Elements of condom-use decision making among South African men who have sex with men
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2014
TITLE AUTHOR(S): A.J.Siegler, A.De Voux, N.Phaswana-Mafuya, L-G.Bekker, P.S.Sullivan, S.D.Baral, K.Winskell, Z.Kose, A.L.Wirtz, R.Stephenson
KEYWORDS: CONDOM USE, HIV/AIDS, HIV/AIDS PREVENTION, HOMOSEXUALITY, MEN, RISK BEHAVIOUR, SEXUAL BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8365
HANDLE: 20.500.11910/2243
URI: http://hdl.handle.net/20.500.11910/2243
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
South African men who have sex with men (MSM) are at increased risk for HIV infection, and male condoms are fundamental to HIV prevention programs. We explored condom use experiences through in-depth interviews with 34 South African MSM from Cape Town and Port Elizabeth. For data analysis, we generated a codebook and used the constant comparison method. Condom use reinforcing elements included use of alternative sexual strategies, having a high level of self-worth that was linked to protective behaviors, and use of ready-made condom negotiation scripts. Elements inhibiting condom use included perceiving substantial declines in sexual pleasure/performance, experiences of condom failure (possibly related to petroleum-based lubricant), and being in trusted relationships. Our findings suggest nuanced HIV prevention approaches such as bolstering condom negotiation skills based on successful tactics already in use. Further research is needed to address how to mitigate perceptions and experiences that condoms negatively impact sexual pleasure and performance.-
Related Research Outputs:
- Attitudes towards condom use may explain why older black South African msm engage in unprotected insertive anal sex more frequently
- Sexual violence and HIV risk among black men who have sex with men in South African townships
- Integrated strategies for combination HIV prevention: principles and examples for men who have sex with men in the Americas and heterosexual African populations
- Age and sexual risk among black men who have sex with men in South Africa: the mediating role of attitudes towards condoms
- Comprehensive HIV prevention package for MSM in southern Africa: pilot study: Phase III of the Sibanye Health Project
- Comprehensive HIV prevention package for MSM in southern Africa: pilot study: the Sibanye Health Project
- Combination HIV prevention among MSM in South Africa: results from agent-based modeling
- Sibanye methods for prevention packages program project protocol: pilot study of HIV prevention interventions for men who have sex with men in South Africa
- Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa
- Sugar daddies' and HIV: is it really about money, money, money?
- HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
- Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic
- The Johannesburg/eThewkini Men's Study (JEMS): a rapid assessment of the HIV epidemic among men who have sex with men (MSM) in South Africa: technical report
- Stigma and discrimination experiences of HIV positive men who have sex with men (MSM) and heterosexual men in Cape Town, South Africa
- The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa
- Community norms for HIV risk behaviors among men in a South African township
- HIV prevalence and risk practices among men who have sex with men in two South African cities
- You became afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities
- Communicating HIV status in sexual interactions: assessing social cognitive constructs, situational factors, and individual characteristics among South African MSM
- After-nine, 429, he-she, stabane, and gay, bisexual and other 'men sleeping with men': diversity in black South African MSM identities and implications for HIV prevention