Background: HIV/AIDS has been one of the major crises to affect Southern Africa, particularly Botswana where prevalence rates have reached 37.3% of the adult population (2003). Due to the difficult working environment and long periods of separation from their partner, migrant workers have been highly susceptible to HIV infection and one of the main vehicles through which the virus has been transmitted. While much research has been carried out with mine workers, truck drivers, and other migrant groups, few studies have investigated the risk factors of construction workers, which form one of the largest employment groups in Botswana and Southern Africa. The purpose of this study was to determine which factors contributed to construction workers’ engagement in sexual risk behaviours, which have placed them at greater risk of HIV infection. Methods: A cross-sectional analytic study design was used. Structured interviews were carried out with individual migrant workers using a standardised questionnaire. 171 male migrant workers were interviewed, involved in skilled, semi-skilled, and supervisory professions. Interviews took place at three construction sites across Botswana, in the capital city of Gaborone and the rural village of Serowe. Bivariate and multivariate logistic regression analysis were carried out to determine which contributing factors were significantly associated with respondents’ sexual risk behaviours. Results: Unprotected sex was the most prevalent sexual risk behaviour, practised by 68.1% of construction workers. Significantly more workers engaged in unprotected sex with their long-term partner (70.3%) than with their casual girlfriend (35.1%). The second most common sexual risk behaviour was having multiple sexual partners. 57% of migrant construction workers reported having an extra girlfriend in addition to their long-term partner during the last five years. Transactional sex, involving the exchange of sex and material support, was a key part of most workers’ (76.6%) sexual relations with casual girlfriends. Commercial sex, though, was rarely reported and accounted for only 1.8% of workers. Men having sex with men (MSM) was strongly denied by construction workers, although 9.5% reported its occurrence in the workplace. In the multivariate analysis, migration was one of the most significant factors associated with respondents’ sexual risk behaviours. Compared to those who remained in one location during the last year, workers who migrated between work locations were 3.01 times more likely to have had transactional sex (p=0.013) and 4.42 times more likely to have had an extra girlfriend over the last five years (p=0.005). Workers who were separated from their main partner for a month or more at a time were 3.74 times more likely to have had an extra girlfriend in the last year (p=0.009) and 4.57 times more likely to have had transactional sex in the last five years (p=0.001). Workers who stayed in the construction on-site accommodation when away from home were 3.00 times (p=0.023) more likely to have multiple partners compared to those who stayed in private accommodation, where their partner had more opportunity to visit them. A second major contributing factor was respondents’ gender attitudes, particularly the perception that ‘one woman is not enough to sexually satisfy me as man’. Workers with this attitude were 6.21 times more likely to have currently multiple partners (p<0.001), 9.05 times more likely to have had an extra girlfriend in the last five years (p=0.015), and 3.35 times likely to have had transactional sex (p=0.031). A number of socio-demographic factors were significantly associated with sexual risk behaviours including respondents’ age, number of children, employment position, salary, workplace location, and education level. It is important to note, however, that respondents’ alcohol consumption and level of HIV/AIDS awareness did not significantly influence their sexual risk behaviours. Conclusion: These findings indicate that labour migration plays a central role in determining whether workers engage in sexual risk behaviours. Steps taken by employers to: (i) increase the frequency with which workers can visit their partner, (ii) provide facilities for long-term partners to visit the workplace, and (iii) reduce the frequency with which workers are transferred between sites - could significantly reduce workers’ susceptibility to HIV infection. Alongside migration, though, gender attitudes played a major role, pointing to the need for more education which focuses on gender attitudes and behaviour change rather than solely HIV/AIDS awareness.

This study explores the gender differences in how parents exhibit parenting dimensions (control, monitoring, support and warmth) towards sons and daughters and how those dimensions influence contraceptive use. The data analysis uses the Add Health data and the sample includes 918 adolescents within two-parent homes. This study adds to the existing literature in three ways. First, this study investigates four different parenting dimensions whereas previous research focuses on control and communication. Second, this study looks at how each dimension influences contraceptive use. Third, this study examines how parents exhibit parenting dimensions differently towards sons and daughters and whether each dimension influences contraceptive use differently for sons and daughters. The results reveal three significant findings. First, mothers’ and fathers’ parenting dimensions and the dimensions sons and daughters experience are similar. Second, warmth and support influence contraceptive use among sons and daughters. Third, boys are influenced by parenting dimensions more than girls.

