“I Stopped to Prove them Wrong:” Reasons for Discontinuing Daily Oral HIV Pre-exposure Prophylaxis Among Women at High Risk of HIV in Tanzania-A Convergent Mixed Methods Study.
Key Social Norms Take-aways: Social norms and social pressure were important drivers of discontinuing daily oral pre-exposure prophylaxis among female sex workers. Women described a common community belief that people taking pills resembling antiretroviral treatment are living with HIV, leading to stigma, rumors, negative reactions, and pressure from partners, family, friends, peers, and clients to […]
Increasing young people’s use of sexual and reproductive health services in government health facilities in rural Kenya.
Key Social Norms Take-aways: Social norms and provider attitudes can create important psychosocial barriers to young people’s use of sexual and reproductive health services. Fear of judgment, shaming, parental disapproval, and loss of confidentiality may particularly discourage younger adolescents and girls. The findings suggest these barriers can be reduced by fostering more supportive provider attitudes […]
“You are a child and this is not your business”: Decision-making on child marriage in Sindh, Pakistan
Key Social Norms Take-aways: Child marriage in rural Sindh is sustained by social norms that view girls as financial burdens, expect obedience to parents, restrict girls to domestic roles, and frame early marriage as protection against premarital relationships and threats to family honor. The study argues that lasting change requires engaging parents, empowering youth, and […]
Condom literacy, self-efficacy, and HIV-risk behaviors: a cross-sectional analysis of adolescent girls in northwestern Botswana
Key Social Norms Take-aways: Although gender and relationship norms were not independently associated with girls’ perceived ability to insist on condom use after adjustment, the discussion emphasizes that patriarchal beliefs about male power in sexual relationships may still impede girls’ ability to translate condom-use intentions into behavior. A notable minority of girls endorsed beliefs that […]
Parental and Adolescent Factors predicting Protective Sexual Behaviors among In-School Adolescents: A Positive Deviance Explanation
Key Social Norms Take-aways: Peer sexual norms are an important influence on adolescents’ protective sexual behaviors. Adolescents who perceived their peers as more accepting of sexual activity were less likely to abstain or practice safer sex. The discussion further emphasizes that these peer influences operate within broader gendered norms: girls may face unequal sanctions for […]
Teenage Pregnancy and Adolescents’ Attitudes Toward Marriage and Pregnancy: Primary Data Analysis in Akatsi North, Ghana.
Key Social Norms Take-aways: Peer influence and gender norms are important social drivers of adolescents’ attitudes toward marriage and pregnancy. Peer pressure emerged as the strongest influence on preferences for earlier marriage and childbearing, while more gender-equitable attitudes—particularly valuing university education equally for girls and boys—were associated with delaying marriage. The discussion emphasizes that social […]
Contradictions in value systems, social norms, and the disconnect between expectations and reality of sexuality and contraceptive use among youth in Karamoja, Uganda.
Key Social Norms Take-aways: Young people in Karamoja navigate contradictory, gendered social norms that simultaneously restrict premarital sexuality while encouraging early marriage and, in some circumstances, legitimizing sexual violence as a pathway to marriage. Social sanctions, stigma, and misconceptions also discourage modern contraceptive and condom use. However, the study identifies potentially protective norms around child […]
Adolescents’ agency in negotiating social norms governing sexual and reproductive health services among the Nyasa people of Rural Tanzania.
Key Social Norms Take-aways: Adolescents and young people are not simply constrained by social norms; they actively reproduce, resist, and negotiate them to balance sexual and reproductive health needs with social acceptance. Restrictive gender expectations, stigma, fear of community judgment, and concerns about confidentiality shape service use, while trusted peer networks provide important pathways for […]
Social ecosystems of trafficked conflict-related sexual violence survivors and their children: navigating and coping with intersecting stigma and violence in Nigeria and Iraq.
Key Social Norms Take-aways: Community-level social and gender norms are central drivers of stigma toward women and girls who survived trafficking and conflict-related sexual violence and their children born of war. Norms surrounding premarital sex and childbirth, virginity, purity, family honor, marriageability, paternity, and community identity interact with conflict-related fear and perceptions of affiliation with […]
Unsafe sexual practice and associated factors among adolescents in secondary schools in Gambella town, Ethiopia: a health belief model.
Key Social Norms Take-aways: Adolescents’ perceptions of what is socially acceptable around abstinence and condom use were significantly associated with unsafe sexual practices. In particular, low perceived social support for consistent condom use was associated with greater likelihood of unsafe sexual behavior, underscoring the importance of strengthening social environments that support condom use. The discussion […]