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 […]

Where shame meets vulnerability: unintended adolescent pregnancy within the cultural context of the rural district of Rwandan Eastern Province.

Key Social Norms Take-aways: Social and cultural norms surrounding premarital adolescent sexuality, gender, and motherhood shape both the risk and consequences of unintended adolescent pregnancy in rural Rwanda. The discussion emphasizes that norms portraying adolescent sex as immoral and pregnancy as shameful can generate internalized and enacted stigma, silence girls’ sexual agency, reinforce gender and […]

Measuring social norms endorsement and normative influence on contraceptive use among youth (15-24) in northeastern Uganda.

Key Social Norms Take-aways: Social norms are strongly associated with contraceptive use among youth in Karamoja, Uganda, suggesting that improving access to contraceptive services alone may be insufficient. Supportive reproductive health norms and young people’s self-efficacy were the strongest drivers of contraceptive uptake, while restrictive gender expectations, contraceptive myths, harmful cultural practices, stigma, and punitive […]

Psychometric validation of a novel community norms measure among youth, Eswatini Violence Against Children and Youth Survey, 2022.

Key Social Norms Take-aways: This study demonstrates the feasibility of directly measuring community-level social norms among adolescents and young adults rather than relying on individual attitudes or beliefs as proxies. The validated measure captures both descriptive and injunctive norms, uses the community as the reference group, and focuses on unequal expectations surrounding domestic labor and […]

Socio-ecological influences on sexual and reproductive health service use: Young adults and provider perspectives from Soshanguve, South Africa.

Key Social Norms Take-aways: Social norms strongly shape young adults’ use of sexual and reproductive health services. Conservative cultural and religious norms can make sexual health discussions taboo, while peer and masculinity norms may encourage sexual risk-taking, discourage condom use, and stigmatize care-seeking. Fear of being judged as promiscuous or immoral further reinforces secrecy and […]

Generalized structural equation modeling of intimate partner violence among married women in East Africa using population-based data.

Key Social Norms Take-aways: Attitudes accepting wife beating were strongly associated with all forms of intimate partner violence, pointing to deep-rooted patriarchal norms that can normalize violence within relationships. The discussion also suggests that traditional norms supporting intimate partner violence may contribute to greater sexual violence in rural areas and that women’s employment or increased […]

Evolving Gender Attitudes and Fertility Preferences: A Study of Young Women in Five Sub-Saharan African Countries.

Key Social Norms Take-aways: Gender attitudes and fertility preferences are interconnected, but this relationship depends on the broader social and structural context. As women’s education expands and egalitarian gender attitudes diffuse, young women who reject patriarchal attitudes increasingly diverge from prevailing high-fertility norms. In low-education settings, however, even women with more egalitarian attitudes may continue […]

Discriminatory attitudes toward people living with HIV/AIDS in East Africa: a multilevel analysis of socioeconomic and behavioral determinants using DHS 2019-2023 data.

Key Social Norms Take-aways: Discriminatory attitudes toward people living with HIV remain widespread in East Africa and appear to be shaped by broader socioeconomic and social contexts. Nearly half of the variation in discriminatory attitudes occurred between communities, underscoring that stigma is not solely an individual attitude but is embedded within social environments. The discussion […]

Male Contraceptive Methods: Understanding Men and Women’s Views and Related Relationship Dynamics via Nationally Representative Surveys in Six Countries.

Key Social Norms Take-aways: Gender expectations around contraceptive responsibility are important for introducing new male contraceptive methods. Most men and women supported shared responsibility, communication, and decision-making, but respondents in African countries generally reported less equitable attitudes and lower trust than those in Asian countries. The authors emphasize that regional and cultural differences, alongside concerns […]

Why do adolescent girls become pregnant? Contextual pathways to adolescent pregnancy in rural Tanzania: a mixed-methods study.

Key Social Norms Take-aways: Adolescent pregnancy in rural Tanzania is shaped by social norms embedded within broader economic and gender inequalities. Cultural expectations surrounding initiation, marriage, sexuality, and fertility can normalize early sexual relationships and transitions to adulthood, while gendered power imbalances—particularly within age-disparate relationships—constrain girls’ ability to negotiate contraception. Importantly, the authors argue that […]

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