ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2019
Adolescent Girls' Agency Significantly Correlates With Favorable Social Norms in Ethiopia-Implications for Improving Sexual and Reproductive Health of Young Adolescents.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- Measuring social norms endorsement and normative influence on contraceptive use among youth (15-24) in northeastern Uganda.Frontiers in global women's health · 2026Article
- Measuring adolescent girls' agency.Journal of adolescence · 2025Article
- Adolescents' agency toward climate change: development and validation of scales for individual, proxy, and collective modes.Frontiers in psychology · 2025Article
- The Association between Intrahousehold Food Allocation Social Norms and Thinness among Young Adolescent Girls: A Community-Based Study.Ethiopian journal of health sciences · 2023Article
- Agency and role models: do they matter for adolescent girls' sexual and reproductive health?BMC women's health · 2023Article
- Article
- Hope, agency, and adolescents' sexual and reproductive health: A mini review.Frontiers in reproductive health · 2023Review
- Understanding how social norms influence access to and utilization of adolescent sexual and reproductive health services in Northern Nigeria.Frontiers in sociology · 2023Article
- Adolescent girls trapped in early marriage social norm in rural Ethiopia: A vignette-based qualitative exploration.PloS one · 2022Article
- Social norms, attitudes and access to modern contraception for adolescent girls in six districts in Uganda.BMC health services research · 2021Article
- 'I wanted to go, but they said wait': Mothers' bargaining power and strategies in care-seeking for ill newborns in Ethiopia.PloS one · 2020Article
- Veering From a Narrow Path: The Second Decade of Social Norms Research.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Article
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Abstract
purposeThis study investigates the relationship between adolescent girls' agency and social norms regarding early marriage, girls' education, and nutrition in West Hararghe, Ethiopia.
methodsWe conducted a cross-sectional study involving adolescent girls aged between 13 and 17 years in 2016. A two-stage cluster sampling procedure was followed to identify eligible respondents at the household level. A total of 114 clusters in four districts and 30 households from each cluster were randomly selected. Data were collected using a structured and pretested questionnaire. The agency composite score was measured based on 21 previously validated items. Descriptive and injunctive norm composite scores regarding education, marriage, and nutrition were constructed based on context-relevant items. The weighted mean and standard errors were calculated for the agency and social norms composite scores. The relationship between girls' agency and descriptive and injunctive norms were examined using a multivariable linear regression model that accounted for a complex sample survey design.
resultsA total of 3,186 adolescent girls participated in this study. The multivariable linear regression analysis revealed that adolescent girls' agency score significantly and favorably associated with education (β = .19, p < .001), marriage (β = .13, p < .01), and nutrition (β = .20, p < .01) descriptive norms after adjusting for individual and household characteristics. Similarly, adolescent girls' agency was significantly and favorably associated with marriage (β = .21, p < .001) injunctive norms; however, positive injunctive norms around education (β = .09, p > .05) and nutrition (β = .12, p > .05) did not have a statistically significant association with girls' agency. The domains of agency scale related to the belief in women's health rights related to contraception use and the belief in women's right to refuse sex showed poor prosocial views.
conclusionsFavorable descriptive and injunctive norms around marriage were significantly associated with greater adolescent girls' agency, which indicates the need to incorporate interventions that address social norms in efforts aimed to enhance adolescent girls' sexual and reproductive health status. Furthermore, attention should be given to monitor which domain of agency is improved by the interventions.
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