ArticleFrontiers in reproductive health2026
"We tell them it is the 'fire age:'" gender, puberty education and adolescent boyhood in two Ethiopian contexts.
Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: As in much of sub-Saharan Africa, adolescent boys constitute a large and increasing share of Ethiopia's population. Masculinity norms, social, and structural factors intertwine to negatively impact boys' and men's health. What, where, and how boys learn about body changes during early adolescence is an important foundation for health over the life course. However, little evidence exists on boys' social and physical transitions in early adolescence. Methods: This exploratory qualitative and participatory study applied a social constructionist approach. We gathered insights on boys' learning and interpretation of body changes and their gendered implications. We collected data in two sites: one urban and one rural, representing distinct regions of Ethiopia. Methods included Participatory Activities with groups ( Results: We identified three themes related to boys' experiences of puberty and masculinity norms: 1) the "fire age" is central to male adolescence; 2) boys feel ambivalent about community masculinity norms; and 3) inadequate guidance leaves boys struggling to interpret body changes. Discussion: Findings suggested that boys were internalizing and struggling with normative definitions of adolescence and manhood, leaving them unprepared for puberty. A normative understanding held male adolescence as naturally volatile, with boys having limited ability to control their bodies. This fit with broader hegemonic masculinity norms prizing male physicality and justifying gender inequality through biological difference. Despite the centrality of puberty in shared understandings of male adolescence, boys had little guidance on interpreting or managing body changes. The study contributed to global research on the importance of understanding how and what boys learn in early adolescence and puberty. Puberty education should address Ethiopian boys' gendered experiences in tandem with scientifically accurate information.
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