Early Onset Of Sexual Activity Research Articles

Factors associated with early sexual onset and delaying sex in rural middle school youth.

Early sexual onset contributes to poor health outcomes through the life course. We use the social behavioral model to examine the behaviors and attitudes associated with early sexual onset and the intention to delay sex in middle school youth. Youth in rural communities with high rates of hepatitis C and HIV filled out a survey prior to implementation of an evidence-based sex education program. Participants were asked if they had ever had sex and whether they planned to abstain from sex until the end of high school. We collected demographics, attitudes about abstinence, agency for sexual refusal, parent communication, sexual health knowledge, and history of system involvement. Logistic regression was utilized to examine factors associated with each outcome. Our sample included 6,799 students, 12.7 years old ± 0.9 and 50.3% female. 5.1% had ever had sex and 73.9% planned to abstain until the end of high school. Early sexual onset was associated with older age, negative attitudes toward abstinence, lower agency for sexual refusal, more frequent parent communication about sex, history of child welfare, and history of juvenile involvement. Planning to abstain until the end of high school was associated with being younger, female, positive attitudes toward abstinence, higher agency for sexual refusal, less communication with parents about sex, more communication with parents about relationships, not having a history of foster involvement, and not having a history of juvenile involvement. Age, agency, and parent communication were all associated with both outcomes. Our findings highlight the importance of early comprehensive, trauma-informed sex education.

Revisión sobre el embarazo adolescente e implicancias sociales

This study reviews the social implications of teenage pregnancy and identifies the factors that contribute to its incidence among adolescents aged ten to nineteen in Latin America. The review follows the PRISMA guidelines for conducting a literature review. The article search was conducted in PubMed, using keywords related to teenage pregnancy, causes, and prevention. A total of 411 articles were identified, of which 20 met the inclusion criteria: studies based in Latin America, published since 2010, and focused on the prevention of teenage pregnancy. The main results show that the lack of sexual education and ignorance about contraceptive methods are key factors in the incidence of teenage pregnancy. Socioeconomic factors such as poverty and inequality also play a significant role. Domestic violence and the early onset of sexual activity are other critical factors. Additionally, the lack of access to health services and adequate education is highlighted. Teenage pregnancy is a biopsychosocial problem with serious repercussions. It is necessary to improve sexual education and access to contraceptives to prevent teenage pregnancy. Interventions should be intersectoral, involving the family, community, educational system, and health professionals. Only through coordinated action can the incidence of teenage pregnancy be effectively reduced and its negative consequences on the health and socioeconomic development of adolescents be mitigated.

Роль нутритивной поддержки при планировании беременности

Aim. The review is devoted to the causes and consequences of nutritional deficiency in the diet of a pregnant woman, as well as the possibilities of its replenishment. It has been proven that insufficient intake of vitamins and minerals during pregnancy is accompanied by a lack of nutrients to the fetus, which can cause obstetric and perinatal complications (such as gestational diabetes mellitus, preeclampsia, FGRS, etc.). In the conditions of the unfavorable demographic situation that currently exists in Russia, the birth of a healthy child is becoming one of the pressing problems. This is due to the entry into the childbearing period of a generation with low health indicators. The portrait of a modern young woman is 2 or more chronic extragenital diseases (arterial hypertension, chronic pyelonephritis, cystitis, anemia), early onset of sexual activity, frequent change of sexual partners (STI infection), refusal to use contraceptives (abortion), underweight, bad habits. The importance of the role of vitamin-mineral complex as an integral part of pre-gravid preparation becomes obvious. Material and methods. To write this review, a search was carried out for domestic and foreign publications in Russian and international search systems (PubMed, eLibrary, etc.) over the past 25 years. The review included articles from the peer-reviewed literature. Results. The review presents research data on the importance of using micronutrient support drugs before, during and after pregnancy. Conclusion. Thus, at the present stage, prenatal preparation is distinguished by an integrated approach and promotes the onset of pregnancy with optimal indicators, prevents the development of gestational complications, improves perinatal outcomes, and, accordingly, improves the health of the offspring as a whole.

