title: Dusty discos and dangerous desires: community perceptions of adolescent sexual and reproductive health risks and vulnerability and the potential role of parents in rural Mwanza, Tanzania.
abstract: This paper presents villagers' assessments of young people's sexual and reproductive health vulnerability and of community-based interventions that may reduce both vulnerability and risk in rural Mwanza, Tanzania. The primary methods used were 28 group discussions and 18 in-depth interviews with representatives of various social groups in four villages. The majority of participants attributed young people's sexual and reproductive health risks to a combination of modernisation (and its impact on family and community life), socioeconomic conditions, social norms in rural/lakeshore communities and the difficulties parents and other adults face in raising adolescents in contemporary Tanzania. Community life has limited opportunities for positive development but contains many risky situations. Young and old agreed that parents have a strong influence on young people's health but are failing in their parental responsibility. Parents acknowledged the multiple influences on sexual risk behaviour. They expressed a need for knowledge and skills related to parenting so that they can address these influences both through family- and community-based strategies.
authors: Social and Public Health Sciences Unit, Medical Research Council, Glasgow, UK.
authors: Pieter
authors: P
authors: Remes
authors: Jenny
authors: J
authors: Renju
authors: Kija
authors: K
authors: Nyalali
authors: Lemmy
authors: L
authors: Medard
authors: Michael
authors: M
authors: Kimaryo
authors: John
authors: J
authors: Changalucha
authors: Angela
authors: A
authors: Obasi
authors: Daniel
authors: D
authors: Wight
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D019058:Community Networks; D005260:Female; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D007899:Leisure Activities; D008297:Male; D010287:Parent-Child Relations; D016487:Parenting; D040242:Risk Reduction Behavior; D012424:Rural Population; D012922:Social Change; D012923:Social Class; D013636:Tanzania; D047568:Unsafe Sex / Q000517:prevention & control*; D055815:Young Adult