scholarly journals Perceived gender inequality, sexual communication self-efficacy, and sexual behaviour among female undergraduate students in the Mekong Delta of Vietnam

Sexual Health ◽  
2012 ◽  
Vol 9 (4) ◽  
pp. 314 ◽  
Author(s):  
Thanh Cong Bui ◽  
Christine M. Markham ◽  
Michael W. Ross ◽  
Mark L. Williams ◽  
R. Palmer Beasley ◽  
...  

Background Worldwide, the literature on sexual behaviour has documented associations between gender-based relationship inequality and sexual communication ability and the actual use of condoms or other contraceptives among young women. This study aimed to examine these associations among undergraduate female students in the Mekong Delta of Vietnam. Methods: A cross-sectional survey of 1181 female third-year students from two universities in the Mekong Delta was conducted. Latent variable modelling and logistic regression were employed to examine the hypothesised associations. Results: Among the 72.4% of students who had ever had boyfriends, 44.8% indicated that their boyfriends had asked for sex, 13% had had penile–vaginal sex and 10.3% had had oral sex. For those who had had penile–vaginal sex, 33% did not use any contraceptive method, including condoms, during their first sexual intercourse. The greater a student’s perception that women were subordinate to men, the lower her self-efficacy for sexual communication and the lower her actual frequency of discussing safer sex matters and asking her partner to use a condom. Sexual communication self-efficacy was associated with actual contraceptive use (P = 0.039) but only marginally with condom use (P = 0.092) at first sexual intercourse. Conclusion: Sexual health promotion strategies should address the influence of gender relations on young women’s sexual communication self-efficacy and the subsequent impact on actual contraceptive and condom use.

2018 ◽  
Vol 30 (2) ◽  
pp. 147-157
Author(s):  
Jakkrite Pinyaphong ◽  
Kriengkrai Srithanaviboonchai ◽  
Suwat Chariyalertsak ◽  
Pikul Phornphibul ◽  
Arunrat Tangmunkongvorakul ◽  
...  

University students are at increased risk of HIV infection, but little is known about the determinants of inconsistent condom use among them. The study aims to assess the association of sociodemographic, individual, dyadic, and social factors with inconsistent condom use among male university students. Of 1091 participants, 67.0% had sexual intercourse, though 64.4% had inconsistent condom use. It was found that “did not use a condom at first sexual intercourse” (adjusted odds ratio [AOR] 6.1; CI, 3.7-10.1), “history of STIs” (AOR, 2.1; CI, 1.0-4.2), low “self-efficacy” (AOR, 2.4; CI, 1.3-4.7), “perception that condom use reduces pleasure” (AOR, 1.4; CI, 1.0-2.1), and “high subjective norm” (AOR, 1.9; CI, 1.3-2.8) were associated with increased odds of inconsistent condom use. Condom use should be promoted from the onset of sexual activity to establish a habit of safe sex practices and for improvement in self-efficacy of condom use. Emphasis must be laid on pleasure-enhancing benefits of condom use and changing social norms.


Sexual Health ◽  
2014 ◽  
Vol 11 (4) ◽  
pp. 379 ◽  
Author(s):  
Claudia Marino ◽  
Alessio Vieno ◽  
Michela Lenzi ◽  
Massimo Santinello

Background There has been little research investigating sexual health in Italy. The aim of the present study was to present time trends over 8 years in sexual behaviour among adolescents. Methods: This study is part of the Health Behaviour in School-aged Children study (sample: 3983 adolescents aged 15 years; 51.9% girls). Measures included sexual initiation, condom use and age of first sexual intercourse. Results: No variation was observed in the prevalence of sexual initiation and in condom use. The mean age of first sexual intercourse decreased among surveyed adolescents. Conclusions: Considering the tendency of Italian adolescents to begin having intercourse at an earlier age, increased knowledge on sexual behaviours is needed to improve sexual health.


Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 284 ◽  
Author(s):  
Richard A. Crosby ◽  
Dexter R. Voisin ◽  
Ralph J. DiClemente ◽  
Gina M. Wingood ◽  
Laura F. Salazar ◽  
...  

ObjectivesTo identify relational correlates of unprotected oral sex (UOS) and vaginal intercourse (UVI) among African-American females. Methods: Participants (n = 715) provided data on demographics, sexual communication self efficacy (SCSE), sexual communication frequency, condom self-efficacy, power in sexual relationships, fear of negotiating condom use, UOS and UVI. Results: Participants reporting low SCSE were 2.5 and 1.6 times more likely to report UOS and UVI respectively. Additionally, participants who reported fear of condom negotiation were 3.1 times more likely to report UVI. Conclusions: Interventions promoting stronger SCSE may be a protective factor against having UOS and UVI among African-American females.


