scholarly journals Premarital relationships and condom use among young people in Suva, Fiji

Sexual Health ◽  
2020 ◽  
Vol 17 (4) ◽  
pp. 337
Author(s):  
Elke Mitchell ◽  
Stephen Bell
Keyword(s):  
Young People ◽  
Condom Use ◽  
Young Women ◽  
Sexual Relationships ◽  
Sexual Pleasure ◽  
Male Dominance ◽  
Urban Setting ◽  
Sexually Transmissible Infections ◽  
Premarital Relationships ◽  
Adult Beliefs

Abstract Background Young people in Fiji experience high rates of sexually transmissible infections and early pregnancy. Despite being identified as a key priority group in national strategies, little is known about use of condoms among young people in premarital relationships. This study aimed to enhance understandings of premarital sex and condom use practices among young people in Fiji. Methods: Focus group discussions with 33 young women and men aged 18–29 years and 17 interviews with young women aged 18–26 years in an urban setting in Fiji were conducted. Inductive thematic analysis examined condom use practices. Results: Participants described a range of contextual influences inhibiting or enabling condom use. Factors inhibiting condom use included sociocultural expectations regarding premarital abstinence; young people’s engagement in hidden sexual relationships; limited intergenerational dialogue about sexual health issues; judgmental attitude of staff at condom access points; male dominance of condom use preferences; and belief condoms disrupt intimacy, reduce sexual pleasure and infer a lack of trust. Factors that enhanced condom use included accessing condoms through discreet methods; adult beliefs that supported safe sex practices; and refusing to have sex without a condom. Conclusion: Findings broaden understandings of young people’s condom use practices in Suva, Fiji. The findings illustrate the need for culturally appropriate youth-centred sexual and reproductive health (SRH) programs and services. Specific strategies that might enhance young people’s condom use include community- and youth-led responses; peer condom distribution; provision of condom dispensers in community settings; scaling up of youth-friendly SRH services; and the delivery of comprehensive sexuality and relationships education.

scholarly journals Forced sexual relations among married young women in developing countries

2004 ◽  
Keyword(s):  
Developing Countries ◽  
Young People ◽  
Young Women ◽  
Family Health ◽  
Sexual Relationships ◽  
World Health ◽  
Young Females ◽  
Recommendations For Action ◽  
Health Organization ◽  
Nonconsensual Sex

Recent research in developing countries suggests that a considerable number of young women may experience forced sex within marriage, but most women may be inhibited from reporting these experiences due to shame, fear of reprisal, or deep-rooted unequal gender norms. In September 2003, a global consultative meeting on nonconsensual sex among young people in developing countries was held in New Delhi, India. The meeting was organized by the Population Council in collaboration with World Health Organization/Department of Reproductive Health and Research, and Family Health International/YouthNet. Participants included researchers, legal analysts, representatives from community-based NGOs, policy-makers, and young people themselves. Papers highlighting the nature and prevalence of coercion among married young women were presented. Sessions examined the following issues in relation to nonconsensual sex: experiences of young females and males: prevalence, forms, and contexts; youth perspectives; patterns of transactional sex; roles of the legal system; outcomes of coercion at the individual and community level; interventions to prevent nonconsensual sex and to support and treat victims; and research design and methods. Several recommendations for action to address factors that heighten young women’s vulnerability to coercive sexual relationships within marriage were presented.

scholarly journals More like him, me, or us: the impact of trait similarity on adolescent women’s sexual risk behaviors in relationships

2016 ◽  
Vol 30 (4) ◽  
Author(s):  
Jennifer L. Woods ◽  
Devon J. Hensel ◽  
J. Dennis Fortenberry
Keyword(s):  
Condom Use ◽  
Young Woman ◽  
Young Women ◽  
Sexual Behaviors ◽  
Male Partner ◽  
Sexual Relationships ◽  
Coital Frequency ◽  
Transmitted Infection ◽  
Interpersonal Characteristics ◽  
The Impact

