Safety in stigmatizing? Instrumental stigma beliefs and protective sexual behavior in Sub-Saharan Africa

Cort, David A.; Tu, Hsin Fei

doi:10.1016/j.socscimed.2017.12.007

Cited by 9 publications

(12 citation statements)

References 36 publications

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“…Also, participants were asked if they used condoms at all sexual encounters in the past year and the type of partners they had sex with. In line with our argument and consistent with Cort and Tu’s [1] operationalisation of the concept, our measure of protective sexual behaviours took into account never engaged in sex, abstinence in the past 1 year, consistent condom use and the practice of sexual fidelity. We created six categories by combining these behaviours in the following ways:Category 1 Never engaged in sexCategory 2 Had sexual experience but abstained from sex in the past yearCategory 3 Non-abstinent- Used condoms consistently and practising sexual fidelityCategory 4 Non-abstinent- Used condoms consistently and not practising sexual fidelityCategory 5 Non-abstinent- Don’t use condoms consistently and practising sexual fidelityCategory 6 Non-abstinent- Don’t use condoms consistently and not practising sexual fidelity…”

Section: Methodsmentioning

confidence: 60%

“…Building on existing research that departs from the binary view of sexual behaviours [1], this study examined the practice of protective sexual behaviours of adolescents and young adults using data obtained from two Nigerian universities. Our analysis shows that most students practised protective sexual behaviours: lifetime abstinence or abstinence in the past year, consistent condom use and sexual fidelity.…”

Section: Discussionmentioning

confidence: 99%

“…These behaviours include abstinence from sex, sexual fidelity and consistent condom use. This paper builds on the work of Cort and Tu [1] who viewed sexual behaviour as a continuum; with individuals who engage in unprotected sex with multiple sexual partners on the higher end of risk continuum, while those who abstain from sex occupy the lower end of the risk continuum.…”

Section: Introductionmentioning

confidence: 99%

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Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents

Ajayi

Okeke

2019

BMC Public Health

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Background Many studies have focused on risky sexual behaviour among adolescents and young adults; however, literature on protective sexual practices among this age cohort is still evolving. Since young adults are disproportionately burdened by sexually transmissible infections, including HIV, understanding factors that influence protective sexual behaviour among the age group is crucial in developing age-appropriate interventions. Drawing from a cross-sectional survey conducted among adolescents and young adults in two Nigerian universities, we examined gender differences in protective sexual behaviours and the influence of family support and living with both parents on these behaviours. Methods A total of 800 male and female university students in two Nigerian universities were recruited using stratified random sampling between February and April 2018. Analysis was, however, based on 599 participants aged between 15 and 24 . Adjusted and unadjusted multinomial logistic regression models were used to examine the influence of family support, and living with both parents on protective sexual behaviours at a 95% confidence interval. Results Findings show that the largest proportion of our participants engaged in protective sexual behaviours. We found no gender differences in protective sexual behaviours, including sexual abstinence, consistent condom use, and sexual fidelity. Family support and living with both parents were positively associated with protective sexual behaviours among adolescents and young adults. Conclusion This study found that a majority of adolescents and young adults in Nigerian Universities engage in protective sexual behaviours. Adequate family support and living with both parents are positively associated with protective sexual behaviours. The study however revealed that about one-fifth of our participants engaged in high-risk sexual behaviour. This suggests a need for behavioural change interventions, provision of sexual health services and empowerment of students who receive inadequate family support.

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Section: Methodsmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents

Ajayi

Okeke

2019

BMC Public Health

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“…This finding is consistent with another study conducted in sub-Saharan Africa. 36 In this multicountry study, data consistently showed a positive relationship between stigma and HIV transmission risk behaviors across several countries. The authors explain that the association between stigma and HIV transmission risk behaviors may be explained by the fact that HIV-negative persons identify themselves as belonging to a certain group that is perceived to be safer, leading to complacency in sexual behavior practices.…”

Section: Discussionmentioning

confidence: 65%

HIV-related stigma and its association with HIV transmission risk behaviors among boda boda motorcyclists in Mbarara Municipality, southwestern Uganda

2021

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Background: Key populations have a disproportionate burden of HIV compared with the general population. HIV-related stigma has been recognized as a major barrier to HIV prevention and treatment efforts. It remains unclear whether HIV-related stigma is a significant driver of HIV transmission risk behavior among boda boda (motorcycle taxi) riders, a key population in Uganda. Methods: We conducted a cross-sectional study among boda boda motorcyclists in Mbarara Municipality of southwestern Uganda. Using multistage sampling, we recruited participants aged 18–59 years who had been riding for at least 6 months. The primary explanatory variable of interest was HIV-related stigma, measured using the 7-item STRIVE scale and dichotomized at “no stigma” versus “any stigma.” Self-reported HIV transmission risk behaviors included: condomless sexual intercourse, sexual intercourse under the influence of alcohol, having non-primary sexual partners, and sexual intercourse with a commercial sex worker. We used multivariable logistic regression to estimate the association between HIV-related stigma and HIV transmission risk behavior. Results: We enrolled 401 boda boda motorcyclists. All were men. Most [330 (82%)] were classified as having HIV-related stigma, particularly among younger men aged 18–29 years. One hundred and thirty-two (34%) participants reported their last sexual encounter was with a non-primary partner, 153 (39%) did not know the serostatus of their last sexual partner, and 138 (36%) reported sexual intercourse with a sex worker in the past 6 months. In multivariable logistic regression, HIV-related stigma (adjusted odds ratio [aOR] = 1.88, 95% CI: 1.06–3.34) had a statistically significant association with any HIV transmission risk behavior. Men who reported either minimal alcohol use (aOR = 1.81, 95% CI: 1.07–2.95) or harmful alcohol use (aOR = 3.5, 95% CI: 1.92–6.54), compared with men who reported no alcohol use, also reported greater odds of HIV transmission risk behavior. Conclusions: HIV transmission risk behavior is common among boda boda motorcyclists in the municipality and is associated with both HIV-related stigma and alcohol use. Interventions aimed at reducing HIV-related stigma and alcohol use may potentially reduce the high rates of HIV transmission risk behavior in this key population.

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“…While the literature is replete with studies on young people's risky sexual behaviors and their effects on unintended pregnancy, unsafe abortion, and HIV and STIs acquisition, few studies have explored their practice of protective sexual behaviors [1][2][3][4][5][6][7][8]. Protective sexual behavior is viewed as behaviors that reduce the risk of contracting sexually transmitted infections (STIs) and unintended pregnancies-including abstinence, sexual fidelity, and consistent use of condoms [9,10]. Scholars tend to view young people's sexual behaviors as dichotomous-as whether they use condoms or not-while neglecting the nuances inherent in their expression of their sexuality [10].…”

Section: Introductionmentioning

confidence: 99%

Association between sexual and reproductive health knowledge and protective sexual behaviors among young women in Nigeria

Okunola¹,

Alawode

Ajayi

2022

Preprint

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Background While the literature is replete with studies on young people’s risky sexual behaviors and their effects on HIV and STI acquisition, unintended pregnancy, and unsafe abortion, few studies have explored the practice of protective sexual behaviors and its association with sexual and reproductive health knowledge. We examined the association between sexual and reproductive health knowledge and protective sexual behaviors using data of young women in Nigeria. Methods Data of 8,995 young women (aged 15-24) who were neither married nor living with a partner were obtained from the 2018 Nigeria Demographic and Health Survey (NDHS) and analyzed in this study. Protective sexual behaviors were measured using questions exploring sexual fidelity, condom use, having multiple partners, and abstinence, while sexual and reproductive health knowledge was measured with questions on fertility, fecundity, contraceptives, and HIV prevention. We fitted multinomial logistic regression to examine the association between sexual and reproductive health knowledge and protective sexual behaviors. Results The median score on sexual and reproductive health knowledge was five. The majority of the sample (71.5%) had no sexual experience, 6.6% abstained from sex in the past year, 7.2% used condoms and practiced sexual fidelity, 1.0% used condoms but did not practice sexual fidelity, 12.7% did not practice sexual fidelity but used condoms while 0.8% neither used condom nor practiced sexual fidelity. After controlling for important covariates, sexual and reproductive health knowledge was positively associated with “condom use and sexual fidelity” (uRRR = 1.28; CI = 1.04-1.60) relative to “not using condoms nor practicing sexual fidelity.” However, the association between sexual and reproductive health knowledge and other categories of protective sexual behaviors, such as no sexual experience, abstinence in the past year, and sexual fidelity but no condom use, did not reach a significant level. Conclusion We found a high prevalence of protective sexual behavior among young women in Nigeria. Our study provides evidence in support of the association between sexual and reproductive health knowledge and a higher likelihood of practicing protective sexual behaviors. Intervention efforts can focus on providing sexual and reproductive health education to young people to equip them with information to safeguard their sexual health.

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Safety in stigmatizing? Instrumental stigma beliefs and protective sexual behavior in Sub-Saharan Africa

Cited by 9 publications

References 36 publications

Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents

Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents

HIV-related stigma and its association with HIV transmission risk behaviors among boda boda motorcyclists in Mbarara Municipality, southwestern Uganda

Association between sexual and reproductive health knowledge and protective sexual behaviors among young women in Nigeria

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