Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
International Journal of Behavioral Medicine
Erschienen in: International Journal of Behavioral Medicine 6/2017

22.08.2017

Socio-demographic, Marital, and Psychosocial Factors Associated with Condom Use Negotiation Self-Efficacy Among Mozambican Women at Risk for HIV Infection

verfasst von: Ana Luísa Patrão, Teresa M. McIntyre

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

In Mozambique, women are the most affected by HIV/AIDS. Self-efficacy is one of the main predictors of effective use of a condom. Therefore, it is essential to identify the factors that influence condom-use negotiation self-efficacy in vulnerable women. The aim of this paper is to identify socio-demographic, marital, and psychosocial factors associated with condom-use negotiation self-efficacy among Mozambican women at risk for HIV infection.

Methods

Participants were women (173) who were patients at the Gynecology Department of the Central Hospital of Beira, Mozambique, and at risk for HIV infection. Women completed measures of condom-use negotiation self-efficacy, HIV prevention knowledge, and perceived barriers against safer sex.

Results

The results showed that demographic and marital variables are associated with condom-use negotiation self-efficacy, namely, those having more than 9 years of education, who are younger and not living with a partner, and who talk about AIDS with partners report higher condom-use negotiation self-efficacy. Regarding psychosocial factors, higher HIV prevention knowledge and fewer perceived barriers to safer sex predict higher condom-use negotiation self-efficacy.

