Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Marston, C; King, E (2006)
Publisher: Elsevier
Languages: English
Types: Article
: Since nearly half of new HIV infections worldwide occur among young people aged 15-24 years, changing sexual behaviour in this group will be crucial in tackling the pandemic. Qualitative research is starting to reveal how social and cultural forces shape young people's sexual behaviour and can help explain why information campaigns and condom distribution programmes alone are often not enough to change it. We undertook a systematic review to identify key themes emerging from such research, to help inform policymakers developing sexual health programmes, and guide future research.
: We reviewed 268 qualitative studies of young people's sexual behaviour published between 1990 and 2004. We developed a method of comparative thematic analysis in which we coded each document according to themes they contained. We then identified relations between codes, grouping them accordingly into broader overall themes. Documents were classified as either primary or secondary depending on their quality and whether they contained empirical data. From the 5452 reports identified, we selected 246 journal articles and 22 books for analysis.
: Seven key themes emerged: young people assess potential sexual partners as "clean" or "unclean"; sexual partners have an important influence on behaviour in general; condoms are stigmatising and associated with lack of trust; gender stereotypes are crucial in determining social expectations and, in turn, behaviour; there are penalties and rewards for sex from society; reputations and social displays of sexual activity or inactivity are important; and social expectations hamper communication about sex. The themes do not seem to be exclusive to any particular country or cultural background, and all themes were present, in varying degrees, in all countries assessed.
: This study summarises key qualitative findings that help in understanding young people's sexual behaviour and why they might have unsafe sex; policymakers must take these into account when designing HIV programmes. Considerable overlap exists between current studies, which indicates the need to broaden the scope of future work.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1 UNDP. Population and HIV/AIDS 2005 (wallchart). New York: United Nations, Department of Economic and Social Affairs, Population Division, 2005.
    • 2 Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R. Storylines of research in diffusion of innovation: a meta-narrative approach to systematic review. Soc Sci Med 2005; 61: 417-30.
    • 3 Britten N, Campbell R, Pope C, Donovan J, Morgan M, Pill R. Using meta ethnography to synthesise qualitative research: a worked example. J Health Serv Res Policy 2002; 7: 209- 15.
    • 4 Marston C. Gendered communication among young people in Mexico: implications for sexual health interventions. Soc Sci Med 2004; 59: 445-56.
    • 5 Marston C. What is heterosexual coercion? Interpreting narratives from young people in Mexico City. Sociol Health Illn 2005; 27: 68-91.
    • 6 Holland J. The male in the head: young people, heterosexuality and power. London: Tufnell Press, 1998.
    • 7 Hassan R. Women in Islam: Qur'anic ideals versus Muslim realities. Plan Parent Chall 1995; 2: 5-9.
    • 8 Harrison A, Xaba N, Kunene P. Understanding safe sex: gender narratives of HIV and pregnancy prevention by rural South African school-going youth. Reprod Health Matters 2001; 9: 63- 71.
    • 9 Swart-Kruger J, Richter LM. AIDS-related knowledge, attitudes and behaviour among South African street youth: reflections on power, sexuality and the autonomous self. Soc Sci Med 1997; 45: 957-966.
    • 10 Belk RW, Ostergaard P, Groves R. Sexual consumption in the time of AIDS: A study of prostitute patronage in Thailand. J Pub Pol Market 1998; 17: 197-214.
    • 11 Smith DJ. Youth, sin and sex in Nigeria: Christianity and HIV/AIDS-related beliefs and behaviour among rural-urban migrants. Cult Health Sex 2004; 6: 425-37.
    • 12 Waldby C, Kippax S, Crawford J. Cordon Sanitaire: 'clean' and 'unclean' women in the AIDS discourse of young heterosexual men. In: Aggleton P, Davies P, Hart G, eds. AIDS: facing the second decade. London: Falmer Press, 1993: 29-39.
    • 13 Farrer J. Opening up: youth sex culture and market reform in Shanghai. Chicago: University of Chicago Press, 2002.
    • 14 Foreman FE. African American college women: constructing a hierarchy of sexual arrangements. AIDS Care 2003; 15: 493-504.
    • 15 Stephenson N, Breakwell G, Fife-Schaw C. Anchoring social representations of HIV protection: the significance of individual biographies. In: Aggleton P, Davies P, Hart G, eds. AIDS: facing the second decade. London: Falmer Press, 1993: 61-72.
    • 16 Cragg A, Hainge M, Taylor C, Porter T. Safer sex and sexual health: understanding young people. In: Glanz A, McVey D, Glass R, eds. Talking about it: young people, sexual behaviour and HIV. London: Health Education Authority, 1993: 22-54.
    • 17 Hillier L, Dempsey D, Harrison L. “I'd never share a needle”--[but I often have unsafe sex]: considering the paradox of young people's sex and drugs talk. Cult Health Sex 1999; 1: 347-61.
