Thesis (MA (Psychology))--Stellenbosch University, 2008. / Recent research in the field of HIV/AIDS prevention suggests that for more effective interventions to be developed, it is necessary to understand, consider, and address the social context in which high risk sexual behaviours occur, and particularly to understand how issues of gender are implicated in the perpetuation of these behaviours. Based on the broad theoretical premise that social discourses play an integral role in the production and maintenance of gender and sexual identity, and in line with research suggesting that more attention needs to be paid to the role that men and masculinity play in HIV transmission through sex, this pilot study employed a social constructionist framework to explore constructions of masculine sexuality, high risk sexual behaviours, HIV/AIDS and the relationships between these, amongst a small sample of 10 young adult Xhosa speaking males that reside in or around Cape Town in the Western Cape, South Africa. The findings of this study indicate that the participants generally construct their gender and sexual identities in ways that are highly consistent with social discourses that construct men as dominant over women. There was also strong evidence that, for the participants, their sexual identity represented a primary source of their identity as men. This sexual identity appeared in itself to be constructed primarily along patriarchal lines, and maintained by pervasive reference to what is normative for men within their social contexts, thereby setting up a self perpetuating loop. The data revealed a number of dimensions to this sexual identity, such as the role that sexual success and prowess plays in maintaining and enhancing a sense of self and public esteem, that provided participants with logical motivations for engaging in high risk sexual behaviours (although participants did not necessarily construct them as such) such as having multiple sexual partners, casual sex, non-use of condoms and, importantly, sexual coercion: 70% of the participants indicated that they either do not use condoms consistently or don’t use them at all while 80% reported having sexually coerced at least one partner. There is strong evidence to support the suggestion that the content of the participants’ masculine sexual identity is inextricably linked both to the social gender discourses present in the social context, and their sexual behaviour. There was also evidence to suggest that this link represents a psychological motivation for behaviour that is often more powerful than the participants’ cognitive awareness of the risk of contracting HIV and their own personal morality put together.

Thesis (MPhil)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: The objective of this study was to measure the level of HIV and Aids knowledge, attitudes and safer sex practices among student men who have sex with men (MSM) at a higher education institution in the Western Cape. The study served to recommend guidelines for effective and enhanced targeted intervention response for MSM student community. A total of 36 MSM students aged between 19 and 36 (of which most were South African, black and Xhosa speaking) were recruited to take part in the study. Selection was done via snowball sampling. Respondents completed questionnaires upon consenting to participate in the study. The study found moderately high levels of basic HIV knowledge among the sampled MSM population. There were, however, lower levels of knowledge reported regarding the associated risk and effective prevention strategies of anal sex when compared to similar information about vaginal sex and oral sex. Findings also show that participants had very positive attitudes towards HIV testing, condom use and a non-discriminating environment. Respondents lacked confidence in both management and student leadership with regards to their responsibility in mitigating homophobia/discrimination against MSM student population. Furthermore, a high number of respondents reported having sex with men and women as well as multiple sexual partnerships. Self-reported alcohol and drug use were found to be very low, with the majority of participants indicating non-use. Participants stated little challenges accessing health care services. However, respondents felt MSM specific information about health care related rights and needs were lacking. Recommendations from this study include current HIV and Aids policy reform, mainstreaming MSM-friendly health care services, introducing combination HIV prevention programmes such as Mpowerment and addressing the human rights needs of MSM. / AFRIKAANSE OPSOMMING: Die doel van hierdie studie was om die vlakke van MIV en Vigs kennis, houdings en veilige seksuele praktyke onder manlike studente wat seks het met mans (MSM) by 'n hoër onderwys instansie in die Wes-Kaap te meet. Die studie het gepoog om riglyne daar te stel vir die bewerkstelling van effektiewe en verbeterde geteikende intervensies vir die MSM studente gemeenskap. Daar was 36 MSM studente tussen die ouderdomme van 19 en 36 (meestal Suid-Afrikaans, swart en Xhosa-sprekend) gewerf vir die studie. Seleksie is gedoen deur middel van die sneeubal steekproef-metode. Deelnemers het 'n vraelys voltooi nadat hulle ingewillig het om deel te neem aan die studie. Deelnemers het matig tot hoë vlakke van basiese MIV en Vigs kennis getoon. Daar was egter laer vlakke van kennis oor gepaardgaande risiko’s en effektiewe voorkoming strategieë ten opsigte van anale seks in vergelyking met dieselfde informasie oor vaginale en orale seks. Die studie het verder bevind dat deelnemers baie positiewe houdings gehad het teenoor MIV-toetsing, die gebruik van kondome en 'n nie-diskriminerende omgewing. Verder het hulle min vertroue getoon in beide die bestuur en studente leierskap se vermoë om sake wat verband hou met homofobie en/of diskriminasie teen die MSM studente bevolking, effektief te hanteer. Daar is gevind dat baie respondente seks het met mans en vroue en ook verskeie seksuele maats het. Self-gerapporteerde alkohol- en dwelmgebruik was relatief laag onder respondente met die meerderheid wat aangedui het hulle glad nie alkohol of dwelms gebruik nie. Deelnemers het ook rapporteer dat gesondheidsdienste vir hulle maklik toeganklik is. Respondente het ook gevoel dat MSM spesifieke informasie oor gesondheidsverwante regte en behoeftes tans ontbreek. Aanbevelings wat voortspruit uit hierdie studie sluit in die hersien van die huidige MIV en Vigs beleid, die skepping van MSM-vriendelike dienste, die implementering van MIV-voorkomingsprogramme soos Mpowerment en die bevordering van menseregte wat verband hou met MSM.