Abstract Ideal partner traits and how they relate to a young woman’s current partner and relationship is a knowledge gap in the literature. The objectives of this study were 1) to assess any differences in interpersonal characteristics between a young woman or her partner and relationship and 2) to examine the impact of this difference on sexual monogamy, condom use and frequency of vaginal sex. Study participants (n=387, 14–17 years at enrollment, 90% African American) were recruited from three primary care adolescent health clinics serving areas with high rates of unintended pregnancy and sexually transmitted infection (STI); data were drawn from a longitudinal cohort study of sexual relationships and behaviors among young women. Nineteen interpersonal characteristics, including physical, financial, communication and personal characteristic variables, were found to have varying influences on relationships and sexual behaviors with ‘like him’ and ‘like us’ as referents. Monogamy increased as a male partner wanted to get somewhere in life [OR 5.41, (1.25, 23.52, p<0.05)], was intelligent [OR 3.42, (1.09, 10.76, p<0.05)] and had money [OR 1.55, (0.272, 0.595, p<0.001)] in a partnership; monogamy similarly increased when a partner wanted to get somewhere in life [OR 6.77, (1.51, 30.36, p<0.01)], was intelligent [OR 4.02, (1.23, 13.23, p<0.05)], and had money [OR 2.41, (1.51, 3.84, p<0.001)] compared to the young woman. The likelihood of using a condom at last sex increased when the male partner had a nice body [OR 1.42, (1.02, 1.99, p<0.05)], was popular [OR 1.60, (1.12, 2.29, p<0.01)], cared for others [OR 3.43, (1.32, 8.98, p<0.01)], was good at sports [OR 1.35, (1.06, 1.73, p<0.05)] and expressed his feelings [OR 2.03, (1.14, 3.60, p<0.01)]. The condom use ratio increased when the male partner was able to take care of himself [OR 0.076, (0.017, 0.136, p<0.01)], was cute [OR 0.190, (0.082, 0.30, p<0.001)], and had a nice body [OR 0.044, (0.001, 0.09, p<0.05)] in a dyad; the condom use ratio also increased when a male partner could take care of himself [OR 0.091, (0.014, 0.168, p<0.05)], was cute [OR 0.194, (0.077, 0.311, p<0.001)] compared to the young woman. Coital frequency increased when the male partner was described as being able to take care of himself [OR 3.33, (0.138, 6.52, p<0.05)]. Such influences are important in discussions with young women regarding personal and partner choices in sexual health as partners, behaviors and motivations for choice frequently change.

scholarly journals Risk perceptions, misperceptions and sexual behaviours among young heterosexual people with gonorrhoea in Perth, Western Australia

2020 ◽  
Vol 44 ◽  
Author(s):  
Roanna Lobo ◽  
Josephine Rayson ◽  
Jonathan Hallett ◽  
Donna B Mak
Keyword(s):  
Public Health ◽  
Young Adults ◽  
Young People ◽  
Sexual Health ◽  
Condom Use ◽  
Western Australia ◽  
Risk Perceptions ◽  
Sexual Partners ◽  
Sexual History ◽  
Sexually Transmissible Infections

Background Notification rates of gonorrhoea in Australia for heterosexual young adults rose by 63% between 2012 and 2016. In Western Australian major cities, there was a 612% increase among non-Aboriginal females and a 358% increase in non-Aboriginal males in the ten-year period 2007–2016. A qualitative public health investigation was initiated to inform appropriate action. Methods Eighteen semi-structured telephone interviews were conducted with non-Aboriginal heterosexual young adults aged 18–34 years living in Perth, Western Australia, who had recently been notified to the Department of Health with gonorrhoea, to explore the context of their sexual interactions and lifestyles which could have predisposed them to contracting gonorrhoea. Data were thematically analysed. Results Common themes were having several casual sexual partners, limited communication between sexual partners about condom use or sexual history prior to engaging in sexual activity, inconsistent condom use, normalisation of some sexually transmissible infections amongst young people, and poor understandings and assessment of sexually transmissible infection risk. Conclusions The findings support public health interventions that focus on communication between sexual partners and shifting of risk perceptions in sexual health education programs, ensuring accessibility of quality sexual health information, increasing condom accessibility and acceptability, and on strategies for addressing misperceptions of young people in relation to sexually transmitted infections.

Does discussing sexually transmissible infections or HIV with a parent increase condom use among young women using other contraceptive methods?

Sexual Health ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. 82 ◽  
Author(s):  
Heather Bradley ◽  
Jami S. Leichliter ◽  
Thomas L. Gift
Keyword(s):  
Logistic Regression ◽  
Condom Use ◽  
Young Women ◽  
Sexually Active ◽  
Contraceptive Methods ◽  
Sexual Risks ◽  
Family Growth ◽  
Predicted Probability ◽  
Sexually Transmissible Infections ◽  
Weighted Data

Background Young people may be more likely to use condoms if they discuss sexual risks with their parents. However, no previous study has examined whether discussing sexual risks with a parent is differently associated with condom use among women using and not using other contraceptive methods. Methods: Using weighted data from the 2006–2008 National Survey of Family Growth, we examined condom use at last sex among 1206 sexually active unmarried women aged 15–24 years. Using logistic regression, we examined the association between condom use and discussing sexually transmissible infections (STIs) with parents before the age of 18 years, adjusted for women’s characteristics (age, ethnicity, income and condom use at first sex). We estimated the predicted probability of condom use by whether women discussed STIs with parents, stratified by use of other contraceptive methods. Results: Overall, 53% of women used condoms at last sex. Among 564 women using other contraceptives, 42% used condoms, versus 64% of 642 women not using other contraceptive methods (P < 0.01). After adjustment for covariates, the predicted probability of condom use among women using other contraceptives was 47% among women who discussed STIs with their parents (v. 31% of those not discussing STIs; P < 0.01). Among women not using other contraceptives, the predicted probability of condom use remained 64% regardless of whether they discussed STIs with their parents. Conclusions: Young women who use other contraceptive methods are less likely to use condoms, but discussing STIs with parents is associated with increased condom use among these women.

