Opportunity for Prevention of HIV and Sexually Transmitted Infections in Kenyan Youth: Results of a Population-Based Survey

Hawken, Mark; Melis, Reinhilde D.; Ngombo, D.T.; Mandaliya, Kishorchandra; Ng’ang’a, Lucy; Price, Jessica; Dallabetta, Gina; Temmerman, Marleen

doi:10.1097/00126334-200212150-00011

Cited by 27 publications

(24 citation statements)

References 13 publications

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“…For example, the earlier age at sexual debut (Eaton et al, 2003) and the larger number of sexual partners indicated by men than women were consistent with results from other African countries (Hawken et al, 2002). Some reasons for not using condoms among Malagasy students were similar to those mentioned by Kenyans and Nigerians (Anugwom, 1999;Hawken et al, 2002).…”

Section: Discussionsupporting

confidence: 79%

“…The most frequently reported reasons for failure to use condoms were: trust in partners, wanting to have a child, loss of pleasure, and being involved in a monogamous relationship (Eaton, Flisher, & Aaro, 2003;Hawken et al, 2002;Prince & Bernard, 1998 Although studies on links between condom use and sociodemographic characteristics have generated mixed results in different countries (Hawken et al, 2002;Prince & Bernard, 1998), some have revealed an increase in use in younger age groups (Hawken et al, 2002) and in men (Prince & Bernard, 1998;Nuwaha, Faxelid & Höjer, 1999). The socio-demographic determinants of condom use have not been studied in-depth in…”

Section: Introductionmentioning

confidence: 99%

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Sexual behaviour and condom use among university students in Madagascar

Rahamefy

Rivard

Ravaoarinoro

et al. 2008

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Although the number of known HIV-infected students in Madagascar increased significantly between 1989 and 1995, very little is known about student behaviour with regard to AIDS. The study objectives were: to describe Malagasy students' sexual behaviour and condom use; to document students' perceptions about condoms; and to study the relationships between students' socio-demographic characteristics, their perceptions about condoms, and their condom use. The survey used a cross-sectional design and was conducted at the Antananarivo's university campus sites. Anonymous questionnaires were self-administered to 320 randomly selected students.Descriptive statistics and 95% confidence intervals were calculated. Logistic regressions were performed to identify the predictors of condom use. Participants' average age was 24 years. Approximately 80% of the participants reported sexual experiences, and the average age at sexual debut was 19 years. Only 5.7% reported consistent condom use. Common reasons for non-use were steady relationships (75.6%), the perception that condoms were useful only during ovulation periods (8.7%), and the decrease of pleasure (6.4%). The predictors of condom use were male gender, and the perception that condoms were useful during ovulation periods.Risky sexual behaviours with regard to AIDS were prevalent in this community. An HIV prevention programme is recommended. Keywords: Sexual behaviour, condoms, HIV, students, Madagascar. RésuméBien que le nombre connu des étudiants malgaches infectés par le VIH ait largement augmenté entre 1989 et 1995, l'information sur le comportement des étudiants par rapport au SIDA est très limitée. Les objectifs de cette étude furent: 1) décrire le comportement sexuel des étudiants malgaches et l'utilisation du préservatif, 2) documenter les perceptions des étudiants envers les préservatifs, 3) examiner dans quelle mesure l'utilisation du préservatif par les étudiants varie en fonction de leurs caractéristiques sociodémographiques et leurs perceptions envers les préservatifs. Cette étude a été menée dans les sites du campus universitaire d' Antananarivo en utilisant un devis transversal. Un questionnaire anonyme a été auto-administré à 320 étudiants sélectionnés au hasard. Des statistiques descriptives et intervalles de confiance à 95% ont été calculés. La régression logistique a été utilisée pour identifier les déterminants de l'utilisation du préservatif. La moyenne d'âge des participants était de 24 ans. Environ 80% des répondants ont signalé avoir eu des rapports sexuels et l'âge moyen de premiers rapports était de 19 ans. Seulement 5,7% ont rapporté l'utilisation systématique du préservatif. Les raisons de non utilisation furent les suivantes : être dans une relation stable (75,6%), la perception que le préservatif est uniquement utile durant la période d' ovulation (8,7%) et la réduction du plaisir (6,4%). Le genre masculin et l'argument d' ovulation ont été identifiés comme prédicteurs d'utilisation de préservatifs. Les comportements sexuels à risque...

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Sexual behaviour and condom use among university students in Madagascar

Rahamefy

Rivard

Ravaoarinoro

et al. 2008

SAHARA-J: Journal of Social Aspects of HIV/AIDS

View full text Add to dashboard Cite

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“…The difference is re- lated to the HIV testing during pregnancy: about 60% of sexually active women reported taking the HIV test during prenatal care. Among the limitations of the survey, due to the sensitive issues of intimate nature, the validity of responses is questioned in the literature 39,40 . The differences by gender observed in this study regarding sexual practices may also be related to the fact that women, when compared to men, tend to underestimate their sexual risk behaviors in surveys 41 .…”

Section: Discussionmentioning

confidence: 99%

Sex inequalities in HIV-related practices in the Brazilian population aged 15 to 64 years old, 2008

Pascom

Szwarcwald

2011

Cad. Saúde Pública

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The objective of this study is to analyze gender differences in HIV-related practices in the Brazilian population. A national survey was carried out in 2008 with a sample size of 8,000 individuals aged 15-64 years old. The sampling was stratified by macro geographical region and urban/rural areas. Logistic regression models were used to investigate the main predictors of consistent condom use. The results showed that women have less sexy, start sexual life later than men, have fewer casual sexual partners, but use condom less frequently than men. On the other hand, the coverage of HIV testing is significantly greater among women. Significant differences by gender were seen in all HIV-related risky practices. The greater vulnerability was always associated with women, with exception of HIV testing. The low proportion of condom use in infidelity situations was a problem for box sexes and deserves special consideration when developing prevention strategies.

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“…Some studies have focused on experiences and perceptions of young people in general, in relation to HIV/AIDS [7,8], but no specific study in this connection has been made on the young people with disabilities. There is very little research world wide on disabled people's needs regarding the prevention and mitigation of the AIDS epidemic [9,10].…”

Section: Contextmentioning

confidence: 99%

Experiences and Perceptions of Sexuality and HIV/AIDS among Young People with Physical Disabilities in a South African Township: a Case Study

2006

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This study explored the experiences and perceptions of sexuality and HIV/ AIDS among 15-24 year-old young people with physical disabilities in a South African Township characterised by high unemployment rates and lack of social services. Ten young people and ten parents participated in multiple individual interviews as well as in focus group discussions. The analysis of audio taped and transcribed responses identified common experiences and perceptions among participants. The results indicate that disabled young people have limited factual knowledge about sexuality and HIV/AIDS. The decisions and choices they make about sexual behaviour are not informed by what they know; rather, they are part of the whole life situation in Nyanga. Their need to be loved and accepted, need for job security and family life, were more important than practicing 'safe sex'. Therefore, there is need for HIV/AIDS programme developers to take into account the experiences and perceptions of the target population.

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Opportunity for Prevention of HIV and Sexually Transmitted Infections in Kenyan Youth: Results of a Population-Based Survey

Cited by 27 publications

References 13 publications

Sexual behaviour and condom use among university students in Madagascar

Sexual behaviour and condom use among university students in Madagascar

Sex inequalities in HIV-related practices in the Brazilian population aged 15 to 64 years old, 2008

Experiences and Perceptions of Sexuality and HIV/AIDS among Young People with Physical Disabilities in a South African Township: a Case Study

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