Author:
Montoya Jorge A.,Plant Aaron,Neffa-Creech Deborah,Orvañanos Cecilia,Barker Kriss
Abstract
Abstract
Background
Adolescents in Mexico experience high pregnancy and birth rates. A collaboration with Grupo Televisa led to the development of an entertainment-education telenovela intervention, Overcome the Fear (OTF), which aired in 2020 to a national audience and addressed adolescent sexual and reproductive health (SRH) topics. This study details the development and evaluation of OTF’s impact on adolescent contraceptive practices and parent-adolescent SRH communication in Mexico.
Methods
We conducted cross-sectional survey interviews (street-intercept and telephone) with 12–19-year-olds (n = 1640) and parents of adolescent children (n = 820) post-broadcast across Mexico’s five most-populated metropolitan zones. Quotas were implemented for gender, zone, and OTF viewership (viewer vs. non-viewer). Bivariate statistics and multivariable binary logistic regression models assessed the relationship between OTF viewership (including parent-adolescent co-viewing) and adolescent contraceptive practices and parent-adolescent SRH communication. Adolescent and parent data are not dyadic and were analyzed separately.
Results
Nearly half of adolescents (47.9%) and parents (47.7%) were viewers. Among adolescents, bivariate analyses suggest that viewers had less negative attitudes towards contraception (p < .001). Logistic regression models suggest that adolescent viewers were more likely to seek out information about contraception (p < .001) and unhealthy romantic relationships (p = .019), and to use contraception other than condoms (p = .027) and dual contraception (p = .042) in the last 3 months. Among parents, bivariate analyses suggest that non-viewers had more positive attitudes towards abstinence (p = .045) and more negative attitudes towards contraception and communication with adolescents about sex (p = .001). Logistic regression models suggest that parent viewers were more likely to have talked with adolescent children about sexual relations (p < .001), contraceptive methods (p = .01), condoms (p = .002), and abstinence (p = .002) in the last 3 months. Parent-adolescent co-viewing of OTF was also significantly related to certain outcomes in bivariate analyses.
Conclusions
This study suggests that viewership of a high-quality entertainment-education telenovela informed by extensive formative research is related to adolescent health outcomes and to parent-adolescent SRH communication on a country-wide scale in Mexico. Entertainment-education remains an underutilized public health strategy, despite its promise to engage viewers and motivate healthful behaviors.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference43 articles.
1. Geografia INdEy. Porcentaje de nacimientos registrados de madres adolescentes (menores de 20 años) por entidad federativa de residencia habitual de la madre, serie anual de 2010 a 2020. 2020.
2. Shamah-Levy TV-OE, Heredia-Hernández O, Romero-Martínez M, Mojica-Cuevas J, Cuevas-Nasu L, Santaella-Castell JA, et al. Encuesta Nacional de Salud y Nutrición 2018–19: Resultados Nacionales. Cuernavaca: Instituto Nacional de Salud Pública; 2020.
3. Orozco-Olvera V, Shen F, Cluver L. The effectiveness of using entertainment education narratives to promote safer sexual behaviors of youth: a meta-analysis, 1985-2017. PLoS One. 2019;14(2):e0209969.
4. Saucier CJ, Suresh S, Brooks JJ, Walter N, Plant A, Montoya JA. The effect of an entertainment-education intervention on reproductive Health of young women of color. Health Commun. 2022;37(9):1093-103.
5. Shelus V, VanEnk L, Giuffrida M, Jansen S, Connolly S, Mukabatsinda M, et al. Understanding your body matters: effects of an entertainment-education serial radio drama on fertility awareness in Rwanda. J Health Commun. 2018;23(8):761–72.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献