Predictors of male condom use among sexually active heterosexual young women in South Africa, 2012

Ntshiqa, Thobani; Musekiwa, Alfred; Mlotshwa, Mandla; Mangold, Kerry; Reddy, Carl; Williams, Seymour

doi:10.1186/s12889-018-6039-8

Cited by 18 publications

(17 citation statements)

References 14 publications

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“…Similar to this study, risky sexual behaviours among participants whose partners were HIV positive was also shown in Ethiopia (21). There is less chances of condom use at sexual debut among youth (7,23), suggesting the importance of delaying sexual debut among women until they are able to make the informed and/or guided decisions with full considerations of the exposure to HIV infection (24). Interventions aimed at encouraging women to delay sexual debut and intentional condom use at first sexual encounter are imperative.…”

Section: Discussionsupporting

confidence: 78%

Risky sexual behaviours among women of reproductive age in a high HIV burdened township in KwaZulu-Natal, South Africa

Hlongwa

Peltzer

Hlongwana

2020

Preprint

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Background: Despite several intervention programmes in South Africa, risky sexual behaviours among women of reproductive age remain a public health concern, thereby making them prone to unintended pregnancies and/or sexually transmitted infections (STIs), such as human immunodeficiency virus (HIV) infection. This study investigated the predictors of risky sexual behaviours among women of reproductive age in a high HIV-burdened township in KwaZulu-Natal (KZN), South Africa. Methods: This was a cross-sectional study conducted among 471 women of reproductive age (18-49 years, mean: 25.83) in 10 public health clinics in Umlazi Township, using a structured questionnaire. Data were coded, entered into Epi Data Manager and exported to Stata for analysis. A Pearson Chi-square test and logistic regression models (bivariate and multivariate) were employed to assess the level of the association between the predictor and outcome variables and the p-value 0.05 or lower was considered statistically significant.Results: More than half (51.80%) of women were aged 18-24 years and only a handful (18.26%) had tertiary qualification. The majority were single (88.96%) and the unemployed accounted for 53.50%. This study found that women who talked about condoms with partner during the preceding 12 months were more likely (p=<0.0001) to have used condoms during their last sexual experience. Older women (p=0.035) were more likely to have used a condom at last sex, compared to younger women. However, women who were exposed to physical partner violence (hitting and/or slapping), those who had been diagnosed with HIV and those whose sexual partners were diagnosed with HIV, did not show a significant association with condom use at last sexual encounter.Conclusion: Exposure to physical partner violence and poor partner discussions about condoms are key deterrents to condom usage. Holistic interventions are required in order to address the risky behaviours, and consequently reduce sexually transmitted infections and/or unintended pregnancies.

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Section: Discussionsupporting

confidence: 78%

Risky sexual behaviours among women of reproductive age in a high HIV burdened township in KwaZulu-Natal, South Africa

Hlongwa

Peltzer

Hlongwana

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Similar to this study, risky sexual behaviours among participants whose partners were HIV positive was also shown in Ethiopia [22]. There is less chances of condom use at sexual debut among youth [3,24], suggesting the importance of delaying sexual debut among women until they are able to make the informed and/or guided decisions with full considerations of the exposure to HIV infection [25]. Interventions aimed at encouraging women to delay sexual debut and intentional condom use at first sexual encounter are imperative.…”

Section: Discussionsupporting

confidence: 73%

Risky sexual behaviours among women of reproductive age in a high HIV burdened township in KwaZulu-Natal, South Africa

