Influences on condom use among young men in Managua, Nicaragua

Kalk, Andreas; Kroeger, Axel; Meyer, Regine; Cuan, Maritza; Dickson, Rumona

doi:10.1080/136910501753184178

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…The literature mentions changes in condom usage according to dynamics of relationship. Consistent condom usage is seen among new partners and is inconsistent as individuals get in a stable or committed relationship and again gets consistent with a new partner [14]. This is described as the "saw-tooth" phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Condom Usage among College Students in South Central Kentucky

Kanekar

Sharma

2009

Int Q Community Health Educ

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The absence of consistent and correct usage of condoms increases the risk of sexually transmitted infections (STI) and HIV/AIDS. However, most studies done to date across the nation indicate a low usage of condoms among college students. This study identifies protective and risk factors associated with condom use among college students. The National College Health Assessment was administered to a random sample of students at a state comprehensive university in south central Kentucky. Findings revealed that among the sexually active students, approximately half never used condoms during vaginal intercourse. Further, among students engaging in oral sex, an alarmingly high proportion (95%) reported never using a condom during this act. These findings, along with differences noted in various subgroups (gender, housing, class standing), and other risk behaviors (alcohol, illicit drug use) are discussed.

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Condom Usage among College Students in South Central Kentucky

Kanekar

Sharma

2009

Int Q Community Health Educ

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“…Several studies conducted in Nicaragua have shown that machismo strongly influences young men's behaviors, increasing health risks both to themselves and their partners ( 44 , 50 ). For example, quantitative studies have shown that young Nicaraguan men, despite growing knowledge of how HIV can be transmitted, use condoms inconsistently and mainly with occasional partners ( 51 , 52 ), leaving their stable partners unprotected against the possible risk of sexually transmitted diseases and HIV. Traditional machismo behavior includes promiscuity and has been associated with their female partner's higher risk of developing high grade cervical lesions ( 53 ).…”

Section: Methodsmentioning

confidence: 99%

‘Expanding your mind’: the process of constructing gender-equitable masculinities in young Nicaraguan men participating in reproductive health or gender training programs

Salazar

Goicolea

Edin

et al. 2012

Global Health Action

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BackgroundTraditional forms of masculinity strongly influence men's and women's wellbeing.ObjectiveThis study has two aims: (i) to explore notions of various forms of masculinities in young Nicaraguan men participating in programs addressing sexual health, reproductive health, and/or gender equality and (ii) to find out how these young men perceive their involvement in actions aimed at reducing violence against women (VAW).DesignA qualitative grounded theory study. Data were collected through six focus groups and two in-depth interviews with altogether 62 young men.ResultsOur analysis showed that the informants experienced a process of change, labeled ‘Expanding your mind’, in which we identified four interrelated subcategories: The apprentice, The responsible/respectful man, The proactive peer educator, and ‘The feminist man’. The process showed how an increased awareness of gender inequities facilitated the emergence of values (respect and responsibility) and behavior (thoughtful action) that contributed to increase the informant's critical thinking and agency at individual, social, and political levels. The process was influenced by individual and external factors.ConclusionsMultiple progressive masculinities can emerge from programs challenging patriarchy in this Latin American setting. The masculinities identified in this study show a range of attitudes and behaviors; however, all lean toward more equitable gender relations. The results suggest that learning about sexual and reproductive health does not directly imply developing more gender-equitable attitudes and behaviors or a greater willingness to prevent VAW. It is paramount that interventions to challenge machismo in this setting continue and are expanded to reach more young men.

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“…Preventive practices do not have the same meaning nor the same legitimacy in ongoing relationships as in more casual ones (Kalk et al 2001;Santelli et al 1996) and the asymmetry of male and female positioning within the regular couple poses a barrier to condom use (DiClemente et al 2002;Santelli et al 1996). Building on previous research, which found that condom use shows a positive correlation with social distance between partners (Bajos et al 1997;Gras et al 1999), social distance will be approached in this study according to both migration criteria (same country of birth) and minority status (being part of a sub-Saharan African minority).…”

mentioning

confidence: 95%

‘Migrants fromover there’ or ‘racial minorityhere’? Sexual networks and prevention practices among sub-Saharan African migrants in France

Marsicano

Lydié

Bajos

2013

Culture, Health & Sexuality

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Migrants from sub-Saharan Africa bear a disproportionate burden of HIV infection in Europe, with an increasing proportion of them acquiring HIV after migration. This transformation in the epidemic pattern has raised concerns about the sexual mixing and preventive behaviours of migrants. This paper aims at exploring how racial boundaries shape sexual networks and structure prevention practices among migrants from sub-Saharan Africa. Analyses are based on a French survey carried out among 1874 individuals born in sub-Saharan Africa, aged 18-49 and living in Paris and its surroundings. Our results provide evidence of the existence of African sexual networks, over and beyond those of national origin. The intra-African segregation of these sexual networks leads to sexual contacts between migrants from low- and high-HIV prevalence countries, which probably contribute to the development of the epidemic amongst these migrants. Moreover, racially-based perceptions of HIV-related risk seem to produce a specific attitude toward prevention practices as shown by higher rates of condom use among migrant women from sub-Saharan Africa with a partner born outside sub-Saharan Africa. As a consequence, community-based approaches to HIV prevention should take into account the identification of migrants from sub-Saharan Africa as a racial minority and not only focus on national borders.

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Influences on condom use among young men in Managua, Nicaragua

Cited by 4 publications

References 11 publications

Factors Affecting Condom Usage among College Students in South Central Kentucky

Factors Affecting Condom Usage among College Students in South Central Kentucky

‘Expanding your mind’: the process of constructing gender-equitable masculinities in young Nicaraguan men participating in reproductive health or gender training programs

‘Migrants fromover there’ or ‘racial minorityhere’? Sexual networks and prevention practices among sub-Saharan African migrants in France

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