caa a22 4500 606231781 CHVBK 20210128101222.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10508-014-0406-z doi (NATIONALLICENCE)springer-10.1007/s10508-014-0406-z "Bend a Fish When the Fish Is Not Yet Dry”: Adolescent Boys' Perceptions of Sexual Risk in Tanzania [Elektronische Daten] [Marni Sommer, Samuel Likindikoki, Sylvia Kaaya] 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. Springer Science+Business Media New York, 2014 Adolescent health nationallicence Boys nationallicence Sexual behaviors nationallicence Tanzania nationallicence HIV/AIDS nationallicence Sommer Marni Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, Room 537, 722W. 168th Street, 10032, New York, NY, USA aut Likindikoki Samuel Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania aut Kaaya Sylvia Office of the Dean, Medical School, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/3(2015-04-01), 583-595 0004-0002 44:3<583 2015 44 10508 https://doi.org/10.1007/s10508-014-0406-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0406-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sommer Marni Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, Room 537, 722W. 168th Street, 10032, New York, NY, USA aut NATIONALLICENCE 700 1- Likindikoki Samuel Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania aut NATIONALLICENCE 700 1- Kaaya Sylvia Office of the Dean, Medical School, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/3(2015-04-01), 583-595 0004-0002 44:3<583 2015 44 10508