<p>the motivation of this study is to assess the high risk behaviors that contribute to the spread of HIV and AIDS among the youth. The most influential high risk behaviours that contribute to the spread of HIV and AIDS are unprotected sexual intercourse and having more than one sexual partner.The population for this study includes all full time first year students who registered for the first time in 2006 that attended the orientation week. A stratified, sequential random sample was drawn from the students attending the orientation.</p>

Submitted in fulfillment of the requirements for the Degree in Masters of Technology in Nursing, Durban University of Technology, Durban, South Africa, 2015. / Introduction Teenage pregnancy is a socioeconomic challenge and an important public health problem for communities in South Africa. Considerable research has been done on teenage pregnancy in South Africa but it focused mostly on teenage girls. Aim of the study The aim of the study was to explore and describe young males’ perceptions, to identify the roles they play in this phenomenon and to determine the factors that influence their perceptions as well as their practices regarding teenage pregnancy. Methodology A qualitative, explorative, descriptive design was used to conduct the study. The study was guided by the Johnson Behavioural Model System. The study population consisted of young males who were studying at the Free State School of Nursing. Data saturation was achieved after interviewing 10 participants. The four major themes emerged from data obtained were as follows: Theme 1: Perceptions regarding teenage pregnancies, Theme 2: Risk factors leading to teenage pregnancies, Theme 3: Cultural and traditional practices influencing perceptions about teenage pregnancies, Theme 4: Measures to prevent teenage pregnancies. Thematic analysis of data was done. Results The findings of this study revealed that young males were not involved in reproductive health programmes aiming to prevent teenage pregnancies. They lacked knowledge regarding the use of, and the available types of contraceptives. Cultural and traditional practices such as misinterpreting circumcision and cultural beliefs, including misconceptions about sexual practices, played a crucial role such as not using contraceptives during sexual intercourse that could lead to teenage pregnancy. This study recommends that young males need to be actively involved in reproductive health.

In the absence of a cure and/or vaccine, the best approach to HIV is to focus on prevention. However, preventative measures that are presently available in Nigeria do not target persons with intellectual disability despite their vulnerability to HIV infection. This study sought to compare the HIV knowledge, attitudes, and sexual practices of mildly/moderately intellectually impaired learners (IIL) and mainstream learners (ML) in Nigeria; to explore the contextual factors informing these, as well as both groups‗ exposure to HIV education. It also tested the relevance of the I-Change Model in predicting sexual abstinence among learners with intellectual disability. Findings can assist in developing tailored HIV prevention education for Nigerian learners with intellectual impairment. This cross-sectional, comparative study utilised mixed methods to investigate HIV knowledge, attitudes, and sexual practices among mildly/moderately IIL and ML in Nigeria. Mildly/moderately IIL (300) and ML (300) within the age range of 12-19 years in special and regular schools completed a questionnaire based on the I-Change Model. Focus group discussions and in-depth interviews were used with learners to explore contextual factors informing their HIV knowledge, risk perception, sexual behaviours and access to HIV education and services. Key informant interviews were used as independent sources of the same information with their teachers. Learners with intellectual impairment were less aware of HIV/AIDS than their non-disabled peers (p < 0.001), had lower HIV knowledge scores (p < 0.001) and lower HIV risk perception scores (p < 0.001). Sexual experience was reported by 79 (26.3%) of the IIL sample compared to 48 (16.0%) of the ML sample (p = 0.002). Girls with intellectual disability were 3.71 times more likely to report a history of sexual abuse than non-disabled girls (p = 0.041). Inconsistent condom use with casual partners (p < 0.001) and non-use of condoms during the last sexual activity (p < 0.001) was higher in IIL. The I-Change Model was most effective in predicting sexual abstinence among IIL, particularly regarding factors related to motivation and intention. Intellectually impaired learners were more vulnerable to HIV infection due to neglect, poverty, sexual abuse/exploitation, stigmatisation, pressure from non-disabled peers, denial of HIV education, and inaccessible HIV-related services. Teachers only provided them with sexuality and HIV education when sexual activity was suspected and/or from age 18. The content of such education comprised mainly warnings, misinformation and corporal punishment to instil fear and desexualise them. Thus, this group of learners was limited in the way they experienced and expressed their sexuality. Unlike with their non-disabled peers, teachers attributed sexual activity among IIL solely to natural urges without emotional involvement. Contrary to teachers‘ opinions, some IIL were involved in symbiotic, loving relationships with their II peers. In addition, those that were not yet in such relationships expressed the desire to find non-discriminatory partners in the future. They explored their sexuality through intimate relationships, sexual intercourse, peeping at the opposite sex, pornography, and masturbation. Condoms were less available to IIL than ML, and they lacked the self-efficacy to use them. They were also less available to II girls than II boys. Female learners with intellectual impairment often had older sexual partners due to sexual abuse/exploitation, unlike their non-disabled peers, who embarked on such relationships for financial/material gains. The findings of this study indicated that IIL were sexual beings, just like their non-disabled peers, and at higher risk of HIV infection than the latter. Stigma and discrimination are the root causes of all the disadvantages/barriers that IIL experience in accessing HIV information, education and related services. Therefore, there is the need to put stigma reduction strategies in HIV response to safeguard the health of IIL. In addition, there is a need for the development of a gender-sensitive, tailored sexuality and HIV/AIDS educational format for learners with intellectual disability in Nigeria. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2011.

