Unsafe sexual behaviour in South African youth

Eaton, Liberty; Flisher, Alan J.; Aarø, Leif Edvard

doi:10.1016/s0277-9536(02)00017-5

Cited by 376 publications

(359 citation statements)

References 25 publications

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“…For example, the earlier age at sexual debut (Eaton et al, 2003) and the larger number of sexual partners indicated by men than women were consistent with results from other African countries (Hawken et al, 2002). Some reasons for not using condoms among Malagasy students were similar to those mentioned by Kenyans and Nigerians (Anugwom, 1999;Hawken et al, 2002).…”

Section: Discussionsupporting

confidence: 81%

“…Malagasy students indicated low systematic condom use: 5.7%, which was not much different from the 8% reported condom use among South African students (Eaton et al, 2003). It is a major concern to note that Malagasy students had a low risk perception of contracting AIDS.…”

Section: Discussionmentioning

confidence: 70%

“…For example, Malagasy students reported a later age at sexual debut (19 years old) compared with South Africans, where more than 50% were already sexually active at the age of 16 (Eaton et al, 2003). At the same time, the median age at sexual debut was 16-17 years among the Malagasy general population (Directorate of Demography and Social Statistics, 2000).…”

Section: Discussionmentioning

confidence: 99%

“…The most frequently reported reasons for failure to use condoms were: trust in partners, wanting to have a child, loss of pleasure, and being involved in a monogamous relationship (Eaton, Flisher, & Aaro, 2003;Hawken et al, 2002;Prince & Bernard, 1998 Although studies on links between condom use and sociodemographic characteristics have generated mixed results in different countries (Hawken et al, 2002;Prince & Bernard, 1998), some have revealed an increase in use in younger age groups (Hawken et al, 2002) and in men (Prince & Bernard, 1998;Nuwaha, Faxelid & Höjer, 1999). The socio-demographic determinants of condom use have not been studied in-depth in…”

Section: Introductionmentioning

confidence: 99%

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Sexual behaviour and condom use among university students in Madagascar

Rahamefy

Rivard

Ravaoarinoro

et al. 2008

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Although the number of known HIV-infected students in Madagascar increased significantly between 1989 and 1995, very little is known about student behaviour with regard to AIDS. The study objectives were: to describe Malagasy students' sexual behaviour and condom use; to document students' perceptions about condoms; and to study the relationships between students' socio-demographic characteristics, their perceptions about condoms, and their condom use. The survey used a cross-sectional design and was conducted at the Antananarivo's university campus sites. Anonymous questionnaires were self-administered to 320 randomly selected students.Descriptive statistics and 95% confidence intervals were calculated. Logistic regressions were performed to identify the predictors of condom use. Participants' average age was 24 years. Approximately 80% of the participants reported sexual experiences, and the average age at sexual debut was 19 years. Only 5.7% reported consistent condom use. Common reasons for non-use were steady relationships (75.6%), the perception that condoms were useful only during ovulation periods (8.7%), and the decrease of pleasure (6.4%). The predictors of condom use were male gender, and the perception that condoms were useful during ovulation periods.Risky sexual behaviours with regard to AIDS were prevalent in this community. An HIV prevention programme is recommended. Keywords: Sexual behaviour, condoms, HIV, students, Madagascar. RésuméBien que le nombre connu des étudiants malgaches infectés par le VIH ait largement augmenté entre 1989 et 1995, l'information sur le comportement des étudiants par rapport au SIDA est très limitée. Les objectifs de cette étude furent: 1) décrire le comportement sexuel des étudiants malgaches et l'utilisation du préservatif, 2) documenter les perceptions des étudiants envers les préservatifs, 3) examiner dans quelle mesure l'utilisation du préservatif par les étudiants varie en fonction de leurs caractéristiques sociodémographiques et leurs perceptions envers les préservatifs. Cette étude a été menée dans les sites du campus universitaire d' Antananarivo en utilisant un devis transversal. Un questionnaire anonyme a été auto-administré à 320 étudiants sélectionnés au hasard. Des statistiques descriptives et intervalles de confiance à 95% ont été calculés. La régression logistique a été utilisée pour identifier les déterminants de l'utilisation du préservatif. La moyenne d'âge des participants était de 24 ans. Environ 80% des répondants ont signalé avoir eu des rapports sexuels et l'âge moyen de premiers rapports était de 19 ans. Seulement 5,7% ont rapporté l'utilisation systématique du préservatif. Les raisons de non utilisation furent les suivantes : être dans une relation stable (75,6%), la perception que le préservatif est uniquement utile durant la période d' ovulation (8,7%) et la réduction du plaisir (6,4%). Le genre masculin et l'argument d' ovulation ont été identifiés comme prédicteurs d'utilisation de préservatifs. Les comportements sexuels à risque...

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexual behaviour and condom use among university students in Madagascar

Rahamefy

Rivard

Ravaoarinoro

et al. 2008

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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“…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%

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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