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Abstract

The vulnerability of youth to HIV infection, defined by the United Nations and the World Bank as persons between the ages of 15 and 24 years (World Bank 2011), has been receiving greater attention recently after years of neglect (UNAIDS 2012, pp. 26–28). The fact that nearly half of all new HIV infections worldwide occur in this age group indicates that youth may be central to the dynamics of the epidemic (Edström and Khan 2009). The need for further studies of youth in Sub-Saharan Africa is clearly indicated by their high vulnerability to HIV infection; youth prevalence rates are estimated to average 4.8% in the region but between 10% and 22.1% in the eight most affected eastern and southern African countries. Rates are significantly higher in some national and many local populations due to the relatively wider margins of error for youth than adults in estimated prevalence rates (UNAIDS 2010, p. 183). Studies of the vulnerability of youth are particularly urgent because of the intergenerational reproduction of structural disadvantages and social determinants of HIV vulnerability linked to lack of education, inequality, and orphaning (Edström and Khan 2009). Moreover, a better understanding of the changing knowledge, attitudes, and sexual behavior of youth may significantly contribute to shaping future interventions and coping behaviors in the region.

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References

  • Abebe, D., Debella, A., Dejene, A. et al. 2005. Khat chewing habit as a possible risk behaviour for HIV infection: A case-control study. Ethiopian Journal of Health Development 19:174–181.

    Google Scholar 

  • Abrahams, N., Jewkes, R., Laubscher, R. and Hoffman, M. 2006. Intimate partner violence: Prevalence and risk factors for men in Cape Town, South Africa. Violence and Victims 21(2):247–264.

    Article  Google Scholar 

  • Adebajo, S. et al. 2008. Men, Sexuality and HIV/AIDS in the context of HIV/AIDS in Nigeria. Paper presented at the Africa Regional Sexuality Resource Centre Seminar Series (ARSRC), Lagos, Nigeria.

    Google Scholar 

  • Allman, D., Adebajo, S., Myers, T. et al. 2007. Challenges for the sexual health and social acceptance of men who have sex with men in Nigeria. Culture, Health and Sexuality 9:153–168.

    Article  Google Scholar 

  • AVERT. 2011. The ABC of HIV Prevention. htpp://www.avert.org/abc-hiv.htm.

    Google Scholar 

  • Bankole, A., Woog, V., Singh, S. and Wulf, D. 2004. Risk and Protection: Youth and HIV/AIDS in Sub-Saharan Africa. New York: Alan Guttmacher Institute.

    Google Scholar 

  • Barker, G. 2005. Engaging boys and young men in promoting gender equality: Reflections on masculinities in Sub-Saharan Africa and program responses. Background paper for the first Pan African Seminar on Working with Boys and Young Men to Address Gender-based Violence and HIV/AIDS, May 15–16, Addis Ababa.

    Google Scholar 

  • Beckerleg, S. 2010. East African discourses on khat and sex. Journal of Ethnopharmacology 132:600–606.

    Article  Google Scholar 

  • Beyrer, C., Wirtz, A.L., Baral, S. et al. 2010. Epidemiological links between drug use and HIV epidemic: An international perspective. Journal of Acquired Immune Deficiency Syndromes 55(Suppl. 1):S10-S16.

    Article  Google Scholar 

  • Biddlecom, A., Gregory, R., Lloyd, C.B. and Mensch, B.S. 2008. Associations between premarital sex and leaving school in four sub-Saharan African countries. Studies in Family Planning 39:337–350.

    Article  Google Scholar 

  • Brown, F.A. and Wechsberg, W.M. 2010. The intersecting risk of substance abuse and HIV risk among substance-using South African men and women. Current Opinion in Psychiatry 23:205–209.

    Article  Google Scholar 

  • Brown, J., Sorrell, J. and Raffaelli, M. 2005. An exploratory study of constructions of masculinity, sexuality and HIV/AIDS in Namibia, Southern Africa. Culture, Health & Sexuality 7:585–598.