scholarly journals Problems with condoms may be reduced for men taking ample time to apply them

Sexual Health ◽  
2010 ◽  
Vol 7 (1) ◽  
pp. 66 ◽  
Author(s):  
Richard A. Crosby ◽  
Cynthia A. Graham ◽  
William L. Yarber ◽  
Stephanie A. Sanders
Keyword(s):  
Condom Use ◽  
Pregnancy Prevention ◽  
Sexual Pleasure ◽  
Convenience Sample ◽  
The Past ◽  
Prevention Messages ◽  
Specific Analysis ◽  
Sexually Transmissible Infections ◽  
Sales Company ◽  
Vaginal Sex

Background: One potentially important antecedent of experiencing problems with condom use during penile-vaginal sex is the amount of time that men (and perhaps women) allow for condom application. To examine whether men reporting that ample time was available to apply a male condom (the last time a condom was used for penile-vaginal sex) were also less likely to report problems with condom use such as breakage, slippage and erection difficulties during that sexual event. Methods: A convenience sample of men (n = 440) was recruited via advertisements in newspapers (two urban and one small town) and a blog on the website of a condom sales company. Men completed a questionnaire posted on the website of The Kinsey Institute for Research in Sex, Gender, and Reproduction. Inclusion criteria were that participants were: at least 18 years old; used condoms for penile-vaginal intercourse in the past 3 months; and able to read English. Results: In controlled, event-specific analyses, men reporting that they did not have sufficient time for condom application were ~three times more likely to report breakage and ~2.4 times more likely to report slippage. In addition, men who reported that they lacked time for condom application were ~2.4 times more likely to experience any of nine sexual problems, 3.4 times more likely to report difficulty with erection, 2.1 times more likely to report reduced sexual pleasure, 2.2 times more likely to report reduced sexual pleasure of their female partner and 2.6 times more likely to report that the condom irritated their partner’s vagina. Conclusions: This is the first study using an event-specific analysis to examine the effect of not having enough time for condom application on condom breakage, slippage and several outcomes related to sexual pleasure. Sexually transmissible infections and pregnancy prevention messages should include recommendations to men to take their time applying condoms.

scholarly journals Condom use at first and latest sexual events among young people: evidence from a rural and peri-urban setting in Uganda

2013 ◽  
Vol 13 (2) ◽  
Author(s):  
NM Tumwesigye ◽  
R Ingham ◽  
D Holmes
Keyword(s):  
Young People ◽  
Condom Use ◽  
Urban Setting

scholarly journals Navigating Changing Norms Around Sex in Dating Relationships: A Qualitative Study of Young People in Vietnam

2021 ◽  
Author(s):  
Irina Bergenfeld ◽  
Ilyssa Tamler ◽  
Jessica M. Sales ◽  
Quach Thu Trang ◽  
Tran Hung Minh ◽  
...  
Keyword(s):  
Young People ◽  
Young Women ◽  
Sexual Coercion ◽  
Controlled Trial ◽  
Economic Restructuring ◽  
Sexual Relationships ◽  
Sexual Agency ◽  
Structured Interviews ◽  
Dating Relationships ◽  
Economic Changes

AbstractSocial and economic changes in Vietnam since the economic restructuring of the 1980s have caused a shift in norms about premarital sex. While expectations of female chastity remain, sex before marriage is becoming more common among young people. As the formative phase of a parent randomized controlled trial, the present study examined the normative context of sex in dating relationships from the perspectives of young women and men in Vietnam. Men (n = 12) and women (n = 9) studying at two universities in Hanoi participated in semi-structured interviews that explored perspectives on sexual relationships and sexual coercion among their peers. Thematic analysis synthesized participant narratives into broader themes. Our findings confirmed that, as social norms evolve in Vietnam, young women must navigate shifting, and often contradictory, expectations about sex and dating relationships. Women and men expressed the belief that competing sexual expectations often can limit young women’s sexual agency and contribute to the normalization of sexual coercion in dating relationships. However, some women were embracing greater sexual freedom and reframing norms in ways that reflected their sexual agency. Efforts are needed to address these conflicting expectations, to deepen young men’s understanding of this conflict, and to prevent sexual coercion in young adulthood.

