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Predictors of condom use among young adults in South Africa: The reproductive health and HIV research unit national youth survey

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  • Hendriksen, E.S.
  • Pettifor, A.
  • Lee, S.-J.
  • Coates, T.J.
  • Rees, H.V.

Abstract

Objectives. We examined correlates of condom use among a national random probability sample of sexually experienced young adults aged 15 to 24 years (n = 7686) in South Africa. Methods. Using data from the Reproductive Health and HIV Research Unit National Youth Survey, we conducted gender-stratified bivariate and multivariate logistic regression analyses to determine predictors of whether respondents had used a condom during their most recent sexual intercourse. Results. Condom use at sexual debut and talking with one's first sexual partner about condoms were the most significant predictors of condom use at most recent intercourse. Other significant predictors included high condom use self-efficacy, optimism about the future, and reported behavior change attributable to HIV/AIDS. Young adults who were married or had been involved in a relationship for 6 months or more were significantly less likely to have used a condom during their most recent sexual intercourse. Conclusions. Our findings point to the importance of exposing youths to sexuality education before their sexual debut as well as voluntary counseling and testing and programming that supports young adults, particularly young women, in making informed decisions about sexual intercourse and condoms.

Suggested Citation

  • Hendriksen, E.S. & Pettifor, A. & Lee, S.-J. & Coates, T.J. & Rees, H.V., 2007. "Predictors of condom use among young adults in South Africa: The reproductive health and HIV research unit national youth survey," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1241-1248.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.086009_3
    DOI: 10.2105/AJPH.2006.086009
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    Cited by:

    1. Bimala Sharma & Eun Woo Nam, 2018. "Condom Use at Last Sexual Intercourse and Its Correlates among Males and Females Aged 15–49 Years in Nepal," IJERPH, MDPI, vol. 15(3), pages 1-17, March.
    2. Francis Barchi & Helen Apps & Oleosi Ntshebe & Peggie Ramaphane, 2021. "Social and Behavioral Correlates of Adolescent Sexual Experience and Intention to Use Condoms in Northwestern Botswana," IJERPH, MDPI, vol. 18(11), pages 1-15, May.
    3. Bijaya Parajuli & Chiranjivi Adhikari & Narayan Tripathi, 2021. "Determinants of condom use during last sexual intercourse among male college youth of Kaski, Nepal: A cross-sectional survey," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-15, December.
    4. Rizwana Amin & Prof. Dr. Shahida Sajjad, 2017. "The Need of Educating Adolescent Females of Karachi, Pakistan regarding Reproductive Health," Proceedings of International Academic Conferences 5007120, International Institute of Social and Economic Sciences.
    5. Siegler, Aaron J. & Mbwambo, Jessie K. & McCarty, Frances A. & DiClemente, Ralph J., 2012. "Condoms “contain worms” and “cause HIV” in Tanzania: Negative Condom Beliefs Scale development and implications for HIV prevention," Social Science & Medicine, Elsevier, vol. 75(9), pages 1685-1691.

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