Text in English / The Department of Education nationwide introduced HIV and AIDS care and support for learning and teaching programmes as intervention strategies for supporting vulnerable learners. Despite these interventions, teenagers continue to fall pregnant and this increases their vulnerability to HIV infection. HIV and STIs are rife among teenagers owing to ignorance and peer pressure, among other factors. The aim of this exploratory qualitative study was to explore factors that influence condom use among high school teenagers aged between 16 and 18 in Dutywa District. Focus group discussions and in-depth face-to-face interviews with 12 high school teenagers from one high school (High School X) were used to collect data. Thematic analysis was used to analyse data. The findings of this study revealed that high school teenagers are not using condoms to any significant degree. In their opinion, condoms limit sexual pleasure; they indicate a lack of trust and unfaithfulness between partners and are associated with sexually transmitted diseases. The findings of this study are significant for the policy implementation of schools. / Sociology / M.A. (Social Behaviour Studies in HIV and AIDS)

Text in English / The Department of Education nationwide introduced HIV and AIDS care and support for learning and teaching programmes as intervention strategies for supporting vulnerable learners. Despite these interventions, teenagers continue to fall pregnant and this increases their vulnerability to HIV infection. HIV and STIs are rife among teenagers owing to ignorance and peer pressure, among other factors. The aim of this exploratory qualitative study was to explore factors that influence condom use among high school teenagers aged between 16 and 18 in Dutywa District. Focus group discussions and in-depth face-to-face interviews with 12 high school teenagers from one high school (High School X) were used to collect data. Thematic analysis was used to analyse data. The findings of this study revealed that high school teenagers are not using condoms to any significant degree. In their opinion, condoms limit sexual pleasure; they indicate a lack of trust and unfaithfulness between partners and are associated with sexually transmitted diseases. The findings of this study are significant for the policy implementation of schools. / Sociology / M.A. (Social Behaviour Studies in HIV and AIDS)

This study investigated coercive and high risk sexual practices in South African adolescent dating relationships. Quantitative and qualitative information was collected from secondary school learners in a community near Johannesburg. Of 928 learners surveyed, 23.5% of females and 53.7% of males ever had sex. Of these, 57.8% of females and 44.2% of males reported sexual victimisation, and 46.8% of females and 50% of males reported perpetrating sexual coercion in a relationship. Significantly more males engaged in risky sex than females. Among females, sexual coercion was significantly linked to risky sexual behaviour. Among males, alcohol and perpetration of sexual coercion were significantly associated with risky sexual behaviour. Focus group data reveal how dominant constructions of gender normalise male coercion and contribute to risky sexual practices. Recommendations for sexual health initiatives include introducing alternative discourses of female sexual desire and male sexual responsibility as a means for building healthier adolescent dating relationships. / Psychology / M.A. (Psychology)

This study investigated coercive and high risk sexual practices in South African adolescent dating relationships. Quantitative and qualitative information was collected from secondary school learners in a community near Johannesburg. Of 928 learners surveyed, 23.5% of females and 53.7% of males ever had sex. Of these, 57.8% of females and 44.2% of males reported sexual victimisation, and 46.8% of females and 50% of males reported perpetrating sexual coercion in a relationship. Significantly more males engaged in risky sex than females. Among females, sexual coercion was significantly linked to risky sexual behaviour. Among males, alcohol and perpetration of sexual coercion were significantly associated with risky sexual behaviour. Focus group data reveal how dominant constructions of gender normalise male coercion and contribute to risky sexual practices. Recommendations for sexual health initiatives include introducing alternative discourses of female sexual desire and male sexual responsibility as a means for building healthier adolescent dating relationships. / Psychology / M.A. (Psychology)