrossRef
go back to reference Filmer, D., & Pritchett, L. H. J. D. (2001). Estimating wealth effects without expenditure data—or tears: an application to educational. Enrollments in States of India, 38(1), 115–132. Filmer, D., & Pritchett, L. H. J. D. (2001). Estimating wealth effects without expenditure data—or tears: an application to educational. Enrollments in States of India, 38(1), 115–132.
go back to reference Gillmore, M. R., Chen, A. C.-C., Haas, S. A., Kopak, A. M., & Robillard, A. G. (2011). Do family and parenting factors in adolescence influence condom use in early adulthood in a multiethnic sample of young adults? Journal of Youth and Adolescence, 40(11), 1503–1518.PubMedPubMedCentralCrossRef Gillmore, M. R., Chen, A. C.-C., Haas, S. A., Kopak, A. M., & Robillard, A. G. (2011). Do family and parenting factors in adolescence influence condom use in early adulthood in a multiethnic sample of young adults? Journal of Youth and Adolescence, 40(11), 1503–1518.PubMedPubMedCentralCrossRef
go back to reference Han, C.-K., Ssewamala, F. M., & Wang, J. S.-H. (2013). Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda. Journal of Epidemiology and Community Health, 67(3), 225–230. https://doi.org/10.1136/jech-2012-201601.CrossRefPubMed Han, C.-K., Ssewamala, F. M., & Wang, J. S.-H. (2013). Family economic empowerment and mental health among AIDS-affected children living in AIDS-impacted communities: evidence from a randomised evaluation in southwestern Uganda. Journal of Epidemiology and Community Health, 67(3), 225–230. https://​doi.​org/​10.​1136/​jech-2012-201601.CrossRefPubMed
go back to reference Hussain, R. (2013). Unintended pregnancy and abortion in Uganda. Issues in Brief, 2, 1–8. Hussain, R. (2013). Unintended pregnancy and abortion in Uganda. Issues in Brief, 2, 1–8.
go back to reference Ismayilova, L., Ssewamala, F. M., & Karimli, L. (2012b). Family support as a mediator of change in sexual risk-taking attitudes among orphaned adolescents in rural Uganda. Journal of Adolescent Health, 50(3), 228–235.CrossRef Ismayilova, L., Ssewamala, F. M., & Karimli, L. (2012b). Family support as a mediator of change in sexual risk-taking attitudes among orphaned adolescents in rural Uganda. Journal of Adolescent Health, 50(3), 228–235.CrossRef
go back to reference Jaccard, J., & Dittus, P. J. (2000). Adolescent perceptions of maternal approval of birth control and sexual risk behavior. American Journal of Public Health, 90(9), 1426.PubMedPubMedCentralCrossRef Jaccard, J., & Dittus, P. J. (2000). Adolescent perceptions of maternal approval of birth control and sexual risk behavior. American Journal of Public Health, 90(9), 1426.PubMedPubMedCentralCrossRef
go back to reference Jaccard, J., Dittus, P. J., & Gordon, V. V. (1996). Maternal correlates of adolescent sexual and contraceptive behavior. Family Planning Perspectives, 28(4), 159–185. Jaccard, J., Dittus, P. J., & Gordon, V. V. (1996). Maternal correlates of adolescent sexual and contraceptive behavior. Family Planning Perspectives, 28(4), 159–185.
go back to reference Juma, M., Alaii, J., Bartholomew, L. K., Askew, I., & Van den Borne, B. (2013). Risky sexual behavior among orphan and non-orphan adolescents in Nyanza Province, Western Kenya. AIDS and Behavior, 17(3), 951–960.PubMedCrossRef Juma, M., Alaii, J., Bartholomew, L. K., Askew, I., & Van den Borne, B. (2013). Risky sexual behavior among orphan and non-orphan adolescents in Nyanza Province, Western Kenya. AIDS and Behavior, 17(3), 951–960.PubMedCrossRef
go back to reference Kisaakye, P., Ndugga, P., Kwagala, E., Kayitale Mbonye, M., Ngabirano, F., & Ojiambo Wandera, S. (2022). Parent–child communication on sexual and reproductive health in border districts of Eastern Uganda. Sex Education, 24(1), 125–137. Kisaakye, P., Ndugga, P., Kwagala, E., Kayitale Mbonye, M., Ngabirano, F., & Ojiambo Wandera, S. (2022). Parent–child communication on sexual and reproductive health in border districts of Eastern Uganda. Sex Education, 24(1), 125–137.