Professional Nurses’ Perceptions of Providing Contraceptives to Adolescents at Primary Healthcare Facilities in Lesotho

Background: High adolescent pregnancy rates are evident in most countries, especially low- and middle-income countries like Lesotho, where contraceptive services are available at public facilities at no cost, yet adolescents still have a significant unmet need for contraception. In Lesotho, professional nurses are at the forefront of primary healthcare, including the provision of contraceptive services. Objectives: The objective of this study is to explore and describe professional nurses’ perceptions of providing contraceptives to adolescents at Primary Health Care facilities in Lesotho. Methods: A qualitative research strategy with exploratory and descriptive approaches was used. Purposive sampling of four primary healthcare facilities and an all-inclusive sampling of professional nurses employed at these primary healthcare facilities in the Mafeteng district of Lesotho were employed. Semi-structured open-ended interviews were done with 12 participants using an interview schedule. Data were analysed using qualitative content analysis. Results: Six categories with their respective themes emerged. The categories included: perceptions of contraception use, perceptions of consulting adolescents at primary healthcare facilities, perceptions of adolescent pregnancy, advice to adolescents using contraception, challenges to effective service provision, and improvement of service provision. Conclusion: Professional nurses were aware of the adolescents’ unmet need for contraception and their hesitancy when seeking contraceptive services. However, professional nurses support and encourage contraception use during adolescence because the early onset of sexual activity and adolescent pregnancy cannot be denied. Professional Nurses are faced with challenges in the Primary Health Care facility that have hindered their service provision, which needs to be addressed to improve service provision.

Association between early sexual initiation and sexually transmitted infections among Peruvian reproductive-age women.

Sexually transmitted infections (STIs) are a serious public health problem worldwide, especially among reproductive-age women. The early sexual onset of sexual intercourse (EOSI) has been suggested as a risk factor, although there is no data at the national level. To evaluate the association between EOSI and STIs in Peruvian women of childbearing age. Analytical cross-sectional study with secondary data analyzes of the Peruvian Demographic and Family Health Survey 2018. The outcome was the presence of STIs in the last 12 months and the exposure variable was EOSI (age < 15 years at the time of their first sexual experience). To evaluate the association of interest, crude and adjusted prevalence ratios (aPRs) were calculated using generalized linear models with Poisson family and logarithmic link function. We analyzed data from 31,028 women of childbearing age. The 11.3% reported having STIs in the last 12 months and 20.2% of the participants had an EOSI. After adjusting for potential confounders, we found that EOSI was associated with STIs (aPR: 1.27; 95% CI: 1.08-1.50; p = 0.005). When conducting stratified analysis by area of residence and number of sexual partners, this association was maintained in women living in urban areas (aPR: 1.36; 95% CI: 1.11-1.66; p = 0.003) those who did not report having a history of multiple sexual partners (aPR: 1.27; 95% CI: 1.08-1.51; p = 0.005), and those in the middle (aPR: 1.42; 95% CI: 1.03-1.97; p = 0.034) and highest (aPR: 2.12; 95% CI: 1.33-3.39; p = 0.002) wealth quintiles. Among reproductive-age women from Peru, EOSI was associated with STIs, especially in women living in urban areas, with no history of multiple sexual partners, and belonging to the middle to higher wealth index. The implementation of measures to prevent EOSI and fostering appropriate sexual health counseling for women with EOSI is advised.

