ArticleBMC public health2019
Social cohesion, social trust, social participation and sexual behaviors of adolescents in rural Tanzania.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Determinants of Adolescent Sexual Behavior in Sub-Saharan Africa: A Systematic Review of In-School and Out-of-School Adolescents.Public health reviews · 2025Pooled it
- A systematic review of social processes and mechanisms in the community that influence risky sexual behaviour among adolescents and young adults.Nursing open · 2023Pooled it
- Socially Disadvantaged Community Structures and Conditions Negatively Influence Risky Sexual Behavior in Adolescents and Young Adults: A Systematic Review.International journal of public health · 2022Pooled it
- Caregiver attitudes towards HIV testing and contraceptive services for adolescents in Tanzania.AIDS care · 2026Trial
- Risky sexual behaviors and associated factors among university young adults in Zambezi, Namibia.Health SA = SA Gesondheid · 2025Article
- Socioecological analysis of determinants of early adolescent sexuality in Benin: a qualitative study.The Pan African medical journal · 2023Article
- Strategies to Identify and Reach Young Women Who Sell Sex With HIV Prevention and Care Services: Lessons Learnt From the Implementation of DREAMS Services in Two Cities in Zimbabwe.JMIR public health and surveillance · 2022Article
- Safe-Sex Behavioral Intention of Chinese College Students: Examining the Effect of Sexual Knowledge Using the Theory of Planned Behavior.Frontiers in psychology · 2022Article
- Association between community-level social trust and the risk of dementia: A retrospective cohort study in the Republic of Korea.Frontiers in public health · 2022Article
- Understanding the association between exposure to family planning messages and consistent condom use among never married men in Ghana.PloS one · 2021Article
- Protection at First Sexual Intercourse Among Adolescent Girls and Young Women in Kenya.Archives of sexual behavior · 2021Article
- Factors associated with the awareness of contraceptive methods, understanding the prevention of HIV/AIDS and the perception of HIV/AIDS risk among secondary school students in Dar es Salaam, Tanzania.Journal of rural medicine : JRM · 2020Article
- Associations Between Agency and Sexual and Reproductive Health Communication in Early Adolescence: A Cross-cultural, Cross-sectional Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020Article
- Factors associated with prior engagement in high-risk sexual behaviours among adolescents (10-19 years) in a pastoralist post-conflict community, Karamoja sub-region, North eastern Uganda.BMC public health · 2019Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocial cohesion, defined as a glue holding society together, has been found to influence several aspects of human behavior. Social cohesion, being composed of social trust and social participation, is a social factor that may influence sexual behaviors. Unfortunately, studies investigating the influence of social cohesion on sexual behaviors among young people are scarce. This study examined the influence of social cohesion on safe sexual behavior among adolescents in rural Tanzania.
methodsA cross-sectional study was conducted among 403 school adolescents of the Newala district, between May and August 2010. Socio-demographic characteristics, social cohesion (social trust and social participation) and sexual behavior (age at sexual debut, intention to use and reported condom use, number of sexual partners) were obtained through self-administered questionnaires. Data analysis was performed using descriptive statistics and binary logistic regression.
resultsSexual debut at under 13 years of age was reported by 12% of the respondent. A majority (71%) reported multiple sexual partnerships and half of the participants reported to have used a condom at their last sexual encounter. The intention to use a condom was reported by 77% of the respondents. Having multiple sexual partnerships was associated with social trust only (odds ratio: 3.5, 95% CI 1.01-12.3) whereas reported condom use was related with social cohesion (odds ratio 4.8 95% CI 1.66-14.06). Social cohesion, trust or participation was not associated with young age at sexual debut or intention to use a condom. Being a female (odds ratio 2.07 95% CI 1.04-4.12.) was associated with intention to use a condom.
conclusionThis study indicates that social cohesion and socio-demographic factors influence actual behavior performance and behavioral intentions. The findings point to the importance of collecting more evidence on social cohesion and sexual behaviors in different settings and designing interventions that enhance social cohesion among adolescents in order to reinforce positive sexual behaviors.
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