Exploring the Determinants of Risky Sexual Behavior Among Ethnically Diverse University Students: the Student Behavioral Health Survey-Web

Rubens, Muni; Batra, Anamica; Sebekos, Elena; Tanaka, Hideaki; Gabbidon, Kemesha; Darrow, William W.

doi:10.1007/s40615-019-00596-7

Cited by 17 publications

(12 citation statements)

References 34 publications

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“…Studies conducted in Ethiopia and Nigeria on different youth groups such as those in higher learning institutions as well as those who are in the home environment being influenced by family and living with both parents described that casual sexual relationships for those among university students are influenced by the context of large numbers of young people living together, interacting and engaging in sexual experimentation and for those with adequate family support and living with both parents have been positively associated with protective sexual behaviors ( 23 , 46 ). Other studies attributed casual sex among the population of university students to the general permissive attitude regarding premarital sex among young people, the liberal nature of campus life, students' independence from parental control, transition from adolescence into adulthood, and the tertiary institution restrictions that give the students the responsibility for their own behavior ( 24 , 47 – 49 ). The findings of the current study showed that a significantly high proportion of out of school youth had steady partners and long-term relationships.…”

Section: Discussionmentioning

confidence: 99%

“…Little is known about the sexual behaviors of out of school youth who in this study can be described as not attending school, not finished school (including elementary school) or any college or post-secondary school course, and not working who are exposed to different social and contextual settings as those who are within institutions of higher learning (9,(23)(24)(25)(26)59). According to STATS SA which is the national statistical service of South Africa, the out of school youth account for 34% (3.2 million) of the population group who are unemployed and not within the education system (60).…”

Section: Introductionmentioning

confidence: 99%

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Differences in Sexual Behavior and Partner Notification for Sexually Transmitted Infections Between the Out of School Youth and University Students in a Peri-Urban District in South Africa—A Cross-Sectional Survey

Mokgatle

Madiba

Hlongwane

2022

Front. Public Health

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The increase in sexually transmitted infections (STIs) in young people is a public health concern. Among those in university and out of school, different contextual factors contribute to their risky sexual behavior and increased susceptibility to STIs and HIV. There are limited comparative studies examining risky sexual behavior and partner notification (PN) between these two groups, particularly in South Africa. We investigated sexual behaviors, self-reported STI diagnosis, health seeking behavior, and preferred PN methods of university students and out of school youth. A descriptive cross-sectional survey was used using convenient sampling to select 917 students across five health sciences universities and through periodic sampling 699 out of school youth were selected from two main local shopping centers in South Africa. Descriptive statistics, bivariate and multivariable logistic analysis were performed using Stata IC version 14. More university students (71.7%) than out of school youth were in casual relationships (28.3%), with half of out of school youth being in steady relations (50.2%). Moreover, university students (65.7%) used a condom in the past 6 months compared to their counterparts (34.3%). Of the 124 youth who were diagnosed with STI in the past 12 months, majority (n = 106, 85%) were out of school youth. The probability of notifying a partner about a STI infection was 82% among university students compared to their counterparts (p = >0.05). The odds of notifying a partner was 1.79 times more for those having multiple sexual partners than those who had only one partner. Both groups preferred a face-to-face STI disclosure with partner; however, more university students (67%) preferred SMS notification than PN referral slips as compared to out of school youth (42%). Both the university students and the out of school youth engaged in risky sexual behaviors. Both groups preferred face-to-face and clinic SMS partner notifications, even though university students were in the majority. There is a need for developing health promotion scripts on disclosing STIs to sexual partners to empower the majority of the youth who prefer face-to-face PN over the prescribed methods.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Differences in Sexual Behavior and Partner Notification for Sexually Transmitted Infections Between the Out of School Youth and University Students in a Peri-Urban District in South Africa—A Cross-Sectional Survey

Mokgatle

Madiba

Hlongwane

2022

Front. Public Health

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“…In addition, poor access to HIV counselling and sexual health services is also a determinant of high-risk sexual behaviours among this population (16). Alcohol and drug use among university students are also associated with increased high-risk behaviours, including unprotected sex with multiple sex partners (16,17).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Determinants of Consistent Condom Use among University Students in Sudan: Findings from a study using the Integrated Change Model

Elshiekh

Hoving

Vries

2022

Preprint

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Unprotected sex is common among university students in Sudan, thus increasing risks for STDs and HIV. As little is known about the psychosocial determinants of consistent condom use among this population, this study was designed to identify them. The Integrated Change Model (ICM) was applied in a cross-sectional design to identify in 218 students (aged 18–25 years) from Khartoum which items distinguish condom users from non-condom users. Condom users differed significantly from non-condom users in having more HIV and condom use-related knowledge, higher perception of susceptibility to HIV, reporting more exposure to condom use cues, having a less negative attitude towards condom use (attitude cons), experiencing social support and norms favouring condom use and having higher condom use self-efficacy. Binary logistic regression showed that peer norms favouring condom use in addition to HIV-related knowledge, condom use cues, negative attitude and self-efficacy were the factors uniquely associated with consistent condom use among university students in Sudan. Interventions seeking to promote consistent condom use among sexually active students could benefit from increasing knowledge about HIV transmission and prevention, raising HIV-risk perception, using condom use cues, addressing perceived condom disadvantages and enhancing students` self-efficacy to avoid unprotected sex. Moreover, such interventions should raise students` perceptions of their peers` beliefs and behaviours favouring condom use and seek health care professionals` and religious scholars` support for condom use.

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“…Self-efficacy and its association with university students' sexual practices have been poorly studied among this population as well despite the accumulated evidence of its importance from several studies in neighbouring African and other countries (Abousselam et al, 2016;Rubens et al, 2019;Taffa et al, 2002). This necessitates assessing the role of self-efficacy in abstaining and identifying the problematic situations that could weaken the Sudanese students' ability to abstain from sex until marriage.…”

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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Exploring the Determinants of Risky Sexual Behavior Among Ethnically Diverse University Students: the Student Behavioral Health Survey-Web

Cited by 17 publications

References 34 publications

Differences in Sexual Behavior and Partner Notification for Sexually Transmitted Infections Between the Out of School Youth and University Students in a Peri-Urban District in South Africa—A Cross-Sectional Survey

Differences in Sexual Behavior and Partner Notification for Sexually Transmitted Infections Between the Out of School Youth and University Students in a Peri-Urban District in South Africa—A Cross-Sectional Survey

Psychosocial Determinants of Consistent Condom Use among University Students in Sudan: Findings from a study using the Integrated Change Model

Psychosocial Determinants of Premarital Sexual Practices among University Students in Sudan

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