Safer sex or pleasurable sex? Rethinking condom use in the AIDS era

Sexual Health ◽  
2004 ◽  
Vol 1 (4) ◽  
pp. 217 ◽  
Author(s):  
Sharful Islam Khan ◽  
Nancy Hudson-Rodd ◽  
Sherry Saggers ◽  
Mahbubul Islam Bhuiyan ◽  
Abbas Bhuiya
Keyword(s):  
Condom Use ◽  
Safer Sex ◽  
Male Sexuality ◽  
Social Dimensions ◽  
Personal Choice ◽  
Hiv Interventions ◽  
Socially Constructed ◽  
Emotional Aspect ◽  
Sexuality Study ◽  
Study Results

Background: Condom use in Bangladesh is low despite nationwide family planning initiatives and HIV interventions. Methods: Fifty men aged between 18 and 55 years from diverse socio-demographic backgrounds and five key informants were interviewed in a qualitative male sexuality study. Results: Refusal to use condoms is not only a personal choice, but pertains to relationships. The meanings of reduced bodily pleasure associated with condom use are socially constructed. Men’s emotions and trust expressed through understanding of direct penile–vaginal contact and ejaculation inside the vagina as ‘pure’ and ‘natural’ sex oppose condom use. Sexual prowess in the form of prolonged intercourse without condoms, as depicted in Western pornography, was perceived as a ‘real man’s’ sexual skill. Men sought to preserve a ‘good man’s’ image by avoiding condoms, which symbolised promiscuous men in AIDS educational messages. Conclusion: Social dimensions of masculine sexuality, pleasure, eroticism and the emotional aspect of men’s lives have to be addressed for effective condom promotion.

scholarly journals Prevalence of and Factors Associated With Extramarital Sex Among Nigerian Men

2009 ◽  
Vol 4 (2) ◽  
pp. 124-134 ◽  
Author(s):  
Kola Oyediran ◽  
Uche C. Isiugo-Abanihe ◽  
Bamikale J. Feyisetan ◽  
Gbenga P. Ishola
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Sexual Debut ◽  
Married Couples ◽  
Consistent Condom ◽  
Factors Associated ◽  
Extramarital Sex ◽  
Study Results ◽  
The Family ◽  
Gender Based

This study used data on currently married and cohabiting men aged 15 to 64 years from the 2003 Nigeria Demographic and Health Survey to examine the prevalence of and factors associated with extramarital sex. The results show that 16% engaged in extramarital sex in the 12 months preceding the survey and had an average of 1.82 partners. The results also show statistically significant association between extramarital sex and ethnicity, religion, age, age at sexual debut, education, occupation, and place of residence. Based on the study results, it could be concluded that significant proportions of Nigerians are exposed to HIV infection through extramarital sex. A fundamental behavioral change expected in the era of HIV/AIDS is the inculcation of marital fidelity and emotional bonding between marital partners. The promotion of condom use among married couples should be intensified to protect women, a large number of whom are exposed to HIV infection from their spouses who engage in unprotected extramarital sex. And, because of gender-based power imbalances within the family, a large number of the women are unable to negotiate consistent condom use by their partners.

scholarly journals Influence of HIV positive status on sexual behavior among males

1998 ◽  
Vol 32 (6) ◽  
pp. 503-513 ◽  
Author(s):  
Elvira M. Ventura-Filipe ◽  
Stan P. Newman
Keyword(s):  
Sexual Behavior ◽  
Condom Use ◽  
Risky Sexual Behavior ◽  
Perceived Risk ◽  
Safer Sex ◽  
Lower Proportion ◽  
Hiv And Aids ◽  
Unsafe Sex ◽  
Male Partners ◽  
High Level