go back to reference Knight, L., Humphries, H., Van der Pol, N., Ncgobo, N., Essack, Z., Rochat, T., & van Rooyen, H. (2023). ‘A difficult conversation’: community stakeholders’ and key informants’ perceptions of the barriers to talking about sex and HIV with adolescents and young people in KwaZulu-Natal, South Africa. Culture, Health and Sexuality, 25(12), 1725–1740. Knight, L., Humphries, H., Van der Pol, N., Ncgobo, N., Essack, Z., Rochat, T., & van Rooyen, H. (2023). ‘A difficult conversation’: community stakeholders’ and key informants’ perceptions of the barriers to talking about sex and HIV with adolescents and young people in KwaZulu-Natal, South Africa. Culture, Health and Sexuality, 25(12), 1725–1740.
go back to reference Kotchick, B. A., Shaffer, A., Miller, K. S., & Forehand, R. (2001). Adolescent sexual risk behavior: A multi-system perspective. Clinical Psychology Review, 21(4), 493–519.PubMedCrossRef Kotchick, B. A., Shaffer, A., Miller, K. S., & Forehand, R. (2001). Adolescent sexual risk behavior: A multi-system perspective. Clinical Psychology Review, 21(4), 493–519.PubMedCrossRef
go back to reference Krauss, B. J. (1995). Calm down, Mom, let’s talk about sex, drugs and HIV: 10–13 year old girls’ prescriptions for HIV prevention conversations in their high HIV seroprevalence neighborhood. Paper presented at: HIV Infection in Women Conference, Washington, DC. Abstract S40. Krauss, B. J. (1995). Calm down, Mom, let’s talk about sex, drugs and HIV: 10–13 year old girls’ prescriptions for HIV prevention conversations in their high HIV seroprevalence neighborhood. Paper presented at: HIV Infection in Women Conference, Washington, DC. Abstract S40.
go back to reference L’Engle, K. L., Brown, J. D., & Kenneavy, K. (2006). The mass media are an important context for adolescents’ sexual behavior. Journal of Adolescent Health, 38(3), 186–192.CrossRef L’Engle, K. L., Brown, J. D., & Kenneavy, K. (2006). The mass media are an important context for adolescents’ sexual behavior. Journal of Adolescent Health, 38(3), 186–192.CrossRef
go back to reference Markham, C. M., Lormand, D., Gloppen, K. M., Peskin, M. F., Flores, B., Low, B., & House, L. D. (2010). Connectedness as a predictor of sexual and reproductive health outcomes for youth. Journal of Adolescent Health, 46(3), S23–S41.CrossRef Markham, C. M., Lormand, D., Gloppen, K. M., Peskin, M. F., Flores, B., Low, B., & House, L. D. (2010). Connectedness as a predictor of sexual and reproductive health outcomes for youth. Journal of Adolescent Health, 46(3), S23–S41.CrossRef
go back to reference Masyn, K. E. (2013). 25 latent class analysis and finite mixture modeling. In (Vol. 2, pp. 551): Oxford University Press. Masyn, K. E. (2013). 25 latent class analysis and finite mixture modeling. In (Vol. 2, pp. 551): Oxford University Press.
