Abstract

This study utilized participatory action research approaches to construct a follower-centric framework for measuring influences on sexual decision making by youth members of a church organization. Participants were Batswana Pentecostal church members self-reporting on their engagement in pre-marital sex (n = 68, females = 62%; age range 15–23 years; median age = 20.3 years) from eight of 26 randomly selected congregations. They completed a multi-stage concept mapping process that included free listing of statements of potential influences on their sexual decisions. They then sorted the statements into groupings similar in meaning to them, and rated the same statements for relative importance to their sexual decisions. Multidimensional scaling and hierarchical cluster analysis of the data yielded a five cluster solution in which church teachings emerged as most salient to the teenagers’ sexual decision making followed by future orientation, community norms, knowledge about HIV/AIDS and prevention education. While the youth believed to be influenced by religion teachings on primary sexual abstinence, they self-reported with pre-marital sex. This suggests a need for secondary abstinence education with them to reduce their risk for STIs/HIV and unwanted pregnancies. Concept mapping is serviceable to construct frameworks and to identify content of follower-centric influences on sexual decision making by church youth members.

Highlights

  • Religion organizations hold beliefs about a personal relationship with a higher power or God to influence the behavior of followers [1,2]

  • Five cluster groupings of statements resulted from the multidimensional scaling (MDS) statement sorting analysis of influences on sexual decisions for HIV prevention by the teenagers who had engaged in pre-marital sex while church members: Biblical perspectives, Future Focus, Community

  • The statement Abstain from sex would align well with the Prevention education cluster, the church youth clustered it as part of church teachings, so it is listed within the Biblical perspective cluster

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Summary

Introduction

Religion organizations hold beliefs about a personal relationship with a higher power or God to influence the behavior of followers [1,2]. The typical religion organization socializes followers to adhere to faith-aligned teaching; and adoption of the teachings by the followers has implications for their health related decisions [1,3,4]. These religion aligned values are often communicated implicitly as well as explicitly to define what qualifies for a follower of “good standing” in one’s public and private conduct [5,6,7,8,9,10]. Follower-centric approaches are likely to tap into their private framing of sexual decisions with religion more credibly than

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