abstract: Depressive disorders are common among the general populations but are present at an even higher rate among college students. Some research suggests that new stressors during the transition to college may place young adults at increased risk of depressive disorders. In addition, depression in college students has been linked to a variety of risky behaviors such as alcohol use and risky sexual activity. Fortunately, research suggests that religiosity may act as a buffer and lead to lower levels of depressive symptoms and risky behavior. Current research has not adequately examined the relationship between religiosity, depression, and risky behavior among college students. In this study, depressive symptoms were measured using the 20-item Center for Epidemiological Studies Depression scale, while risky behaviors were measured using the section on risky sexual behavior from the Youth Risk Behavior Surveillance survey and the section on alcohol consumption from the Behavioral Risk Factor Surveillance System survey, both developed by the Centers for Disease Control and Prevention. Four questions frequently used in literature to measure critical behaviors and attitudes were used to assess participants' religiosity. It was predicted that engagement in risky behaviors would be associated with higher levels of depressive symptoms while increased religiosity would be associated with lower levels. Additionally, increased religiosity would be associated with lower levels of engagement in risky behavior. Multiple regression analyses revealed that risky behavior were not significantly associated with higher depressive symptoms, while higher church attendance was associated with lower depressive symptoms. Although not considered a risky behavior, ever being forced to have sex was associated with higher depressive symptoms. Linear regression analyses revealed that increased religiosity was associated with increased engagement in risky behavior. These findings suggest that while depressive symptoms and risky behaviors are prevalent among college students, religiosity may act as a buffer and lead to lower levels of depression and risky behavior. Limitations, implications, and future research are discussed. / Dissertation/Thesis / Masters Thesis Psychology 2014

Thesis (MA)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: The primary objective of the study was to determine the level of self-reported sexual risk behaviour of student men who have sex with men at a South African higher educational institution. The secondary objective was to determine the level of Human Immunodefiency Virus (HIV) knowledge among student men who have sex with men, and lastly to determine the extent to which the theory of planned behaviour is applicable in explaining intentions to use condoms. A sample of fifty student men who have sex with men were recruited to take part in an online baseline and follow-up survey, three months apart. Many of the student men who have sex with men reported sexual behaviour, which may place them at risk of contracting HIV. More than fifty percent (56%) had used alcohol or drugs during sexual intercourse in the past. Six percent (6.1%) reported having been forced to have sexual intercourse against their will. While 8% had experienced abuse and violence on campus, 22% had experienced abuse only and another 6% reported having experienced some form of violence due to their sexual preference. Most participants (70%) reported having used condoms almost always or always when engaging in penetrative sexual behaviours, but 30% had used condoms inconsistently or not at all in the past. The sample of student MSM scored high on a questionnaire of basic HIV knowledge, with a mean score of 14.57 (80.94%). The present study questions the applicability of the theory of planned behaviour in understanding and predicting intention to use condoms among a sample of student men who have sex with men attending a South African higher education institution. Only two of the major theoretical variables, namely attitude and perceived group norms, could significantly predict intention to use condoms. Attitudes regarding condom use were found to have an inverse The primary objective of the study was to determine the level of self-reported sexual risk behaviour of student men who have sex with men at a South African higher educational institution. The secondary objective was to determine the level of Human Immunodefiency Virus (HIV) knowledge among student men who have sex with men, and lastly to determine the extent to which the theory of planned behaviour is applicable in explaining intentions to use condoms. A sample of fifty student men who have sex with men were recruited to take part in an online baseline and follow-up survey, three months apart. Many of the student men who have sex with men reported sexual behaviour, which may place them at risk of contracting HIV. More than fifty percent (56%) had used alcohol or drugs during sexual intercourse in the past. Six percent (6.1%) reported having been forced to have sexual intercourse against their will. While 8% had experienced abuse and violence on campus, 22% had experienced abuse only and another 6% reported having experienced some form of violence due to their sexual preference. Most participants (70%) reported having used condoms almost always or always when engaging in