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Thesis (MA)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: The most commonly searched for topic on the internet revolve around sexuality. These searches, known as online sexual pursuits, may be influenced by one’s personality traits, such as sexual sensation seeking (Kalichman et al., 1994), which has been associated with various sexual risk behaviours and could increase one’s chances of contracting sexually transmitted diseases and infections. It is therefore vital for researchers to examine the association between sexual sensation seeking and the internet. This study collected data from 336 participants who responded to instruments on an online survey which consisted of a demographic questionnaire, the Sexual Sensation Seeking Scale (Kalichman et al., 1994), the Sexual Compulsivity Scale (Kalichman & Rompa, 1995), the Big Five Inventory (John, Naumann, & Soto, 2008), the Real Me Questionnaire (Amichai-Humburger, Wainapel, & Fox, 2002), Klein’s Sexual Orientation Grid (Klein, 1993), and items associated with sexual risk behaviour (Mashegoane, Moalusi, Ngoepe, & Peltzer, 2002), online deception (Capri & Gorski, 2006; Stieger , Eichinger, & Honeder, 2009), and internet use. Results from multiple regression analyses indicated that extraversion, agreeableness, conscientiousness, neuroticism, sexual compulsivity, sexual risk behaviour, and online self-disclosure were statistically significant (p < .05) predictors of sexual sensation seeking. The study used product-term regression analysis to examine the influence that time spent on the internet has on sexual sensation seeking and its relationship with the statistical predictors thereof. Three distinct third variables were used, namely, hours spent on the internet for work purpose (work hours), hours spent on the internet associated with online sexual pursuits (sexual hours), and hours spent on the internet for personal purposes (personal hours). Through the use of product-term regression analyses I was able to show that work hours as a third variable moderated the relationship between extraversion and sexual sensation seeking; work hours indirectly influenced sexual sensation seeking through sexual compulsivity; and that work hours as a third variable moderated the relationship between online self-disclosure and sexual sensation seeking. Furthermore, sexual hours as a third variable moderated the relationship between sexual compulsivity and sexual sensation seeking. Finally, I have shown that, within the sample, personal hours as a third variable moderated the relationship between sexual compulsivity and sexual sensation seeking; personal hours indirectly influenced sexual sensation seeking through sexual risk behaviour; and personal hours indirectly influenced sexual sensation seeking through online self-disclosure. It thus seems that time spent online influences sexual sensation seeking. It is advised that internet use policies be put in place to establish and maintain a professional culture within the workplace, and to ensure that job performance is consistently met. Internet software packages may be used to identify and report unauthorized online activity, and monitor hours spent online in order to identify individuals who may require treatment with regards to problematic internet use, sexual compulsivity, and inappropriate sexual behaviour in the workplace. Furthermore, the results of this study highlight the internet’s influence on the relationship between sexual compulsivity and sexual sensation seeking, and as such, may be of interest to sex therapists and counsellors in the field of hypersexuality. Finally, corporations, university officials, and youth and sexual health organisations may want to create awareness and provide educational resources with regards to the health risks associated with