Sexual communication self-efficacy, hegemonic masculine norms and condom use among heterosexual couples in South Africa

AIDS Care
Anna LeddyLynae Darbes

Abstract

Hegemonic masculine norms (HMN), which promote sexual risk-taking among males and the subordination of women, are believed to play a key role in the HIV epidemic among heterosexual couples in South Africa (SA). Sexual communication self-efficacy (SCSE) (i.e., a couple's confidence in their ability to communicate about HIV prevention) may be a key leverage point for increasing HIV prevention behaviors among this population. We interviewed 163 sexually active heterosexual couples in Soweto, SA to investigate the association between SCSE, HMN, and consistent condom use. We collected information on demographics, relationship dynamics, and sexual activity. We utilized the SCSE scale to measure couples' SCSE, and a subscale of the Gender Equitable Men scale to measure HMN among males. We performed bivariate and multivariable analyses to determine the association of consistent condom use with couples' SCSE as well as the male partner's endorsement of HMN. We found that couples with higher SCSE have greater odds of consistent condom use (adjusted odds ratio [AOR] = 1.30, 95% CI: 1.15-1.47). Furthermore, male endorsement of HMN was found to be negatively associated with consistent condom use among couples (AOR = 0.47, 95% CI: 0.24-0.89)...Continue Reading

References

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Citations

Nov 27, 2016·Journal of the International AIDS Society·Anna Joy RogersLynae A Darbes
Nov 15, 2018·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Melissa MedichDallas Swendeman
Jan 12, 2019·Sexual Health·Richard A CrosbyVirginia J Vitzthum
Aug 21, 2019·Culture, Health & Sexuality·Amanda GabsterBeniamino Cislaghi
Feb 8, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lynae A DarbesHeidi van Rooyen
Nov 23, 2018·Culture, Health & Sexuality·Nkosinathi Blessing NgcoboDivane Nzima
Oct 6, 2021·Archives of Sexual Behavior·Amy A ConroyJames Mkandawire

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