OBJECTIVE: To compare HIV seronegative (HIV-) and HIV seropositive (HIV+) males in terms of sexual behavior with female and male partners of different types. METHOD: Cross-sectional study. From August 1994 to February 1995, a sample of 236 respondents (150 HIV- and 86 HIV+) recruited from public health centers in the State of S. Paulo (Brazil), answered a questionnaire, including questions on demographic aspects, HIV and AIDS related knowledge, sexual orientation, use of alcohol and other drugs, sexual behavior with regular and casual female and male partners, and perceived risk of HIV infection. Sexual behavior with regular and casual female and male partners within the previous three months, was investigated. RESULTS: A lower proportion of HIV+ engaged in sexual contact with regular female partners (p < .01) and in vaginal intercourse with this type of partner (p < .01). A lower proportion of HIV+ engaged in overall sexual activity (p < .001) and reported lower frequency of penetrative sexual practices (p < .05). A high level of condom use with female and male partners was identified with no significant differences being found between the two serostatus groups. Some risky sexual behavior was identified, however, especially with regular partners, suggesting that some men were continuing to practice unsafe sex. CONCLUSIONS: The high level of condom use identified suggests that safer sex advice has been taken up. Condom use was not universal, however, and some men continue to place themselves at risk, especially with regular partners. Prevention programs should strive not only to encourage HIV- to practice safer sex, but also to encourage HIV+ to do so in order to prevent further transmission of the virus.

scholarly journals Quality of Life and Gestational Diabetes Mellitus: A Review Study

2019 ◽  
Vol 7 (3) ◽  
pp. 255-262
Author(s):  
Samira Mokhlesi ◽  
Masoumeh Simbar ◽  
Fahimeh Ramezani Tehrani ◽  
Nourossadat Kariman ◽  
Hamid Alavi Majd
Keyword(s):  
Quality Of Life ◽  
Gestational Diabetes ◽  
Newborn Care ◽  
Social Dimension ◽  
Social Dimensions ◽  
The Social ◽  
Study Results ◽  
Adequate Education ◽  
Maternal And Newborn Care

Objectives: High-risk pregnancies can affect the quality of life (QOL) of pregnant women due to their complications. QOL involves different dimensions including physical, psychological, and social health of the individuals. Assessing the QOL, especially in mothers with gestational diabetes is important in planning for maternal and newborn care and understanding the need for care for policymakers and the health care association. Therefore, the present study aimed to review the effects of gestational diabetes on QOL during pregnancy. Materials and Methods: In this study, articles indexed in several databases such as PubMed, Science Direct, Scopus, Google Scholar, SID, and Magiran were obtained among which, those related to the QOL of mothers with gestational diabetes were extracted and evaluated based on the aim of the study. Results: The series of the reviewed studies included 10 articles on the physical, psychological, and social dimensions of the QOL of mothers with gestational diabetes. Most of the examined articles failed to find any significant change in the physical dimension of QOL of mothers with gestational diabetes. The psychological effects of gestational diabetes were diverse and less understandable, therefore, different studies obtained contradictory results in this regard. Three out of four studies examining the social dimension of QOL of women with gestational diabetes showed that mothers’ QOL could be jeopardized by social dimension. Conclusions: In general, the results revealed that gestational diabetes could affect various physical, psychological, and social dimensions of the QOL of mothers. In addition, adequate education should be provided for mothers with diabetes in order to reduce their fear, anxiety, and depression concerning gestational diabetes.

A dyadic approach to understanding safer sex behavior in intimate heterosexual relationships

2019 ◽  
pp. 135910531987395 ◽  
Author(s):  
Corey Isaacs ◽  
Shayna Skakoon-Sparling ◽  
Taylor Kohut ◽  
William A Fisher
Keyword(s):  
Condom Use ◽  
Behavioral Control ◽  
Safer Sex ◽  
Sex Behavior ◽  
Perceived Behavioral Control ◽  
Heterosexual Couples ◽  
Heterosexual Relationships ◽  
Individual Level ◽  
Condom Use Intentions ◽  
The Individual

This study applied a dyadic approach to condom-use research. Partners from 124 heterosexual couples independently completed a questionnaire assessing condom-related attitudes, subjective norms, perceived behavioral control, and intentions to use condoms. Results demonstrate the superiority of a dyadic approach to understanding couples’ condom-use intentions and behavior over traditional, individual-level approaches. The addition of partner effects to the model, via the actor–partner interdependence model, resulted in an increase in the variance accounted for in condom-use intentions and this dyadic model showed better fit compared to the individual-level model. The results suggest that consideration of relationship partners plays an important role in the prediction of safer sex intentions.