Impact evaluation of a youth sexually transmissible infection awareness campaign using routinely collected data sources

Sexual Health ◽  
2011 ◽  
Vol 8 (2) ◽  
pp. 234 ◽  
Author(s):  
Judy Gold ◽  
Jane Goller ◽  
Margaret Hellard ◽  
Megan S. C. Lim ◽  
Jane Hocking ◽  
...  
Keyword(s):  
Young People ◽  
Condom Use ◽  
Impact Evaluation ◽  
Population Level ◽  
Chlamydia Testing ◽  
Sti Testing ◽  
Routinely Collected Data ◽  
Sexually Transmissible Infections ◽  
Significant Difference ◽  
Testing Data

Background Young people are at high risk of sexually transmissible infections (STI) and notifications of chlamydia are rising rapidly. In 2007, a Victorian multimedia campaign aimed to increase STI testing and condom use among 18–25-year-olds. We conducted a retrospective impact evaluation using multiple sources of routinely collected data. Methods: Population-level chlamydia testing data from general practice, chlamydia testing data from five government primary care clinics with a high caseload of young people, and behavioural data from an annual youth behavioural survey were analysed. Analyses included time-series regression to assess trends in testing levels, Kruskal–Wallis tests to assess changes in positivity, and χ2-tests to assess knowledge and behaviour change. Results: There was no significant difference in the slope of monthly chlamydia testing in population-level or clinic-based surveillance during the campaign compared with before or after the campaign, and no changes in chlamydia positivity. Between 2007 and 2008, there was a significant increase in STI knowledge among females (P < 0.01) and in the proportion of females reporting always using a condom with casual (P = 0.04) and new sexual partners (P < 0.01) in the annual behavioural survey. Conclusions: Our findings suggest the campaign had no impact on STI testing but may have contributed to an increase in knowledge and condom use among females; however, this increase could not be directly attributed to the campaign. Future campaigns targeting young people for STI testing should consider alternative messages and approaches, and include robust evaluation mechanisms to measure campaign impact prospectively.

Het effect van interpersoonlijke communicatie op condoomgebruik bij jongeren met losse of beginnende seksuele relaties

2012 ◽  
Vol 40 (2) ◽  
Author(s):  
Marte Meijs ◽  
Bas van den Putte ◽  
Filippo Zimbile
Keyword(s):  
Sexual Behavior ◽  
Young People ◽  
Prospective Study ◽  
Condom Use ◽  
Interpersonal Communication ◽  
Sexual Relationships ◽  
Intention To Use ◽  
Health Campaigns ◽  
Health Campaign ◽  
Safe Sexual Behaviour

The effect of interpersonal communication on condom use among adolescents with casual or recent steady sexual relationships The effect of interpersonal communication on condom use among adolescents with casual or recent steady sexual relationships In the context of a health campaign on condom use in new relationships, this study examined the effects of interpersonal communication about condom use, std-tests, and health campaigns on the use of condoms in beginning relationships of young people, 18-25 years old. In a two-wave prospective study, 544 persons answered a pre-campaign questionnaire as well as, three months later, a post-campaign questionnaire. Interpersonal communication regarding safe sexual behaviour influences both intention to use condoms as well as the use of condoms. Interpersonal communication seems essential to establish changes in sexual behavior.

I resent society's irrational fear of sex: An intersectional inquiry into youth sexuality in two Indian states

Sexualities ◽  
2019 ◽  
Vol 23 (7) ◽  
pp. 1039-1059
Author(s):  
Sunita Manian
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Young Women ◽  
Sexual Pleasure ◽  
Sexual Education ◽  
Sexually Active ◽  
Indian States ◽  
Reproductive And Sexual Health ◽  
Access Information ◽  
Class Status

This research investigates attitudes about sex, sexuality and sexual pleasure, as well as awareness regarding reproductive and sexual health among Indian youth. The study takes place against the backdrop of a sea change in India in the last few decades brought about by economic liberalization, accompanied by rapid commercialization and consumerism. This has in turn been accompanied by changes in sexual mores especially among youth in India. Most of the young people I interviewed were either sexually active or would like to be sexually active, outside of the socially prescribed conjugal context. Some of the young men shared with great candor their immense frustration at being unable to find sexual pleasure with a partner. Others had the freedom to explore various aspects of their sexuality; however their sexual behavior was often dangerous because of their lack of knowledge about safe-sex. The experiences of young women were shaped both by their gender and their families' class status. The young people I interviewed, regardless of whether they were sexually active, had one thing in common—namely a profound ignorance about issues related to sex, sexuality and sexual health. Girls and young women in most cases were either denied sexual education or found their ability to access information about sex highly curtailed. However, the narratives presented in this article also problematize easy categorizations of India as being homophobic and intolerant of non-heteronormative sexualities.

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