title: "Bend a fish when the fish is not yet dry": adolescent boys' perceptions of sexual risk in Tanzania.
abstract: Despite decades of effort, the spread of HIV/AIDS continues among many African young people. A key contributor is unsafe sexual behavior that is desired, persuaded, or coerced. We explored the masculinity norms shaping pubescent boys' perceptions of and engagement in (unsafe) sexual behaviors in Tanzania. Through a comparative case study in rural and urban Tanzania, qualitative and participatory methods were used with 160 adolescent boys in and out of school to better understand the social and contextual factors promoting unsafe sexual behaviors. Adolescent boys in both the rural and urban sites reported struggling with intense sexual desires, strong peer pressures to have sex, and social norms dissuading condom use. A growing "normalization" of AIDS suggests messages promoting the dangers of HIV infection may be less effective. Findings reinforce the need for interventions with very young adolescents. Research is needed to identify more effective approaches for promoting safer sexual practices among boys in sub-Saharan Africa. Harm reduction approaches and gender transformative approaches might prove more effective than current HIV prevention efforts focused on youth.
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, Room 537, 722 W. 168th Street, New York, NY, 10032, USA, ms2778@columbia.edu.
authors.forename: Marni
authors.initials: M
authors.lastname: Sommer
authors.forename: Samuel
authors.initials: S
authors.lastname: Likindikoki
authors.forename: Sylvia
authors.initials: S
authors.lastname: Kaaya
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D055812:Community-Based Participatory Research; D017280:Condoms / Q000706:statistics & numerical data; D005783:Gender Identity; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D057228:Masculinity; D010379:Peer Group; D010465:Perception; D036301:Qualitative Research; D012306:Risk; D012424:Rural Population / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D013636:Tanzania; D014505:Urban Population / Q000706:statistics & numerical data*