2014 ◽  
Vol 26 (3) ◽  
pp. 403-410 ◽  
Author(s):  
Trang H.T. Do ◽  
Linh C. Le ◽  
John A. Burgess ◽  
Dinh S. Bui

Abstract Background and aims: Condom use at sexual debut is associated with subsequent condom use and with decreased risk of sexually transmitted infections. There is a dearth of data on determinants of condom use at first sexual intercourse. We aimed to determine factors associated with condom use at first sexual intercourse before marriage among Vietnamese adolescents and youths. Methods: The study involved the analysis of data from the Survey Assessment of Vietnamese Youth, 2003, the first nationally representative survey of young people in Vietnam. The survey included 7584 adolescents and youths aged 14–25 years. In this study, data of 605 adolescents and youths who had engaged in premarital sex were analyzed for factors associated with condom use using descriptive analyses, and regression techniques, allowing for sampling weights, clustering and stratification. Results: Of 605 adolescents and youths who had engaged in premarital sex, 28.6% reported condom use at first sexual intercourse. Condom use at sexual debut was less common in females than males [odds ratio (OR)=0.15; 95% confidence interval (95% CI)=0.07–0.30] and less common in those who experienced peer pressure to engage in social higher risk behaviors (OR=0.57; 95% CI=0.32–0.99). Condom use was more common if a friend/acquaintance or a stranger/sex worker was the first sexual partner (OR=2.20; 95% CI=1.16–4.17 and OR=17.90; 95% CI=6.88–46.54) respectively, each compared with fiancé/boyfriend/girlfriend as first sexual partner. Conclusions: These data suggest that approximately one in three unmarried Vietnamese youths used a condom at first sexual intercourse. Gender, peer pressure and the nature of the relationship to the first sexual partner were independently associated with condom use. These results can inform programs directed at preventing HIV and other sexually transmitted infections among young Vietnamese.


2016 ◽  
Vol 37 (2) ◽  
pp. 267-283 ◽  
Author(s):  
Tiarney D. Ritchwood ◽  
Dolly Penn ◽  
Courtney Peasant ◽  
Tashuna Albritton ◽  
Giselle Corbie-Smith

This study examines the role of condom use knowledge and attitudes, and parent-teen communication about sex and relationship quality on reports of condom use self-efficacy among rural, African American youth. Participants were 465 North Carolinian youth (10-14 years). Results indicated that greater condom use self-efficacy was predicted by greater knowledge of condom use (β = .206; p < .001), more favorable attitudes toward condom use (β = −.20; p < .0001) and parent-teen communication about sex (β = .13; p < .05), and actual parent-teen communication about sex and dating (β = .14; p < .05). There was low agreement between parents and youth on measures related to parent-teen communication about sex. Findings call for interventions targeting improvement of condom use knowledge among early adolescents, as well as parent-teen communication about sex. In addition, given the low parent-teen agreement regarding sexual communication, parent-teen sexual communication is an important point of intervention.


BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016779 ◽  
Author(s):  
Eric P F Chow ◽  
Rebecca Wigan ◽  
Anna McNulty ◽  
Charlotte Bell ◽  
Mandy Johnson ◽  
...  

ObjectiveThere are limited data on the patterns of early sexual behaviours among Australian teenage heterosexual boys. This study describes the nature and onset of early sexual experiences in this population through a cross-sectional survey.DesignA cross-sectional survey between 2014 and 2015SettingMajor sexual health clinics and community sources across AustraliaParticipantsHeterosexual men aged 17–19 yearsResultsThere were 191 men in the study with a median age of 19.1 years. Median age at first oral sex was 16.4 years (IQR: 15.5–17.7) and 16.9 years (IQR: 16.0–18.0) for first vaginal sex. Most men had engaged in oral sex (89.5%) and vaginal sex (91.6%) in the previous 12 months with 32.6% reporting condom use at last vaginal sex. Of the total lifetime female partners for vaginal sex reported by men as a group (n=1187): 54.3% (n=645) were the same age as the man, 28.3% (n=336) were a year or more younger and 17.4% (n=206) were a year or more older. Prior anal sex with females was reported by 22% with 47% reporting condom use at last anal sex. Median age at first anal sex was 18.2 years (IQR: 17.3–18.8). Anal sex with a female was associated with having five or more lifetime female sexual partners for oral and vaginal sex.ConclusionsThese data provide insights into the trajectory of sexual behaviours experienced by teenage heterosexual boys following sexual debut, findings which can inform programme promoting sexual health among teenage boys.


