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"They have opened our mouths": Increasing women's skills and motivation for sexual communication with young people in rural South Africa

OBJECTIVE: Communication between parents and young people about sex has been identifed as a positive infuence on young people's sexual behavior. This article presents fndings from South Africa, where a social intervention to reduce levels of HIV and intimate partner violence actively promoted sexual communication between adults and young people. METHODS: We assessed this component of the program using quantitative and qualitative methods, collecting data through surveys, direct observation, interviews, and focus group discussions.
RESULTS: Women participating in intervention activities reported sexual communication with children signifcantly more often than matched women in the control group (80.3% vs. 49.4%, adjusted risk ratio 1.59 (1.31-1.93). The content of communication with young people also appears to have shifted from vague admonitions about the dangers of sex to concrete messages about reducing risks.
CONCLUSION: The congruence between these fndings and existing literature on parentchild sexual communication suggests that conceptual frameworks and programs from developed settings can be adapted effectively for resourcepoor contexts.











