    Article  Google Scholar 

  • Bukuluki, P., Walakira, E. and Muasya, I. 2006. Implications of the research findings for policy development. In Pertet, A.M. (ed.), Re-thinking Research and Intervention Approaches that Aim at Preventing HIV Infection among the Youth, pp. 91–102. Nairobi: Regal Press Kenya.

    Google Scholar 

  • Campbell, C. 2003. ‘Letting them Die’: Why HIV/AIDS Prevention Programmes Fail. Oxford: International African Institute in association with James Currey.

    Google Scholar 

  • Carter, M. 2008. Activists arrested during attempt to highlight Uganda’s neglect of HIV prevention for men who have sex with men. Aidsmap news. http://www.aidsmap.com/en/news/15781220–1B04–45C5-A68F-04AF86CD94BE.asp

  • Clark, S. 2004. Early marriage and HIV risks in Sub-Saharan Africa. Studies in Family Planning 35:149–160.

    Article  Google Scholar 

  • Clark, S., Bruce, J. and Dude, A. 2006. Protecting young women from HIV/AIDS: The case against child and adolescent marriage source. International Family Planning Perspectives 32:79–88.

    Article  Google Scholar 

  • Connell, R.W. 2005. Masculinities (2nd edition). London: Polity Press.

    Google Scholar 

  • Deniaud, F. 1997. Current status of the female condom in Africa (in French). Santé 7:405–415.

    Google Scholar 

  • ECSA-HC (East, Central and Southern African Health Community). 2011. Child Sexual Abuse in Sub-Saharan Africa: A Review of the Literature. Arusha, Tanzania: ECSA-HC.

    Google Scholar 

  • Edström, J. and Khan, N. 2009. Perspectives on intergenerational vulnerability for adolescents affected by HIV: An argument for voice and visibility. IDS Bulletin 40:41–50.

    Article  Google Scholar 

  • Foss, A.M., Hossain, M., Vickerman, P.T. and Watts, C.H. 2007. A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa. Sexually Transmitted Infections 83:510–516.

    Article  Google Scholar 

  • Grix, J. 2004. Foundations of Research. Basingstock, UK: Palgrave Macmillan.

    Google Scholar 

  • Gupta, N. and Mahy, M. 2003. Sexual initiation among adolescent girls and boys: Trends and differentials in sub-Saharan Africa. Archives of Sexual Behavior 32: 41–53.

    Article  Google Scholar 

  • Hahn, J.A., Woolf-King, S.E. and Muyindike, W. 2011. Adding fuel to the fire: Alcohol’s effect on the HIV epidemic in sub-Saharan Africa. Current HIV/AIDS Report 8:172–180.

    Article  Google Scholar 

  • Hattori, M.K. and Dadoo, F.N. 2007. Cohabitation, marriage, and ‘sexual monogamy’ in Nairobi’s slums. Social Science and Medicine 64:1067–1078.

    Article  Google Scholar 

  • Holden, S. 2003. AIDS on the Agenda: Adapting Development and Humanitarian Programmes to Meet the Challenge of HIV. Oxford: Oxfam.

    Book  Google Scholar 

  • Jewkes, R. and Morrell, R. 2010. Gender and sexuality: Emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. Journal of the International AIDS Society 13:6.

    Google Scholar 

  • Johnson, C.A. 2007. Off the M ap: H ow HIV / AID S P rogramming I s F ailing Same-sex P racticing People in Africa. New York: International Gay and Lesbian Human Rights Commission.

    Google Scholar 

  • Keeton, C. 2007. Changing men’s behavior can improve women’s health. Bulletin of the World Health Organization 85:505–506.

    Google Scholar 

  • Kloos, H. and Haile Mariam, D. 2008. Some neglected and emerging factors in HIV transmission in Ethiopia. Ethiopian Medical Journal 45:103–107.

