scholarly journals Condom Usage Negotiation Among Customarily Married Women in Katlehong, Johannesburg

SAGE Open ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 215824401668734 ◽  
Author(s):  
Nkosiyazi Dube ◽  
Thobeka S. Nkomo ◽  
Priscalia Khosa
Keyword(s):  
Condom Use ◽  
Rural Areas ◽  
Consistent Condom ◽  
African Region ◽  
Infected People ◽  
Sexually Transmitted ◽  
Condom Usage ◽  
Economic Survival ◽  
Unwanted Pregnancies ◽  
Cultural Roles

South Africa has the highest number of HIV-infected people in the Southern African Region, and of great concern is the fact that cases of new infections among young people, especially young women and girls, are on the increase. The prevalence of HIV and deaths caused by AIDS are still on the increase, whereas condom use, particularly in rural areas, remains low. Consistent condom use is central to the prevention of unwanted pregnancies, HIV, and other sexually transmitted infections (STIs); yet, young men and women alike are hesitant to use condoms because of threats to their relationships, cultural roles, and, at times, economic survival. This study explored the views of customarily married housewives regarding condom use negotiation with their husbands. The findings point toward the need to empower women while they are still young so that they can be assertive, financially independent, and able to make their own decisions with regard to their sexuality.

scholarly journals Increasing Awareness and Knowledge among Adult Latinos regarding Sexually Transmitted Infections

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Ijeoma S. Eze ◽  
Margaret Brady ◽  
Beth Keely
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Low Income ◽  
Outpatient Clinic ◽  
The United States ◽  
Consistent Condom ◽  
Contributing Factors ◽  
Consistent Condom Use ◽  
Sexually Transmitted ◽  
Post Test

AbstractLatinos in the United States are disproportionately affected by Human Immunodeficiency Virus and sexually transmitted infections (STIs). They account for about 24 % of newly diagnosed AIDS cases each year and are two to three times more likely to develop STIs when compared with non-Latino whites. Limited knowledge of STIs has remained one of the contributing factors to the disparity. The purpose of this study was to implement an educational bundle and evaluate its effectiveness in increasing STI knowledge and consistent condom use among adult Latinos seen in an outpatient clinic that serves low income patients. A pre- and post-test design was used to evaluate changes in STI knowledge and consistency of condom use. The educational bundle consisted of YouTube STI-related videos, a pre-designed one to one educational session, provision of condoms and STI-related educational materials. Self-administered questionnaires were used to collect data at baseline and one week post implementation of the educational bundle. Forty-six Latinos (18 females and 28 males) ranging in ages 19 to 60 years participated in the project. The total mean STI knowledge and condom use frequency improved from pre-test (M = 1.67, M = 3.09) to post-test (M = 3.80, M = 5.33). Results of paired samples t-tests demonstrated statistically significant differences between total mean STI knowledge (t(45) = –15.48, p < 0.001) and condom use frequency (t(45) = –7.09, p < 0.001) at pre-test and post-testing. The educational bundle was effective in increasing STI knowledge and consistent condom use among adult Latinos in an outpatient clinic. Further study needs to be done to determine the long-term effect of this mode of education for this population.

scholarly journals ‘Why don’t you just use a condom?’: Understanding the motivational tensions in the minds of South African women

2010 ◽  
Vol 2 (1) ◽  
Author(s):  
Rachel Mash ◽  
Bob Mash ◽  
Pierre De Villiers
Keyword(s):  
Condom Use ◽  
South African ◽  
Health Workers ◽  
Sexual Pleasure ◽  
African Women ◽  
Consistent Condom ◽  
Technical Solution ◽  
Condom Usage ◽  
South African Women ◽  
The Mind

Background: HIV/AIDS makes the largest contribution to the burden of disease in South Africa and consistent condom use is considered a key component of HIV-prevention efforts. Health workers see condoms as a straightforward technical solution to prevent transmission of the disease and are often frustrated when their simple advice is not followed.Objectives: To better understand the complexity of the decision that women must make when they are asked to negotiate condom use with their partner.Method: A literature review.Results: A key theme that emerged included unequal power in sexual decision making, with men dominating and women being disempowered. Women may want to please their partner, who might believe that condoms will reduce sexual pleasure. The use of condoms was associated with a perceived lack of ‘real’ love, intimacy and trust. Other factors included the fear of losing one’s reputation, being seen as ‘loose’ and of violence or rejection by one’s partner. For many women, condom usage was forbidden by their religious beliefs. The article presents a conceptual framework to make sense of the motivational dilemma in the mind of a woman who is asked to use a condom.Conclusion: Understanding this ambivalence, respecting it and helping women to resolve it may be more helpful than simply telling women to use a condom. A prevention worker who fails to recognise this dilemma and instructs women to ‘simply’ use a condom, may well encounter resistance.

scholarly journals Promoting Consistent Condom Use among Young Adults in the Vhembe District, Limpopo, South Africa

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Namadzavho Joyce Muswede ◽  
Azwihangwisi Helen Mavhandu-Mudzusi
Keyword(s):  
South Africa ◽  
Young Adults ◽  
Condom Use ◽  
Sex Education ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Consistent Condom ◽  
Cross Sectional ◽  
Negative Attitudes ◽  
Vhembe District

Condoms are considered useful in the prevention of unplanned pregnancies and sexually transmitted infections including the human immunodeficiency virus. However, condom use is a challenge among young adults in rural areas. This paper reports the views of young adults regarding the strategies which can be utilised for promoting condom use in one of the rural clinics in the Vhembe district, Limpopo, South Africa. This quantitative, cross-sectional, descriptive study was conducted in one of the clinics in the Vhembe district. Data were collected using structured questionnaires administered to 372 young adults who came to visit the clinic. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 28. Results indicate that condom use among the youth can be promoted though (i) improving the negative attitudes of healthcare providers to condom issuing and use, (ii) involving other stakeholders who have an impact on the use of condoms, and (iii) promoting condom use. Retraining of healthcare providers to improve negative attitudes is a matter of priority. In-service training should focus on disseminating information about patients’ rights. The following recommendations were put forth: enhancement of communication strategies for marketing condom use, broadening sex education in the school curriculum, and improving the negative attitudes of healthcare providers to the promotion of condom use.

