Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Preventing HIV By Providing Support For Orphan Girls To Stay In School: Does Religion Matter?

D. Hallfors, H. Cho, B. Iritani, J. Mapfumo, E. Mpofu, W. Luseno, J. January
Published 2013 · Psychology, Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
Objective. The paper examines the influence of religion on attitudes, behaviors, and HIV infection among rural adolescent women in Zimbabwe. Design. We analyzed data from a 2007 to 2010 randomized controlled trial in rural eastern Zimbabwe testing whether school support can prevent HIV risk behaviors and related attitudes among rural adolescent orphan girls; supplementary data from the 2006 Zimbabwe Demographic and Health Survey (ZDHS) were also analyzed. The present study design is largely cross-sectional, using the most recent available survey data from the clinical trial to examine the association between religious affiliation and religiosity on school dropout, marriage, and related attitudes, controlling for intervention condition, age and orphan type. The ZDHS data examined the effect of religious denomination on marriage and HIV status among young rural women, controlling for age. Results. Apostolic Church affiliation greatly increased the likelihood of early marriage compared to reference Methodist Church affiliation (odds ratio = 4.5). Greater religiosity independently reduced the likelihood of school dropout, increased gender equity attitudes and disagreement with early sex, and marginally reduced early marriage. Young rural Apostolic women in the ZDHS were nearly four times as likely to marry as teenagers compared to Protestants, and marriage doubled the likelihood of HIV infection. Conclusions. Findings contradict an earlier seminal study that Apostolics are relatively protected from HIV compared to other Christian denominations. Young Apostolic women are at increased risk of HIV infection through early marriage. The Apostolic Church is a large and growing denomination in sub-Saharan Africa and many Apostolic sects discourage medical testing and treatment in favor of faith healing. Since this can increase the risk of undiagnosed HIV infection for young married women and their infants in high prevalence areas, further study is urgently needed to confirm this emerging public health problem, particularly among orphan girls. Although empirical evidence suggests that keeping orphan girls in school can reduce HIV risk factors, further study of the religious context and the implications for prevention are needed.
This paper references
10.1363/ifpp.32.079.06
Protecting young women from HIV/AIDS: the case against child and adolescent marriage.
S. Clark (2006)
10.1080/13557858.2011.583639
Apostolic faith church organization contexts for health and wellbeing in women and children
E. Mpofu (2011)
10.1016/J.JADOHEALTH.2004.02.036
Religious differentials in the sexual and reproductive behaviors of young women in the United States.
R. Jones (2005)
10.1363/ifpp.30.58.04
Behavior change evaluation of a culturally consistent reproductive health program for young Kenyans.
A. Erulkar (2004)
10.1080/09540120500258029
HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in Zimbabwe
S. Gregson (2005)
10.1111/J.1540-6237.2009.00650.X
Gendered Epidemiology: Sexual Equality and the Prevalence of HIV/AIDS in Sub-Saharan Africa
L. Niëns (2009)
HIV infection and reproductive health in teenage women orphaned and made vulnerable by AIDS in Zimbabwe. Aids care-psychological and socio-medical aspects of
S Gregson (2005)
Theology in the HIV & AIDS Era series, module
WCC Publications (2007)
Living with hope
E. Chitando (2007)
10.1111/J.1728-4465.2003.00160.X
How gender roles influence sexual and reproductive health among South African adolescents.
C. Varga (2003)
10.1017/S0021932009990277
Ethnic differences in sexual behaviour among unmarried adolescents and young adults in Zimbabwe.
William Sambisa (2010)
Theology in the HIV & AIDS Era series, module 1-gender, religion, and HIV and AIDS prevention
E Chitando (2007)
10.1016/J.EHB.2007.03.005
Determinants of teenage pregnancies: the case of Busia District in Kenya.
M. Were (2007)
10.1080/10826080801918247
Substance Use and Sexual Risk Within the Context of Gender Inequality in South Africa
W. Wechsberg (2008)
10.1525/SP.2008.55.3.301
Talking about the "Epidemic of the Millennium": Religion, Informal Communication, and HIV/AIDS in Sub-Saharan Africa
V. Agadjanian (2008)
10.1017/S0021853703248672
African Reformation: African Initiated Christianity in the 20th Century . By A LLAN H. A NDERSON . Trenton NJ and Asmara, Eritrea: Africa World Press, 2002. Pp. xvi+282. No price given (ISBN 0-86543-883-8); £15.99, paperback (ISBN 0-86543-884-6).
P. Gifford (2003)
10.2105/AJPH.2010.300042
Supporting adolescent orphan girls to stay in school as HIV risk prevention: evidence from a randomized controlled trial in Zimbabwe.