go back to reference Mbachu, C. O., Agu, I. C., Eze, I., Agu, C., Ezenwaka, U., Ezumah, N., & Onwujekwe, O. (2020). Exploring issues in caregivers and parent communication of sexual and reproductive health matters with adolescents in Ebonyi state, Nigeria. BMC Public Health, 20(1), 1–10.CrossRef Mbachu, C. O., Agu, I. C., Eze, I., Agu, C., Ezenwaka, U., Ezumah, N., & Onwujekwe, O. (2020). Exploring issues in caregivers and parent communication of sexual and reproductive health matters with adolescents in Ebonyi state, Nigeria. BMC Public Health, 20(1), 1–10.CrossRef
go back to reference McKay, M. M., Alicea, S., Elwyn, L., McClain, Z. R., Parker, G., Small, L. A., & Mellins, C. A. (2014). The development and implementation of theory-driven programs capable of addressing poverty-impacted children’s health, mental health, and prevention needs: CHAMP and CHAMP+, evidence-informed, family-based interventions to address HIV risk and care. Journal of Clinical Child & Adolescent Psychology, 43(3), 428–441. https://doi.org/10.1080/15374416.2014.893519.CrossRef McKay, M. M., Alicea, S., Elwyn, L., McClain, Z. R., Parker, G., Small, L. A., & Mellins, C. A. (2014). The development and implementation of theory-driven programs capable of addressing poverty-impacted children’s health, mental health, and prevention needs: CHAMP and CHAMP+, evidence-informed, family-based interventions to address HIV risk and care. Journal of Clinical Child & Adolescent Psychology, 43(3), 428–441. https://​doi.​org/​10.​1080/​15374416.​2014.​893519.CrossRef
go back to reference McKay, M. M., Chasse, K. T., Paikoff, R., McKinney, L. D., Baptiste, D., Coleman, D., Madison, S., & Bell, C. C. (2004). Family‐level impact of the CHAMP Family Program: A community collaborative effort to support urban families and reduce youth HIV risk exposure. Family Process, 43(1), 79–93.PubMedCrossRef McKay, M. M., Chasse, K. T., Paikoff, R., McKinney, L. D., Baptiste, D., Coleman, D., Madison, S., & Bell, C. C. (2004). Family‐level impact of the CHAMP Family Program: A community collaborative effort to support urban families and reduce youth HIV risk exposure. Family Process, 43(1), 79–93.PubMedCrossRef
go back to reference Miller, B. C. (2002). Family influences on adolescent sexual and contraceptive behavior. Journal of Sex Research, 39(1), 22–26.PubMedCrossRef Miller, B. C. (2002). Family influences on adolescent sexual and contraceptive behavior. Journal of Sex Research, 39(1), 22–26.PubMedCrossRef
go back to reference Miller, B. C., Norton, M. C., Fan, X., & Christopherson, C. R. (1998). Pubertal development, parental communication, and sexual values in relation to adolescent sexual behaviors. The Journal of Early Adolescence, 18(1), 27–52.CrossRef Miller, B. C., Norton, M. C., Fan, X., & Christopherson, C. R. (1998). Pubertal development, parental communication, and sexual values in relation to adolescent sexual behaviors. The Journal of Early Adolescence, 18(1), 27–52.CrossRef
go back to reference Ministry of Health. (2022). Uganda Population-Based HIV Impact Assessment (UPHIA) 2020 - 2021. In: Ministry of Health, Uganda. Ministry of Health. (2022). Uganda Population-Based HIV Impact Assessment (UPHIA) 2020 - 2021. In: Ministry of Health, Uganda.