penetrative sexual behaviours, but 30% had used condoms inconsistently or not at all in the past. The sample of student MSM scored high on a questionnaire of basic HIV knowledge, with a mean score of 14.57 (80.94%). The present study questions the applicability of the theory of planned behaviour in understanding and predicting intention to use condoms among a sample of student men who have sex with men attending a South African higher education institution. Only two of the major theoretical variables, namely attitude and perceived group norms, could significantly predict intention to use condoms. Attitudes regarding condom use were found to have an inversrelationship with intention to use condoms. The results from the hierarchical multiple regression analyses revealed that the linear combination of the theory of planned behaviour variables could significantly account for 68% of the variance in intention to use condoms when the predictors were considered together. Interventions that seek to lessen HIV risk behaviour among student men who have sex with men should endeavour to incorporate elements which should aim to augment perceived subjective norms regarding condom use. The findings advocate for additional research to be undertaken on the applicability of the theory of planned behaviour in informing health communication and sexual health interventions that aim to reduce HIV transmission risk among student men who have sex with men at higher educational institutions. / AFRIKAANSE OPSOMMING: Die primêre doel van die studie was om die vlak van self-gerapporteerde seksuele risiko gedrag van studentemans wat seks beoefen met mans (MSM) by 'n Suid-Afrikaanse hoër onderwysinstelling te bepaal. Die sekondêre doel was om die vlak van kennis oor die Menslike Immuniteitsgebreksvirus (MIV) onder studente MSM te bepaal, en laastens om die mate waarin die teorie van beplande gedrag toepaslik is om die voorneme om kondoom gebruik te verduidelik. ʼn Steekproef van vyftig studente MSM was gewerf om aan ʼn aanlyn basislynopname en opvolgopname deel te neem. Talle van die studente MSM het seksuele gedrag gerapporteer wat die mans blootstel aan die risiko om MIV op te doen. Meer as vyftig persent (56%) het in die verlede alkohol of dwelms gebruik tydens seksuele omgang. Ses persent (6,1%) het gerapporteer dat hulle al gedwing is om seksuele omgang teen hul wil te hê. Terwyl agt persent mishandeling en geweld op kampus ervaar het, het 22% slegs misbruik ervaar en nog 6% het een of ander vorm van geweld ervaar as gevolg van hul seksuele voorkeur. Die meeste deelnemers (70%) het gerapporteer dat hulle tydens penetratiewe seks byna altyd kondome gebruik, maar 30% het óf glad nie, óf ongereeld in die verlede kondome gebruik. Die studente MSM wat aan die steekproef deelgeneem het, het hoë tellings behaal in ‘n vraelys oor basiese MIV-feite, met ' ʼn gemiddelde telling van 14.57 (80.94%). Die huidige studie bevraagteken die toepasbaarheid van die teorie van beplande gedrag om die voorneme om kondome te gebruik onder ’n steekproef van studente MSM aan ’n Suid-Afrikaanse hoër onderwysinstelling te verstaan en te voorspel. Slegs twee van die belangrikste teoretiese veranderlikes, naamlik houding en subjektiewe groepnorme, kon beduidend die voorneme voorspel om kondome te gebruik. Houding oor kondoom gebruik het ʼn omgekeerde verwantskap met die voorneme om kondome te gebruik voorspel. Die resultate van die hiërargiese meervoudige regressie-ontleding het aangedui dat, wanneer die voorspellers saam oorweeg word, die lineêre kombinasie van die teorie van beplande gedrag veranderlikes betekenisvol tot 68% van die variansie in die voorneme om kondome te gebruik kan verklaar. Ingrypings wat daarop gemik is om MIV-risiko gedrag onder studente MSM te verminder, behoort elemente in te sluit wat streef daarna om waarneembare subjektiewe norme rakende kondoomgebruik aan te vul. Die bevindinge wys dat addisionele navorsing oor die gebruik van die teorie van beplande gedrag in gesondheidskommunikasie en seksuelegesondheid intervensies wat daarop gemik is om die risiko van MIV-oordrag tussen studente MSM by inrigtings vir hoër onderwys te verminder nodig is.

This study examined contextual influences on the relationship between peer norms for condom use and risky sexual behavior among African-American men who have sex with men. Analyses assessed the moderating effects of socio-demographic, socio-contextual, and health-related variables. One thousand forty African-American men, who have sex with men, ages 17 to 25 years, were surveyed as part of the Community Intervention Trial for Youth (CITY) from 1999 to 2002 in Atlanta, Georgia. Findings supported the hypothesis that participants who engaged in unprotected insertive anal intercourse, socio-contextual variables moderated the relationship between peer norms and risky sexual behavior. Findings also supported the hypothesis that participants who engaged in unprotected receptive anal intercourse, both socio-demographic variables and a health variable moderated the relationship between peer norms and risky sexual behavior. Findings have implications for intervention, policy, and research, including a need for interventions that recognize the contexts of influence that shape African-American MSM sexual behavior and that support norms for consistent condom use in both steady and casual sexual relationships.

