Abstract
Faith communities exert a powerful influence on the life of their members, and studies are needed about how they may be able to influence young people’s attitudes regarding sexuality and HIV prevention. Data were collected through a self-administered questionnaire from young people (811), aged 15–24 years, affiliated to the Roman Catholic Church, the Lutheran Church and the Assemblies of God. The majority of participants perceived themselves at risk of HIV infection (53 %). Premarital sexual abstinence was the most frequently (88 %) reported prevention message, followed by faithfulness (23 %), HIV testing (18 %) and condom use (17 %). Furthermore, religious affiliation was associated with education on sexuality and HIV in youth groups, with better information given to members of the Lutheran and Catholic churches. Faith communities need to strengthen their capacity to educate young people in a more holistic way about sexuality and HIV prevention.
Similar content being viewed by others
References
Agadjanian, V. (2005). Gender, religious involvement, and HIV/AIDS prevention in Mozambique. Social Science and Medicine, 61(7), 1529–1539.
Agha, S. (2009). Changes in the timing of sexual initiation among young Muslim and Christian women in Nigeria. Archives of Sexual Behavior, 38(6), 899–908.
Agha, S., Hutchinson, P., & Kusanthan, T. (2006). The effects of religious affiliation on sexual initiation and condom use in Zambia. Journal of Adolescent Health, 38(5), 550–555.
Anderson, K. G., Beutel, A. M., & Maughan-Brown, B. (2007). HIV risk perceptions and first sexual intercourse among youth in Cape Town, South Africa. International Family Planning Perspectives, 33(3), 98–105.
Assemblies of God South Africa. (2009). Policy document on HIV/AIDS. Durban: Assemblies of God.
Cooksey, E., & Dooms, T. (2010). The role of religion in the sexual lives of teens. In S. Collins-Mayo & P. Dandelion (Eds.), Religion and youth. Farnham: Ashgate Publishing Limited.
Cotton, S., McGrady, M. E., & Rosenthal, S. L. (2010). Measurement of religiosity/spirituality in adolescent health outcomes research: trends and recommendations. Journal of Religion and Health, 49, 414–444.
Diakonia Council of Churches. (2008). Churches committing to an AIDS-free society. Report on the Diakonia Council of Churches HIV and AIDS summit Sierra Ranch, KwaZulu-Natal, South Africa. Durban: Diakonia Council of Churches.
Ecumenical Advocacy Allience. (2009). HIV prevention: A global theological conversation. Geneva: Ecumenical Advocacy Allience.
Education for Life. (2011). History of education for life. Retrieved March 10, 2011, from http://www.educationforlife.org.za/.
ELCSA. (2004). Proposed HIV/AIDS policy. Mapumulo: Evangelical Lutheran Church in Southern Africa.
Eriksson, E., Lindmark, G., Haddad, B., & Axemo, P. (2011). Involvement of religious leaders in HIV prevention, South Africa. Swedish Missiological Themes, 99(2), 119–135.
Garner, R. C. (2000). Safe sects? Dynamic religion and AIDS in South Africa. Journal of Modern African Studies, 38(1), 41–69.
Gennrich, D., & Gill, A. (2004). Churches and AIDS: Exploring how local churches are integrating HIV/AIDS in the life and ministries of the church and how those most directly affected experience these. Pietermaritzburg: Pietermaritzburg Agency for Christian Social Awareness (PACSA).
Harrison, A. (2008). Hidden love: sexual ideologies and relationship ideals among rural South African adolescents in the context of HIV/AIDS. Culture, Health & Sexuality, 10(2), 175–189.
Harrison, A., Cleland, J., & Frohlich, J. (2008). Young people’s sexual partnerships in KwaZulu-Natal, South Africa: Patterns, contextual influences, and HIV risk. Studies in Family Planning, 39(4), 295–308.
Harrison, A., & O’Sullivan, L. (2010). In the absence of marriage: Long-term concurrent partnerships, pregnancy, and HIV risk dynamics among South African young adults. AIDS and Behavior, 14(5), 991–1000. doi:10.1007/s10461-010-9687-y.
Helgesson, K. (2006). “Walking in the spirit” The complexity of belonging in two pentecostal churches in Durban, South Africa. PhD thesis, Uppsala University, Uppsala.
Holder, D. W., DuRant, R. H., Harris, T. L., Daniel, J. H., Obeidallah, D., & Goodman, E. (2000). The association between adolescent spirituality and voluntary sexual activity. Journal of Adolescent Health, 26(4), 295–302. doi:10.1016/s1054-139x(99)00092-0.
Khathide, A. G. (2003). Teaching and talking about our sexuality: Means of combating HIV/AIDS. In M. W. Dube (Ed.), HIV/AIDS and the curriculum: Methods of integrating HIV/AIDS in theological programs. Geneva: WCC Publications, World Council of Churches.
Kirby, D. B., Laris, B. A., & Rolleri, L. A. (2007). Sex and HIV education programs: their impact on sexual behaviors of young people throughout the world. Journal of Adolescent Health, 40(3), 206–217. doi:10.1016/j.jadohealth.2006.11.143.
Krakauer, M., & Newbery, J. (2007). Churches’ responses to HIV/AIDS in two South African communities. Journal of the International Association of Physicians in AIDS Care (Chic Ill), 6(1), 27–35.
Lefkowitz, E. S., Gillen, M. M., Shearer, C. L., & Boone, T. L. (2004). Religiosity, sexual behaviors, and sexual attitudes during emerging adulthood. The Journal of Sex Research, 41(2), 150–159.
