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A cross-sectional study of sexual health knowledge, attitudes, and reported behavior among Zambian adolescent girl participants in a football program

Duffey, Keeva LU ; Zulu, Joseph Mumba ; Asamoah, Benedict Oppong LU and Agardh, Anette LU orcid (2019) In Journal of Sport for Development 7(12). p.46-58
Abstract

Limited research has assessed whether sports participation can be linked to decreasing risky sexual behavior among adolescent girls in sub-Saharan Africa. The current study aimed to assess whether participation in a football league that provides sexual and reproductive health and rights lessons before each football match strengthened adolescent Zambian girls’ sexual health knowledge, attitudes, and behavior. Adolescent female participants in the girls-only football league run by the organization Futebol dá Força (FDF, n=120) completed a questionnaire assessing sexual health knowledge, reported attitudes, and reported behavior. Logistic regressions were used to assess associations between participants’ self-reported program exposure and... (More)

Limited research has assessed whether sports participation can be linked to decreasing risky sexual behavior among adolescent girls in sub-Saharan Africa. The current study aimed to assess whether participation in a football league that provides sexual and reproductive health and rights lessons before each football match strengthened adolescent Zambian girls’ sexual health knowledge, attitudes, and behavior. Adolescent female participants in the girls-only football league run by the organization Futebol dá Força (FDF, n=120) completed a questionnaire assessing sexual health knowledge, reported attitudes, and reported behavior. Logistic regressions were used to assess associations between participants’ self-reported program exposure and their sexual health knowledge, reported attitudes, and reported behavior. After examining all exposure levels and adjusting for age, participants with at least six months of reported exposure to the FDF program had better sexual health knowledge and attitudes compared to those reporting less than six months exposure (AOR 4.74, 95% CI 1.70-13.19). Those in the more exposed group also had higher odds of reporting using a condom at last sex (AOR=11.64, 95% CI=1.08-124.57). These findings suggest that sports-based educational programs may improve sexual health knowledge and attitudes among African adolescent girls, potentially reducing the risk of sexually transmitted disease and early aged pregnancy.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adolescent girls, football, reproductive health, rights, sexual, Zambia
in
Journal of Sport for Development
volume
7
issue
12
pages
13 pages
publisher
Journal of Sport for Development
external identifiers
  • scopus:85120561681
ISSN
2330-0574
language
English
LU publication?
yes
additional info
Funding Information: To Futebol dá Forca for providing the support and opportunity to conduct research on their participants. To the participants, for their time and willingness to contribute to the research. Publisher Copyright: © 2019 The authors.
id
7ace61d1-e4ad-48d3-a50c-cb5a1ec61d8d
alternative location
https://jsfd.files.wordpress.com/2020/09/duffey.zambian.girls_.pdf
date added to LUP
2023-12-07 16:16:38
date last changed
2023-12-14 16:23:56
@article{7ace61d1-e4ad-48d3-a50c-cb5a1ec61d8d,
  abstract     = {{<p>Limited research has assessed whether sports participation can be linked to decreasing risky sexual behavior among adolescent girls in sub-Saharan Africa. The current study aimed to assess whether participation in a football league that provides sexual and reproductive health and rights lessons before each football match strengthened adolescent Zambian girls’ sexual health knowledge, attitudes, and behavior. Adolescent female participants in the girls-only football league run by the organization Futebol dá Força (FDF, n=120) completed a questionnaire assessing sexual health knowledge, reported attitudes, and reported behavior. Logistic regressions were used to assess associations between participants’ self-reported program exposure and their sexual health knowledge, reported attitudes, and reported behavior. After examining all exposure levels and adjusting for age, participants with at least six months of reported exposure to the FDF program had better sexual health knowledge and attitudes compared to those reporting less than six months exposure (AOR 4.74, 95% CI 1.70-13.19). Those in the more exposed group also had higher odds of reporting using a condom at last sex (AOR=11.64, 95% CI=1.08-124.57). These findings suggest that sports-based educational programs may improve sexual health knowledge and attitudes among African adolescent girls, potentially reducing the risk of sexually transmitted disease and early aged pregnancy.</p>}},
  author       = {{Duffey, Keeva and Zulu, Joseph Mumba and Asamoah, Benedict Oppong and Agardh, Anette}},
  issn         = {{2330-0574}},
  keywords     = {{adolescent girls; football; reproductive health; rights; sexual; Zambia}},
  language     = {{eng}},
  month        = {{04}},
  number       = {{12}},
  pages        = {{46--58}},
  publisher    = {{Journal of Sport for Development}},
  series       = {{Journal of Sport for Development}},
  title        = {{A cross-sectional study of sexual health knowledge, attitudes, and reported behavior among Zambian adolescent girl participants in a football program}},
  url          = {{https://jsfd.files.wordpress.com/2020/09/duffey.zambian.girls_.pdf}},
  volume       = {{7}},
  year         = {{2019}},
}