title: Sexual behavior, knowledge and information sources of very young adolescents in four sub-Saharan African countries.
abstract: Adolescents are a key target group for HIV and pregnancy prevention efforts, yet very little is known about the youngest adolescents: those under age 15. New survey data from 12-14 year olds in Burkina Faso, Ghana, Malawi and Uganda are used to describe their sexual activity, knowledge about HIV, STIs and pregnancy prevention, and sources of sexual and reproductive health information, including sex education in schools. Results show that very young adolescents are already beginning to be sexually active and many believe their close friends are sexually active. They have high levels of awareness but little in-depth knowledge about pregnancy and HIV prevention. Multiple information sources are used and preferred by very young adolescents. Given their needs for HIV, STI and pregnancy prevention information that is specific and practical and considering that the large majority are attending school in most countries in Sub-Saharan Africa, school-based sex education is a particularly promising avenue for reaching adolescents under age 15.
authors.affiliation: The Guttmacher Institute, New York, New York, United States.
authors.forename: Akinrinola
authors.initials: A
authors.lastname: Bankole
authors.forename: Ann
authors.initials: A
authors.lastname: Biddlecom
authors.forename: Georges
authors.initials: G
authors.lastname: Guiella
authors.forename: Susheela
authors.initials: S
authors.lastname: Singh
authors.forename: Eliya
authors.initials: E
authors.lastname: Zulu
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D017954:Africa South of the Sahara; D002648:Child; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D057226:Information Seeking Behavior; D017533:Marital Status; D015995:Prevalence; D012574:Schools; D012736:Sex Education / Q000379:methods; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D055815:Young Adult