Conclusion

These results can contribute to sexual health promotion and HIV/AIDS prevention in Mozambican women because they identify at-risk groups and marital and psychosocial malleable factors that can be targeted in AIDS prevention among at-risk Mozambican women.
Literatur
1.
UNAIDS. The gap report. Geneva: Joint United Nations Programme on HIV/AIDS. World Health Organization; 2014.
2.
3.
UNAIDS. Global report: UNAIDS report on the global epidemic 2013. Geneva: United Nations, Joint United Nations Programme on HIV/AIDS; 2013.
4.
Mabala R. From HIV prevention to HIV protection: addressing the vulnerability of girls and young women in urban areas. Environ Urban. 2006;18(2):407–32.CrossRef
5.
Underwood C, Skinner J, Osman N, Schwandt H. Structural determinants of adolescent girls’ vulnerability to HIV: views from community members in Botswana, Malawi, and Mozambique. Soc Sci Med. 2011;73(2):343–50.CrossRefPubMed
6.
CNCS. Global AIDS response progress report. Maputo: Mozambican National AIDS Council; 2012. p. 2012.
7.
Conn C. Young African women must have empowering and receptive social environments for HIV prevention. AIDS Care. 2013;25(3):273–80.PubMed
8.
Lotfi R, Tehrani FR, Yaghmaei F, Hajizadeh E. Barriers to condom use among women at risk of HIV/AIDS: a qualitative study from Iran. BMC Womens Health. 2012;12(13):1–10.
9.
Silveira MF, Béria J, Horta BL, Tomasi E. Self-assessment of STD/AIDS vulnerability among women, Brazil. Rev Saude Publica. 2002;36(6):670–7.CrossRefPubMed
10.
Bhanaa D, Pattman R. Girls want money, boys want virgins: the materiality of love amongst south African township youth in the context of HIV and AIDS. Cult Health Sex. 2011;13(8):961–72.CrossRef
11.
Chariyeva Z, Golin CE, Earp JA, Suchindran C. Does motivational interviewing counseling time influence HIV-positive persons’ self-efficacy to practice safer sex? Patient Educ Couns. 2012;87(1):101–7.CrossRefPubMed
12.
13.
Costa ECV. Avaliação da eficácia relativa de duas intervenções psicoeducativas dirigidas à prevenção do SIDA e promoção da saúde em mulheres com risco para o VIH [Evaluation of the efficacy of two psychoeducational interventions to prevent AIDS and to promote health in women at risk for HIV]. Braga: University of Minho; 2007.
14.
Costa ECV, Oliveira R, Ferreira D, Pereira MG. HIV voluntary testing among Portuguese women attending family planning clinics: implications for HIV prevention education and testing. Int J Sex Health. 2015; Advance online publication; doi:10.​1080/​19317611.​2015.​1080779.
15.
Costa ECV, Oliveira R, Ferreira D, Pereira MG. Predictors of consistent condom use among Portuguese women attending family planning clinics. AIDS Care. 2016;28(1):119–23.CrossRefPubMed
16.
Costa E, Leal I. Socio-cognitive dimensions of women contraception accession. Análise Psicológica. 2005;23(3):247–60.
17.
Hobfoll SE, Jackson AP, Lavin J, Johnson RJ, Schroder KE. Effects and generalizability of communally oriented HIV-AIDS prevention versus general health promotion groups for single, inner-city women in urban clinics. J Consult Clin Psychol. 2002;70(4):950–60. 
18.
Louw J, Peltzer K, Chirinda W. Correlates of HIV risk reduction self-efficacy among youth in South Africa. Sci World J. 2012;ID817315:1–8.CrossRef
19.
Wingood GM, DiClemente RJ. The theory of gender and power: a social structural theory for guiding public health interventions. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research: strategies for improving public heatlh. San Francisco: Jossey Bass; 2002. p. 285–312.
20.
Onoya D, Reddy PS, Ruiter RA, Sifunda S, Wingood G, van den Borne B. Psychosocial correlates of condom use consistency among Isixhosa-speaking women living with HIV in the western Cape Province of South Africa. J Health Psychol. 2011;16(8):1208–20.CrossRefPubMed
21.
Pallonen UE, Williams ML, Timpson SC, Bowen A, Ross MW. Personal and partner measures in stages of consistent condom use among African-American heterosexual crack cocaine smokers. AIDS Care. 2008;20(2):205–13.CrossRefPubMedCentralPubMed
22.
Heeren GA, Jemmott JB, Mandeys A, Tyler JC. Theory-based predictors of condom use among university students in the United States and South Africa. AIDS Educ Prev. 2007;19(1):1–12.CrossRefPubMed
23.
Artistico D, Oliver L, Dowd S, Rothenberg A, Khalil M. The predictive role of self-efficacy, outcome expectancies, past behavior and attitudes on condom use in a sample of female college students. J Eur Psychol Stud. 2014;5(3):100–7.CrossRef
24.
Boer H, Mashamba MT. Gender power imbalance and differential psychosocial correlates of intended condom use among male and female adolescents from Venda, South Africa. Br J Health Psychol. 2007;12(1):51–63.CrossRefPubMed
25.
McCall S, Brady C, Keyia, Carlton, Boyd K. Condom negotiation efficacy and condom use attitudes as predictors of condom use in African American college students. J AIDS Clin Res. 2016;7(4):000563.CrossRef
26.
Zhao J, Song F, Ren S, Wang Y, Wang L, et al. Predictors of condom use behaviors based on the health belief model (HBM) among female sex workers: a cross-sectional study in Hubei province, China. PLoS ONE. 2012;7(11):e49542.CrossRefPubMedCentralPubMed
27.
Crosby RA, DiClemente RJ, Salazar LF, Wingood GM, McDermott-Sales J, Young AM, et al. Predictors of consistent condom use among young African American women. AIDS Behav. 2013;17(3):865–71.CrossRefPubMedCentralPubMed
28.
Wagner GJ, Holloway I, Ghosh-Dastidar B, Kityo C, Mugyenyi P. Understanding the influence of depression on self-efficacy, work status and condom use among HIV clients in Uganda. J Psychosom Res. 2011;70(5):440–8.CrossRefPubMed
29.
Rogado T, Leal I. Auto-eficácia e crenças em mulheres jovens—o caso específico do preservativo/camisinha: um estudo comparativo. [Self-efficacy and beliefs in young women—the specific case of condom: a comparative study]. Abstracts book of the III National Health Psychology Conference. Lisbon: Institute of Applied Psychology; 2000.
30.
Zhao R, Wang B, Fang X, Li X, Stanton B. Condom use and self-efficacy among female sex workers with steady partners in China. AIDS Care. 2008;20(7):132.CrossRef
31.