D. Hallfors (2011)
Sexual risk behavior among south African adolescents: is orphan
Thurman (2006)
Zimbabwe statistics [online
Unicef
10.1080/17441690802128321
Structural barriers and human rights related to HIV prevention and treatment in Zimbabwe
J. Amon (2009)
Ethnic differences in sexual behaviour
W. Sambisa (2011)
10.1097/01.aids.0000341776.71253.04
Education and vulnerability: the role of schools in protecting young women and girls from HIV in southern Africa
M. Jukes (2008)
10.1111/J.1741-3737.2008.00583.X
The Role of Religion in Adolescence for Family Formation in Young Adulthood.
D. Eggebeen (2009)
10.2307/3583469
Influence of religion on adolescent sexual attitudes and behaviour among Nigerian university students: affiliation or commitment?
C. Odimegwu (2005)
10.1016/J.SOCSCIMED.2005.03.012
Gender, religious involvement, and HIV/AIDS prevention in Mozambique.
V. Agadjanian (2005)
10.1136/jech.2006.053827
The association between school attendance, HIV infection and sexual behaviour among young people in rural South Africa
J. Hargreaves (2008)
Substance use and sexual risk within the context of gender inequality in South Africa. Substance use and misuse
W M Wechsberg (2008)
10.1007/s10461-006-9104-8
Sexual Risk Behavior among South African Adolescents: Is Orphan Status a Factor?
T. Thurman (2006)
Quest for Belonging: Introduction to a Study of African Independent Churches
M. L. Daneel (1987)
10.1017/S0022278X99003249
Safe sects? Dynamic religion and AIDS in South Africa.
R. Garner (2000)
10.1016/S0140-6736(08)60887-9
Structural approaches to HIV prevention
G. R. Gupta (2008)
Child marriage: a silent health and human rights issue.
N. Nour (2009)
10.1080/00324720308084
Apostles and Zionists: the influence of religion on demographic change in rural Zimbabwe.
S. Gregson (1999)
Living with Hope African Churches and HIV / AIDS 1
E. Chitando (2008)
10.1097/QAD.0b013e3282f4cac7
From affected to infected? Orphanhood and HIV risk among female adolescents in urban Zimbabwe
I. Birdthistle (2008)
10.1080/14330237.2006.10820135
The Practices of Apostolic Faith Healers in Mental Health Care in Zimbabwe
J. January (2006)



This paper is referenced by
10.1080/13691058.2020.1743880
Female autonomy and intimate partner violence: findings from the Zimbabwe demographic and health survey, 2015.
A. Bengesai (2020)
10.1007/s10461-018-2134-1
AIDS-Affected Orphans in Sub-Saharan Africa: A Scoping Review on Outcome Differences in Rural and Urban Environments
J. Raymond (2018)
10.1007/978-981-10-2779-6_130-1
Understanding Sexuality and Disability: Using Interpretive Hermeneutic Phenomenological Approaches
Tinashe Dune (2017)
10.1016/J.SBSPRO.2014.07.371
Enhancement of Culture in Education: Research on Indonesian High School☆
Asmaun Sahlan (2014)
10.1080/07399332.2015.1017641
Educational Outcomes for Orphan Girls in Rural Zimbabwe: Effects of a School Support Intervention
B. Iritani (2016)
10.1016/j.socscimed.2014.07.066
Is religion the forgotten variable in maternal and child health? Evidence from Zimbabwe.
Wei Ha (2014)
10.1177/1558689814539394
A Mixed Methods Mapping of Church Versus Secular School Messages to Influence Sexual Decision Making as Perceived by Zimbabwean Orphan Girl Students
E. Mpofu (2014)
10.1371/journal.pone.0086060
Temporal Dynamics of Religion as a Determinant of HIV Infection in East Zimbabwe: A Serial Cross-Sectional Analysis
Rumbidzai Manzou (2014)
10.1007/978-94-017-9415-2_5
Resilience Among Zimbabwean Youths with Orphanhood
E. Mpofu (2015)
10.1080/17290376.2016.1245627
‘I thought if I marry the prophet I would not die’: The significance of religious affiliation on marriage, HIV testing, and reproductive health practices among young married women in Zimbabwe
D. Hallfors (2016)
10.1080/09540121.2015.1036726
HIV infection and related risk behaviors: does school support level the playing field between orphans and nonorphans in Zimbabwe?
W. Luseno (2015)
Young Motherhood: An explanation of the Rise of Teenage Pregnancies in Mutare Rural, Zimbabwe
Jean Mukoyi (2015)
10.1371/journal.pone.0147828
Factors Associated with Ever Being HIV-Tested in Zimbabwe: An Extended Analysis of the Zimbabwe Demographic and Health Survey (2010–2011)
K. Takarinda (2016)
10.1080/07399332.2016.1191494
Influence of school support on early marriage experiences and health services utilization among young orphaned women in Zimbabwe
W. Luseno (2017)
10.2989/16085906.2017.1349682
Delivering culturally sensitive, sexual health education in western Kenya: a phenomenological case study
Gary Terence Lacey (2017)
10.1016/j.jadohealth.2014.09.004
The impact of school subsidies on HIV-related outcomes among adolescent female orphans.
D. Hallfors (2015)
Semantic Scholar Logo Some data provided by SemanticScholar