2020

View full text Add to dashboard Cite

Background: Despite several intervention programmes in South Africa, risky sexual behaviours among women of reproductive age remain a public health concern, making them vulnerable to unintended pregnancies and/or sexually transmitted infections (STIs), including human immunodeficiency virus (HIV) infection. The aim of this study was to investigate the predictors of risky sexual behaviours among women of reproductive age in a high HIVburden township in KwaZulu-Natal, South Africa. Methods: In a cross-sectional study, 471 women of reproductive age (18-49 years, mean: 25.83) in 10 public health clinics in Umlazi Township, responded to a structured questionnaire. Data were coded, entered into Epi Data Manager and exported to Stata for analysis. A Pearson Chi-square tests and logistic regression models (bivariate and multivariate) were employed to assess the level of the association between the predictor and outcome variables and the p-value < 0.05 was considered statistically significant. Results: More than half (51.80%) of the women were aged 18-24 years and only a handful (18.26%) had a tertiary qualification. The majority were single (88.96%) and the unemployed accounted for 53.50%. This study found that women who had talked about condoms with their partner in the past 12 months were more likely (p = < 0.0001) to have used condoms during their last sexual intercourse. Older women (p = 0.035) were more likely to have used a condom at last sex, compared to younger women. However, women who were exposed to physical partner violence (hitting and/or slapping), those who had been diagnosed with HIV and those whose sexual partners were diagnosed with HIV, did not show a significant association with condom use at last sex. Conclusion: Exposure to physical partner violence and poor partner discussions about condoms are key deterrents to condom usage. Holistic interventions are required in order to address the risky behaviours, and consequently reduce sexually transmitted infections and/or unintended pregnancies.

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“…This may suggest lower negotiating power of sex workers in Mthatha and could explain the markedly lower rates of condom use at last penile-vaginal sex reported there. Elsewhere, penile-vaginal condom usage in the general population has been shown to correlate to education and exposure to behaviour change interventions [ 69 ]. Mthatha is in a more rural setting compared to the other included metropoles and SWs there may have relatively less access to education and information.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis B, hepatitis C and HIV prevalence and related sexual and substance use risk practices among key populations who access HIV prevention, treatment and related services in South Africa: findings from a seven-city cross-sectional survey (2017)

Scheibe

Young²,

Versfeld

et al. 2020

BMC Infect Dis

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Background People who use drugs including people who inject drugs (PWUD/ID), sex workers (SWs) and men who have sex with men (MSM) are at increased risk of HIV and viral hepatitis infection. Limited epidemiological data on the infections exists in key populations (KPs) in South Africa. We investigated the prevalence of hepatitis B (HBV), hepatitis C (HCV) and HIV and selected risk factors among these KPs to inform effective responses. Methods We used convenience sampling to recruit a targeted 3500 KPs accessing HIV-related health services across Cape Town (SWs, MSM, PWUD/ID), Durban (SWs, PWUD/ID), Pietermaritzburg (SWs), Mthatha (SWs), Port Elizabeth (SWs), Johannesburg (MSM) and Pretoria (MSM and PWUD/ID) into a cross-sectional survey. An interviewer questionnaire to assess socio-demographic characteristics, drug use and sexual risk practices, was administered. HBV surface antigen (HBsAg); HCV antibody, viral load and genotype, and HIV antibody, was tested. Results Among the 3439 people included in the study (1528 SWs, 746 MSM, 1165 PWUD/ID) the median age was 29 years, most participants were black African (60%), and 24% reported homelessness. 82% reported substance use in the last month, including alcohol (46%) and heroin (33%). 75% were sexually active in the previous month, with condom use at last sex at 74%. HIV prevalence was 37% (highest among SWs at 47%), HBsAg prevalence 4% (similar across KPs) and HCV prevalence was 16% (highest among PWUD/ID at 46%). Conclusions HBV, HCV and HIV pose a health burden for KPs in South Africa. While HIV is key for all included KPs, HCV is of particular importance to PWUD/ID. For KPs, HBV vaccination and behavioural change interventions that support consistent condom and lubricant access and use are needed. Coverage of opioid substitution therapy and needle and syringe services, and access to HCV treatment for PWUD/ID need to be expanded.

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Predictors of male condom use among sexually active heterosexual young women in South Africa, 2012

Cited by 18 publications

References 14 publications

Risky sexual behaviours among women of reproductive age in a high HIV burdened township in KwaZulu-Natal, South Africa

Risky sexual behaviours among women of reproductive age in a high HIV burdened township in KwaZulu-Natal, South Africa

Risky sexual behaviours among women of reproductive age in a high HIV burdened township in KwaZulu-Natal, South Africa

Hepatitis B, hepatitis C and HIV prevalence and related sexual and substance use risk practices among key populations who access HIV prevention, treatment and related services in South Africa: findings from a seven-city cross-sectional survey (2017)

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