The study aimed at investigating the impact of alcohol on the sexual behaviour of male adolescents, with the purpose of establishing whether a relationship exists between alcohol use and risky sexual behaviour (i.e. multiple partners, unprotected, and unplanned sex) by adolescent males. Data was collected by means of an anonymous, self-administered questionnaire. The sample consisted of 176 male high school learners, aged between 14 and 25, from one school in the Nkonkobe Municipality, Eastern Cape Province. The Statistical Package for Social Sciences (SPSS) was used to obtain data analyses which included descriptive statistics and cross-tabulation (with specific reference to Chi-square analysis), and all procedures were performed at 0.05 level of significance with 95% Confidence Interval. A relationship between alcohol use and risky sexual behaviour was found to exist. A statistically significant correlation was found in support of the alcohol/risky sex hypothesis. Another significant finding was the increase noted in safer sex practises among adolescents. Finally, the findings were correlated to implications.

The purpose of this study was to explore and describe the positive values of masculinity and the role of a man in the prevention of HIV and AIDS and teenage pregnancy in order to develop a health education handbook for young Zulu men. The objectives of this study were to  identify expectations of a man of essence  describe the man’s role in the prevention of HIV and AIDS and teenage pregnancy  develop a health education handbook for young men in developing positive values of masculinity Continuing transmission of HIV and high teenage pregnancy causes concern about the effectiveness of risk reduction measures. Masculinity is associated with risky sexual behaviour. A qualitative, descriptive, exploratory and contextual study explored the positive values of masculinity and the role of a man of essence in the prevention of HIV/AIDS and teenage pregnancy. Semi-structured interviews with interview guides were conducted to collect data among Zulu men aged 18-24 years residing in Nquthu sub-district in northern KwaZulu-Natal. Twenty-one participants from three villages of Tribal Authority 8, namely villages 3, 7 and 9, were interviewed. Data were analyzed thematically and manually. Follow-up interviews were conducted with participants who had committed to a plan of action to prevent HIV infection and teenage pregnancy. The study found that a man of a kind embraced gender equality and the education of women; treated women well, and used traditional/cultural or religious and modern methods to prevent HIV and teenage pregnancy. According to social norms, the participants were expected to have sex with or without a condom. Social support came from parents, grandparents, teachers and health care workers. The participants appeared to lack role models; some preferred to buy condoms, and some used condoms inconsistently. Some experienced problems such as pressure to have sex or girlfriends. A contribution of this study was the development of a health education handbook for young men to develop into men of essence through positive values of masculinity and prevent HIV/AIDS and teenage pregnancy. / Health Studies / Ph. D. (Nursing)