A clinical case of preservation of reproductive potential in a patient with invasive cervical cancer

Cervical cancer is a malignant tumor originating from the mucous membrane of the cervix (ectocervix or endocervix). In 2020, 604,000 new cases of the disease were registered, with 342,000 deaths. Today, a significant rejuvenation of this pathology is recorded – the highest incidence rate occurs in the age group from 15 to 39 years.The cause of the development of cervical cancer is the human papillomavirus of oncogenic genotypes, and in Russia, human papillomavirus types 16 and 18 are found in most patients. Risk factors: early onset of sexual activity, frequent change of sexual partners, refusal of “barrier” type contraceptives, smoking, immunosuppression, the question of the influence of various sexually transmitted infections is being discussed.The present article describes a clinical case of performing an organ-preserving operation: laparoscopic extended trachelectomy with sentinel lymph nodes determination, urgent cytological and histological studies, with the formation of the obturator apparatus with a soft titanium nickelide implant for invasive cervical cancer in a patient with unrealized reproductive function.Organ-preserving surgeries in patients with cervical cancer allow preserving childbearing function while maintaining oncological radicality of surgical treatment. A modern, multidisciplinary approach of an oncologist-gynecologist and a reproductologist is the basis of a modern strategy for managing a patient with cervical cancer and unrealized reproductive function.

Vulvovaginitis in childhood and adolescence in a gynecologist practice

Background. The study of the etiology and pathogenesis of vulvovaginitis in different age periods of girls in order to preserve their reproductive health. Objective. The aim of the study is — to identify risk factors for the development of vulvovaginitis at different girls age periods. Methods. Retrospective analysis of information from electronic medical records of 100 girls of various ages with inflammatory diseases of the vulva and vagina treated on an outpatient basis. Results. Risk factors identified: children in the period of neonatality and infancy this is an incorrect conduct of hygiene measures due to insufficient awareness of parents; in the period of neutral childhood — allergic reactions, somatic diseases, antibiotic treatment, enterobiosis and childhood masturbation, children in the period of acute respiratory viral infections, inability to take care of the genitals; in adolescent girls — the presence of chronic somatic inflammatory diseases, antibiotic therapy, early onset of sexual activity, lack of contraception, non-compliance with personal hygiene rules, violation of menstrual hygiene, belated access to a doctor. The main causative agents of vulvovaginitis in the period of neutral childhood were representatives of coccal flora and E. coli, in adolescence — Candida and microbial associations. Conclusion. Preventive conversations with patients and their parents about the identified risk factors for vulvovaginitis are necessary in order to prevent the development of inflammatory diseases of the genitals and to preserve reproductive health.

Reproductive outcomes in adolescent girls with inflammatory diseases of the pelvic organs

Introduction. Inflammatory diseases of the pelvic organs (IDPO) are common forms of pathology, which are often accompanied by serious complications. &#x0D; Aim: to determine the leading reproductive outcomes in adolescent girls with IDPO. &#x0D; Materials and methods. The review is based on the analysis of the features of the course of IDPO and the impact of their complications on the reproductive function of adolescent girls. A search was conducted in the PubMed and Cochrane Library databases with a depth of 5 years. &#x0D; Results. It has been established that the highest incidence of IDPO in adolescent girls is at the age of 15–19 years due to the early onset of sexual activity, the lack of effective contraception and the presence of several frequently infected partners. Recurrent infections, chronic pelvic pain, purulent complications (salpingitis, pyosalpinx, tubo-ovarian abscess), ectopic pregnancy, premature birth, endometriosis and infertility are the leading outcomes of IDPO in adolescent girls. It was revealed that the absence of sexual activity does not exclude the occurrence of IDPO and its complications in girls. This is due to the state of immune protection against infectious pathogens in girls, and the qualitative and quantitative composition of the microbiota of the genital tract. Therefore, it is so necessary to manage and conduct a wide screening of adolescents for the presence of sexually transmitted infections to prevent their negative impact on the fertility of young males and females, and effective training of adolescents on all significant issues of reproductive health.

