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Perceived norm of peer exposure to RH services was significantly associated with lower unmet need for maternal care and STI/HIV testing, a finding similar to a study conducted in Nepal and China [ 19, 59].
Common associated factors of access to, utilization of and unmet need for RH services were place of residence, marital status, exposure to mass media, knowledge about the services and providers and perceived norm of peer exposure to RH services.
In addition to youths' socio-demographic characteristics, exposure to mass media, norm of peer exposure and knowledge on types of providers and services significantly influenced the unmet needs of youths towards RH services.
Although there was a high prevalence of positive perceived norm of peer exposure to RH services, the youths had very little knowledge of available types of provider and RH services in their communities.
If the youths responded that his/her friends or relatives utilized any type of RH services, the perceived norm of peer exposure to RH services was classified as "yes".
Youths who lived in a family having more than 5 family members had a higher likelihood of having an unmet need for maternal health services (AOR 2.60, 95% CI 1.25-5.37) while those who had a perceived norm of peer exposure to RH services had a lower likelihood (AOR 0.09, 95% CI 0.01-0.76).
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While the three individuals depicted here are certainly not representative of their departments or institution, it is notable that each reported past experiences teaching the course, local professional development programs, and cultural norms of peers as salient influences.
"They tend to be carefully attuned to the norms of their peer group," said Joseph P. Allen, a professor of psychology at the University of Virginia.
The very thing that makes teenagers popular — being in tune with the needs and norms of their peers — can have negative consequences, he added.
It is a noble mission of sorts, as misguided as it may turn out to be and as unwelcome as it often is to most who are going about their ordinary lives trying to be good people according to personal goals and living well within the norms of their peers, families and faiths.
Individuals form their own views in consonance with or in opposition to the dominant norms of their peers, family and society.
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