Determinants of condom use to prevent HIV infection among youth in Ghana

Adih, William; Alexander, Cheryl

doi:10.1016/s1054-139x(98)00062-7

Cited by 154 publications

(117 citation statements)

References 24 publications

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“…These include beliefs that condoms do not fully protect against STIs or HIV (because they slip, break or allow infectious agents to pass through) or even that condoms increase the risk of HIV transmission (because they are manufactured with the virus in them or with holes in them as a plot to wipe out the people of SSA, or that the virus is small enough to pass through condoms). As has been found in studies in Ghana, 52 South Africa, 75 Malawi 80 and Kenya, 73,74,81 when combined together, the specific content and explanations of susceptibility (such as those described here) along with self-and instrumental efficacy can present a major impediment to condom use.…”

Section: Inside Cognitions: Beliefs About Hiv and Condomssupporting

confidence: 57%

“…Self-and instrumental efficacy, beliefs that favour condom use, and supportive peer norms are positively correlated with condom use. 21,[52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67] Although it is widely acknowledged that the perception that one is susceptible to an STI such as HIV is necessary to motivate preventive action, perception of susceptibility to HIV infection has produced mixed and what appear to be contradictory, influences on condom use. 24,63,[66][67][68] Difficulties in establishing time ordering in the predominantly cross-sectional samples and acknowledgement that perceptions of susceptibility and condom use form a reciprocal relationship of influence have been used to explain these contradictions.…”

Section: Social Cognitions Influencing Condom Usementioning

confidence: 99%

“…63,75 Persistent beliefs about HIV transmission as a result of mundane activities such as being touched by someone who is infected, and events outside one's personal control such as witchcraft, spirits or spells have been documented in Ethiopia, 61 Ghana, 52 Kenya 24,73,74 and South Africa. [75][76][77][78] Combined with a fatalistic belief that God determines one's life course, including time and means of death, 73,79 these appear to contribute to an ambiguous association between perceptions of personal susceptibility and other cognitions such as self efficacy or the cost-benefit assessment of condom use.…”

Section: Inside Cognitions: Beliefs About Hiv and Condomsmentioning

confidence: 99%

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Condoms in sub-Saharan Africa

Maticka‐Tyndale¹

2012

Sex. Health

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Abstract. Sub-Saharan Africa (SSA) is the region with the world's highest rates of HIV and other sexually transmissible infections (STIs), yet numerous studies show that condom use is generally rare. This suggests a need for a better understanding of how condoms fit within sexual practices and relationships in SSA. This paper seeks to address this need by reviewing research published between the late 1980s and 2011 on use and factors influencing use of male condoms in SSA. What is evident from this research is that condom use involves complex social and interpersonal dynamics, with structural and cultural conditions exerting an influence through framing social cognitions and setting boundaries on autonomy that make the apparently irrational choice of eschewing condoms a rational decision. The influences of poverty; relationships with parents, peers and partners; limited, insufficient or absent information especially in rural areas and among men who have sex with men; gender and sexual norms, and the dynamics of gendered power; and beliefs and attitudes about HIV, condoms and sexuality all have been shown to work against condom use for a large proportion of Africa's people. However, promising results are shown in trends towards increased condom use among single women in numerous countries, increasing acceptance and use of condoms among some university students, successes in producing potentially sustainable condom use resulting from select interventions, and resistance to succumbing to the dominant gender-power dynamics and structural-cultural impediments that women in groups have mobilised.

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Section: Inside Cognitions: Beliefs About Hiv and Condomssupporting

confidence: 57%

Section: Social Cognitions Influencing Condom Usementioning

confidence: 99%

Section: Inside Cognitions: Beliefs About Hiv and Condomsmentioning

confidence: 99%

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Condoms in sub-Saharan Africa

Maticka‐Tyndale¹

2012

Sex. Health

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“…Individuals who are unaware of the various STIs and their symptoms often have a lower perception of risk. Some studies have suggested that greater HIV/ AIDS knowledge and perception of risk is associated with greater condom use and safer sex practices [17][18]. Other studies have associated lower risk perception with higher rates of HIV infection [19].…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Condom Use Among Sexually Transmitted Infection Clinic Patients in Montego Bay, Jamaica

Nnedu

McCorvey²,

Campbell-Forrester³

et al. 2008

TORSJ

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The use of condoms can reduce the risk of sexually transmitted infections (STIs) including the human immunodeficiency virus (HIV) infection. We conducted this study to determine factors that impact condom use among patients attending an STI clinic in Montego Bay, Jamaica. A questionnaire containing sections on socio-demographic characteristics, knowledge of STIs and HIV, preventive measures for STI/HIV transmission and sexual practices including condom use was administered to 212 participants. Using logistic regression, we determined the relationship between the different factors and condom use during the last sexual episode. Approximately 43% of study participants reported condom use during the last sexual episode. Employment (OR=2.2; 95%CI=1.1-4.1) and greater knowledge of STIs (OR=1.9, 95%CI=1.02-3.6) were associated with increased likelihood of condom use during the last sexual episode. Having multiple sexual partners was associated with decreased likelihood to report condom use (OR=0.3, 95%CI=0.1-0.9). Also, persons belonging to a religious organization were less likely to report condom use (OR=0.5, 95%CI=0.2-0.9). The results of this study can be used in formulating effective strategies to increase condom use in Montego Bay. This would decrease the transmission of STIs and HIV.

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“…Do ponto de vista biológico, o epitélio cilíndrico do colo do útero na adolescência se encontra mais exposto e tanto as clamídeas como os gonococos têm predileção por este tecido 10 . A baixa idade da menarca pode levar a um início precoce da atividade sexual, aumentando a probabilidade de contaminação 2 . No âmbito psíquico, a adolescência é uma fase de definição da identidade sexual com experimentação e variabilidade de parceiros.…”

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