exploring sexuality via the internet. / AFRIKAANSE OPSOMMING: Temas wat rondom seksualiteit gefokus is, is die mees algemeenste onderwerp wat op die internet nagevors word. Hierdie internet soeke, naamlik aanlyn seksuele strewe, word deels beïnvloed deur persoonlikheids-eienskappe, soos seksuele sensasiesoeke. Verder, seksuele sensasiesoeke is geassosieer met ‘n wye reeks riskante seksuele gedrag en kan die kanse tot seksueel oordraagbare siektes en infeksies verhoog. Hieruit volg dus die noodsaaklikheid dat navorsers die assosiasie moet ondersoek tussen seksuele sensasiesoeke en die internet. In ‘n aanlyn-opname is data van 336 respondente versamel deur die gebruik van instrumente soos 'n demografiese vraelys, Seksuele Sensasiesoekende Skaal (Kalichman et al., 1994), Seksuele Kompulsiwiteit Skaal (Kalichman & Rompa, 1995), Groot-Vyf Inventaris (John, Naumann, & Soto, 2008), Ware Ek Vraelys (Amichai-Humburger, Wainapel, & Fox, 2002), Klein se Seksuele Oriëntasie Rooster (Klein, 1993), en items wat verband hou met riskante seksuele gedrag (Mashegoane, Moalusi, Ngoepe, & Peltzer, 2002), aanlynmisleiding (Capri & Gorski, 2006; Stieger , Eichinger, & Honeder, 2009), en internetgebruik. Resultate van 'n meervoudige regressie-analise het aangedui dat ekstraversie, pligsgetrouheid, welgevalligheid, neurotisisme, seksuele kompulsiwiteit, riskante seksuele gedrag, en aanlyn self bekendmaking statisties beduidende (p < .05) voorspellers van seksuele sensasiesoeke is. Hierdie studie het produk-term regressie-analise (toets vir interaksie met behulp van meervoudige regressie) gebruik om die derde veranderlik van tyd wat op die internet gespandeer word te analiseer met betrekking tot die verhouding tussen seksuele sensasiesoeke en die statistiese voorspellers van seksuele sensasiesoek. Die derde veranderlike bestaan uit drie verskillende kategorieë naamlik, ure wat aanlyn gespandeer is vir werksdoeleindes (werksure), ure wat op die internet gespandeer is wat verband hou met aanlyn seksuele strewe (seksuele ure), en ure wat aanlyn vir persoonlike doeleindes gespandeer is (persoonlike ure). Resultate dui daarop neer dat werksure die verhouding tussen ekstraversie en seksuele sensasiesoeke gemodereer het, werksure het seksuele sensasiesoeke indirek gebeïnvloed deur seksuele kompulsiwiteit, en dat werksure die verhouding tussen aanlyn selfbekendmaking en seksuele sensasiesoeke gemodereer het. Verder het seksuele ure die verhouding tussen seksuele kompulsiwiteit en seksuele sensasiesoeke gemodereer. Persoonlike ure het die verhouding tussen seksuele kompulsiwiteit en seksuele sensasiesoeke gemodereer, persoonlike ure het seksuele sensasiesoeke indirek gebeïnvloed deur riskante seksuele gedrag, en persoonlike ure het seksuele sensasiesoeke indirek beïnvloed deur aanlyn selfbekendmaking. Dit blyk derhalwe dat die tyd wat op die internet gespandeer word het 'n invloed op seksuele sensasiesoeke. Daar word voorgestel dat beperkende beleidsriglyne binne internetgeledere ingestel word ten einde ‘n professionele kultuur binne die werkplek te verseker. Internet-programme kan gebruik word om ongemagtigde internet-aktiwiteit te identifiseer en aan te meld, aanlyntyd te kontroleer en persone te identifiseer vir moontlike behandeling vir internetverwante probleme, seksuele kompulsiwiteit en ontoepaslike seksuele gedrag binne die werkplek. Voorts fokus hierdie studie op die invloed van die internet met betrekking tot die verhouding tussen seksuele kompulsiwiteit en seksuele sensasiesoeke, en kan van beduidende belang wees vir seksterapeute en beraders wat spesialiseer in die veld van hiperseksualiteit. Ten slotte skep hierdie studie ‘n platform vir organisasies, universiteite, jeug- en seksuele gesondheidsorganisasies om bewustheid en programme te bevorder wat die gesondheids-risiko’s aanspreek wat verband hou met seksuele strewe op die internet.

