Safe sex pioneers: class identity, peer education and emerging masculinities among youth in Mozambique

Sexual Health ◽  
2009 ◽  
Vol 6 (3) ◽  
pp. 233 ◽  
Author(s):  
Christian Groes-Green
Keyword(s):  
Middle Class ◽  
Working Class ◽  
Condom Use ◽  
Peer Education ◽  
Safe Sex ◽  
Sub Saharan Africa ◽  
Unsafe Sex ◽  
Male Youth ◽  
Sub Saharan ◽  
Class Youth

Studies on sexual behaviour within the area of HIV prevention in sub-Saharan Africa have largely focussed on unsafe sex and obstacles to condom use rather than examined factors potentially favouring safe sex. The present study examines how class, gender and peer education affects safe sex in male youth and identifies the reasons behind condom use by combining a questionnaire survey with ethnographic fieldwork. Findings from the field study among male secondary school youth in Maputo, Mozambique point to middle class youth from urban schools as more likely to use condoms than working class youth from suburban schools. Examining the meanings behind use or non-use of condoms the study identified narratives in middle class youth favouring safe sex in response to better social conditions, career opportunities and ‘modern’ masculinities, whereas working class youth explained non-use of condoms as due to lack of hope and job opportunities and by reference to fatalist ideas that life is out of their hands and that it’s better to ‘live in the moment’.

scholarly journals The Intersection of Youth Masculinities, Decreasing Homophobia and Class: An Ethnography

2019 ◽  
Author(s):  
Mark McCormack
Keyword(s):  
Data Collection ◽  
Middle Class ◽  
Working Class ◽  
The South ◽  
Attitudes Toward Homosexuality ◽  
Male Youth ◽  
Emotional Closeness ◽  
Intersectional Analysis ◽  
Ethnographic Data ◽  
Class Youth

This article examines the emergence of progressive attitudes toward homosexuality among working-class boys in a sixth form in the south of England to develop an intersectional analysis of class, youth masculinities and decreasing homophobia. Drawing on three months of ethnographic data collection, I find that working-class male youth intellectualize pro-gay attitudes and that homophobic language is almost entirely absent from the setting. I document the presence of homosocial tactility, as well as the valuing of friendship and emotional closeness. However, these behaviours are less pronounced than documented among middle-class boys, and I use these findings to advance understanding of how class influences the development of inclusive attitudes and behaviours. Inclusive masculinity theory is used to understand these findings, refining the theory and extending it to a new demographic.

scholarly journals Behavioural interventions promoting condom use among female sex workers in sub-Saharan Africa: a systematic review

2017 ◽  
Vol 16 (3) ◽  
pp. 257-268 ◽  
Author(s):  
Uchenna O Okafor ◽  
Rik Crutzen ◽  
Yauri Aduak ◽  
Sylvia Adebajo ◽  
Hubertus W Van den Borne
Keyword(s):  
Systematic Review ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sub Saharan Africa ◽  
Behavioural Interventions ◽  
Female Sex ◽  
Sub Saharan

scholarly journals Willingness to Pay for Condoms among Men in Sub-Saharan Africa

2018 ◽  
Vol 16 (1) ◽  
pp. 34 ◽  
Author(s):  
William Evans ◽  
Kuyosh Kadirov ◽  
Ibou Thior ◽  
Ramakrishnan Ganesan ◽  
Alec Ulasevich ◽  
...  
Keyword(s):  
Public Health ◽  
Willingness To Pay ◽  
Condom Use ◽  
Sub Saharan Africa ◽  
Linear Regression Models ◽  
African Countries ◽  
Donor Funding ◽  
Sub Saharan ◽  
Tool Building ◽  
Hiv Aids

HIV/AIDS and other sexually transmitted infections (STIs) continue to be among the greatest public health threats worldwide, especially in sub-Saharan Africa (SSA). Condom use remains an essential intervention to eradicate AIDS, and condom use is now higher than ever. However, free and subsidized condom funding is declining. Research on how to create healthy markets based on willingness to pay for condoms is critically important. This research has three primary aims: (1) willingness of free condom users in five African countries to pay for socially marketed condoms; (2) the relationship between specific population variables and condom brand marketing efforts and willingness to pay; and (3) potential opportunities to improve condom uptake. Nationally representative samples of at least 1200 respondents were collected in Kenya, Nigeria, South Africa, Zambia, and Zimbabwe. We collected data on a range of demographic factors, including condom use, sexual behavior, awareness of condom brands, and willingness to pay. We estimated multivariate linear regression models and found that free condom users are overwhelmingly willing to pay for condoms overall (over 90% in Nigeria) with variability by country. Free users were consistently less willing to pay for condoms if they had a positive identification with their free brand in Kenya and Zimbabwe, suggesting that condom branding is a critical strategy. Ability to pay was negatively correlated with willingness, but users who could not obtain free condoms were willing to pay for them in Kenya and Zimbabwe. In a landscape of declining donor funding, this research suggests opportunities to use scarce funds for important efforts such as campaigns to increase demand, branding of condoms, and coordination with commercial condom manufacturers to build a healthy total market approach for the product. Free condoms remain an important HIV/AIDS prevention tool. Building a robust market for paid condoms in SSA is a public health priority.