go back to reference Muhwezi, W. W., Katahoire, A. R., Banura, C., Mugooda, H., Kwesiga, D., Bastien, S., & Klepp, K.-I. (2015). Perceptions and experiences of adolescents, parents and school administrators regarding adolescent-parent communication on sexual and reproductive health issues in urban and rural Uganda. Reproductive Health, 12(1), 110.PubMedPubMedCentralCrossRef Muhwezi, W. W., Katahoire, A. R., Banura, C., Mugooda, H., Kwesiga, D., Bastien, S., & Klepp, K.-I. (2015). Perceptions and experiences of adolescents, parents and school administrators regarding adolescent-parent communication on sexual and reproductive health issues in urban and rural Uganda. Reproductive Health, 12(1), 110.PubMedPubMedCentralCrossRef
go back to reference Muthén, B., & Muthén, L. K. (2000). Integrating person‐centered and variable‐centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and Experimental Research, 24(6), 882–891.PubMedCrossRef Muthén, B., & Muthén, L. K. (2000). Integrating person‐centered and variable‐centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and Experimental Research, 24(6), 882–891.PubMedCrossRef
go back to reference Muyinda, H., Kengeya, J., Pool, R., & Whitworth, J. (2001). Traditional sex counselling and STI/HIV prevention among young women in rural Uganda. Culture, Health & Sexuality, 3(3), 353–361.CrossRef Muyinda, H., Kengeya, J., Pool, R., & Whitworth, J. (2001). Traditional sex counselling and STI/HIV prevention among young women in rural Uganda. Culture, Health & Sexuality, 3(3), 353–361.CrossRef
go back to reference Muyinda, H., Nakuya, J., Pool, R., & Whitworth, J. (2003). Harnessing the senga institution of adolescent sex education for the control of HIV and STDs in rural Uganda. AIDS Care, 15(2), 159–167.PubMedCrossRef Muyinda, H., Nakuya, J., Pool, R., & Whitworth, J. (2003). Harnessing the senga institution of adolescent sex education for the control of HIV and STDs in rural Uganda. AIDS Care, 15(2), 159–167.PubMedCrossRef
go back to reference Namisi, F. S., Aarø, L. E., Kaaya, S., Onya, H. E., Wubs, A., & Mathews, C. (2013). Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania. BMC Public Health, 13(1), 874.PubMedPubMedCentralCrossRef Namisi, F. S., Aarø, L. E., Kaaya, S., Onya, H. E., Wubs, A., & Mathews, C. (2013). Condom use and sexuality communication with adults: a study among high school students in South Africa and Tanzania. BMC Public Health, 13(1), 874.PubMedPubMedCentralCrossRef
go back to reference Ndugga, P., Kwagala, B., Wandera, S. O., Kisaakye, P., Mbonye, M. K., & Ngabirano, F. (2023). “If your mother does not teach you, the world will…”: a qualitative study of parent-adolescent communication on sexual and reproductive health issues in Border districts of eastern Uganda. BMC Public Health, 23(1), 678.PubMedPubMedCentralCrossRef Ndugga, P., Kwagala, B., Wandera, S. O., Kisaakye, P., Mbonye, M. K., & Ngabirano, F. (2023). “If your mother does not teach you, the world will…”: a qualitative study of parent-adolescent communication on sexual and reproductive health issues in Border districts of eastern Uganda. BMC Public Health, 23(1), 678.PubMedPubMedCentralCrossRef
go back to reference Neema, S., Musisi, N., & Kibombo, R. (2004). Adolescent sexual and reproductive health in Uganda: a synthesis of research evidence (Vol. 14). Alan Guttmacher Institute New York. Neema, S., Musisi, N., & Kibombo, R. (2004). Adolescent sexual and reproductive health in Uganda: a synthesis of research evidence (Vol. 14). Alan Guttmacher Institute New York.
go back to reference Nylund-Gibson, K., & Choi, A. Y. (2018). Ten frequently asked questions about latent class analysis. Translational Issues in Psychological Science, 4(4), 440.CrossRef Nylund-Gibson, K., & Choi, A. Y. (2018). Ten frequently asked questions about latent class analysis. Translational Issues in Psychological Science, 4(4), 440.CrossRef
go back to reference Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569.CrossRef Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569.CrossRef
go back to reference Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2008). “ Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study”: Erratum. Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2008). “ Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study”: Erratum.