Sexual development and interest in sex is a normal part of adolescent development, but the negative outcomes of unprotected intercourse can result in life changing consequences such as an unplanned pregnancy or a sexually transmitted infection. Although the prevalence of these consequences have improvement over the past decade, the United States still has one of the highest teen pregnancy rates and highest prevalence of youth sexually transmitted infection among developed countries. In this report, the determinants that lead adolescents to engage in sex and fail to use contraceptives are reviewed. With knowledge on what factors contribute to adolescent sexual risk taking behaviors, counseling strategies can be implemented to prevent and intervene, and the school counselor is in a prime setting for delivery. The prevention strategies that are covered in this review are grouped into five categories. They are education, skill building, enhancing student development, involving parents and families, and implementing programs. / text

Despite growing awareness of the HIV/AIDS pandemic and educational efforts to provide accurate information about sexually transmitted diseases (STD), young adults continue to engage in risky sexual practices that increase their vulnerability of acquiring an STD, including inconsistent condom use. Research has gathered ample evidence to suggest that the media, in particular television consumption, is directly linked with sexual risk, yet less is known about the potential mechanisms that may be driving this link. The present study examines body image and gender role attitudes as two potential mediators of this relationship. Three-hundred and four undergraduate students (73% female; 64% White) at a large, urban University completed questionnaires to assess television influence, body image, gender role attitudes, and sexual behavior, through an online-survey tool. Results yielded significant correlations among several predictors and condom use, although mediation was not achieved. Limitations, implications of the findings, and directions for future research are discussed.

<p>Sexual risk behavior among young adults is a serious public health concern; 50% will contract a sexually transmitted infection (STI) before the age of 25. The current study collected self-report personality and sexual history data, as well as neuroimaging, experimental behavioral (e.g., real-time hypothetical sexual decision making data), and self-report sexual arousal data from 120 heterosexual young adults ages 18-26. In addition, longitudinal changes in self-reported sexual behavior were collected from a subset (n = 70) of the participants. The primary aims of the study were (1) to predict differences in self-report sexual behavior and hypothetical sexual decision-making (in response to sexually explicit audio-visual cues) as a function of ventral striatum (VS) and amygdala activity, (2) test whether the association between sexual behavior/decision-making and brain function is moderated by gender, self-reported sexual arousal, and/or trait-level personality factors (i.e., self-control, impulsivity, and sensation seeking) and (3) to examine how the main effects of neural function and interaction effects predict sexual risk behavior over time. Our hypotheses were mostly supported across the sexual behavior and decision-making outcome variables, such that neural risk phenotypes (heightened reward-related ventral striatum activity coupled with decreased threat-related amygdala activity) were associated with greater lifetime sexual partners at baseline measured and over time (longitudinal analyses). Impulsivity moderated the relationship between neural function and self-reported number of sexual partners at baseline and follow up measures, as well as experimental condom use decision-making. Sexual arousal and sensation seeking moderated the relationship between neural function and baseline and follow up self-reports of number of sexual partners. Finally, unique gender differences were observed in the relationship between threat and reward-related neural reactivity and self-reported sexual risk behavior. The results of this study provide initial evidence for the potential role for neurobiological approaches to understanding sexual decision-making and risk behavior. With continued research, establishing biomarkers for sexual risk behavior could help inform the development of novel and more effective individually tailored sexual health prevention and intervention efforts.</p> / Dissertation

The incidence of the Human Immunodeficiency Virus (HIV) is highest in the southern states of the United States (US), with adolescents in this region being one of the most affected populations in the country. A limited amount of information is available on adolescent HIV risk behaviors in the southern states, specifically focusing on race and gender. The purpose of this study was to use the Centers for Disease Control and Prevention’s National Youth Risk Behaviors Survey (YRBS) for high school students in the southern states for 2011 and 2013 to examine the influence of race and gender on 1) early sexual initiation, 2) number of sexual partners, and 3) condom use. Descriptive statistics and multiple logistic regression was used for the analysis. A total of 6,244 (6.7%) students reported early sexual initiation, 13,121 (14.1%) reported having multiple sex partners, and 11,820 (41.1%) reported condom use in southern states for 2011 and 2013. Minority males were greater than 10 times more likely to engage in early sexual initiation compared to white females (OR-10.40; 95% Confidence Interval (CI)-9.03-11.98). Minorities and males were more likely to have multiple sex partners compared to whites and females (OR- 1.84; CI-1.73-1.95, OR-2.20; CI-2.07-2.34, respectively). Minority males were over 2 times more likely to use condoms compared to white females (OR-2.04; CI-1.87-2.23). There was a statistically significant association between the three sexual health behaviors and psychosocial factors, such as dating violence, forced sex, body weight perception, and substance use before sex. Gender and race along with psychosocial factors were associated with HIV risk behaviors for high school students in the southern states. These preliminary findings could potentially be used to target HIV/AIDS awareness and preventative actions to populations affected by the HIV burden in the southern states.