title: Adolescents can know best: using concept mapping to identify factors and pathways driving adolescent sexuality in Lima, Peru.
abstract: The primary objective of this study was to identify and describe individual- and environmental-level factors that Peruvian adolescents perceive to be related to adolescent sexuality. A series of concept mapping sessions were carried out from January-March 2006 with 63 15-17 year olds from a low-income community near Lima in order for adolescents to: (1) brainstorm items that they thought were related to sexuality, (2) sort, group and rate items to score their importance for sexuality-related outcomes, and (3) create pathways from the groups of items to engaging in sex. Brainstorming resulted in 61 items, which participants grouped into 11 clusters. The highest rated clusters were personal values, respect and confidence in partner relationships, future achievements and parent-child communication. The pathway of decision-making about having sex primarily contained items rated as only moderately important. This study identified important understudied factors, new perspectives on previously-recognized factors, and possible pathways to sexual behavior. These interesting and provocative findings underscore the importance of directly integrating adolescent voices into future sexual and reproductive health research, policies and programs that target this population.
authors.affiliation: University of California, Los Angeles, Division of Infectious Diseases, David Geffen School of Medicine, 10940 Wilshire Blvd, Suite 1220, Los Angeles, CA 90024, United States. Electronic address: angelabayerx@gmail.com.
authors.forename: Angela M
authors.initials: AM
authors.lastname: Bayer
authors.affiliation: Biomedical Research Unit, Asociación Benéfica Proyectos en Informática, Salud, Medicina y Agricultura (AB PRISMA), Peru.
authors.forename: Lilia Z
authors.initials: LZ
authors.lastname: Cabrera
authors.affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, United States.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Gilman
authors.affiliation: Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, United States.
authors.forename: Michelle J
authors.initials: MJ
authors.lastname: Hindin
authors.affiliation: Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, United States.
authors.forename: Amy O
authors.initials: AO
authors.lastname: Tsui
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001240:Aspirations, Psychological; D003210:Concept Formation; D003657:Decision Making; D005260:Female; D006801:Humans; D007206:Individuality; D007398:Interpersonal Relations; D008297:Male; D010287:Parent-Child Relations; D010568:Peru; D000297:Psychology, Adolescent; D012725:Sexual Behavior / Q000523:psychology*; D012945:Social Values; D012959:Socioeconomic Factors
references.citation: Multivariate Behav Res. 1975 Oct 1;10(4):489-502
references.pmid: 26750321
references.citation: Qual Health Res. 2005 Dec;15(10):1392-410
references.pmid: 16263919
references.citation: Stud Fam Plann. 2001 Dec;32(4):285-301
references.pmid: 11831048
references.citation: J Adolesc Health. 2002 Jul;31(1 Suppl):28-39
references.pmid: 12093609
references.citation: Stud Fam Plann. 2001 Mar;32(1):53-66
references.pmid: 11326457
references.citation: Stud Fam Plann. 1998 Jun;29(2):117-36
references.pmid: 9664627
references.citation: Cad Saude Publica. 2000 Jul-Sep;16(3):733-46
references.pmid: 11035513
references.citation: AIDS Educ Prev. 2002 Feb;14(1):73-83
references.pmid: 11900112
references.citation: BMC Complement Altern Med. 2004 Feb 03;4:2
references.pmid: 15018623
references.citation: BMJ. 2003 Jan 4;326(7379):15
references.pmid: 12511453
references.citation: Sex Transm Dis. 2002 Oct;29(10):568-75
references.pmid: 12370523
references.citation: Soc Sci Med. 2009 Apr;68(7):1294-304
references.pmid: 19217704
references.citation: Arch Sex Behav. 2003 Feb;32(1):41-53
references.pmid: 12597271
references.citation: J Epidemiol Community Health. 2005 Jul;59(7):603-8
references.pmid: 15965146
references.citation: Stud Fam Plann. 1991 Mar-Apr;22(2):74-82
references.pmid: 1858107
references.citation: J Adolesc Health. 2001 Apr;28(4):295-302
references.pmid: 11287247
references.citation: Arch Sex Behav. 1999 Apr;28(2):139-57
references.pmid: 10483507