go back to reference Pichon, M., Howard‐Merrill, L., Wamoyi, J., Buller, A. M., & Kyegombe, N. (2022). A qualitative study exploring parent–daughter approaches for communicating about sex and transactional sex in Central Uganda: Implications for comprehensive sexuality education interventions. Journal of Adolescence, 94(6), 880–891.PubMedCrossRef Pichon, M., Howard‐Merrill, L., Wamoyi, J., Buller, A. M., & Kyegombe, N. (2022). A qualitative study exploring parent–daughter approaches for communicating about sex and transactional sex in Central Uganda: Implications for comprehensive sexuality education interventions. Journal of Adolescence, 94(6), 880–891.PubMedCrossRef
go back to reference Prada, E., Atuyambe, L. M., Blades, N. M., Bukenya, J. N., Orach, C. G., & Bankole, A. (2016). Incidence of induced abortion in Uganda, 2013: new estimates since 2003. PloS one, 11(11), e0165812.PubMedPubMedCentralCrossRef Prada, E., Atuyambe, L. M., Blades, N. M., Bukenya, J. N., Orach, C. G., & Bankole, A. (2016). Incidence of induced abortion in Uganda, 2013: new estimates since 2003. PloS one, 11(11), e0165812.PubMedPubMedCentralCrossRef
go back to reference Seif, S. A., & Moshiro, C. S. (2018). Caretaker-adolescent communication on sexual and reproductive health: a cross-sectional study in Unguja-Tanzania Zanzibar. BMC Public Health, 18(1), 1–13.CrossRef Seif, S. A., & Moshiro, C. S. (2018). Caretaker-adolescent communication on sexual and reproductive health: a cross-sectional study in Unguja-Tanzania Zanzibar. BMC Public Health, 18(1), 1–13.CrossRef
go back to reference Ssewamala, F., Karimli, L., Torsten, N., Wang, J.-H., Han, C.-K., Ilic, V., & Nabunya, P. (2016). Applying a Family-Level Economic Strengthening Intervention to Improve Education and Health-Related Outcomes of School-Going AIDS-Orphaned Children: Lessons from a Randomized Experiment in Southern Uganda. Prevention Science, 1-10. https://doi.org/10.1007/s11121-015-0580-9 Ssewamala, F., Karimli, L., Torsten, N., Wang, J.-H., Han, C.-K., Ilic, V., & Nabunya, P. (2016). Applying a Family-Level Economic Strengthening Intervention to Improve Education and Health-Related Outcomes of School-Going AIDS-Orphaned Children: Lessons from a Randomized Experiment in Southern Uganda. Prevention Science, 1-10. https://​doi.​org/​10.​1007/​s11121-015-0580-9
go back to reference Ssewamala, F. M., Bermudez, L. G., Neilands, T. B., Mellins, C. A., McKay, M. M., Garfinkel, I., Bahar, O. S., Nakigozi, G., Mukasa, M., & Stark, L. (2018). Suubi4Her: a study protocol to examine the impact and cost associated with a combination intervention to prevent HIV risk behavior and improve mental health functioning among adolescent girls in Uganda. BMC Public Health, 18(1), 693.PubMedPubMedCentralCrossRef Ssewamala, F. M., Bermudez, L. G., Neilands, T. B., Mellins, C. A., McKay, M. M., Garfinkel, I., Bahar, O. S., Nakigozi, G., Mukasa, M., & Stark, L. (2018). Suubi4Her: a study protocol to examine the impact and cost associated with a combination intervention to prevent HIV risk behavior and improve mental health functioning among adolescent girls in Uganda. BMC Public Health, 18(1), 693.PubMedPubMedCentralCrossRef
go back to reference Sully, E. A., Atuyambe, L., Bukenya, J., Whitehead, H. S., Blades, N., & Bankole, A. (2018). Estimating abortion incidence among adolescents and differences in postabortion care by age: a cross-sectional study of postabortion care patients in Uganda. Contraception, 98(6), 510–516.PubMedPubMedCentralCrossRef Sully, E. A., Atuyambe, L., Bukenya, J., Whitehead, H. S., Blades, N., & Bankole, A. (2018). Estimating abortion incidence among adolescents and differences in postabortion care by age: a cross-sectional study of postabortion care patients in Uganda. Contraception, 98(6), 510–516.PubMedPubMedCentralCrossRef
go back to reference Thurman, T. R., Nice, J., Visser, M., & Luckett, B. G. (2020). Pathways to sexual health communication between adolescent girls and their female caregivers participating in a structured HIV prevention intervention in South Africa. Social Science and Medicine, 260, 113168.PubMedCrossRef Thurman, T. R., Nice, J., Visser, M., & Luckett, B. G. (2020). Pathways to sexual health communication between adolescent girls and their female caregivers participating in a structured HIV prevention intervention in South Africa. Social Science and Medicine, 260, 113168.PubMedCrossRef
go back to reference Uganda Bureau of Statistics, I. I. (2018). Uganda demographic and health survey 2016. Uganda Bureau of Statistics, I. I. (2018). Uganda demographic and health survey 2016.
