Multiple Levels of Influence in Predicting Sexual Activity and Condom Use Among Adolescents in Soweto, Johannesburg, South Africa

Background and methods In preparation for a school-based intervention in KwaZulu-Natal, South Africa, a cross-sectional survey of potential HIV risk factors in youth aged 14–17 (n = 983) was conducted. Results: Boys were significantly more likely than girls to report lifetime sexual activity (37.7% v. 13.8%, P < 0.01). Among boys and girls, 46.1% reported condom use at last sex. Discussion of condom use with a partner was the strongest predictor of condom use (boys, odds ratio (OR) = 7.39; girls, OR = 5.58, P < 0.0001). Age was independently associated with sexual activity for boys (OR = 1.49, P < 0.0001) and girls (OR = 1.74, P = 0.02). For boys, perceptions of male peer behaviour were associated with both ever having participated in sexual activity (OR = 1.48, P < 0.01) and condom use at last sex (OR = 1.79, P < 0.01). Girls who equated condom use with having numerous partners were more likely to use them. Among boys, results challenged some expected gender beliefs: support for girls’ initiative in relationship formation and refusal of sex were significant predictors of sexual activity. Among girls, higher pregnancy risk perception (OR = 1.32, P = 0.02) and knowledge (OR = 4.85, P = 0.055) were associated with sexual activity. Conclusions: Creating more gender equitable norms can reduce HIV risk behaviours. HIV prevention interventions should build on existing gender equitable beliefs, and work to promote others, including sexual communication and negotiation skills, and modelling of positive peer norms.

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Inconsistent Condom Use among Public Primary Care Patients with Tuberculosis in South Africa

The Scientific World JOURNAL ◽

10.1100/2012/501807 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Gladys Matseke ◽

Karl Peltzer ◽

Julia Louw ◽

Pamela Naidoo ◽

Gugu Mchunu ◽

...

Keyword(s):

South Africa ◽

Primary Care ◽

Condom Use ◽

Multivariable Analysis ◽

High Rate ◽

Consistent Condom ◽

Consistent Condom Use ◽

Inconsistent Condom ◽

The Past ◽

Inconsistent Condom Use

The high rate of HIV infections among tuberculosis (TB) patients in South Africa calls for urgent HIV reduction interventions in this subpopulation. While correct and consistent condom use is one of the effective means of HIV prevention among sexually active people, there is insufficient research on condom use among TB patients in South Africa. The aim of this paper was to determine the prevalence of inconsistent condom use among public primary care TB patients and its associated factors using a sample of 4900 TB patients from a cross-sectional survey in three health districts in South Africa. Results indicated that when asked about their consistency of condom use in the past 3 months, 63.5% of the participants reported that they did not always use condoms. In the multivariable analysis, being married (OR=1.66; 95% CI 1.25–2.20) or cohabitating or separated, divorced, or widowed (OR=3.67; 1.85–7.29), lower educational level (OR=0.66; 0.46–0.94), greater poverty (OR=1.60; 1.25–2.20), not having HIV status disclosed (OR=0.34; 0.25–0.48), sexual partner on antiretroviral treatment (OR=0.38; 0.23–0.60), and partner alcohol use before sex (OR=1.56; 1.30–1.90) were significantly associated with inconsistent condom use in the past 3 months. The low proportion of consistent condom use among TB patients needs to be improved.

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“I enjoy sex more without condoms": revisiting barriers and facilitators of consistent condom use among adolescents and young adults in South Africa

10.21203/rs.3.rs-271620/v2 ◽

2021 ◽

Author(s):

Anthony Ajayi ◽

Olumuyiwa Omonaiye ◽

Charlotte Nwogwugwu

Keyword(s):

