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Combining photo-elicitation and discourse analysis to examine adolescents' sexuality in rural Zambia
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. School of Public Health, University of Zambia, Lusaka, Zambia; Centre of Infectious Diseases and Research in Zambia, Lusaka, Zambia.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0001-7087-1467
School of Public Health, University of Zambia, Lusaka, Zambia..
School of Public Health, University of Zambia, Lusaka, Zambia..
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2022 (English)In: International Journal for Equity in Health, E-ISSN 1475-9276, Vol. 21, no 1, article id 60Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: This article aimed to analyse constructions of adolescents' sexualities and sexual health and the consequences of these discourses for adolescents' exercise of their sexual reproductive health and rights (SRHR) in rural Zambia.

METHODS: Interpretative repertoires, which is rooted in discursive psychology was used to analyse data from photo-elicitations interviews and focus group discussions. Our participants included 25 adolescents who participated in a SRHR intervention that aimed to reduce adolescents' pregnancies and early marriages.

RESULTS: We identified three interpretative repertories: 1) sex is for mature people in which adolescents positioned themselves as 'immature, and young to engage in sex; 2) gendered respectful behaviours in which what was considered disrespectful (and respectful) behaviour in relation to sexuality were strongly influenced by gender, and more clearly defined for girls than it was for boys. Sexuality was not only about individual choices but about being respectful to parents; and 3) acquiring and using knowledge about sexuality in which adolescents conflicted between having and applying SRHR knowledge.

CONCLUSION: These repertories offer an important context that shape how adolescents negotiate, adopt and resist SRHR interventions. Future interventions that target adolescents' SRHR must aim to address the sexual scripts that serve to erect barriers against positive sexual behaviours, including access to SRHR services that promote safer sex.

Place, publisher, year, edition, pages
BioMed Central, 2022. Vol. 21, no 1, article id 60
Keywords [en]
Adolescents, Interpretative repertoires, Sexual scripts, Sexuality, Zambia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-195605DOI: 10.1186/s12939-022-01662-zISI: 000790182300001PubMedID: 35505309Scopus ID: 2-s2.0-85129296148OAI: oai:DiVA.org:umu-195605DiVA, id: diva2:1662624
Funder
Swedish Research Council, 2016–05830Swedish Research Council, 2019–04448Umeå UniversityThe Research Council of Norway, 223269The Research Council of Norway, 248121Available from: 2022-06-01 Created: 2022-06-01 Last updated: 2024-01-17Bibliographically approved

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Mulubwa, ChamaHurtig, Anna-KarinGoicolea, Isabel

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