ASSESSMENT OF AWARENESS AND RISK FACTORS FOR CERVICAL CANCER AMONG YOUNG WOMEN IN ALMATY

Relevance: Currently, in the world, including Kazakhstan, the increasing number of new cervical cancer cases among women of reproductive age is a socio-demographic problem. The increase in cervical cancer incidence among young women, the high prevalence of human papillomavirus (HPV) infection among young sexually active women, the lack of screening programs for the early detection of cervical cancer in young women, the need to take urgent measures to increase awareness of young women about risk factors for cervical cancer and methods of prevention and determined the relevance of this study.&#x0D; The study aimed to estimate the awareness, identify risk factors for cervical cancer, and assess the state of reproductive health of young women of Almaty by questioning.&#x0D; Methods: The article presents an analytical study of the intermediate results of a survey of young women aged 18 to 32 years and living in Almaty. Participants received full information on the upcoming survey. The questionnaire collected information on socio-demographic data, awareness of cervical cancer prevention, and women’s gynecological history. The questionnaire contained 30 questions in total and took 10 minutes to complete.&#x0D; Results: Among young women in Almaty, low awareness of primary and secondary prevention of cervical cancer was revealed in all age groups. The most common risk factors for cervical cancer among young women in Almaty were an early onset of sexual activity, smoking, and hormonal contraceptive uptake.&#x0D; Conclusion: The survey showed the problem of low awareness of girls about cervical cancer and the risk factors for developing cervical cancer. Based on these data, we can state the need for educational work on these issues among young people.

ASSESSMENT OF AWARENESS AND RISK FACTORS FOR CERVICAL CANCER AMONG YOUNG WOMEN IN ALMATY

Relevance: Currently, in the world, including Kazakhstan, the increasing number of new cervical cancer cases among women of reproductive age is a socio-demographic problem. The increase in cervical cancer incidence among young women, the high prevalence of human papillomavirus (HPV) infection among young sexually active women, the lack of screening programs for the early detection of cervical cancer in young women, the need to take urgent measures to increase awareness of young women about risk factors for cervical cancer and methods of prevention and determined the relevance of this study.&#x0D; The study aimed to estimate the awareness, identify risk factors for cervical cancer, and assess the state of reproductive health of young women of Almaty by questioning.&#x0D; Methods: The article presents an analytical study of the intermediate results of a survey of young women aged 18 to 32 years and living in Almaty. Participants received full information on the upcoming survey. The questionnaire collected information on socio-demographic data, awareness of cervical cancer prevention, and women’s gynecological history. The questionnaire contained 30 questions in total and took 10 minutes to complete.&#x0D; Results: Among young women in Almaty, low awareness of primary and secondary prevention of cervical cancer was revealed in all age groups. The most common risk factors for cervical cancer among young women in Almaty were an early onset of sexual activity, smoking, and hormonal contraceptive uptake.&#x0D; Conclusion: The survey showed the problem of low awareness of girls about cervical cancer and the risk factors for developing cervical cancer. Based on these data, we can state the need for educational work on these issues among young people.

The Hybrid Capture 2 Results in Correlation with the Pap Test, Sexual Behavior, and Characteristics of Romanian Women.

Human papillomavirus (HPV) infection is the major cause of cervical cancer (CC); hence, it is critical to understand the processes by which HPV infection causes squamous intraepithelial lesions, as well as the proper diagnostic tools. The objective of this study was to establish the correlations between Pap test results and Hybrid Capture 2 (HC2) tests findings. This study included 169 women between the ages of 30 and 64, who presented for consultation in gynecological clinics in both the public and the private sectors. These women reported symptoms, such as abnormal vaginal discharge and genital irritation, as well as early onset of sexual activity, multiple sexual partners, history of other sexually transmitted infections or high-risk sexual partners, immunosuppression, or tobacco smoking. Pap tests and HPV testing, using the HC2 method, were performed for the women enrolled in the study, including data gathered after patients completed questionnaires concerning their sexual behavior. The HC2 method revealed that 66 patients (39.1%) tested positive for high-risk HPV types. Of the patients with positive results, 14 (21.2%) presented Atypical Squamous Cells of Undetermined Significance (ASC-US) compared to 10 (9.7%) patients in the negative group (p = 0.042). Atypical Squamous Cells for which a high-grade lesion cannot be excluded (ASC-H) were identified primarily in women with positive HC2 (6.1%). HR-HPV positivity was substantially more associated with low-grade ASC-US or low-grade squamous intraepithelial lesion (LSIL) and high-grade ASC-H cytology (OR = 2.53; 95% CI: 1.10-5.80, respectively, OR = 14.9; 95%CI: 1.006-34.59). Unmarried women (31.8%; p = 0.004) and women with multiple partners (over four partners, 10.6%; p = 0.03) were more likely to have an HPV infection when compared to married women and those with fewer sexual partners. Understanding the epidemiology of HPV genital infections is essential for developing preventive measures against this infection and CC. Identifying the most prevalent HPV types, and determining the incidence of HPV oncogenic infections, in conjunction with Pap test results and sexual behavior information, can constitute part of an algorithm for the efficient management of cervical intraepithelial lesions.