South Africa ◽

Young People ◽

Condom Use ◽

Financial Support ◽

Consistent Condom ◽

Sexually Active ◽

Partner Communication ◽

Consistent Condom Use ◽

Inconsistent Condom ◽

Inconsistent Condom Use

Abstract Background Previous studies have examined consistent condom use correlates in South Africa, focusing on sociodemographic factors, HIV risk perceptions, relationship conflict, multiple sexual partners, and masculinity. However, the effect of family financial support, HIV testing, partner communication and self-efficacy for HIV prevention is less studied. We drew from a cross-sectional survey to address this gap and highlight the key barriers and facilitators of consistent condom use among young people. Methods We analysed data obtained from 631 unmarried sexually active male and females students selected using stratified sampling from a university in Eastern Cape Province of South Africa. Consistent condom use was defined as regular use of condoms in all sexual encounters in the past year. We used an open-ended question to probe the reasons for inconsistent condom use. Adjusted and unadjusted regression analysis were fitted to examine factors associated with consistent condom use. Results The prevalence of consistent condom use was 39.3% (CI: 35.5%-43.2%), with no significant gender and age differences. After adjusting for relevant covariates, living with foster parents (AOR; 1.80 95% CI; 1.09-2.97), adequate family financial support (AOR; 2.49 95% CI; 1.71-3.62), partner knew status (AOR; 1.91 95% CI; 1.09-3.37) and feeling confident in one's ability to prevent HIV (AOR; 1.77 95% CI; 1.09-2.86) were associated with increased odds of consistent condom use. However, self-report of low condom self-efficacy (AOR; 0.58 95% CI; 0.40-0.85) and alcohol use (AOR; 0.83 95% CI; 0.58-1.19) were associated with lower odds of consistent condom use. Young people who inconsistently used condoms reiterated that sex is often unplanned and condoms are not always available. The desire for maximum pleasure, partner's objection, trust, and use of hormonal contraceptives were further reasons others inconsistently use condoms. Conclusions Inconsistent condom use remains a challenge among unmarried sexually active young people in South Africa. Education of young people on the need for partner communication about HIV, HIV testing uptake, and condom use should happen more rigorously in school and through the media to improve their consistent use of condoms.

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Who are "the people" in the German Constitution? A critique of , and contribution to , the debate about the right of foreigners to vote in multilevel democracies

Law Democracy & Development ◽

10.17159/2077-4907/2020/ldd.v24.1 ◽

2020 ◽

Vol 24 ◽

Author(s):

Jelena Bäumler

Keyword(s):

South Africa ◽

Voting Rights ◽

Constitutional Court ◽

Federal States ◽

The People ◽

German Constitution ◽

Multi Level ◽

Multiple Levels ◽

Right To Vote ◽

The Right

ABSTRACT Democracy means power to the people, but it is not always clear who belongs to "the people". The question has become pertinent in the age of migration where large groups of foreigners permanently reside outside their countries of nationality. The economic, cultural, and political integration of these foreigners is one of the pressing problems faced by democratic States in both the developed and developing worlds. One question is : whether resident non-citizens should be granted the right to vote. The answer to this question depends on who belongs to "the people". In federal and quasi-federal States with multiple levels of government the further question arises : whether "the people" is a homogenous concept that applies uniformly across all levels of government. This article contributes to the debate about the right of foreigners to vote in democratic States with multiple levels of government, such as, South Africa and Kenya. It does so by discussing the German response to the problems mentioned above. The dominant view of the German Federal Constitutional Court since the 1990s has been that "the people" only includes "German citizens" , and that attempts by lower levels of government to extend the right to vote to foreigners from Africa and elsewhere are unconstitutional. In this article I explore and critique this conventional view. I then present a positive case for the extension of voting rights to resident non-citizens under the German Constitution. Many of the arguments would apply with equal force to the debate about the right to vote of foreigners in African multi-level democracies, such as, South Africa and Kenya. Keywords: Denizenship, Citizenship, Voting rights, Nationality law, Multi-level government, The people, Foreigners, Residents, Affected persons principle, Democracy.

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Linking psychosocial factors to young South Africans’ intention to use condoms : the moderating role of HIV/AIDS information

E-Journal of social & behavioural research in business ◽

10.51415/10321/3441 ◽

2018 ◽

Vol 9 (1) ◽

pp. 84-102

Author(s):

Sam Erevbenagie Usadolo ◽

◽

Queen Usadolo ◽

Keyword(s):

South Africa ◽

Regression Analysis ◽

Condom Use ◽

Theory Of Planned Behaviour ◽

Subjective Norm ◽

Intention To Use ◽

Eastern Cape ◽

Planned Behaviour ◽

Aids Information ◽

Hiv Aids

The present study examined the constructs of the theory of planned behaviour regarding their predictability of intentions to use a condom among Xhosa-speaking adolescents in Eastern Cape, South Africa, using HIV/AIDS information as a moderator. Design: Quantitative data were collected from 196 adolescents in Eastern Cape, South Africa. A regression analysis was used to test the hypotheses. Results: A regression analysis showed that attitude and perceived behavioural control were significantly related to the intention to use a condom, but subjective norm was not. However, due to the moderating effect of HIV/AIDS information, attitude, perceived behavioural control and subjective norm predicted intention to use a condom. Conclusion: The findings show that HIV/AIDS information plays an important role in increasing the effect of the theory of planned behaviour on intention to use a condom. Thus, more emphasis should be on beliefs about the adverse effects of condom use, the ability to negotiate condom use, and the importance of other significant others in increasing awareness about HIV/AIDS in order to increase intention to use a condom.