Feminism Between the Sheets: Sexual Attitudes Among Feminists, Nonfeminists, and Egalitarians

2007 ◽  
Vol 31 (2) ◽  
pp. 157-163 ◽  
Author(s):  
Laina Y. Bay-Cheng ◽  
Alyssa N. Zucker
Keyword(s):  
Condom Use ◽  
Sexual Satisfaction ◽  
Sexual Attitudes ◽  
Safer Sex ◽  
Double Standard ◽  
Sexual Double Standard ◽  
Sexual Norms ◽  
Sexual Stimuli ◽  
Undergraduate Women ◽  
Feminist Identification

To better understand the relation of feminist identification to sexuality, we compared the attitudes of feminist, egalitarian, and nonfeminist undergraduate women ( N = 342) in five domains: (a) erotophilia (one's positive affective or evaluative responses to sexual stimuli), (b) sexual assertiveness, (c) perceived self-efficacy for safer sex, (d) sexual satisfaction, and (e) support of the sexual double standard. Significant results of ANOVA analyses included: Feminists were more erotophilic than egalitarians and nonfeminists, egalitarians were the most confident in their ability to be assertive with a partner regarding condom use, and egalitarians and nonfeminists were more supportive of a traditional sexual double standard than feminists. Consistent with Zucker (2004) , we argue that a distinctive characteristic of egalitarians is that their acceptance of feminist values with regard to their own sexual lives does not translate into a critique of gendered sexual norms for other women.

Mediation effect of perceived behavioural control on intended condom use: applicability of the theory of planned behaviour to money boys in China

Sexual Health ◽  
2013 ◽  
Vol 10 (6) ◽  
pp. 487 ◽  
Author(s):  
Hongjie Liu ◽  
May Kennedy ◽  
Hui Liu ◽  
Fuchang Hong ◽  
Toan Ha ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Theory Of Planned Behaviour ◽  
Subjective Norms ◽  
Mediation Effect ◽  
Behavioural Control ◽  
Planned Behaviour ◽  
Perceived Behavioural Control ◽  
Hiv Interventions ◽  
Condom Use Intentions

BackgroundMoney boys (MBs) are male sex workers who sell sex to men who have sex with men. The objectives of this study were to assess (a) the sexual HIV risk of MBs; (b) the ability of the theory of planned behaviour (TPB) to predict MBs’ intentions to use condoms; and (c) the manner in which TPB constructs (attitudes towards condom use, subjective norms and perceived behavioural control) combine to influence condom use intentions. Methods: Participants came from 10 MB-frequented clubs in two cities in China. Multiple regression and path analytic models were used to test inter-relationships among the TPB constructs. Results: Seventy-eight percent of the 122 MB participants reported having used condoms for every anal sex act. About one-third reported having had female sexual partners in the past 2 months; of these MBs, half (53%) used condoms for every sex act. A revised model using TPB constructs accounted for 52% of the variance of condom use intentions and revealed that perceived behavioural control was a mediator in pathways beginning with attitudes and ending with condom use intentions, and beginning with subjective norms and ending with intentions. Conclusions: The findings suggest that a revised model of TPB applies to condom use intentions among Chinese MBs. It may be appropriate to adapt HIV interventions that are grounded in TPB and that have been shown to be effective elsewhere for use with Chinese MBs. HIV interventions for this population should give perceived behavioural control and its predictors special consideration.

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