This study examined contextual influences on the relationship between peer norms for condom use and risky sexual behavior among African-American men who have sex with men. Analyses assessed the moderating effects of socio-demographic, socio-contextual, and health-related variables. One thousand forty African-American men, who have sex with men, ages 17 to 25 years, were surveyed as part of the Community Intervention Trial for Youth (CITY) from 1999 to 2002 in Atlanta, Georgia. Findings supported the hypothesis that participants who engaged in unprotected insertive anal intercourse, socio-contextual variables moderated the relationship between peer norms and risky sexual behavior. Findings also supported the hypothesis that participants who engaged in unprotected receptive anal intercourse, both socio-demographic variables and a health variable moderated the relationship between peer norms and risky sexual behavior. Findings have implications for intervention, policy, and research, including a need for interventions that recognize the contexts of influence that shape African-American MSM sexual behavior and that support norms for consistent condom use in both steady and casual sexual relationships.

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Denna kvalitativ intervjustudie, söker en förståelse kring fenomenet sex som självskadebeteende. Självskadebeteende har studerats och definierats, men sex som ett självskadebeteende är inte inkluderat som ett begrepp i dessa vetenskapliga studier (Zetterqvist, 2014; Nock, 2014; Klonsky 2009). Däremot har psykologer, organisationer och andra professionella tolkat och definierat fenomenet som att det existerar (Sjöström, 2012; Landgren 2015; Jonsson och Mattson, 2013; Tjejouren 2015; MUCF, 2013).Genom intervjuer med tre olika personer som kommer i kontakt med sex som självskadebeteende, kombinerat med tidigare forskning, visar denna studie att sex kan användas som självskadebeteende och att det görs i syfte att hantera (coping) ångest och andra negativa känslor. Tidigare trauman och/eller en dysfunktionell familjedynamik kan leda till att en individ utvecklar icke fungerande strategier för att hantera potentiella dåliga känslor. Individerna vänder sig till sexuella destruktiva beteenden som en affektregleringstrategi. Studien visar att prostitution kan vara associerat med riskabelt sex, i form av att det kan vara ett sätt att utsätta sig själv för farliga situationer.Skillnader mellan sex som ett självskadebeteende och andra självskadebeteenden har påvisats. Dessa är beskrivna som att kontrollen ges bort till en annan person. Sex är också något som egentligen ger njutning och är ett naturligt beteende, vilket gör det svårt att sluta helt med till skillnad från andra självskadebeteenden. Istället behöver individen finna strategier för att kunna ha ett friskt sexuellt beteende. Då sex som självskadebeteende inte är vetenskapligt befäst, så visar resultaten på detta öppnar upp för subjektiva tolkningar kring hur man ser och bemöter fenomenet. Dock var intervjupersonerna överens om att det behövs ett öppet och normkritiskt förhållningssätt. Slutligen ställs frågan ifall vetenskapen representerar den enda och rätta kunskapen. Det är möjligt att praktisk och icke-vetenskaplig kunskap kan vara lika viktig. / This study aims to, through a qualitative interview approach, reach a further understanding of the phenomenon sex as a self-injury behavior. Self injury behaviors have been studied and defined, but sex as a self-injury was not included in the scientific studies Zetterqvist, 2014; Nock, 2014; Klonsky 2009). However, psychologist´s, organizations, and other professionals where interpreters and define this matter as if it existed (Sjöström, 2012; Landgren 2015; Jonsson och Mattson, 2013; Tjejouren 2015; MUCF, 2013).By interviewing three different people that come in contact with sex as a self-injury through work, combined with previous research, this study has come to show how sex can be used in the same way as any other self-injury behavior. The result shows that sex can be used for self-injury and that it is done in the purpose of coping with anxiety and other bad feelings. Previous trauma and/or a dysfunctional family dynamic can lead to an individual developing non-functional strategies to cope with potential bad feelings. Individuals turn to a sexual destructive behavior as a strategy to cope. The study shows that prostitution can be associated with risky sex as it can become a way of exposing yourself to dangerous situations.Differences between sex as a self-injury behavior and other self-injury behavior where detected. These where described in the way that control is given away to a other person. Also sex is something that usually gives pleasure and is a natural behavior so to just stop having sex is not desirable. Instead the person must find a way of having a healthy sexual behavior. The result shows that due to the fact that sex as a self-injury behavior does not have a scientific status subjective interpretation can be made on how to look an approach the phenomenon. However all the respondents agreed that you need an open and norm critical approach. Furthermore the question can be asked if scientific concepts represent the only right knowledge. Is it possible that practical and non-scientific knowledge can be as important.