Adolescent experiences of HIV and sexual health communication with parents and caregivers in Soweto, South Africa : original article
Bibliographic record
Abstract
Communication about sexual health between parents and adolescents has been shown to have a protective influence on behaviours that reduce the risk of HIV transmission. This study explored experiences of HIV and sexual health (HSH) communication between parents and/or caregivers and adolescents in an urban HIV-endemic community in Southern Africa. Adolescents (aged 14-19 years) were recruited from the Kganya Motsha Adolescent Centre and the Kliptown community between June and August 2009. Qualitative data were collected through focus group discussions (n = 10 adolescents) and semi-structured interviews (n = 31 adolescents). In total, 41 adolescents (56% female, 44% male, mean age = 17.2) participated in the study. Adolescent participants identified emotional, physical and sociocultural barriers to initiating HSH communication with parents and caregivers including fear of verbal warnings, threats and physical assault. Adolescents also expressed a desire for mentorship around HSH communication beyond abstinence and peer-based information. Public health interventions need to support adolescents' access to bi-directional HSH information from adult mentors that address the lived realities of adolescents beyond expectations of abstinence. Il a ete demontre que la communication au sujet de la sante sexuelle entre les parents et les adolescents a une influence protectrice sur les comportements qui reduisent le risque de transmission du VIH. Cette etude a explore des experiences du VIH et la sante sexuelle (VSS) communication entre les parents et/ou aidants et adolescents dans une communaute urbaine endemique du VIH en Afrique meridionale. Des adolescents (âges 14-19 ans) ont ete recrutes a partir du centre adolescent de Kganya Motsha (CAKM) et de la communaute de Kliptown entre juin et aout 2009. Des donnees qualitatives ont ete rassemblees par le groupe de discussion (adolescents n = 10) et des entrevues semi-structurees (adolescents n = 31). Au total, 41 adolescents (56% de femmes, 44% des hommes, âge moyen = 17,2) ont participe a l'etude. Les participants adolescents ont identifie les obstacles emotifs, physiques et socioculturels pour entamer la communication VSS avec des parents et des aidants comprenant la crainte des avertissements verbaux, des menaces et de l'aggression physique. Les adolescents ont egalement exprime un desir d'obtenir du mentorat autour de la communication VSS au-dela de l'abstinence et de l'information par les pairs. Les interventions de sante publique doivent soutenir l'acces des adolescents a l'information VSS bidirectionnelle des mentors adultes qui adressent les realites vecues par les adolescents au-dela des attentes d'abstinence.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.000 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".