    Google Scholar 

  • Leclerc-Madlala, S. 2001. Virginity testing: Managing sexuality in a maturing HIV/AIDS epidemic. Medical Anthropology Quarterly, New Series 15:533–552.

    Article  Google Scholar 

  • Lyncha, I., Brouard, P.W. and Visser, M.J. 2010. Constructions of masculinity among a group of South African men living with HIV/AIDS: reflections on resistance and change. Culture, Health & Sexuality 12:15–27.

    Article  Google Scholar 

  • Mantell, J.E., Smit, J.A., Beksinska, M. et al. 2011. Everywhere you go, everyone is saying condom, condom. But are they being used consistently? Reflections of South African male students about male and female condoms. Health Education Research 26:859–871.

    Article  Google Scholar 

  • Manuel, S. 2005. Obstacles to condom use among secondary school students in Maputo City, Mozambique. Culture, Health & Sexuality 3:293–302.

    Article  Google Scholar 

  • Mekonnen, T., Getachew, T. and Abera, M. 2011. Youth reproductive health services (VCT, STI and FP) utilization and service preference in Fantale Woreda, East Shoa Zone 2009. International Conference on AIDS and STIs in Africa, Addis Ababa, December 4–6. Abstract MOAD0104.

    Google Scholar 

  • MOH/HAPCO. 2005. HIV/AIDS Behavioral Surveillance Survey (BSS) Ethiopia 2005. Round Two. http://www.etharc.org/resources/download/finish/33/50

    Google Scholar 

  • Molla, M., Berhane, Y. and Lindtjorn, B. 2008. Traditional values of virginity and sexual behaviour in rural Ethiopian youth: Results from a cross-sectional study. BMC Public Health 8:9.

    Article  Google Scholar 

  • Mookodi, G.B. and Maunden, T. 2007. Gender and HIV/AIDS: Male risk and male sector interventions in Botswana. In OSSREA (ed.), The HIV/AIDS Challenge in Africa, an Impact and Response Assessment: The Case of Botswana, 1–92, Addis Ababa: OSSREA.

    Google Scholar 

  • Morrell, R. and Jewkes, R. 2011. Carework and caring: A path to gender equitable practices among men in South Africa. International Journal of Equity in Health 9:17.

    Article  Google Scholar 

  • Nangendo, F. et al. 2006. Coping by normalizing: Implications for HIV and AIDS prevention in young people from the Rakai District, Uganda. In Pertet, A.M. (ed.), Re-Thinking Research and Research and Intervention Approaches that Aim at Preventing HIV Infection among Youth, pp. 81–90. Nairobi: SOMA-Net.

    Google Scholar 

  • Niang, C.I., Tapsoba, P., Weiss, E. et al. 2003. ‘It’s raining stones’: Stigma, violence and HIV vulnerability among men who have sex with men in Dakar, Senegal. Culture, Health & Sexuality 5:499–512.

    Article  Google Scholar 

  • Nyanzi, S., Nassimbwa, J., Kayizzi, V. and Kabanda, S. 2008. ‘African sex is dangerous!’ Renegotiating ‘ritual sex’ in contemporary Masaka District. Africa 78:518–538.

    Article  Google Scholar 

  • Oguzane, L. and Morell, R. (eds.). 2005. African Masculinities: Men in Africa from the Late Nineteenth Century to the Present. Durban: UKZN Press.

    Google Scholar 

  • Peltzer, K. 2011. Early smoking and associated factors among in-school male and female adolescents in seven African countries. African Health Science 11:320–328.

    Google Scholar 

  • Plummer, M.L., Wamoyi, J., Nyalali, K. et al. 2008. Aborting and suspending pregnancy in rural Tanzania: An ethnography of young people’s beliefs and practices. Studies in Family Planning 39:281–292.

    Article  Google Scholar 

  • Ramobide, D. 2011. Substance Abuse in South Africa. Central Drug Authority Briefing, 6 September 2011. Parliamentary Monitoring Group. http://www.pmg.org.za.

