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Mbachu CO, Ozughalu J, Agu IC, Agu C, Onwujekwe O. Multigenerational attitudes to gender norms on intimate partner violence and the sexual and reproductive health of young people in Nigeria. Sci Rep 2025; 15:12791. [PMID: 40229338 PMCID: PMC11997028 DOI: 10.1038/s41598-025-98049-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 04/09/2025] [Indexed: 04/16/2025] Open
Abstract
This study undertook an assessment of multigenerational attitudes towards gender norms related to intimate partner violence (IPV), sexuality, and reproductive health behaviours. A cross-sectional household survey was conducted among 1630 young people and adults, in six communities in Ebonyi state, southeast Nigeria. In data analysis, mean attitude scores were computed and compared across generation cohorts using analysis of variance. Attitudes toward each domain of intimate partner relationships served as the dependent variables in three separate linear regression analyses, where the predictors were identified accordingly. The results showed that the differences in mean scores on attitudes towards gender norms about IPV and sexuality in intimate partner relationship were not statistically significant across the generation cohorts (p > 0.05). However, there were significant differences in the attitudes of generation cohorts towards gender norms relating to sexuality and reproductive health behaviour. The sociodemographic predictors of attitudes to gender norms on IPV were male gender (β = 0.106, p = < 0.001) and urban residence (β = 0.075), p = < 0.001), while tertiary education predicted attitudes to gender norms on sexuality (β= - 0.156, p = 0.012) and reproductive health behaviour (β= - 0.216, p = < 0.001). The findings highlighted generational similarities and differences in attitudes towards gender norms in intimate partner relationships. Generational differences were shaped by factors such as age, gender, and education level. Conducting longitudinal studies could reveal how these attitudes evolve and societal changes' impact.
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Affiliation(s)
- Chinyere Ojiugo Mbachu
- Department of Community Medicine, College of Medicine, University of Nigeria, Nsukka, Enugu State, Nigeria
- Health Policy Research Group, University of Nigeria, Nsukka, Enugu State, Nigeria
- Institute of Public Health, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Joy Ozughalu
- Health Policy Research Group, University of Nigeria, Nsukka, Enugu State, Nigeria
| | - Ifunanya Clara Agu
- Department of Community Medicine, College of Medicine, University of Nigeria, Nsukka, Enugu State, Nigeria.
- Institute of Public Health, University of Nigeria, Nsukka, Enugu State, Nigeria.
| | - Chibuike Agu
- Health Policy Research Group, University of Nigeria, Nsukka, Enugu State, Nigeria
- Department of Community Medicine, Alex-Ekwueme Federal University Teaching Hospital, Ndufu-Alike, Ebonyi State, Nigeria
| | - Obinna Onwujekwe
- Health Policy Research Group, University of Nigeria, Nsukka, Enugu State, Nigeria
- Department of Health Administration and Management, College of Medicine, University of Nigeria, Nsukka, Enugu State, Nigeria
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Olivera MP, Salinas-Oñate N, Medina G, De la Hoz S. Subjective culture and HIV preventive behaviour among young Latin Americans: a systematic review. CULTURE, HEALTH & SEXUALITY 2022:1-18. [PMID: 35962535 DOI: 10.1080/13691058.2022.2106583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 07/24/2022] [Indexed: 06/15/2023]
Abstract
Given high levels of new HIV infection globally, calls have been made for greater attention to the cultural variables that hinder prevention and testing. However, no reviews exist to systematise the findings. This study aimed to identify the cultural variables associated with three HIV preventive behaviours (condom use, HIV testing behaviour, and injection drug use with non-shared or sterilised syringes) among young Latin Americans. A systematic review was conducted guided by PRISMA-P criteria, on five databases (Web of Science, Scopus, PubMed, Medline and Scielo), which identified 2474 articles. Scientific articles and empirical studies that addressed cultural variables and HIV preventive behaviours among young people aged 15-24 years of age using Latin American samples were selected, with 37 articles being included in the final review. Six key cultural variables: the importance of female virginity; the role of trust in the couple's relationship; the disorienting effects of romantic love; the role of subjective norms; the importance of decision-making norms; and impulse control beliefs. Gender norms provide a framework for understanding sexual decision-making among young Latin Americans. Although young people have begun to adopt more egalitarian views of gender norms, deep-rooted beliefs about gender, sexuality and relationships continue to impact on HIV prevention behaviour.
