This study aimed at exploring perceptions of young adults with regard to condom use in Vhembe district, Limpopo province. With the help of a quantitative, cross sectional descriptive design approach, data were collected using structured questionnaires administered to 372 young adults who came for healthcare services at a selected clinic. The findings indicated that there is a relationship between positive perceptions toward condom use and actual condom use. It means that people who have positive attitudes toward condoms are also more likely to use them. In contrast, people with a negative attitude towards condoms are less likely to use them during sexual intercourse. Negative attitudes of health care providers were found to be the barrier that prevents sexually active individuals to access condoms in primary health care facilities. Re-training of health care providers to address negative attitude is a matter of priority. Mass media can also be used as an avenue to communicate consistent and correct condom use. / Health Studies / M. A. (Nursing Science)

Teng, Yue. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (p. 33-38). / Abstract also in Chinese.

This study aimed at exploring perceptions of young adults with regard to condom use in Vhembe district, Limpopo province. With the help of a quantitative, cross sectional descriptive design approach, data were collected using structured questionnaires administered to 372 young adults who came for healthcare services at a selected clinic. The findings indicated that there is a relationship between positive perceptions toward condom use and actual condom use. It means that people who have positive attitudes toward condoms are also more likely to use them. In contrast, people with a negative attitude towards condoms are less likely to use them during sexual intercourse. Negative attitudes of health care providers were found to be the barrier that prevents sexually active individuals to access condoms in primary health care facilities. Re-training of health care providers to address negative attitude is a matter of priority. Mass media can also be used as an avenue to communicate consistent and correct condom use. / Health Studies / M. A. (Nursing Science)

Magister Public Health - MPH / The study had an observational, descriptive, cross sectional design. The sample consisted of 205 participants selected through convenience sampling. All students who presented for HIV testing during the colleges’ HIV Counselling and Testing campaign in December 2011 were asked to complete a self-administered closed-ended questionnaire voluntarily. The data was analysed with EPI Info versions 3.5.1. A frequency analysis was conducted for all the variables such as demographics, risk perception to HIV, knowledge of HIV, HIV testing behaviour. The association between HIV knowledge, risk perception and risk behaviours were assessed for gender differences. Chi-square analysis was conducted to determine the association between the main variable of interest HIV risk behaviour and each other explanatory variable (demographics, HIV knowledge, risk perception etc). Results were discussed using the theory of planned behaviour.

With the spread of the Human Immuno-Deficiency Virus and sexually transmitted diseases, it is extremely important for sexually active individuals to protect themselves properly if they decide to engage in sexual intercourse. Knowledge of HIV and the Acquired Immune Deficiency Syndrome has been associated with safer sexual practices, but knowledge alone does not totally explain risky sexual practices. This study examined how 154 college students' knowledge of HIV/AIDS, relationship status, perceptions of condom use, and perceptions of personal risk affect condom use during sexual intercourse. The impact of trust and love justifications along with the approval of peers were also examined. Perceptions of condom use and perceptions of personal risk were compared by gender and ethnicity; how perception of personal risk is related to condom use and condom use intentions was also examined. Condom use intention was found to be a significant predictor of condom use, and a significant difference of means for condom use intentions was reported between individuals who used condoms during their last experience with sexual intercourse and those who did not use condoms during their last sexual experience

This dissertation tests if a young adult’s social location determines what type of information he or she will receive about sexual health from parents and formal sexual education programs. I also test whether sexual education mediates direct associations between social location and 4 protective sexual health behaviors: condom communication, consistent condom use, delaying sexual debut, and reducing the number of lifetime sexual partners. Using the 2011-2013 wave of the National Survey of Family Growth, I look for differences in sexual education and engaging in protective sexual health behaviors among white, Hispanic, and African American men and women ages 15-24. I find that communication about sex from parents and formal sex education programs varies by race and gender. I also find that direct associations exist between social location, parental communication, formal sexual education, and protective sexual health behaviors. However, all of these operate independently from one another, and I find that parental communication and formal sexual education does little to mediate the direct associations between social location and protective sexual behaviors. Policy implications, limitations, and directions for future research are also discussed.