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‘We have nothing to celebrate!’: Fighting gender-based violence in Cape Town, South Africa

Tijdschrift voor Genderstudies ◽

10.5117/tvgn.2021.3/4.002.verm ◽

2021 ◽

Vol 24 (3/4) ◽

pp. 243-259

Author(s):

Paula Vermuë

Keyword(s):

South Africa ◽

Cape Town ◽

African National Congress ◽

Political Agenda ◽

Gender Based Violence ◽

Content Type ◽

Political Narrative ◽

National Congress ◽

Multiple Levels ◽

Gender Based

Abstract This article illustrates the de-politicisation and re-politicisation of the fight against gender-based violence and femicide in Cape Town, South Africa. Firstly, this article shows how gender-based violence and femicide has been de-politicised through a conservative political narrative of the African National Congress (ANC) and through restricting funding relationships between Northern donor organisations and womxn’s NGOs in Cape Town. Secondly, I argue that, with the emerge of a new autonomous feminist movement in 2018, the Total Shutdown (TTS), the re-politicisation of gender-based violence happened on multiple levels. Not only did the activist movement manage to put gender-based violence back on the political agenda, it also helped NGO benefactors to reconnect with their feminist goals to end femicide in South Africa. This research is based on ethnographic fieldwork in Cape Town from September 2018 until January 2019 and includes the stories of Capetonian NGO benefactors and TTS activists.

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Who is sexually active? Using a multi-component sexual activity profile (MSAP) to explore, identify and describe sexually-active high-school students in rural KwaZulu-Natal, South Africa

BMC Public Health ◽

10.1186/s12889-019-6602-y ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Hilton Humphries ◽

Farzana Osman ◽

Lucia Knight ◽

Quarraisha Abdool Karim

Keyword(s):

South Africa ◽

High School ◽

High School Students ◽

Sexual Activity ◽

Sexually Active ◽

Activity Profile ◽

School Students ◽

Kwazulu Natal

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Coital frequency and condom use in age-disparate partnerships involving women aged 15 to 24: evidence from a cross-sectional study in KwaZulu-Natal, South Africa

BMJ Open ◽

10.1136/bmjopen-2018-024362 ◽

2019 ◽

Vol 9 (3) ◽

pp. e024362 ◽

Cited By ~ 6

Author(s):

Gavin George ◽

Brendan Maughan-Brown ◽

Sean Beckett ◽

Meredith Evans ◽

Cherie Cawood ◽

...

Keyword(s):

South Africa ◽

Condom Use ◽

Young Women ◽

Hiv Risk ◽

Cross Sectional Study ◽

Secondary Outcome ◽

Sectional Study ◽

Coital Frequency ◽

Cross Sectional ◽

Kwazulu Natal

ObjectiveThis study examines the role of age-disparate partnerships on young women’s HIV risk by investigating coital frequency and condom use within age-disparate partnerships involving women aged 15 to 24.DesignA community-based, cross-sectional study was conducted.SettingParticipants were randomly selected using a two-stage random sampling method in uMgungundlovu district, KwaZulu-Natal, South Africa, between June 2014 and June 2015.ParticipantsA total of 1306 15–24-year-old women in an ongoing heterosexual partnership were included in the analysis. Participants had to be a resident in the area for 12 months, and able to provide informed consent and speak one of the local languages (Zulu or English).Primary and secondary outcome measuresSexual frequency was assessed by asking participants how many times they had sex with each partner in the past 12 months. The degree of condomless sex within partnerships was assessed in the survey by asking participants how often they used a condom with their partners.ResultsAge-disparate partnerships were associated with a higher order category (once, 2–5, 6–10, 11–20, >20) of coital frequency (adjusted OR (aOR) 1.32, p<0.05, 95% CI 1.02 to 1.71) and with sex on more than 10 occasions (aOR 1.48, p<0.01, 95% CI 1.12 to 1.96) compared with age-similar partnerships. Age-disparate partnerships were also more likely to involve sex on more than 10 occasions with inconsistent condom use (aOR 1.43, p<0.05, 95% CI 1.04 to 1.96) in the previous 12 months.ConclusionThe finding that increased sexual activity is positively associated with age-disparate partnerships adds to the evidence that age-disparate partnerships pose greater HIV risk for young women. Our study results indicate that interventions to reduce risky sexual behaviour within age-disparate partnerships remain relevant to reducing the high HIV incidence rates among adolescent girls and young women.

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