Abstract

BackgroundThe shaping of gender beliefs and attitudes in early adolescence affects the way young people internalize and self-enforce prevalent notions of masculinity and femininity, with lifelong consequences for sexual and reproductive health. This cross-sectional study examines determinants of gender attitudes among some of the poorest and most vulnerable adolescents in Tanzania using an ecological model.MethodsData come from baseline interviews with 2458 males and females aged 14–19 years conducted as part of a larger impact evaluation. Structural equation models are used to examine how factors at the community-, household-, and individual-levels influence gender attitudes in the four domains measured by the Gender Equitable Men (GEM) Scale (i.e. violence, sexual relationships, reproductive health and disease prevention, and domestic chores and daily life).ResultsA structural equation model of the four latent domains of the GEM scale regressed on individual, social-interactional and structural level characteristics indicated that secondary school attendance was associated with more equitable gender attitudes, while females held less equitable attitudes than males in the sample. Having had sexual intercourse was associated with more gender equitable attitudes among females, but the reverse was true among males.ConclusionsAddressing gender inequity requires understanding gender socialisation at the socio-interactional level. As females had more inequitable gender attitudes than males in the study, a special emphasis on highlighting the rights of women to girls should be considered. This study will inform future analysis of programme impacts on gender attitudes and sexual and reproductive health.

Highlights

  • Adolescence and the transition to adulthood is a key development window of rapid physical, sexual and neurological changes, and a period where new social roles and power relations begin to manifest

  • These can have lasting impacts on both the individuals who make them and the generation. These decisions and transitions are influenced by the process of gender socialization which intensifies during adolescence. It is a process in which ‘individuals develop, refine and learn to ‘do’ gender through internalizing gender norms and roles as they interact with key agents of socialization, such as their family, community, social networks and other social institutions’ [1]

  • We examine individual, household- and community-level influences on gender attitudes among some of the poorest and most vulnerable adolescents in Tanzania using the socio-ecological framework developed by John et al [1]

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Summary

Introduction

Adolescence and the transition to adulthood is a key development window of rapid physical, sexual and neurological changes, and a period where new social roles and power relations begin to manifest. Key decisions and transitions, including relationship formation, sexual debut, pregnancy and marriage, are made during adolescence These can have lasting impacts on both the individuals who make them and the generation. The shaping of gender beliefs and attitudes in early adolescence affects the way young people internalize and self-enforce prevalent notions of masculinity and femininity, with lifelong consequences for sexual and reproductive health. This cross-sectional study examines determinants of gender attitudes among some of the poorest and most vulnerable adolescents in Tanzania using an ecological model

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