    Google Scholar 

  • Rutenberg, N., Kaufman, C.E., Macintyre, K. et al. 2003. Pregnant or positive: Adolescent childbearing and HIV risk in KwaZulu Natal, South Africa. Reproductive Health Matters 11(22): 122–133.

    Article  Google Scholar 

  • Schatz, E. 2005. Take your mat and go! Rural Malawian women’s strategies in the HIV/AIDS era. Culture, Health, and Sexuality 7:479–492.

    Article  Google Scholar 

  • Shoveller, J.A., Johnson, J.L., Langille, B.D. et al. 2004. Socio-cultural influences on young people’s sexual development. Social Science and Medicine 59:473–487.

    Article  Google Scholar 

  • Silberschmidt, M. 2001. Changing gender roles and male disempowerment in rural and urban East Africa: A neglected dimension in the study of sexual and reproductive behaviour in East Africa. Aidsnet Newsletter (Danish NGO Network on AIDS and Development) No. 10.

    Google Scholar 

  • Simpson, A.J. 2009. Boys to Men in the Shadow of AIDS: Masculinities and HIV/AIDS Risk in Zambia. New York: Macmillan.

    Book  Google Scholar 

  • Skovdal, M., Campbell, C., Madanhire, C. et al. 2011a. Masculinity as a barrier to men’s use of HIV services in Zimbabwe. Globalization and Health 7:13.

    Article  Google Scholar 

  • Skovdal, M., Campbell C., Nyamukapa, C. and Gregson S. 2011b. When masculinity interferes with women’s treatment of HIV infection: A qualitative study about adherence to antiretroviral therapy in Zimbabwe. Journal of the International AIDS Society 14:29.

    Article  Google Scholar 

  • Sorrel, J.B.J. and Raffaelli, M. 2005. An exploratory study of constructions of masculinity, sexuality and HIV/AIDS in Namibia, Southern Africa. Culture, Health & Sexuality 7:585–598.

    Article  Google Scholar 

  • Tadele, G. 2006. Bleak Prospects: Young Men, Sexuality and HIV/AIDS in an Ethiopian Town. Research Report 80/2006. Leiden: African Studies Centre.

    Google Scholar 

  • Tadele, G. 2007. Male street youths and the HIV/AIDS pandemic in Dessie, Ethiopia: What are their rights? Who cares for them? And where is their citizenship? Unpublished.

    Google Scholar 

  • Tadele G. 2008. Under the cloak of secrecy: Sexuality and HIV/AIDS among men who have sex with men (MSM) in Addis Ababa. Unpublished.

    Google Scholar 

  • Tadele, G. 2009. Unrecognized victims: Sexual abuse against male street children in Merkato area, Addis Ababa. Ethiopian Journal of Health Development 23:174–182.

    Google Scholar 

  • Tadele, G. 2010. Boundaries of sexual safety: Men who have sex with men (MSM) and HIV/AIDS in Addis Ababa. Journal of HIV/AIDS and Social Services 9:261–280.

    Article  Google Scholar 

  • Tadele, G. 2011. Hetronormativity and ‘troubled’ masculinities among men who have sex with men (MSM) in Addis Ababa. Culture, Health & Sexuality 13:457–469.

    Article  Google Scholar 

  • Tamale, S. 2011. Researching and theorizing sexualities in Africa. In Tamale, S. 2011 (ed.), African Sexualities: A Reader, pp. 11–36. Capetown, Nairobi, Oxford: Pambazuka Press.

    Google Scholar 

  • UNAIDS. 2009. Annual Report 2009. http://data.unaids.org/pub/Report/2010/2009_annual_report_en.pdf

  • UNAIDS. 2010. Report on the Global AIDS Epidemic. Geneva: UNAIDS.

    Google Scholar 

  • UNAIDS, 2012. Together We Will End AIDS. Geneva: UNAIDS.