scholarly journals Knowledge of Correct Condom Use and Consistency of Use among Adolescents in Four Countries in Sub-Saharan Africa

2007 ◽  
Vol 11 (3) ◽  
pp. 197 ◽  
Author(s):  
Akinrinola Bankole ◽  
Fatima H. Ahmed ◽  
Stella Neema ◽  
Christine Ouedraogo ◽  
Sidon Konyani
Keyword(s):  
Condom Use ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Condom Use for Preventing STI/HIV and Unintended Pregnancy Among Young Men in Sub-Saharan Africa

2008 ◽  
Vol 3 (1) ◽  
pp. 60-78 ◽  
Author(s):  
Akinrinola Bankole ◽  
Susheela Singh ◽  
Rubina Hussain ◽  
Gabrielle Oestreicher
Keyword(s):  
Condom Use ◽  
Unplanned Pregnancy ◽  
Young Men ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
African Countries ◽  
Sexually Transmitted ◽  
Union Status ◽  
Sub Saharan

The condom is the only known method that provides simultaneous protection against unplanned pregnancy and some sexually transmitted infections (STIs), including HIV, among sexually active people. Using data from the Demographic and Health Surveys from 18 Sub-Saharan African countries, this study examined condom use and reasons for using the method at last intercourse among sexually active young men aged 15 to 29. Most young men were aware of the condom (73%-98%), but its use at last intercourse was quite variable, ranging from 6% in Madagascar to 74% in Namibia. In 10 countries, more young men reportedly used condoms for preventing STIs alone than they did for preventing pregnancy alone. In 6 countries, at least one third of the users used the method for both purposes. Use of the condom at last intercourse was associated with union status, education, residence, and exposure to television in at least two thirds of the countries.

scholarly journals We Forgot the Middle Class!: Inequality Underestimation in a Changing Sub-Saharan Africa

2018 ◽  
Author(s):  
F. Clementi ◽  
A. L. Dabalen ◽  
Vasco Molini ◽  
Francesco Schettino
Keyword(s):  
Middle Class ◽  
Sub Saharan Africa ◽  
Class Inequality ◽  
Sub Saharan

scholarly journals Effective Adolescent Sexual and Reproductive Health Education Programs in Sub-Saharan Africa

2013 ◽  
Vol 11 (2) ◽  
pp. 32-42 ◽  
Author(s):  
Fatch W. Kalembo ◽  
Maggie Zgambo ◽  
Du Yukai
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Condom Use ◽  
Sexual And Reproductive Health ◽  
Positive Impact ◽  
Sub Saharan Africa ◽  
Transmitted Infection ◽  
Reproductive Health Education ◽  
Sub Saharan ◽  
Hiv Aids

Background: The objective of this review was to explore and identify feasible, socially acceptable and effective adolescent sexual and reproductive health education (ASRHE) programs in sub-Saharan Africa. Methods: Four databases were searched to identify studies conducted within the past 15 years which evaluate the effectiveness of ASRHE programs in sub-Saharan Africa. The databases searched were Embase, Medline, CINAHL, PyscINFO. A further search for relevant articles was made in the Google scholar website. The title and abstract of each article were analyzed for relevance by applying inclusion and exclusion criteria. Further scrutiny and extraction of the studies was completed by selecting only those studies which met the criteria for inclusion. Results: Fifteen studies were identified. School, peer, mass media, health facility and community based ASRHE programs showed positive impact in one or more of the following outcomes in adolescents in sub-Saharan Africa: ( i) knowledge of HIV transmission; (ii) perceived personal risk of contracting HIV/ AIDS; (iii) self-efficacy to negotiate condom use; (iv) discussion with others about HIV/AIDS or condom use; (v) abstinence from sexual relations; (vi) reduction in high-risk sexual behavior; (vii) condom use (vii) testing for sexually transmitted infection (STI) and (viii) treatment seeking behavior. Conclusion: ASRHE programs of diverse forms can produce positive change in adolescent sexual and reproductive health (ASRH). There is need for rigorous research to assess long term behavioral effects of culturally tailored comprehensive ASRHE programs in sub-Saharan Africa.

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