title: The structural influence of family and parenting on young people's sexual and reproductive health in rural northern Tanzania.
abstract: This paper explores the structural role of the family and parenting in young people's sexual and reproductive health. The study involved eight weeks of participant observation, 26 in-depth interviews, and 11 group discussions with young people aged 14-24 years, and 20 in-depth interviews and 6 group discussions with parents/carers of children in this age group. At an individual level, parenting and family structure were found to affect young people's sexual behaviour by influencing children's self-confidence and interactional competence, limiting discussion of sexual health and shaping economic provision for children, which in turn affected parental authority and daughters' engagement in risky sexual behaviour. Sexual norms are reproduced both through parents' explicit prohibitions and their own behaviours. Girls are socialised to accept men's superiority, which shapes their negotiation of sexual relationships. Interventions to improve young people's sexual and reproductive health should recognise the structural effects of parenting, both in terms of direct influences on children and the dynamics by which structural barriers such as gendered power relations and cultural norms around sexuality are transmitted across generations.
authors.affiliation: a National Institute for Medical Research , Mwanza , Tanzania.
authors.forename: Joyce
authors.initials: J
authors.lastname: Wamoyi
authors.forename: Daniel
authors.initials: D
authors.lastname: Wight
authors.forename: Pieter
authors.initials: P
authors.lastname: Remes
mesh_terms: D000293:Adolescent; D005195:Family Relations; D005260:Female; D005783:Gender Identity; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D016487:Parenting; D011209:Power, Psychological; D036301:Qualitative Research; D060728:Reproductive Health; D012309:Risk-Taking; D012424:Rural Population; D012725:Sexual Behavior; D012951:Socialization; D013636:Tanzania; D055815:Young Adult
keywords: Africa; parenting; sexual and reproductive health; socialisation; structural factors; young people