    Google Scholar 

  • VanKlinken, A. 2011. The need for circumcised men: The quest for transformed masculinities in African Christianity in the context of the HIV epidemic. PhD thesis, Utrecht University.

    Google Scholar 

  • Varga, C.A. 1997. The condom conundrum: Barriers to condom use among commercial sex workers in Durban, South Africa. African Journal of Reproductive Health/La Revue Africaine de la Santé Reproductive 1:74–88.

    Article  Google Scholar 

  • Wagbatsoma, V.A. and Okojie, O.H. 2006. Knowledge of HIV/AIDS and sexual practices among adolescents in Benin City, Nigeria. African Journal of Reproductive Health 10:76–83.

    Article  Google Scholar 

  • Walakira, E., Bukuluki, P., Sengendo, J. and Mugumya, F. 2006. The untapped knowledge in condom promotion: A case of young people in Uganda. In Pertet, A.M. (ed.), Re-Thinking Research and Research and Intervention Approaches that Aim at Preventing HIV Infection among the Youth, pp. 73–80. Nairobi: SOMA-Net.

    Google Scholar 

  • Watkins, B. and Bentovim, A. 1992. The sexual abuse of male children and adolescents: A review of current research. Journal of Clinical Psychology & Psychiatry 33:197–248.

    Article  Google Scholar 

  • Wechsberg, W.M., Luseno, W., Rieman, K. et al. 2008. Substance abuse and sexual risk within the context of gender inequality in South Africa. Substance Use and Misuse 43:1186–1201.

    Article  Google Scholar 

  • Wekwete, N. and Madzingira, N. 2008. Adolescent girls’ susceptibility and vulnerability to HIV and AIDS: The case of Murehwa District, Zimbabwe. In OSSREA (ed.), The HIV/AIDS Challenge in Africa, an Impact and Response Assessment: The Case of Zimbabwe, pp. 111–172, Addis Ababa: OSSREA.

    Google Scholar 

  • World Bank. 2011. Children and Youth: Who Are Youth? http://go.worldbank.org/2ESS9S0270

    Google Scholar 

  • Wyrod, R. 2011. Masculinity and the persistence of AIDS stigma. Culture, Health and Sexuality 13:443–456.

    Article  Google Scholar 

Books, papers, websites, and other resources for further reading

  • Appleton, P. and Parker, R. (eds.). 2010. Routledge Handbook of Sexuality, Health and Rights. London: Routledge.

    Google Scholar 

  • Children Affected by AIDS Electronic Discussion Forum, hosted by USAID and the Synergy Project: http://www.syngergyaids.com

  • Handa S., Devereux S. and Webb, D. (eds.). 2008. Social Protection for Africa’s Children. London: Routledge.

    Google Scholar 

  • Lalor, K. 2004. Child sexual abuse in sub-Saharan Africa: A literature review. Child Abuse and Neglect 28:439–460.

    Article  Google Scholar 

  • Marston, C. and King E. 2006. Factors that shape young people’s sexual behaviour: A systematic review. Lancet 368:1581–1586.

    Article  Google Scholar 

  • McGrath, N., Nyirenda, M., Hosegood, V. and Newell, M.-L. 2009. Age at first sex in rural South Africa. Sexually Transmitted Infections 85(Suppl. 1):i49–i55.

    Article  Google Scholar 

  • UNAIDS’ resources about young people aged 15–24: http://www.unaids.org/young people/index.html

  • UNICEF’s Voices of Youth. http://www.unicef.org.voy/explore/aids/explore_aids.php

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© 2013 Woldekidan Amde and Getnet Tadele

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Amde, W., Tadele, G. (2013). Youth Sexuality and HIV/AIDS: Issues and Contentions. In: Vulnerabilities, Impacts, and Responses to HIV/AIDS in Sub-Saharan Africa. Palgrave Macmillan, London. https://doi.org/10.1057/9781137009951_4

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