Young adult women in their first and second year of college are a group more commonly impacted by health-related concerns associated with condom use. Due to lack of consistent condom use and the increase in sexual partners, STIs remain an epidemic. Various types of studies have been conducted to investigate condom use among women college students. One factor that may influence condom use is the partner relationship. The literature on safe sex practices shows a gap regarding relationship quality and its potential influence on condom use. Guided by the Fletcher et al. model and Sternberg's triangular theory of love, the goal of this study was to explore whether the likelihood of using condoms is influenced by relationship quality components. Using a sample of 85 women college students, relationship quality was examined using the Perceived Relationship Quality Components Inventory. Using a binary logistic regression model, no statistically significant associations among relationship satisfaction, commitment, intimacy, trust, passion, love, overall relationship quality and condom use were found. The findings in this study confirm the existing knowledge, that is, condom use trends and behaviors among young college women remain unpredictable. Limitations to the study include a small sample size, age of majority in Nebraska, and failure to screen for important demographics. For the future, longitudinal studies would offer insight into how condom use behaviors vary depending on fluctuations in relationship quality. This study has implications for positive social change: It suggests an emphasis on a relationship-focused approach to condom use behaviors when working with freshman and sophomore college women.

The Navajo tribe reports extraordinarily high number of cases of sexually transmitted diseases (STDs), such as gonorrhea, chlamydia, and human immunodeficiency virus (HIV) among men who have sex with men (MSM) and heterosexual populations. The purpose of this qualitative study was to explore the cultural value of adil' idli (self-respect) and how this cultural practice might influence health behaviors in sexual activity, condoms use, and acquiring of STDs among Navajo men. The Health Belief Model (HBM) was the theoretical foundation for providing a deeper understanding of the social, environmental, and cultural factors of condom use among Navajo men. Research questions focus on understanding whether condoms affected sexual activity, its protective role against STDs/HIV, and acceptability concerns pertaining to adil' idli (self-respect). A purposeful criterion-based sampling was used to select and interview 20 Navajo men ages 20 to 39 who lived in or near Shiprock, New Mexico and Gallup, New Mexico. I used a grounded approach and categorizing strategy to code and analyze the transcripts. Key findings revealed that the positive components of adil' idli (self-respect) have influenced Navajo men to protect themselves by wearing condoms. Recommendations include identifying strategies to address condom errors and failures and to develop tactful approaches to promote correct condom use in order to decrease the rates of STDs and HIV among Navajo men. The positive social change implications include health professionals' use of findings to improve STD and condom use prevention behavior among Navajo men by integrating the cultural beliefs of adil' idli (self-respect), specifically emphasizing the positive aspects of staying healthy in health messages.

African American women living in the U.S. face immense challenges to protect themselves from HIV infection. One in every 32 African American women is diagnosed with the disease and heterosexual contact is the primary mode of transmission. A better understanding of the African American woman’s beliefs and decisions related to safe sex practices can give direction to strategies to promote safer sexual behaviors. The purpose of this study was to explore the association of the African American woman’s attitudinal beliefs, normative beliefs, and relationship control beliefs with self-reported sexual behaviors. The Theory of Planned Behavior served as the study’s theoretical framework, supporting the premise beliefs are precursors to explanations and understanding human behavior. Using a cross-sectional, correlational design, a convenience sample of 95 African American women from the southeastern United States was obtained. Results confirmed a statistically significant 1) positive relationship between gender role beliefs and relationship power, (r = 0.354, p < .001); 2) negative relationship between gender ratio imbalance beliefs and relationship power, (r = -0.472, p < 0.001); 3) positive association between relationship power and avoidance of risky sexual behavior, (r = 0.340, p = 0.001); 4) negative correlation between gender ratio imbalance beliefs and risky sexual behaviors, (r = -0.235, p = 0.022); and 5) positive correlation between safer sexual behavior and peer perceptions of safer sex behaviors, (r = 0.475, p < 0.001). Results from a stepwise multiple regression indicated that relationship power (p = 0.001) and peer perception (p < 0.001) were significant predictors of sexual behavior, accounting for 31% (p < 0.001) of the variance.

HIV/AIDS infections disproportionately impact African Americans within the United States. In 2010, black Americans made up 12 percent of the United States population, yet accounted for 44 percent of new HIV/AIDS infections (Kaiser Family Foundation 2013). The majority of black women (85 percent) are infected with the virus through heterosexual contact, meaning it is critical examine their sexual lives in order to gain insight into this infection within this population (CDC 2011b). Through semi-structured interviews at a Tampa, Florida AIDS service organization, this study presents the experiences of sexuality and intimacy among HIV positive black women. Results demonstrate that HIV impacts much more than sexuality in the lives of these women, and that their sexual and romantic satisfaction, disclosure patterns and mechanisms for decreasing further transmission are influenced by emotional connections, feelings of closeness, love, and intimacy, and are often motivated by non-traditional messages about health.