Sterk CE, Klein H, Elifson KW. Perceived condom use self-efficacy among at-risk women. AIDS Behav. 2003;2:175–82.CrossRef
32.
Sayles JN, Pettifor A, Wong MD, MacPhail C, Lee SJ, Hendriksen E, et al. Factors associated with self-efficacy for condom use and sexual negotiation among South African youth. J Acquir Immune Defic Syndr. 2006;43(2):226–33.CrossRefPubMedCentralPubMed
33.
Mpondo F, Ruiter RAC, van den Borne B, Reddy PS. Self-determination and gender—power relations as predictors of condom use self-efficacy among South African women. Health Psychol Open. 2015;2:1–11.CrossRef
34.
Forsyth AD, Carey MP. Measuring self-efficacy in the context of HIV risk reduction: research challenges and recommendations. Health Psychol. 1998;17(6):559–68.CrossRefPubMed
35.
Hobfoll SE, Schumm JA. Conservation of resources theory. Application to public health promotion. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research: strategies for improving public heatlh. San Francisco: Jossey Bass; 2002. p. 285–312.
36.
McIntyre T, Costa E, Patrão AL. Mozambican adaptation of the questionnaires from the Women’s health empowerment project. Braga: University of Minho; 2008.
37.
38.
Thomas F. Global rights, local realities: negotiating gender equality and sexual rights in the Caprivi region, Namibia. Cult Health Sex. 2007;9(6):599–614.CrossRefPubMed
39.
Bandali S. Norms and practices within marriage which shape gender roles, HIV/AIDS risk and risk reduction strategies in Cabo Delgado, Mozambique. AIDS Care. 2011;23(9):1171–6.CrossRefPubMed
40.
Davis C, Sloan M, MacMaster S, Kilbourne B. HIV/AIDS knowledge and sexual activity: an examination of racial differences in a college sample. Health Soc Work. 2007;32(3):211–8.CrossRefPubMed
41.
Varus F. Girls schooling in Tanzania: the key to HIV/AIDS prevention? AIDS Care. 2006;18(8):863–71.CrossRef
42.
Rocha S. Enfrentar a epidemia do SIDA na perspetiva dos direitos sexuais e reprodutivos [To fight AIDS epidemic in the context of sexual and reproductive rights]. Intercâmbio sobre SIDA, Sexualidade e Género. 2007;4:1–4.
43.
Ministry of Youth and Sports of the Republic of Mozambique. Plano operacional para o VIH/SIDA—abordagens estratégicas para prevenção e redução do impacto do VIH/SIDA entre os jovens fora da escola em Moçambique [Operational plan for HIV/AIDS—strategic approaches to prevent and reduce HIV/AIDS impact among young people out of school in Mozambique]. Available from http://​www.​SIDA.org.mz/.
44.
Pinho MDG, Berquó E, Lopes F, Oliveira KA, Lima LCA, Pereira N. Youths, races and vulnerabilities. Abstracts book of the VIII meeting of the Brazilian Association of Population Studies. Belo Horizonte: Federal University of Minas Gerais; 2002.
45.
Snelling D, Omariba DWR, Hong S, Georgiades K, Racine Y, Boyle MH. HIV/AIDS knowledge, women’s education, epidemic severity and protective sexual behavior in low and middle-income countries. J Biosoc Sci. 2007;39(3):421–42.CrossRefPubMed
46.
Jarama SL, Belgrave FZ, Bradford J, Young M, Honnold JA. Family, cultural and gender role aspects in the context of HIV risk among African American women of unidentified HIV status: an exploratory qualitative study. AIDS Care. 2007;19(3):307–17.CrossRefPubMed
47.
Moyo W, Levandowski BA, MacPhail C, Rees H, Pettifor A. Consistent condom use in South African youth’s most recent sexual relationship. AIDS Behav. 2008;12(3):431–40.CrossRefPubMed
48.
Bryan A, Fisher J, Fisher W. Tests of the mediational role of preparatory safer sexual behaviour in the context of the theory of planned behaviour. Health Psychol. 2002;21(1):71–80.CrossRefPubMed
49.
Sheeran P, Abraham C, Orbell S. Psychosocial correlates of heterosexual condom use: a meta-analysis. Psychol Bull. 1999;125(1):90–132.CrossRefPubMed
50.
Ferreira MP. Knowledge and risk perception on HIV/AIDS by Brazilian population: 1998 and 2005. Rev Saude Publica. 2008;42(1):65–71.CrossRefPubMed
51.
Villegas N, Cianelli R, Gonzalez-Guarda R, Kaelber L, Ferrer L, Peragallo N. Predictors of self-efficacy for HIV prevention among Hispanic women in South Florida. J Assoc Nurses AIDS Care. 2013;24(1):27–37.CrossRefPubMed
52.
53.
54.
Marshall M, Taylor N. Tackling HIV and AIDS with faith-based communities: learning from attitudes on gender relations and sexual rights within local evangelical churches in Burkina Faso, Zimbabwe, and South Africa. Gend Dev. 2006;14(3):363–73.CrossRef
55.
56.
McIntyre T, Costa E. Psychosexual health promotion among Portuguese women. Final report, Grant ADIS/0045/03 by the Portuguese Ministry of Health, AIDS Commission, to the University of Minho. Braga: Department of Psychology, University of Minho, Braga, Portugal; 2004.
57.
58.
Disney JL. Book review—sexuality and gender politics in Mozambique: rethinking gender in Africa. Fem Rev. 2015;110(1):e6–8.CrossRef
59.
Pinho O. Descolonizando o feminismo em Moçambique [Decolonizing feminism in Mozambique]. Estud Fem. 2012;20(3):955–72.CrossRef
Metadaten
Titel
Socio-demographic, Marital, and Psychosocial Factors Associated with Condom Use Negotiation Self-Efficacy Among Mozambican Women at Risk for HIV Infection
verfasst von
Ana Luísa Patrão
Teresa M. McIntyre
Publikationsdatum
22.08.2017
Verlag
Springer US
Erschienen in
International Journal of Behavioral Medicine / Ausgabe 6/2017
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-017-9681-0

Weitere Artikel der Ausgabe 6/2017

International Journal of Behavioral Medicine 6/2017 Zur Ausgabe

OriginalPaper

Fasting Glucose and the Risk of Depressive Symptoms: Instrumental-Variable Regression in the Cardiovascular Risk in Young Finns Study

OriginalPaper

The Relation of Light-to-Moderate Alcohol Consumption to Glucose Metabolism and Insulin Resistance in Nondiabetic Adults: the Moderating Effects of Depressive Symptom Severity, Adiposity, and Sex

OriginalPaper

Breastfeeding (Un)Covered: Narratives of Public Breastfeeding on Romanian Discussion Forums

OriginalPaper

The Impact of Militarism, Patriarchy, and Culture on Israeli Women’s Reproductive Health and Well-Being

OriginalPaper

Factors Associated with Poor Sleep in Older Adults with Multiple Sclerosis

OriginalPaper

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing