Social Factors, Social Support And Condom Use Behavior Among Young Urban Slum Inhabitants In Southwest Nigeria

Adedimeji, Adebola; Heard, Nathan; Odutolu, Oluwole; Omololu, Femi O.

doi:10.4314/eajph.v5i3.39006

Cited by 24 publications

(24 citation statements)

References 49 publications

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“…The importance of a supportive environment of peers and social networks for condom use has been highlighted in past research which corroborates our study finding [14,[32][33][34]. This indicates that not only the personal motivation level of an individual, but also the perception that condom use is encouraged and approved by the people in the surroundings is important for consistent condom use.…”

Section: Discussionsupporting

confidence: 91%

Psychosocial Correlates of HIV-related Sexual Risk Factors among Male Clients in Southern India

Roy¹,

Mahapatra²,

Bhanot³

et al. 2012

IJPBS

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Psychosocial theories suggest that individuals' behavior is a reflect ion of their intention and ability to carry out a typical behavior. Th is study proposes to examine the psychosocial correlates of HIV-related sexual risk factor among male clients of female sex workers (FSWs). Data were used from a cross-sectional survey, collected using two-stage sampling, conducted among 2382 clients of FSWs in four states of India in November 2008. Clients were males who had engaged in paid sex with a FSW in the 12 months preceding the survey. Multiple logistic regression models were fitted to assess the effect of d ifferent psychosocial measure on HIV-related sexual risk factors: mu ltiple sexual partners, inconsistent condom use and self reported sexually transmitted infections (STIs). The odds of inconsistent condom use with FSWs was more among clients with low self-efficacy (Adjusted Odds Ratio (AOR): 2.2, 95% Confidence Interval (CI): 1.7-3.0), lo w perceived social support (AOR: 1.8, 95% CI: 1.3-2.6), lo w perceived personal norms (AOR: 1.7, 95% CI: 1.2-2.3) and lo w perceived access to condoms (AOR: 1.5, 95% CI: 1.1-2.0) than others. Similarly, experience of STI-related symptoms in the last 12 months was associated with low self-efficacy, low perceived social support and low perceived vulnerability. Findings highlight strong influence of psychosocial attitudes on HIV-related sexual risk factors among male clients of FSWs, suggesting the need for designing HIV p revention strategies to address psychosocial issues like self-efficacy, vulnerability and social support.

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Section: Discussionsupporting

confidence: 91%

Psychosocial Correlates of HIV-related Sexual Risk Factors among Male Clients in Southern India

Roy¹,

Mahapatra²,

Bhanot³

et al. 2012

IJPBS

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“…17 However, despite the effectiveness of condoms in preventing unwanted pregnancies and STIs, condom use in South Africa has been described as declining among youths, and calls for a better understanding of how condoms fit within sexual practices. [18][19][20] In sub-Saharan Africa, the lethality of AIDS and risk of HIV acquisition in unprotected sex is almost universally known. The health-related behaviour model recognises that perception of being at risk as one of the necessary condition for adopting preventive behaviours.…”

Section: Introductionmentioning

confidence: 99%

HIV risk perception and consistency in condom use among adolescents and young adults in urban Cape Town, South Africa: a cumulative risk analysis

Muchiri

Odimegwu

Wet

2017

Southern African Journal of Infectious Diseases

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Background:The relationship between HIV risk perception and consistency in the use of condoms is scarcely understood in the context of a high HIV prevalence among adolescents and young adults in urban South Africa. Methods: Using data from Cape Area Panel Study (CAPS), gender-stratified analyses were conducted to determine relationship between risk perception and condom use among 14-22 year olds (n = 4 853) in urban Cape Town. Using discriminant function analyses, ecological determinants of consistency in condom use were determined and a cumulative risk approach examined. Results: A total of 1 598 sexually active youths, of mean age 17.7 years, with 785 (49%) of males and 813 (51%) females were identified for analyses. At baseline, 87% of males and 90% of females assessed themselves to be at no or low risk of HIV infection. At follow-up, 61% of males reporting low or no risk were consistently using condoms compared to 67% reporting some risk of HIV infection. In females, 47% reporting low or no risk consistently used condoms compared to 49% of those reporting to be at some risk. Conclusions: Perceived risk for HIV infection had no significant impact on consistency in using condoms for both males and females. Further, findings suggests that the effect of ecological risk factors was cumulative. Therefore, interventions aimed at the three levels ecology may be more effective in improving consistency as risk factors possess a cumulative effect.

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“…Research has also shown that while cost barriers persist in accessing discounted and free male condoms among low-wage users [21, 80], the cost of female condoms is approximately twelve times greater than male ones and often unaffordable for low-income consumers who find them acceptable to use [81]. Interestingly, a study in Nigeria observed that earning an income was marginally associated, but not statistically significant, with higher odds of male condom use among both slum adolescent boys and girls [82]. …”

Section: Discussionmentioning

confidence: 99%

Economic Context and HIV Vulnerability in Adolescents and Young Adults Living in Urban Slums in Kenya: A Qualitative Analysis Based on Scarcity Theory

et al. 2017

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Urban slum adolescents and young adults have disproportionately high rates of HIV compared to rural and non-slum urban youth. Yet, few studies have examined youth’s perceptions of the economic drivers of HIV. Informed by traditional and behavioral economics, we applied a scarcity theoretical framework to qualitatively examine how poverty influences sexual risk behaviors among adolescents and young adults. Focus group discussions with one hundred twenty youth in Kenyan’s urban slums were transcribed, coded, and analyzed using interpretive phenomenology. Results indicated that slum youth made many sexual decisions considered rational from a traditional economics perspective, such as acquiring more sex when resources were available, maximizing wealth through sex, being price-sensitive to costs of condoms or testing services, and taking more risks when protected from adverse sexual consequences. Youth’s engagement in sexual risk behaviors was also motivated by scarcity phenomena explained by behavioral economics, such as compensating for sex lost during scarce periods (risk-seeking), valuing economic gains over HIV risks (tunneling, bandwidth tax), and transacting sex as an investment strategy (internal referencing). When scarcity was alleviated, young women additionally described reducing the number of sex partners to account for non-economic preferences (slack). Prevention strategies should address the traditional and behavioral economics of the HIV epidemic.

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Social Factors, Social Support And Condom Use Behavior Among Young Urban Slum Inhabitants In Southwest Nigeria

Cited by 24 publications

References 49 publications

Psychosocial Correlates of HIV-related Sexual Risk Factors among Male Clients in Southern India

Psychosocial Correlates of HIV-related Sexual Risk Factors among Male Clients in Southern India

HIV risk perception and consistency in condom use among adolescents and young adults in urban Cape Town, South Africa: a cumulative risk analysis

Economic Context and HIV Vulnerability in Adolescents and Young Adults Living in Urban Slums in Kenya: A Qualitative Analysis Based on Scarcity Theory

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