Reproductive Health Education: I am Healthy Physically and Spiritually Healthy Teenager

Reproductive health is one of the Sustainable Development Goals that directly affect the health sector. Technological advances in the Industrial Revolution 4.0 ensure that information spreads widely and quickly via the Internet. Adolescents can easily obtain and retrieve information about sexuality from a variety of sources, but the truth and validity of the information must be credible. Misleading information provokes teens to conform to unhealthy sexual activities. Overall, unhealthy sexual activity can lead to the early onset of sexual activity and expose adolescents to high-risk sexual behavior. This study aimed to improve adolescents' knowledge of education about holistic reproductive health from different perspectives (medical, psychological and spiritual). This research uses qualitative research with descriptive methods using a Zoom meeting application with a total of 82 male and female participants. The implementation of the activity starts with a pre-test and ends with a post-test via Google Forms. As the study results show, the adolescents' knowledge about reproductive health education increased significantly by 18.5% in a comparison of the pretest and posttest. Reproductive health counseling has induced positive changes and attitudes in adolescents from different perspectives (medical, psychological and spiritual) regarding knowledge about reproductive health. Reproductive education counseling is expected to continue in each educational institute to improve adolescent reproductive health and protect adolescents from problematic sexual behavior.

Reproductive Health Education: I am Healthy Physically and Spiritually Healthy Teenager

Reproductive health is one of the Sustainable Development Goals that directly affect the health sector. Technological advances in the Industrial Revolution 4.0 ensure that information spreads widely and quickly via the Internet. Adolescents can easily obtain and retrieve information about sexuality from a variety of sources, but the truth and validity of the information must be credible. Misleading information provokes teens to conform to unhealthy sexual activities. Overall, unhealthy sexual activity can lead to the early onset of sexual activity and expose adolescents to high-risk sexual behavior. This study aimed to improve adolescents' knowledge of education about holistic reproductive health from different perspectives (medical, psychological and spiritual). This research uses qualitative research with descriptive methods using a Zoom meeting application with a total of 82 male and female participants. The implementation of the activity starts with a pre-test and ends with a post-test via Google Forms. As the study results show, the adolescents' knowledge about reproductive health education increased significantly by 18.5% in a comparison of the pretest and posttest. Reproductive health counseling has induced positive changes and attitudes in adolescents from different perspectives (medical, psychological and spiritual) regarding knowledge about reproductive health. Reproductive education counseling is expected to continue in each educational institute to improve adolescent reproductive health and protect adolescents from problematic sexual behavior.

Topical aspects of etiology and prevention of cervical cancer

Cervical cancer (CC) occupies the fifth place in the structure of female oncopathology (n Russia. The share of CC is 5.2 % among all oncological diseases. iin Russia, 6.392 women died of CC in 2018. And the mortality rate from this disease is growing every year. In recent years, there has been an increase in the mortality rate among women aged 35 to 59 years at the age of the greatest social activity. The problem of etiology, pathogenesis and diagnosis of the disease remains relevant, despite the active development of medical science. The main cause of CC is considered to be the human papillomavirus of oncogenic genotypes. At the same time, even the active introduction of vaccination does not lead to a decrease in the rate of increase in morbidity and mortality from CC. At the same time, it is known that risk factors for the occurrence of the disease are early onset of sexual activity, frequent change of sexual partners, rejection of barrier methods of contraception, smoking, immunosuppression. Currently, the issue of the influence of sexually transmitted infections on the occurrence of CC has not been fully studied. We wondered what etiological factors have been most studied and reliably influence the occurrence of the disease, what preventive measures can help in this. We assume that only an integrated approach (lifestyle changes, vaccination, preventive medical examinations) can help defeat CC. The article discusses the key causes of the disease, the history of the study of the etiology of CC, the current state of the problem.

The profile of amphetamine users in a substance abuse treatment center in Mexico

Introduction: in Mexico, amphetamine use is a public health problem. Objective: to describe the profile of consumers of amphetamines. Method: it was retrospective and cross-sectional study. The medical records of those admitted to the state Cúspide substance abuse treatment center, during the period 2016-2018, were reviewed. Results: 112 patients (89 men, 23 women) were analyzed. The profile included a patient with high school (40.2%), coming from an unstructured (67.9%) and dysfunctional family (93.8%) with poor parental affective relationship, alcoholism in the family nucleus (55.3%), early onset of sexual activity, alcohol and tobacco consumption; impulsive personality, suicide attempts (35.7%), and injuries to third parties and theft (73.2%). Discussion and conclusions: amphetamine use and rising prevalence behavior are a reality; the problem goes beyond the field of health and becomes a social problem that potentially involves the entire population to a greater or lesser extent. Knowing the epidemiological profile of the amphetamine consumer is a reference for implementing health policies and establishing preventive and therapeutic measures in order to solve the problem.

Is Adolescent Risk Behavior Associated With Cross-Household Family Complexity? An Analysis of Post-separation Families in 42 Countries.

We examine whether complex cross-household structures of post-separation families are associated with higher risk-taking behavior in adolescence (substance use, bullying, early sexual onset) and whether the proportion, and thus statistical normality, of complex family types in a certain country is a potential moderator of this association. Drawing on representative data from 42 countries and regions from the Health Behavior in School-aged Children (HBSC) study in 2001, 2006, and 2010 (N = 506,977), we provide detailed analyses on adolescent risk behavior even for very rare family types, thereby accounting for the complex cross-household structure present in many post-separation families. We combine logistic and count regression models to analyze risk incidence and intensity. Controlling for relevant child and family characteristics, our results reveal a gradient along which adolescent risk-taking increases with family complexity: The incidence and intensity of risk-taking among adolescents is lowest in two-biological-parent and highest in two-household families with stepparents in both households. The association decreases with a higher proportion of the respective family type in a country. However, the differences between family types, other than the two-biological parent family, are not as pronounced as expected.

Fatores de risco à infecção pelo HIV entre adolescentes e jovens: revisão sistemática

Abstract Objective: to identify and analyze HIV infection risk factors among adolescents and the youth. Method: this is a systematic review whose guide question is: what are the risk factors for HIV infection among adolescents and the youth?” In total, five databases and Google Scholar were searched in December 2021 and the found publications between 2012-2022 were filtered without language restriction. Studies were selected by two independent reviewers. The included materials were subjected to methodological quality evaluation and narrative synthesis. Results: overall, we included seven studies out of the 26,191 retrieved. All studies were conducted in Africa. We found that the female gender, older age, low schooling, Black ethnicity, multiple sexual partners, inconsistent use of condoms, alcohol consumption, and early sexual onset constituted risk factors for HIV infection in adolescents and the youth. Conclusion: understanding risk factors underscores the provision of health policies and intervention strategies to strengthen the responsiveness of health services and nursing teams’ care to reduce HIV transmission among adolescents and the youth.