go back to reference Vilanculos, E., & Nduna, M. (2017). “The child can remember your voice”: parent–child communication about sexuality in the South African context. African Journal of AIDS Research, 16(1), 81–89.PubMedCrossRef Vilanculos, E., & Nduna, M. (2017). “The child can remember your voice”: parent–child communication about sexuality in the South African context. African Journal of AIDS Research, 16(1), 81–89.PubMedCrossRef
go back to reference Wamoyi, J., Fenwick, A., Urassa, M., Zaba, B., & Stones, W. (2010). Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people’s sexual health interventions. Reproductive Health, 7(1), 1–18.CrossRef Wamoyi, J., Fenwick, A., Urassa, M., Zaba, B., & Stones, W. (2010). Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people’s sexual health interventions. Reproductive Health, 7(1), 1–18.CrossRef
go back to reference Wang, J. S.-H., Ssewamala, F. M., & Han, C.-K. (2014). Family economic strengthening and mental health functioning of caregivers for AIDS-affected children in rural Uganda. Vulnerable Children Youth Studies, 9(3), 258–269.PubMedCrossRef Wang, J. S.-H., Ssewamala, F. M., & Han, C.-K. (2014). Family economic strengthening and mental health functioning of caregivers for AIDS-affected children in rural Uganda. Vulnerable Children Youth Studies, 9(3), 258–269.PubMedCrossRef
go back to reference Wang, M.-C., Deng, Q., Bi, X., Ye, H., & Yang, W. (2017). Performance of the entropy as an index of classification accuracy in latent profile analysis: a monte carlo simulation study. Acta Psychologica Sinica, 49(11), 1473–1482. Wang, M.-C., Deng, Q., Bi, X., Ye, H., & Yang, W. (2017). Performance of the entropy as an index of classification accuracy in latent profile analysis: a monte carlo simulation study. Acta Psychologica Sinica, 49(11), 1473–1482.
go back to reference Weller, B. E., Bowen, N. K., & Faubert, S. J. (2020). Latent class analysis: a guide to best practice. Journal of Black Psychology, 46(4), 287–311.CrossRef Weller, B. E., Bowen, N. K., & Faubert, S. J. (2020). Latent class analysis: a guide to best practice. Journal of Black Psychology, 46(4), 287–311.CrossRef
go back to reference Widman, L., Choukas-Bradley, S., Noar, S. M., Nesi, J., & Garrett, K. (2016). Parent-adolescent sexual communication and adolescent safer sex behavior: a meta-analysis. JAMA Pediatrics, 170(1), 52–61.PubMedPubMedCentralCrossRef Widman, L., Choukas-Bradley, S., Noar, S. M., Nesi, J., & Garrett, K. (2016). Parent-adolescent sexual communication and adolescent safer sex behavior: a meta-analysis. JAMA Pediatrics, 170(1), 52–61.PubMedPubMedCentralCrossRef
go back to reference Ybarra, M. L., Kiwanuka, J., Emenyonu, N., & Bangsberg, D. R. (2006). Internet use among Ugandan adolescents: implications for HIV intervention. PLoS Medicine, 3(11), e433.PubMedPubMedCentralCrossRef Ybarra, M. L., Kiwanuka, J., Emenyonu, N., & Bangsberg, D. R. (2006). Internet use among Ugandan adolescents: implications for HIV intervention. PLoS Medicine, 3(11), e433.PubMedPubMedCentralCrossRef
Metagegevens
Titel
Typologies and Correlates of Caregiver-adolescent Sexual Health Communication among Adolescent Girls in Southwestern Uganda
Auteurs
Massy Mutumba
Rachel Brathwaite
Proscovia Nabunya
Flavia Namuwonge
Fred M. Ssewamala
Publicatiedatum
22-05-2024
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 8/2024
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-024-02851-w

Andere artikelen Uitgave 8/2024

Journal of Child and Family Studies 8/2024 Naar de uitgave