TY - JOUR
T1 - "They Just Whisper in Their Hearts That He's Doing a Bad Thing"
T2 - A qualitative study of tanzanian perceptions of cross-generational sex
AU - Kaufman, Michelle
AU - Mooney, Alyssa
AU - Modarres, Najmeh
AU - Mlangwa, Susan
AU - Mccartney-Melstad, Anna
AU - Mushi, Adiel
N1 - Funding Information:
This study was made possible by the generous support of the American people through the United States Agency for International Development under the Strategic Radio Communication for Development Project (Cooperative Agreement # 621-A-00-07-00007-00). The contents are the responsibility of Johns Hopkins University Center for Communication Programs and do not necessarily reflect the views of USAID or the United States Government. Thank you to the following people for their support on this study: Deo Ng’wanansabi, Robert Karam, Dr. Arzum Ciloglu, Dr. Benjamin Kamala, Phyllis Zhu, and all of our field-workers.
PY - 2014/10/1
Y1 - 2014/10/1
N2 - HIV prevalence among young Tanzanian women is twice that of men, and risk doubles if a partner is ten or more years older. Cross-generational sex (CGS) is typified by transactions, economic asymmetries, power differentials, and inconsistent condom use. By investigating perceptions of CGS in families, schools, and communities, this study explored the role each plays in addressing or condoning CGS and where interventions are needed. Qualitative data were collected in Tanzania's Iringa and Pwani regions after a campaign to reduce CGS. Community leaders suggested key informants and provided household lists used to randomly select participants. Individual interviews were conducted with 20 women (M age = 20.7, SD = 3.1, range = 15 to 26) and 20 men (M age = 37.1, SD = 7.3, range = 30 to 56), focus groups with 15 women (M age = 20.4, SD = 2.9, range = 17 to 25) and 26 men (M age = 39.2, SD = 7.9, range = 30 to 55), and key informant focus groups with 10 women (M age = 47.6, SD = 10, range = 37 to 70) and 16 men (M age = 55.5, SD = 9.5, range = 37 to 67). CGS was viewed as detrimental to girls' education and a financial loss to parents, but barriers, including reluctance to approach parents and older men, prevented community action. Interventions may involve community leaders transcending restrictions on confronting older men and promoting communication between teachers, communities, parents, and young women regarding CGS.
AB - HIV prevalence among young Tanzanian women is twice that of men, and risk doubles if a partner is ten or more years older. Cross-generational sex (CGS) is typified by transactions, economic asymmetries, power differentials, and inconsistent condom use. By investigating perceptions of CGS in families, schools, and communities, this study explored the role each plays in addressing or condoning CGS and where interventions are needed. Qualitative data were collected in Tanzania's Iringa and Pwani regions after a campaign to reduce CGS. Community leaders suggested key informants and provided household lists used to randomly select participants. Individual interviews were conducted with 20 women (M age = 20.7, SD = 3.1, range = 15 to 26) and 20 men (M age = 37.1, SD = 7.3, range = 30 to 56), focus groups with 15 women (M age = 20.4, SD = 2.9, range = 17 to 25) and 26 men (M age = 39.2, SD = 7.9, range = 30 to 55), and key informant focus groups with 10 women (M age = 47.6, SD = 10, range = 37 to 70) and 16 men (M age = 55.5, SD = 9.5, range = 37 to 67). CGS was viewed as detrimental to girls' education and a financial loss to parents, but barriers, including reluctance to approach parents and older men, prevented community action. Interventions may involve community leaders transcending restrictions on confronting older men and promoting communication between teachers, communities, parents, and young women regarding CGS.
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U2 - 10.1080/00224499.2013.782997
DO - 10.1080/00224499.2013.782997
M3 - Article
C2 - 23829450
AN - SCOPUS:84903898564
SN - 0022-4499
VL - 51
SP - 814
EP - 826
JO - Journal of Sex Research
JF - Journal of Sex Research
IS - 7
ER -