Risk Factors of Inconsistent Condom Use among Sexually Active Youths: Implications for Human Immunodeficiency Virus and Sexual Risk Behaviours in Malawi

Chialepeh, Wilson N; Susuman, A Sathiya

doi:10.1177/0021909615595992

Cited by 14 publications

(16 citation statements)

References 31 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Risky sexual behaviours which are defined as behaviours that increase the risk of transmission of sexually transmitted infections (STIs) and HIV continue to be wide spread in sub-Saharan Africa and it explains why HIV is now endemic in this region (Chialepeh and Susuman 2015). These behaviours include early age at sexual debut, having multiple sexual partners, unprotected sex with strangers, sex with partners whose STI status is unknown and when one or one's sexual partner has a STI (Agarwal et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Risky Sexual Behaviour Among Married and Cohabiting Women and its Implication for Sexually Transmitted Infections in Mahikeng, South Africa

Osuafor

Ayiga

2016

Sexuality & Culture

View full text Add to dashboard Cite

Risky sexual behaviour continues to be the main means through which sexually transmitted infections (STIs) and HIV are spread in South Africa. However few studies have assessed risky sexual behaviour among married and cohabiting women in this high HIV prevalence country. The aim of this study was therefore to assess the prevalence and identify the predictors of risky sexual behaviour among married and cohabiting women in Mahikeng Local Municipality where HIV is generalized. The study used cross-sectional mixed methods data obtained from 568 women responding to a survey and 33 women participating in in-depth interviews in 2012. All the women were aged 18-49 years, married or cohabiting and were residing in rural and urban areas of Mahikeng Local Municipality at the time of the study. The data was analyzed by the use of the Chi square statistic and a parsimonious binary logistic regression model, and the thematic content analysis method. The study found that 4 in 10 of the women experienced risky sexual behaviour, which was significantly predicted by being in marriage or cohabitation for \5 years, having a partner working in agriculture, government and mining sectors, having sex to achieve motherhood, having the perception by the women that they were unlikely to contract STIs, having the belief that partners have the right to use force to obtain sex and having partners who were unwilling to use condoms. All the above predictors were exacerbated by culturally sanctioned gender inequality and structural factors. The findings suggest that risky sexual behaviour is prevalent among married and cohabiting women in the study area which has serious implication for the marital transmission of STIs and HIV. We suggest interventions that enhance gender equality in sexual decisions and initiatives that encourage men to change their sexual beliefs and values.

show abstract

Section: Introductionmentioning

confidence: 99%

Risky Sexual Behaviour Among Married and Cohabiting Women and its Implication for Sexually Transmitted Infections in Mahikeng, South Africa

Osuafor

Ayiga

2016

Sexuality & Culture

View full text Add to dashboard Cite

show abstract

“…Risky sexual behaviours are those which increase the chances of contracting sexually transmitted infections (STIs) and experiencing unintended pregnancies. [1][2][3] In Nigeria, study has confirmed that such behaviours are associated with young people like early debut in sexual activities, sex with many partners, low and inconsistent use of condoms and indulgence in unsafe sexual practices. 4 These are influenced by individual level factors and the key among these is the reason for engaging in risky sexual activities in marriage.…”

Section: Introductionmentioning

confidence: 93%

Sexual behaviour among rural women in Ondo state, Nigeria: do cultural and gender norms matter?

Imo

Olusanya

Oluwatuase

2018

Int J Community Med Public Health

View full text Add to dashboard Cite

Background: The issues of sexual behaviour that increase risk of a negative outcome among women have been debated. This paper explored the influence of cultural and gender norms on sexual behaviour among rural childbearing married women in Akoko, Ondo State, Nigeria.Methods: The study utilized exploratory study design and purposively recruited 394 and 30 childbearing married women for quantitative and qualitative studies, respectively through which data were generated. The analyses were carried out with Stata software (version 13.0) for quantitative data using descriptive and chi-square statistics, while thematic content analysis was used for qualitative data.Results: About two-third of the respondents did not use contraceptive methods, which was a significant predictor of unplanned pregnancies among the women at p<0.05. Alluding to cultural preference of children and male roles in sexual behaviours, the qualitative data revealed that desire for large family sizes by partners, cultural norms, men’s superiority on sexual matters and partners’ disapproval of contraceptive usage predict women’s inability to negotiate sex with partners.Conclusions: Therefore, risk reduction strategies aimed at enlightening childbearing married women on their imperative positions in sexual relationships within marriages should be initiated to facilitate the achievement of sustainable development goals should be intensified.

show abstract

“…Some study ndings suggest that condom failure results from improper use while other studied have reported condom failures occurring through breakages or slippages which are deliberately caused by clients [13][14][15][16]. A study conducted in Mombasa, Kenya on action taken by FSWs after experiencing condom failure reported that FSWs had mixed options following these incidences: few singled out emergency contraceptives, several sought health care services and the majority did not know what do or where to go for assistance [1,2].…”

Section: Introductionmentioning

confidence: 99%

Actions taken by female sex workers (FSWs) after condom failure in semi urban Blantyre, Malawi

Twizelimana¹,

Muula

2020

Preprint

View full text Add to dashboard Cite

Background Little is known about action taken by female sex workers (FSWs) after condom failure during sexual intercourse. The objective of this study was to investigate the actions taken by FSWs after condom failure among FSWs in semi – urban, Blantyre in Malawi. Methods A cross sectional, qualitative study was conducted among FSWs in Blantyre, Malawi between May and July 2019. Snowballing technique was used to recruit study participants in four purposively selected study sites. Focus group discussions and in-depth interviews were conducted by trained research assistants among 40 FSWs. Data were analyzed using thematic content analysis. Results Study participants reported different actions taken after condom failure. Many FSWs reported to have stopped sex immediately and changed the condom and then resumed sexual intercourse. Other than condom replacement no further actions were taken. Few FSWs reported to have stopped sexual intercourse and thereafter sought medical care which included post-exposure prophylaxis for HIV, sexually transmitted infections’ treatment, and emergency hormonal contraceptives. Urination, vaginal douche, and squatting after condom failure were reported as actions taken by some participants with the aim to avoid HIV transmission and pregnancy. Some FSWs interviewed reported to have not stopped sexual intercourse and no any other actions were taken after condom failure. Some FSWs reported to have douched, squatted or asked for higher pay from their clients after condom failure. Conclusion We reported some inadequate behaviors among FSWs after condom failure. Health programs should develop interventions for safe sex among FSWs to prevent STIs including HIV, and unplanned pregnancies. There is a need to address misconceptions related to health illiteracy among FSWs. There are interpersonal, structural and policy factors hindering FSWs’ access to health care providers.

show abstract

Risk Factors of Inconsistent Condom Use among Sexually Active Youths: Implications for Human Immunodeficiency Virus and Sexual Risk Behaviours in Malawi

Cited by 14 publications

References 31 publications

Risky Sexual Behaviour Among Married and Cohabiting Women and its Implication for Sexually Transmitted Infections in Mahikeng, South Africa

Risky Sexual Behaviour Among Married and Cohabiting Women and its Implication for Sexually Transmitted Infections in Mahikeng, South Africa

Sexual behaviour among rural women in Ondo state, Nigeria: do cultural and gender norms matter?

Actions taken by female sex workers (FSWs) after condom failure in semi urban Blantyre, Malawi

Contact Info

Product

Resources

About