    • 18 Varga CA. Sexual decision-making and negotiation in the midst of AIDS: youth in KwaZuluNatal, South Africa. Health Transit Rev 1997; 7 (suppl 3): 45-67.
    • 19 Varga CA. Young people, HIV/AIDS, and intervention: barriers and gateways to behaviour change. Dev Bull 2000; 52: 67-70.
    • 20 Thomson R, Holland J. Sexual relationships, negotiation and decision making. In: Coleman J, Roker D, eds. Teenage sexuality: health, risk and education. Amsterdam: Harwood academic publishers, 1998.
    • 21 Nyanzi S, Pool R, Kinsman J. The negotiation of sexual relationships among school pupils in south-western Uganda. AIDS Care 2001; 13: 83-98.
    • 22 Nnko S, Chiduo B, Mwaluko G, Urassa M. Pre-marital sexual behaviour among out-of-school adolescents: motives, patterns and meaning attributed to sexual partnership in rural Tanzania. Afr J Reprod Health 2001; 5: 162-74.
    • 23 Rasch V, Silberschmidt M, Mchumvu Y, Mmary V. Adolescent girls with illegally induced abortion Dar es Salaam: The discrepancy between sexual behaviour and lack of access to contraception. Reprod Health Matters 2000; 8: 52-62.
    • 24 Anderson E. Sex codes and family life among poor inner-city youths. In: Wilson WJ, ed. The ghetto underclass: Social science perspectives. London: Sage, 1993: 76-95.
    • 25 Yeh C. Sexual risk taking among Taiwanese youth. Public Health Nurs 2002; 19: 68-75.
    • 26 Wood K, Maforah F, Jewkes R. “He forced me to love him”: putting violence on adolescent sexual health agendas. Soc Sci Med 1998; 47: 233-42.
    • 27 Puri MC, Busza J. In forests and factories: sexual behaviour among young migrant workers in Nepal. Cult Health Sex 2004; 6: 145-58.
    • 28 Kumar A. Adolescence and sexuality in the Rajasthani context. In: Manderson L, Liamputtong P, eds. Coming of Age in South and Southeast Asia: Youth, courtship and sexuality. Richmond, Surrey: Curzon Press, 2002: 58-71.
    • 29 Hird MJ. An empirical study of adolescent dating aggression in the UK. J Adoles 2000; 23: 69- 79.
    • 30 Asencio MW. Machos and sluts: gender, sexuality, and violence among a cohort of Puerto Rican adolescents. Med Anthropol Q 1999; 13: 107-26.
    • 31 Banister EM, Jakubec SL, Stein JA. “Like, what am I supposed to do?”: adolescent girls' health concerns in their dating relationships. Canad J Nurs Res. 2003; 35: 17-33.
    • 32 Lavoie F, Robitaille L, Hebert M. Teen dating relationships and aggression. Violence Against Women 2000; 6: 6-36.
    • 33 Ankomah A. Condom use in sexual exchange relationships among young single adults in Ghana. AIDS Educ Prev 1998; 10: 303-16.
    • 34 Berglund S, Liljestrand J, De Maria Marin F, Salgado N, Zelaya E. The background of adolescent pregnancies in Nicaragua: A qualitative approach. Soc Sci Med 1997; 44: 1-12.
    • 35 Asencio MW. Sex and sexuality among New York's Puerto Rican youth. London: Lynne Rienner, 2002.
    • 36 Bedimo AL, Bennett M, Kissinger P, Clark RA. Understanding barriers to condom usage among HIV-infected African American women. J Assoc Nurs AIDS Care. 1998; 9: 48-58.
    • 37 Castaneda X, Brindis C, Camey IC. Nebulous margins: sexuality and social constructions of risks in rural areas of Central Mexico. Cult Health Sex 2001; 3: 203-19.
    • 38 Holland J, Ramazanoglu C, Scott S, Sharpe S, Thomson R. Between embarrassment and trust: young women and the diversity of condom use. In: Aggleton P, Hart G, Davies P, eds. AIDS: Responses, Interventions and care. London: Falmer Press, 1991: 127-48.
    • 39 Lear D. “You're gonna be naked anyway”: college students negotiating safer sex. Qual Health Res 1996; 6: 112-34.
    • 40 Amuchastegui Herrera A. Virginity in Mexico: The role of competing discourses of sexuality in personal experience. Reprod Health Matters 1998; 6: 105-15.
    • 41 Schifter J, Madrigal J. The sexual construction of Latino youth: Implications for the spread of HIV/AIDS. New York: The Haworth Hispanic/Latino Press, 2000.
    • 42 Holland J, Ramazanoglu C, Sharpe S, Thomson R. Deconstructing virginity-young people's accounts of fi rst sex. Sex Relation Ther 2000; 15: 221-32.
    • 43 de la Cuesta C. Taking love seriously: The context of adolescent pregnancy in Columbia. J Transcult Nurs 2001; 12: 180-92.