Mediation of an efficacious HIV risk reduction intervention for adolescents: A cluster-randomised controlled trial

2017 ◽  
Vol 24 (13) ◽  
pp. 1884-1896 ◽  
Author(s):  
Alexandra Morales ◽  
José P Espada ◽  
Mireia Orgilés
Keyword(s):  
Condom Use ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Consistent Condom ◽  
Control Group ◽  
Consistent Condom Use ◽  
Sexually Transmitted ◽  
Mediation Analyses ◽  
Healthy Sexuality ◽  
Randomised Controlled

The ‘Cuidate’ programme for adolescents in Spain has proven to be effective for promoting healthy sexuality ( N = 626), but the mechanisms underlying its effects are unknown. This study aimed to identify mediators of the intervention’s effects compared to a control group. Participants were students from five areas of Spain, who completed baseline, immediate-posttest, 12-month and 24-month follow-up assessments. Mediation analyses revealed that ‘Cuidate’ positively affected consistent condom use indirectly through knowledge in serial with the intention to use condoms. The findings underscore the importance of targeting knowledge on HIV and sexually transmitted infections to promote condom use intention and consistent condom use.

scholarly journals The Protective Value of Discussing Condom Use: A Study of Young Black Men Attending STI Clinics in the Southern United States

2018 ◽  
Vol 45 (5) ◽  
pp. 706-713 ◽  
Author(s):  
Richard Crosby ◽  
Shayna Skakoon-Sparling ◽  
Robin R. Milhausen ◽  
Stephanie Sanders ◽  
Cynthia A. Graham ◽  
...  
Keyword(s):  
United States ◽  
Condom Use ◽  
Black Men ◽  
Behavioral Interventions ◽  
Consistent Condom ◽  
Southern United States ◽  
Protective Effects ◽  
Sex Partners ◽  
Consistent Condom Use ◽  
Sexually Transmitted

Young Black men (YBM) experience disparities in both HIV incidence and incidence of bacterial sexually transmitted infections (STIs); thus, developing efficacious behavioral interventions is an especially critical goal. One potential avenue for intervention involves improving sexual health communications among YBM and their partners, before sex occurs. Such discussions may serve several purposes, including improving condom use and facilitating the negotiation of correct and consistent condom use. The aim of the current study was to determine the STI-protective effects of discussing condom use with sex partners, among medically underserved YBM. A total of 702 YBM were recruited from three STI clinics in the Southern United States. YBM completed a self-interview at baseline and again 6 months later. At 12 months postenrollment, a chart review determined incidents of STIs. The majority of YBM participants (61.1%) had recently discussed condom use with partners before sex. Of the 12 assessed outcomes, 7 were significantly associated with this measure. In each case, a protective effect was observed. In controlled analyses, the 12-month incidence of STIs was significantly ( p = .05) greater among YBM not discussing condoms with sex partners. The results of the current study suggest that, among YBM attending clinics, discussing condom use with sex partners may promote safer sex practices. This behavior was also predictive of lower STI incidence in the ensuing 12 months, suggesting that it may be an ideal intervention target for programs designed to protect YBM against STI acquisition, including HIV.

scholarly journals Serosorting and HIV/STI Infection among HIV-Negative MSM and Transgender People: A Systematic Review and Meta-Analysis to Inform WHO Guidelines

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Caitlin E. Kennedy ◽  
Laura J. Bernard ◽  
Kathryn E. Muessig ◽  
Kelika A. Konda ◽  
Elie A. Akl ◽  
...  
Keyword(s):  
Systematic Review ◽  
Condom Use ◽  
Meta Analysis ◽  
Consistent Condom ◽  
Transgender People ◽  
Random Effects Models ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
Meta Analyses ◽  
Hiv Negative

We conducted a systematic review and meta-analysis to assess the association between serosorting and HIV infection, sexually transmitted infections (STIs), and quality of life among men who have sex with men (MSM) and transgender people. Two reviewers independently screened abstracts and abstracted data. Meta-analyses were conducted using random effects models. Of 310 citations reviewed, 4 observational studies, all with MSM, met inclusion criteria. Compared to consistent condom use, serosorting was associated with increased risk of HIV (3 studies, odds ratio (OR): 1.80, 95% confidence interval (CI):1.21–2.70) and bacterial STIs (1 study, OR: 1.62, 95% CI: 1.44–1.83). Compared to no condom use, serosorting was associated with reduced risk of HIV (3 studies, OR: 0.46, 95% CI: 0.25–0.83) and bacterial STIs (1 study, OR: 0.81, 95% CI: 0.73–0.91). Among HIV-negative MSM, condom use appears to be more protective against HIV and STIs than serosorting and should be encouraged. However, serosorting may be better than no condom use as a harm reduction strategy.

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