Macintyre, K., Rutenberg, N., Brown, L., & Karim, A. (2004). Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal. AIDS and Behavior, 8(3), 237–250.
Magnani, R., MacIntyre, K., Karim, A. M., Brown, L., Hutchinson, P., Kaufman, C., et al. (2005). The impact of Life skills education on adolescent sexual risk behaviors in KwaZulu-Natal, South Africa. Journal of Adolescent Health, 36(4), 289–304. doi:10.1016/j.jadohealth.2004.02.025.
Manglos, N. D. (2010). Born again in Balaka: Pentecostal versus Catholic narratives of religious transformation in rural Malawi. Sociology of Religion, 71(4), 409–431. doi:10.1093/socrel/srq021.
Mash, R., & Kareithi, R. (2005). Youth and sexuality research ages 12–19 years in the dioceses of Cape Town South Africa. Retrieved from http://www.fikelela.org.za/media/documents/fikelela_aids_project_research.pdf.
Messer, D. E. (2004). Breaking the conspiracy of silence, Christian churches and the Global AIDS crisis. Minneapolis: Fortress Press.
Miller, L., & Gur, M. (2002). Religiousness and sexual responsibility in adolescent girls. Journal of Adolescent Health, 31(5), 401–406. doi:10.1016/s1054-139x(02)00403-2.
Noden, B. H., Gomes, A., & Ferreira, A. (2010). Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviors among unmarried youth in rural central Mozambique. AIDS Care, 22(10), 1285–1294.
Odimegwu, C. (2005). Influence of religion on adolescent sexual attitudes and behaviour among Nigerian university students: Affiliation or commitment? African Journal of Reproductive Health/La Revue Africaine de la Santé Reproductive, 9(2), 125–140.
Oliver, J., Cochrane, J. R., & Schmid, B. (2006). ARHAP literature review: Working in a bounded field of unknowing. Cape Town: African Religious Health Assets Programme.
Paiva, V., Garcia, J., Rios, L. F., Santos, A. O., Terto, V., & Munõz-Laboy, M. (2010). Religious communities and HIV prevention: an intervention study using a human rights-based approach. Global Public Health, 5(3), 280–294.
Parry, S. (2005). Responses of the churches to HIV and AIDS in South Africa. Geneva: World Council of Churches.
Paterson, G. (2009). In G. Paterson (Ed.), HIV prevention: A global theological conversation. Geneva: Ecumenical Advocacy Allience.
Pfeiffer, J. (2004). Civil society, NGOs, and the holy spirit in Mozambique. Human Organization, 63(3), 359–372.
Rostosky, S. S., Wilcox, B. L., Wright, M. L. C., & Randall, B. A. (2004). The impact of religiosity on adolescent sexual behavior. Journal of Adolescent Research, 19(6), 677–697. doi:10.1177/0743558403260019.
Ryan, C. (2007). AIDS and responsibility. In R. Gill (Ed.), Reflecting theologically on AIDS a global challenge. London: SCM Press.
Sadgrove, J. (2007). ‘Keeping up appearances’: Sex and religion amongst University Students in Uganda. Journal of Religion in Africa, 37, 116–144. doi:10.1163/157006607x166618.
Shisana, O., Rehle, T., Simbayi, L. C., Zuma, K., Jooste, S., Pillay-van-Wyk, V., et al. (2009). South African national prevalence, incidence, behaviour and communication survey, 2008. A turning tide among teenagers?. Cape Town: HSRC Press.
Southern African Bishops Conference. (2001). Statement of the Catholic bishops: A message of hope from the Catholic bishops to the people of God in South Africa, Botswana and Swaziland. Retrieved August 08, 2008, from http://www.sacbc.org.za/pdfs/aids_office/A%20MESSAGE%20OF%20HOPE.pdf.
Statistics South Africa. (2001). Census 2001. Pretoria: Statistics South Africa.
Statistics South Africa. (2009). Mid-year population estimates 2009. Pretoria: Statistics South Africa.
Taylor, M., Dlamini, S. B., Meyer-Weitz, A., Sathiparsad, R., Jinabhai, C. C., & Esterhuizen, T. (2010). Changing sexual behaviour to reduce HIV transmission—A multi-faceted approach to HIV prevention and treatment in a rural South African setting. AIDS Care, 22(11), 1395–1402.
The Lutheran World Federation. (2007). Grace, care and justice—A handbook for HIV and AIDS work. Retrieved from http://www.lutheranworld.org/lwf/wp-content/uploads/2010/05/HIV-Handbook-web.pdf.
Trinitapoli, J. (2006). Religious responses to AIDS in Sub-Saharan Africa: An examination of religious congregations in rural Malawi. Review of Religious Research, 47(3), 253–270.
Trinitapoli, J. (2009). Religious teachings and influences on the ABCs of HIV prevention in Malawi. Social Science and Medicine, 69, 199–209.
UNAIDS. (2010). Global report: UNAIDS report on the global AIDS epidemic 2010. Geneva: UNAIDS.
Acknowledgments
This study was made possible by grants from the Research Department of the Swedish International Development Cooperation Agency. We would like to thank the leadership in each denomination for their approval of the study, and the young people for their participation.
Conflict of interest
The authors declare that they have no competing interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Eriksson, E., Lindmark, G., Haddad, B. et al. Young People, Sexuality, and HIV Prevention Within Christian Faith Communities in South Africa: A Cross-Sectional Survey. J Relig Health 53, 1662–1675 (2014). https://doi.org/10.1007/s10943-013-9753-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-013-9753-7