Correlates of condom use among males in North Sudan

Mohamed, Badreldin A.

doi:10.1071/sh13090

Cited by 8 publications

(27 citation statements)

References 20 publications

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“…The study suggested that having previous exposure to HIV-infected persons could have a role as an important cue for consistent condom use among both male and female students. This finding parallels a recent longitudinal study which has documented that knowing someone infected with AIDS or had died from it strongly predicted condom use among visitors to VCT centers in Khartoum (Mohamed, 2014). The death of a family member or knowing someone with AIDS also increases the perceived HIV severity, resulting in consistent condom use (Palekar, Pettifor, Behets, & MacPhail, 2008).…”

Section: Pre-motivational Determinantssupporting

confidence: 85%

“…These misconceptions seemed to influence condom use among students. The observed lack of knowledge about how to use condoms properly is another significant finding as recent research among this population has shown that experiencing problems with condom use such as condom breakage, slippage and fit is a predictor of condom use (Mohamed, 2014).…”

Section: Pre-motivational Determinantsmentioning

confidence: 99%

“…As sexual practices are considered sensitive issues that are not openly discussed in the conservative community of Sudan (Mohamed & Mahfouz, 2013), little is known about the individual determinants of condom use among university students within this community. A recent study identified knowledge about AIDS transmission, education, type of sexual partners and experiencing condom problems such as tear as main predictors of condom use among visitors to voluntary counseling and testing (VCT) centers in Khartoum (Mohamed, 2014). However, visitors to VCT centers may not represent other university students.…”

Section: Introductionmentioning

confidence: 99%

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Exploring Determinants of Condom Use among University Students in Sudan

2020

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Increasing numbers of university students in Sudan are at risk of contracting HIV because of their engagement in condomless sex. A comprehensive and culturally accepted condom promotion program could potentially reduce this threat substantially. However, little is known about the sociocognitive determinants of condom use in this population: information that is required to develop such HIV prevention programs. Therefore, in August 2014, we conducted 30 semi-structured individual interviews with male and female students (both currently sexually active and nonactive) to explore determinants of condom use based on the I-Change model. Data were analyzed using Nvivo 10. The results suggest that barriers to condom use among university students include misconceptions about condom use, negative attitudes toward condom use, lack of social support, low self-efficacy to use condoms, and poor action planning. Sexual health promotion should, therefore, address these aspects to successfully promote condom use among sexually active students and subsequently reduce the risk of HIV transmission.

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Section: Pre-motivational Determinantssupporting

confidence: 85%

Section: Pre-motivational Determinantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring Determinants of Condom Use among University Students in Sudan

2020

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“…27 In 2009, in Khartoum, HIV prevalence was 2.3% in MSM. 28 As a recent cross-sectional study found that condom use among Sudanese men is low, 29 new surveys evaluated the evolution of the HIV epidemic among Sudanese MSM. This larger share of new HIV infections in MSM, compared to FSW, might be due to the increment of condom use among FSW and the decrement of this preventive behavior in MSM.…”

Section: Discussionmentioning

confidence: 99%

HIV Modes of Transmission in Sudan in 2014

Nasirian

Kianersi

Karamouzian

et al. 2019

Int J Health Policy Manag

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Background: In Sudan, where studies on HIV dynamics are few, model projections provide an additional source of information for policy-makers to identify data collection priorities and develop prevention programs. In this study, we aimed to estimate the distribution of new HIV infections by mode of exposure and to identify populations who are disproportionately contributing to the total number of new infections in Sudan. Methods: We applied the modes of transmission (MoT) mathematical model in Sudan to estimate the distribution of new HIV infections among the 15-49 age group for 2014, based on the main routes of exposure to HIV. Data for the MoT model were collected through a systematic review of peer-reviewed articles, grey literature, interviews with key participants and focus groups. We used the MoT uncertainty module to represent uncertainty in model projections and created one general model for the whole nation and 5 sub-models for each region (Northern, Central, Eastern, Kurdufan, and Khartoum regions). We also examined how different service coverages could change HIV incidence rates and distributions in Sudan. Results: The model estimated that about 6000 new HIV infections occurred in Sudan in 2014 (95% CI: 4651-7432). Men who had sex with men (MSM) (30.52%), female sex workers (FSW) (16.37%), and FSW’s clients accounted (19.43%) for most of the new HIV cases. FSW accounted for the highest incidence rate in the Central, Kurdufan, and Khartoum regions; and FSW’s clients had the highest incidence rate in the Eastern and Northern regions. The annual incidence rate of HIV in the total adult population was estimated at 330 per 1 000 000 populations. The incidence rate was at its highest in the Eastern region (980 annual infections per 1 000 000 populations). Conclusion: Although the national HIV incidence rate estimate was relatively low compared to that observed in some sub-Saharan African countries with generalized epidemics, a more severe epidemic existed within certain regions and key populations. HIV burden was mostly concentrated among MSM, FSW, and FSW’s clients both nationally and regionally. Thus, the authorities should pay more attention to key populations and Eastern and Northern regions when developing prevention programs. The findings of this study can improve HIV prevention programs in Sudan.

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“…A Sudanese study also found that having the first sexual encounter at a young age was one of the risk factors associated with HIV/AIDS in Sudan (Mohamed & Mahfouz, 2013). Therefore, university students in Sudan have been identified as an important target group for HIV prevention interventions (Elshiekh et al, 2021(Elshiekh et al, , 2020Mohamed, 2014).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Determinants of Premarital Sexual Practices among University Students in Sudan

Elshiekh

Hoving

Vries

2022

Sexuality & Culture

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Sudan is one of the Islamic countries where extramarital sex is religiously forbidden and socially unacceptable. However, increasing numbers of university students become engaged in premarital sex practices, which increases their risk of contracting STIs, including HIV, and puts them into conflicts with their religious beliefs. As little is known about the motivations for abstinence from premarital sex, this study aimed to identify these psychosocial determinants. Using a cross-sectional design, a sample of 257 students between18 and 27 years old was recruited from randomly selected public and private universities in Khartoum. The participants filled out an online questionnaire based on the Integrated Change Model (ICM) to assess their beliefs and practices about abstinence from premarital sex. The analysis of variances (MANOVA) showed that the students who reported being sexually active differed significantly from abstainers in having more knowledge about HIV/AIDS, higher perception of susceptibility to HIV, more exposure to cues that made them think about sex and a more positive attitude towards premarital sex. The abstainers had a significantly more negative attitude towards premarital sex, higher self-efficacy to abstain from sex until marriage and perceived more peer support and norms favouring abstinence from sex until marriage. These findings suggest that promoting abstinence from sex until marriage among university students in Sudan, which aligns with the Sudanese religious values and social norms, requires health communication messages addressing these potential determinants. However, given that sexual encounters still may occur, health communication messages may profit from a more comprehensive approach by also addressing the need for condom use for those unwilling to refrain from sex.

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Correlates of condom use among males in North Sudan

Cited by 8 publications

References 20 publications

Exploring Determinants of Condom Use among University Students in Sudan

Exploring Determinants of Condom Use among University Students in Sudan

HIV Modes of Transmission in Sudan in 2014

Psychosocial Determinants of Premarital Sexual Practices among University Students in Sudan

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