The Experts below are selected from a list of 2919 Experts worldwide ranked by ideXlab platform
Neil Andersson - One of the best experts on this subject based on the ideXlab platform.
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Initiation Rites at menarche and self reported dysmenorrhoea among indigenous women of the colombian amazon a cross sectional study
BMJ Open, 2013Co-Authors: German Zuluaga, Neil AnderssonAbstract:Objectives To investigate the association between self-reported dysmenorrhoea and patterns of female Initiation Rites at menarche among Amazonian indigenous peoples of Vaupes in Colombia. Design A cross-sectional study of all women in seven indigenous communities. Questionnaire administered in local language documented female Initiation Rites and experience of dysmenorrhoea. Analysis examined 10 Initiation components separately, then together, comparing women who underwent all Rites, some Rites and no Rites. Settings Seven indigenous communities belonging to the Tukano language group in the Great Eastern Reservation of Vaupes (Colombia) in 2008. Participants All women over the age of 13 years living in the seven communities in Vaupes, who had experienced at least two menstruations (n=185), aged 13–88 years (mean 32.5; SD 15.6). Primary and secondary outcome measures The analysis rested on pelvic pain to define dysmenorrhoea as the main outcome. Women were also asked about other disorders present during menstruation or the precedent days, and about the interval between two menstruations and duration of each one. Results Only 17.3% (32/185) completed all Initiation Rites and 52.4% (97/185) reported dysmenorrhoea. Women not completing the Rites were more likely to report dysmenorrhoea than those who did so (p=0.01 Fisher exact), taking into account age, education, community, parity and use of family planning. Women who completed less than the full complement of Rites had higher risk than those who completed all Rites. Those who did not complete all Rites reported increased severity of dysmenorrhoea (p=0.00014). Conclusions Our results are compatible with an association between traditional practices and women9s health. We could exclude indirect associations with age, education, parity and use of family planning as explanations for the association. The study indicates feasibility, possible utility and limits of intercultural epidemiology in small groups.
German Zuluaga - One of the best experts on this subject based on the ideXlab platform.
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Initiation Rites at menarche and self reported dysmenorrhoea among indigenous women of the colombian amazon a cross sectional study
BMJ Open, 2013Co-Authors: German Zuluaga, Neil AnderssonAbstract:Objectives To investigate the association between self-reported dysmenorrhoea and patterns of female Initiation Rites at menarche among Amazonian indigenous peoples of Vaupes in Colombia. Design A cross-sectional study of all women in seven indigenous communities. Questionnaire administered in local language documented female Initiation Rites and experience of dysmenorrhoea. Analysis examined 10 Initiation components separately, then together, comparing women who underwent all Rites, some Rites and no Rites. Settings Seven indigenous communities belonging to the Tukano language group in the Great Eastern Reservation of Vaupes (Colombia) in 2008. Participants All women over the age of 13 years living in the seven communities in Vaupes, who had experienced at least two menstruations (n=185), aged 13–88 years (mean 32.5; SD 15.6). Primary and secondary outcome measures The analysis rested on pelvic pain to define dysmenorrhoea as the main outcome. Women were also asked about other disorders present during menstruation or the precedent days, and about the interval between two menstruations and duration of each one. Results Only 17.3% (32/185) completed all Initiation Rites and 52.4% (97/185) reported dysmenorrhoea. Women not completing the Rites were more likely to report dysmenorrhoea than those who did so (p=0.01 Fisher exact), taking into account age, education, community, parity and use of family planning. Women who completed less than the full complement of Rites had higher risk than those who completed all Rites. Those who did not complete all Rites reported increased severity of dysmenorrhoea (p=0.00014). Conclusions Our results are compatible with an association between traditional practices and women9s health. We could exclude indirect associations with age, education, parity and use of family planning as explanations for the association. The study indicates feasibility, possible utility and limits of intercultural epidemiology in small groups.
Assana Magombo - One of the best experts on this subject based on the ideXlab platform.
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transitions to adulthood examining the influence of Initiation Rites on the hiv risk of adolescent girls in mangochi and thyolo districts of malawi
Aids Care-psychological and Socio-medical Aspects of Aids\ hiv, 2013Co-Authors: J Skinner, Carol Underwood, Hilary M Schwandt, Assana MagomboAbstract:Although some cultural practices have been identified as a determinant of HIV transmission, research investigating how specific practices affect HIV risk is lacking. In Malawi, Initiation Rites, in which young people attend ceremonies around the time of puberty, have received little attention. In this qualitative study, we explored whether communities in southern Malawi perceive Initiation Rites to be an HIV risk factor for girls. Twelve focus group discussions were held with adolescents and adults in a rural community of Thyolo district and a peri-urban community of Mangochi district. Community members observed that certain aspects of traditional Initiation Rites propel girls into sexual roles expected of adulthood, without facilitating their adaption to the emerging landscape of HIV, thereby increasing HIV risk. HIV prevention programming needs to address the role of Initiation Rites in adolescent girls' vulnerability to HIV and help young girls navigate the conflicting messages they receive from a wide range of channels about expected sexual behavior.
Eliya M Zulu - One of the best experts on this subject based on the ideXlab platform.
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the timing and role of Initiation Rites in preparing young people for adolescence and responsible sexual and reproductive behaviour in malawi
African Journal of Reproductive Health, 2007Co-Authors: Alister Munthali, Eliya M ZuluAbstract:This paper examines timing of puberty and mechanisms through which society prepares adolescents to understand and deal with it in Malawi. Data from a national representative survey of adolescents and indepth interviews also conducted with adolescents are used. SPSS was used to analyse survey data while N6 was used to analyse qualitative data. Results show that the onset of menarche in girls and various pubertal body changes in boys can be a cause of joy, excitement, or distress depending on how adolescents understand what this means to them at this critical stage when they start defining and comprehending their sexuality. Much more emphasis is put on educating girls about reproductive implications of menarche than on what is expected of boys as sexual beings, which may contribute to boys’ greater indulgence in risky sexual behaviors than girls. The significance of Initiation ceremonies in some communities provides an important platform through which programs can reach many adolescents and intervene, particularly in addressing the widely held notion among initiates that attending these ceremonies symbolizes that one is not a child anymore and can have sex. (Afr J Reprod Health 2007; 11[3]:150-167) RESUME
J Skinner - One of the best experts on this subject based on the ideXlab platform.
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transitions to adulthood examining the influence of Initiation Rites on the hiv risk of adolescent girls in mangochi and thyolo districts of malawi
Aids Care-psychological and Socio-medical Aspects of Aids\ hiv, 2013Co-Authors: J Skinner, Carol Underwood, Hilary M Schwandt, Assana MagomboAbstract:Although some cultural practices have been identified as a determinant of HIV transmission, research investigating how specific practices affect HIV risk is lacking. In Malawi, Initiation Rites, in which young people attend ceremonies around the time of puberty, have received little attention. In this qualitative study, we explored whether communities in southern Malawi perceive Initiation Rites to be an HIV risk factor for girls. Twelve focus group discussions were held with adolescents and adults in a rural community of Thyolo district and a peri-urban community of Mangochi district. Community members observed that certain aspects of traditional Initiation Rites propel girls into sexual roles expected of adulthood, without facilitating their adaption to the emerging landscape of HIV, thereby increasing HIV risk. HIV prevention programming needs to address the role of Initiation Rites in adolescent girls' vulnerability to HIV and help young girls navigate the conflicting messages they receive from a wide range of channels about expected sexual behavior.