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Affiliation(s)
- Mauro P Olivera
- Doctorado en Psicología, Universidad de La Frontera, Temuco, Chile
| | | | - Gustavo Medina
- Departamento de Procesos Diagnósticos y Evaluación, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
| | - Solange De la Hoz
- Departamento de Procesos Diagnósticos y Evaluación, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
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Juárez-Moreno M, López-Pérez O, Raesfeld LJ, Durán-González RE. Sexualidad, género y percepción del riesgo a la infección por VIH en mujeres indígenas de México. SAUDE E SOCIEDADE 2021. [DOI: 10.1590/s0104-12902021200399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumen La presente investigación pretende conocer las prácticas en torno a la sexualidad y el género de las mujeres indígenas, sus conocimientos y percepción de riesgo a la infección por VIH. Para ello, se realizó una investigación descriptiva exploratoria, con método cualitativo, en la cual se aplicó entrevista semiestructurada a mujeres indígenas de comunidades rurales en México. Los resultados muestran que los estereotipos de género marcan diferencias sustanciales entre hombres y mujeres. Los cambios tecnológicos y la migración han originado cambios en el acceso a la información y en las dinámicas familiares. A las mujeres se les da más información sobre salud sexual y reproductiva en el ámbito público, pero esto no se refleja en el ámbito privado, en que les resulta difícil hablar estos temas con sus familiares, principalmente su pareja, lo cual impide que tengan control sobre su salud sexual y reproductiva. Existe un desconocimiento sobre el VIH y otras infecciones de transmisión sexual; la mayoría de las mujeres no se percibe en riesgo de infección, y a nivel comunitario se segrega a las personas con VIH. Es necesario diseñar, en colaboración con ellas, intervenciones con un enfoque intercultural y con perspectiva de género.
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Sanjuan-Meza XS, Padrón-Salas A, Valle-Luna P, Martínez-Granada S, Ortega-Velázquez A, Cossío-Torres P. Reproductive health education program for Mexican women. EUR J CONTRACEP REPR 2019; 24:373-379. [PMID: 31502892 DOI: 10.1080/13625187.2019.1656187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objective: Improve knowledge, attitudes and reproductive behaviours through an educational intervention aimed at reproductive health in two groups of Mexican women. Materials and methods: We carried out an education program targeting two segments, indigenous women and marginalised adolescents, with a pre-test, immediate post-test and post-test six months after it was carried out. Instruments used: a reproductive health history was established (pre-test and post-test six months) and a questionnaire of knowledge, attitude and conduct related to reproductive health and condom use (pre-test, immediate post-test and post-test six months). Results: Improved test scores in reproductive health and condom use - knowledge, attitude and conduct, were notable in the group of indigenous women (p < .05). However, in the group of adolescents there was a significant increase (p < .05) only in reproductive health - knowledge and attitude; in condom usage, increase was only noted in knowledge and conduct, not in attitude (pre-test vs immediate post-test). Six months after post-test results there was a decrease in test scores in comparison with the immediate post-test results. They were however, higher than the pre-test scores. Conclusions: Both groups significantly increased short-term knowledge, attitude and conduct related to reproductive health and condom use through the implementation of an education program. Results show that this education program can contribute to the development of an effective education program.
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Affiliation(s)
| | - Aldanely Padrón-Salas
- Public Health Department, Medicine School, Autonomous University of San Luis Potosi , San Luis Potosí , México
| | - Paulina Valle-Luna
- Public Health Department, Medicine School, Autonomous University of San Luis Potosi , San Luis Potosí , México
| | - Sara Martínez-Granada
- Public Health Department, Medicine School, Autonomous University of San Luis Potosi , San Luis Potosí , México
| | - Aida Ortega-Velázquez
- School of Accounting and Administration, Autonomous University of San Luis Potosi , San Luis Potosí , México
| | - Patricia Cossío-Torres
- Public Health Department, Medicine School, Autonomous University of San Luis Potosi , San Luis Potosí , México
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Schroeder KM, Bámaca-Colbert MY, Robins RW. Becoming more egalitarian: A longitudinal examination of Mexican-origin adolescents' gender role attitudes. Dev Psychol 2019; 55:2311-2323. [PMID: 31436457 DOI: 10.1037/dev0000811] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The current study examined the trajectory of gender role attitudes of 471 Mexican-origin adolescents (236 girls, 235 boys) from 5th grade (Mage = 10.86 years) to 11th grade (Mage = 16.75 years), investigating how situating identities (i.e., gender, nativity, SES), ethnic identity (i.e., ethnic pride), and familial context (i.e., parents' attitudes) contributed to adolescents' gender role attitudes across time. Participant interviews were conducted every other year, resulting in 4 waves of data. Most parents (96%) were Mexico natives, with an average immigration age of 18.16 years for fathers and 14.01 years for mothers. Results revealed linear and quadratic trends in gender attitude traditionality for all adolescents, characterized by a linear decline through age 16 years that leveled off through age 18 years. Although both girls and boys trended toward egalitarian gender role attitudes across adolescence, girls endorsed more egalitarian attitudes than did boys. Adolescents from higher-SES backgrounds endorsed more egalitarian attitudes than those from lower-SES backgrounds. Significant within-person effects of ethnic pride surfaced, such that children with higher levels of ethnic pride at any given time also reported more traditional gender role attitudes. Significant between-person effects of mothers' and fathers' attitudes were found, such that parents with more traditional gender role attitudes tended to have children with relatively more traditional gender role attitudes. Overall, these findings highlight the importance of studying gender development in conjunction with situating identities, cultural identities, and the broader context, particularly when children are embedded in multiple cultures with contrasting gender role expectations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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