2012 ◽  
Vol 1 (2) ◽  
pp. 17 ◽  
Author(s):  
Rupali J. Limaye ◽  
Rajiv N. Rimal ◽  
Glory Mkandawire ◽  
Peter Roberts ◽  
William Dothi ◽  
...  

The generalised AIDS epidemic in Malawi presents many challenges. As communication and advice from parents, peers, and partners are important factors in influencing sexual behaviour, understanding communication may provide insights into behaviour change programming. This mixed-method study used a household survey (n=1812) and 15 focus group discussions from the southern districts of Malawi to explore communication about sex and sexuality. Quantitative study findings point to the idea that self-efficacy, perceived benefits, and injunctive norms about talking about condom use are important factors influencing intentions to discuss condom use with partners. Qualitative study findings found that communication regarding sex between parents and children, partners, and peers was not common, and when there was communication, messages about sex focused on negative consequences of sexual activity. In Malawi, there is a need to increase efficacy in talking about sex and protective sexual behaviours, including condom use. Interventions should include components to increase communication skills, shift norms about sexual communication, and provide alternative mechanisms for individuals to gather pertinent information regarding their sexual behaviour.


2013 ◽  
Vol 14 (3) ◽  
pp. 125-130 ◽  
Author(s):  
Karl Peltzer

Objective. To identify factors associated with HIV in tuberculosis (TB) patients in a public primary healthcare (PHC) setting in South Africa (SA).Method. Among 4 900 consecutively selected TB patients (54.5% men; women 45.5%) from 42 public PHC clinics in 3 districts in SA, a cross-sectional survey was performed to assess new TB and new TB retreatment patients within one month of anti-TB treatment.Results. The sample comprised 76.6% new TB patients and 23.4% TB retreatment patients. Of those who had tested for HIV, 59.9% were HIV-positive; 9.6% had never tested for HIV. In multivariate analysis, older age (odds ratio (OR) 5.86; confidence interval (CI) 4.07 - 8.44), female gender (OR 0.47; CI 0.37 - 0.59), residing in an informal settlement (OR 1.55; CI 1.13 - 2.12), being a TB retreatment patient (OR 0.55; CI 0.42 - 0.72), occasions of sexual intercourse with condom use (OR 1.07; CI 1.02 - 1.13) and having a sexual partner receiving antiretroviral treatment (ART) (OR 7.09, CI 4.35 - 11.57) were associated with an HIV-positive status in TB patients.Conclusion. This study revealed high HIV risk behaviour (e.g. unprotected last sexual intercourse and alcohol and drug use in the context of sexual intercourse) among TB patients in SA. Various factors were associated with HIV risk behaviour. Condom use and substance use risk reduction need to be considered as HIV-prevention measures when planning such strategies for TB patients.


2004 ◽  
Vol 57 (11-12) ◽  
pp. 592-596 ◽  
Author(s):  
Milan Bjekic ◽  
Hristina Vlajinac ◽  
Sandra Sipetic ◽  
Jelena Marinkovic

Introduction The risks associated with teenage sex include pregnancy and a high rate of sexually transmitted diseases (STDs). Material and methods The study compared female teenagers: 32 with STDs and 90 with fungal skin infections who were treated in the City Center for Skin and Venereal Diseases in Belgrade from January 2000 to June 2001. An anonymous questionnaire was used to collect data and an univariate logistic regression analysis was performed. Results The mean age of participants was 18.2 years. About 40% of respondents reported to have their first sexual intercourse at the age of 14-16 years. The majority of cases and controls had one or two partners, but a greater percentage of cases had six or more partners compared to controls (12.5% vs. 3.3%). Adolescents with STDs frequently had sexual intercourse on the first date (p<0.05), and more frequently reported previous STDs in their personal history (p<0.05). Consistent use of condoms was less frequent among cases than among controls, both with steady (9.4% vs. 27.8%) and irregular partners (30.0% vs. 70.6%). The majority of teenagers (95%) thinks that sexual education at schools should be better. Discussion According to the results obtained, which are in agreement with literature data, teenagers should change their behavior, especially with respect to condom use both during vaginal and anal sex. Health education at schools could probably influence future sexual behavior, and counseling for STDs should be offered to all teenagers attending STD clinics. Conclusion The best way to avoid unwanted pregnancy and STDs is to delay the first sexual experience, reduce the number of sexual partners and increase the protection by condom use.


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