Risk factors for HIV infection among adolescents and the youth: a systematic review.

to identify and analyze HIV infection risk factors among adolescents and the youth. this is a systematic review whose guide question is: what are the risk factors for HIV infection among adolescents and the youth?" In total, five databases and Google Scholar were searched in December 2021 and the found publications between 2012-2022 were filtered without language restriction. Studies were selected by two independent reviewers. The included materials were subjected to methodological quality evaluation and narrative synthesis. overall, we included seven studies out of the 26,191 retrieved. All studies were conducted in Africa. We found that the female gender, older age, low schooling, Black ethnicity, multiple sexual partners, inconsistent use of condoms, alcohol consumption, and early sexual onset constituted risk factors for HIV infection in adolescents and the youth. understanding risk factors underscores the provision of health policies and intervention strategies to strengthen the responsiveness of health services and nursing teams' care to reduce HIV transmission among adolescents and the youth.

Readiness of boarding school leavers for social self-realization: empirical analysis

The aim of the article is to analytically present empirical data on the readiness of Ukrainian boarding school graduates for social self-realization in the current socio-economic context. The topicality of this research is determined by the need for scientific and sociological support of further transformations of the boarding school network which is one of the main reforms for the national system of general secondary education. This scientific and sociological support should be based on the study of the educational and social potential of boarding schools, aimed at a thorough analysis of the main indicators of readiness of boarding school graduates for social self-realization in present-day conditions.The results of an empirical study conducted on the basis of 14 boarding schools in Ukraine show that a higher level of readiness for social self-realization is demonstrated by senior students whose basic value system corresponds to the type of postmodern personality, i.e. a person whose life activity is structured according to spiritual, post-material values (development of one's talents, self-realization; interesting and creative work; obtaining higher education; helping other people; living according to religious precepts). The study reveals that these senior students ("postmoderners") go far beyond other boarding school students in their aspiration to accumulate future social capital (gaining respect among people, showing gratitude to others for their help, developing relationships with trusted friends), achieve a higher level of education in their lives, demonstrate a much higher readiness for independent life after leaving their boarding school, have higher trust in their own family, teachers, classmates of their own and the opposite sexes, and have a much higher academic performance at the final stage of gaining general education in a boarding school. Senior students of the postmodern type are less prone to problematic, risky behavioral scenarios in boarding schools (early onset of sexual activity and bullying behavior).The conclusions of the study relate to the possibilities of optimizing the implementation of boarding schools' educational and socialization mission in terms of preparing students, most of whom experience unfavorable social circumstances, for social self-realization in the present-day society. The work provides some conceptual guidelines and practical recommendations for education managers and teachers in terms of aiming educational process in boarding schools at promoting the development of postmodern personality type among their students.

Mothers of adolescent girls and Human Papilloma Virus (HPV) vaccination in Western Kenya.

Introductionhuman papilloma virus (HPV) which is preventable is the main cause of cervical cancer and it targets mostly young adolescents. The study was to determine the practice desire, attitude and knowledge of mothers of adolescent girls on HPV vaccination in Western Kenya.Methodsthis was a descriptive cross-sectional study design. Data was obtained using semi-structured questionnaires and analyzed using both descriptive and inferential statistics at 95% confidence level using the SPSS software version 22. A p-value ≤ 0.05 was considered statistically significant.Resultsninety five percent of the mothers had intentions to vaccinate their daughters and also had a positive attitude and their response to HPV vaccination was significantly lower than those without intentions p=0.02, 95% CI, OR=0.48 (0.90-0.89). Vaccination against HPV was low at 9.4% with a mean age of 34 years. Our results found a high level of cervical cancer awareness (85.0%), HPV and vaccine awareness respectively (62.0%, and 64.0%). “Vaccination of my daughters will prompt early sexual activity and the cost of HPV vaccination being a barrier to vaccination” had a statistically significant influence on the practice of vaccination. Negative attitude to daughters´ early onset of sexual activity significantly reduced up take while positive attitude to cost of HPV vaccine significantly increased up take of HPV vaccination with p value of 0.007 and 0.04 respectively.Conclusionawareness of HPV and HPV vaccine prevention is low among mothers of adolescent girls in Western Kenya. There was a positive attitude and high desire towards the use of HPV vaccination therefore a need for awareness, policy and unify efforts to reduce cervical cancer burden.