title: The matalisi: pathway to early sexual initiation among the youth of Mpigi, Uganda.
abstract: This paper describes the role and personal characteristics of the "matalisi,'' a previously unreported phenomenon uncovered during a study of youth sexual behavior in Uganda. The "matalisi,'' a go-between, played a central role in sexual relationships of most youth in Mpigi, Uganda. The first phase of the study was an ethnographic inquiry of youth (ages 10-16) sexual behavior. During this phase it became evident that matalisis were used in most courtships and initial sexual liaisons. The second phase included a sociometric investigation of youth networks and a mini survey of youth who had been matalisis. Among youth interviewed, 47.3% of males (105/222) and 14.1% of females (42/298) had experienced sexual intercourse. For 88%, participating as someone's matalisi preceded first coitus. By understanding the role of the matalisi, interventions may be developed to improve sex education and more effectively address sexual behaviors that lead to unwanted pregnancies, STIs, and HIV infection.
authors.affiliation: Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland 21205, USA.
authors.forename: Odaybea I
authors.initials: OI
authors.lastname: Morrow
authors.forename: Michael D
authors.initials: MD
authors.lastname: Sweat
authors.forename: Richard H
authors.initials: RH
authors.lastname: Morrow
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D000293:Adolescent; D002391:Catchment Area, Health; D002648:Child; D003075:Coitus / Q000523:psychology*; D005260:Female; D006679:HIV Seropositivity / Q000208:ethnology; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D012309:Risk-Taking; D012736:Sex Education; D012725:Sexual Behavior / Q000208:ethnology* / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D012944:Social Support; D012963:Sociometric Techniques; D011795:Surveys and Questionnaires; D014454:Uganda