Sexual Self-Efficacy and Gender: A Review of Condom Use and Sexual Negotiation Among Young Men and Women in Sub-Saharan Africa
| Autor: | Mags Beksinska, Robert S. Hogg, Zishan Cui, Kalysha Closson, Busiwe Nkala, Janan Dietrich, Jennifer A. Smit, Alexis K. Palmer, Angela Kaida, Glenda Gray, Nathan J. Lachowsky, Cari L. Miller |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Safe Sex Sub saharan Adolescent Sociology and Political Science media_common.quotation_subject Psychological intervention law.invention Condoms Gender Studies Young Adult 03 medical and health sciences 0302 clinical medicine History and Philosophy of Science Condom law Humans 030212 general & internal medicine Young adult Hiv acquisition Child Africa South of the Sahara General Psychology media_common Self-efficacy 030505 public health Negotiating Self Efficacy Negotiation Sexual behavior Female 0305 other medical science Psychology Clinical psychology |
| Zdroj: | The Journal of Sex Research. 55:522-539 |
| ISSN: | 1559-8519 0022-4499 |
| Popis: | Sexual self-efficacy (SSE), one's perceived control of or confidence in the ability to perform a given sexual outcome, predicts sexual behavior; however, important questions remain regarding whether gender modifies observed associations. In a comprehensive review of peer-reviewed HIV-prevention literature focusing on youth (ages 10 to 25) in sub-Saharan Africa, we measured and assessed the influence of SSE on condom use and sexual refusal, overall and by gender. Our results, after reviewing 63 publications, show that SSE is inconsistently measured. Most studies measured condom use self-efficacy (CUSE) (96.8%) and/or sexual refusal self-efficacy (SRSE) (63.5%). On average, young men had higher CUSE than young women, while young women had higher SRSE than young men. While cross-sectional studies reported an association between high SSE and sexual behaviors, this association was not observed in interventions, particularly among young women who face a disproportionate risk of HIV acquisition. In all, 25% of intervention studies demonstrated that fostering CUSE increased condom use among young men only, and one of two studies demonstrated that higher SRSE led to reduced frequency of sexual activity for both men and women. Future research and HIV-prevention interventions must be gender targeted, consider improving CUSE for young men, and move beyond limited individual-level sexual behavior change frameworks. |
| Databáze: | OpenAIRE |
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