Gates Foundation helps UC study sexual health of South African youth

“Use a condom” has long been accepted globally as the primary message to prevent pregnancy and the spread of HIV/AIDS, but when it comes to the acceptability of adding an extra method (i.e. birth control pills, injectables and IUDs) to prevent pregnancy, female adolescents in rural South Africa remain unaware of these methods and instead place more emphasis on nonmedical interventions, according to research by the University of Cincinnati.

The research, comprising 450 participants, bore out a prevailing theme: While young people were aware of condoms, they had a limited awareness of the full range of dual prevention methods and relied more on other influences. For example, adolescents emphasized the importance of focusing on one's future, affiliating with a positive peer group and following the advice of parents or elders as influential to sexual decision-making.

While it’s not surprising that adding another measure to condom use might be elusive to youth in any rural environment, Brown says it should be the converse here; because South Africa has experienced disproportionate prevalence of HIV/AIDS and has placed a greater emphasis on educating teenagers regarding prevention. “Youth here are more educationally advanced and open about sexual health than Western nations, but the problem is that education has been singularly focused on HIV/AIDS and less on pregnancy.” 

“In some respects, they are further ahead of us in public health education,” but most of the research, she says, has taken place in the big cities where there may be more knowledge about the full array of prevention methods, although there are arguably problems with access across the board on a national level.

The study results, Brown says, highlight factors that could be incorporated into culturally tailored dual protection interventions for rural South African adolescent girls.

Another benefit of the study, she says, is that it led to recognition by the Anna & Harold W. Huffman Foundation, which bestowed an additional $100,000 grant to continue the study to tailor existing sexual health interventions incorporating additional research with both adolescent male and females.

Brown’s research focuses on the following domains: The development of interventions to prevent HIV/AIDS and improve reproductive health outcomes among vulnerable populations, the development of interventions to address the intersection between substance use, hepatitis C and HIV and implementation science approaches to improve substance use, reproductive health and HIV outcomes.

Feature image at top of female with child in rural Africia. Photo credit/Unsplash.