    • 44 Eyre SL, Hoff man V, Millstein SG. The gamesmanship of sex: a model based on African American adolescent accounts. Med Anthropol Q 1998; 12: 467-89.
    • 45 McKernon S. Managing condom use and non-use: A study of condom uses among clients of a sexual health clinic. Venereol 1996; 9: 233-38.
    • 46 Wight D. Boys' thoughts and talk about sex in a working-class locality of Glasgow. Sociol Rev 1994; 42: 703-37.
    • 47 Thianthai C. Gender and class diff erences in young people's sexuality and HIV/AIDS risktaking behaviours in Thailand. Cult Health Sex 2004; 6: 189-203.
    • 48 Bennett LR. Modernity, desire and courtship: the evolution of premarital relationships in Mataram, Eastern Indonesia. In: Manderson L, Liamputtong P, eds. Coming of Age in South and Southeast Asia: Youth, courtship and sexuality. Richmond, Surrey: Curzon Press, 2002: 96-112.
    • 49 Gilliam ML, Warden MM, Tapia B. Young Latinas recall contraceptive use before and after pregnancy: a focus group study. J Pediatr Adolesc Gynecol 2004; 17: 279-87.
    • 50 Hennink M, Diamond I, Cooper P. Young Asian women and relationships: traditional or transitional? Ethn Racial Stud 1999; 22: 867-91.
    • 51 George A. Embodying identity through heterosexual sexuality--newly married adolescent women in India. Cult Health Sex 2002; 4: 207-22.
    • 52 Balmer DH, Gikundi E, Billingsley MC, et al. Adolescent knowledge, values, and coping strategies: implications for health in sub-Saharan Africa. J Adolesc Health 1997; 21: 33- 38.
    • 53 Christianson M, Johansson E, Emmelin M, Westman G. “One-night stands”--risky trips between lust and trust: qualitative interviews with Chlamydia trachomatis infected youth in north Sweden. Scand J Public Health 2003; 31: 44-50.
    • 54 Weekes D. Get your freak on: how black girls sexualise identity. Sex Educ 2002; 2: 251-62.
    • 55 Paiva V. Sexuality, condom use and gender norms among Brazilian teenagers. Reprod Health Matters 1993; 1: 98-100.
    • 56 Lear D. Sexual communication in the age of AIDS: the construction of risk and trust among young adults. Soc Sci Med 1995; 41: 1311-23.
    • 57 Wight. Constraints or cognition? Young men and safer heterosexual sex. In: Aggleton P, Davies P, Hart G, eds. AIDS: Facing the second decade. London: Falmer Press, 1993: 41-60.
    • 58 Wight D. Cultural factors in young heterosexual men's perception of HIV risk. Sociol Health Illn 1999; 21: 735-58.
    • 59 Corlyon J. Pregnancy and parenthood: the views and experiences of young people in public care. London: National Children's Bureau, 1999.
    • 60 Hughes K, Cragg A, Taylor C. Reducing the rate of teenage conceptions. Young people's experiences of relationships, sex and early parenthood: qualitative research. Health Education Authority 1999.
    • 61 Morrison L. Traditions in transition: Young people's risk for HIV in Chiang Mai, Thailand. Qual Health Res 2004; 14: 328-44.
    • 62 Lee RB. Social and cultural contexts of single young men's heterosexual relationships: a view from metro Manilla. In: Manderson L, Liamputtong P, eds. Coming of Age in South and Southeast Asia: Youth, courtship and sexuality. Richmond: Curzon Press, 2002: 132-46.
    • 63 Tarr CM, Aggleton P. Young people and HIV in Cambodia: meanings, contexts and sexual cultures. AIDS Care 1999; 11: 375-84.
    • 64 Lear D. Sex and sexuality: risks and relationships in the age of AIDS. London: SAGE publications, 1997.
    • 65 Middelthon AL, Aggleton P. Reflection and dialogue for HIV prevention among young gay men. AIDS Care 2001; 13: 515-26.
    • 66 Ingham R, Woodcock A, Stenner K. Getting to know you... Young people's knowledge of their partners at first intercourse. J Community Appl Soc Psychol 1991; 1: 117-32.
    • 67 Varga CA. How gender roles influence sexual and reproductive health among South African adolescents. Stud Fam Plann 2003; 34: 160-72.
    • 68 Osella C, Osella F. Friendship and flirting: Micro-politics in Kerala, South India. J R Anthropol Inst 1998; 4: 189-206.
    • 69 Mitchell K, Wellings K. The role of ambiguity in sexual encounters between young people in England. Cult Health Sex 2002; 4: 393-408.
    • 70 De Visser R. Delayed application of condoms, withdrawal and negotiation of safer sex among heterosexual young adults. AIDS Care 2004; 16: 315-22.
    • 71 Ford NJ, Kittisuksathit S. Destinations unknown-the gender construction and changing nature of the sexual expressions of Thai youth. AIDS Care 1994; 6: 517-31.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article