Sexual behaviours in the context of the Ebola virus disease (EVD) in Ghana

Evidence suggests that Ebola virus disease can be transmitted through unprotected sexual intercourse, in particular through contact with the semen of an infected person. Yet few studies examine sexual behaviours in the context of Ebola. Using data collected from 460 women and 340 men within 40 selected communities in the Greater Accra Region of Ghana, this study employed hierarchical linear modelling to examine individual and community-level factors that influence willingness to engage in behaviours that protect against the sexual transmission of Ebola. Results indicate that both individual and community-level factors are significant predictors of respondents' willingness to engage in preventive behaviours. Compared with those with no risks, female respondents with low and medium risk perceptions were significantly more likely to indicate they would use condoms to prevent the sexual transmission of Ebola (AOR = 2.23; p < 0.01). Compared with men who were very concerned, those who were not very concerned (AOR = 0.356; p < 0.01) and not at all concerned (AOR = 0.356; p < 0.05) about Ebola were significantly less likely to protect against the sexual transmission of Ebola. Female respondents in communities with high knowledge about Ebola were significantly more likely to engage in behaviours preventing the sexual transmission of Ebola virus disease (AOR = 1.93; p < 0.05)

Biology · Context (archaeology · Disease · Ebola virus · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Population · Sexual intercourse · Sexual transmission · Transmission (telecommunications · Adolescent Sexual and Reproductive Health · Demography · Medicine · Vaccine Coverage and Hesitancy · Viral Infections and Outbreaks Research · Internal Medicine

• Inconsistent Reports of Sexual Intercourse by Adolescents in Edo State, Nigeria

  Open Access•E Y Tenkorang•Sexuality Research and Social…•2020

  Incluir item

• Inside” Project on Sexual Health in Spain

  Open Access•Rafael Ballester-Arnal, Juan E Nebot-Garcia et al.•Sexuality Research and Social…•2020

  Incluir item

• Self-Efficacy in Changing Societies

  Open Access•Albert Bandura•Self-Efficacy in Changing Societies•1995

  Incluir item

• The General Self-Efficacy Scale

  Aleksandra Luszczynska, Ulrich Scholz et al.•The Journal of Psychology•2005

  Incluir item

• Is General Self-Efficacy a Universal Construct?1

  Ulrich Scholz, Urte Scholz et al.•European Journal of Psychological…•2002

  Incluir item

• Perceived self-efficacy in the exercise of control over Aids infection

  Open Access•Albert Bandura•Evaluation and Program Planning•1990

  Incluir item

• Self-Efficacy

  Albert Bandura, W H Freeman et al.•Journal of Cognitive Psychotherapy•1999

  Incluir item

• Hierarchical Linear Models

  Marie Davidian•Journal of the American…•2003

  Incluir item

• The theory of planned behavior

  Open Access•Icek Ajzen•Organizational Behavior and Human…•1991

  Incluir item

• Hierarchical linear models

  Anthony S Bryk, Stephen W Raudenbush•Hierarchical linear models•2002

  Incluir item

• Risk Perception and Affect

  Open Access•Paul Slovic, Ellen Peters•Current Directions in Psychological…•2006

  Incluir item

• The Relationship Between Education and Adult Mortality in the United States

  Adriana Lleras-Muney•The Review of Economic Studies•2004

  Incluir item

• Issues in the perception of Aids risk and risk reduction activities by Black and Hispanic/Latina women

  Vickie M Mays, Susan D Cochran•American Psychologist•1988

  Incluir item

• Determinants of individual Aids risk perception

  L Bernardi•African Journal of AIDS Research•2002

  Incluir item

• Health literacy, health status, and healthcare utilization of Taiwanese adults

  Open Access•Shoou-Yih D Lee, Tzu-I Tsai et al.•BMC Public Health•2010

  Incluir item

• A multi-level analysis of risk perception, poverty and sexual risk-taking among young people in Cape Town, South Africa

  Open Access•E Y Tenkorang, Eleanor Maticka-Tyndale et al.•Health & Place•2010

  Incluir item

• Functional Health Literacy and the Risk of Hospital Admission Among Medicare Managed Care Enrollees

  David W Baker, Julie A Gazmararian et al.•American Journal of Public Health•2002

  Incluir item

• Maternal education and child health

  Open Access•Desai, Sonalde Desai et al.•Demography•1998

  Incluir item

• Women’s status and domestic violence in rural Bangladesh

  Open Access•Michael A Koenig, Michael Koenig et al.•Demography•2003

  Incluir item

• Modeling Beliefs, Attitudes, and Intentions of Condom Use Among Secondary School Students in Kenya

  Open Access•Anna B Appiah, E Y Tenkorang et al.•Archives of Sexual Behavior•2017

  Incluir item

• Negotiating Safer Sex Among Married Women in Ghana

  Open Access•E Y Tenkorang•Archives of Sexual Behavior•2012

  Incluir item

• Proximal and Distal Predictors of Aids Risk Behaviors among Inner-city African American and European American Women

  Open Access•Kerstin E E Schröder, Stevan E Hobfoll et al.•Journal of Health Psychology•2001

  Incluir item

• A multi-level model of condom use among male and female upper primary school students in Nyanza, Kenya

  Open Access•Eleanor Maticka-Tyndale, E Y Tenkorang•Social Science & Medicine•2010

  Incluir item

• Ebola-related stigma in Ghana

  Open Access•E Y Tenkorang•Social Science & Medicine•2017

  Incluir item

• Reconsidering patient empowerment in chronic illness

  Open Access•Isabelle Aujoulat, Renzo Marcolongo et al.•Social Science & Medicine•2008

  Incluir item

• Condoms "contain worms" and "cause HIV" in Tanzania

  Open Access•Aaron J Siegler, Jessie Mbwambo et al.•Social Science & Medicine•2012

  Incluir item

• The evolving concept of health literacy

  Open Access•Don Nutbeam•Social Science & Medicine•2008

  Incluir item

• Changing Aids-risk behavior

  Jeffrey D Fisher, William A Fisher•Psychological Bulletin•1992

  Incluir item

• Multilevel Modeling for Binary Data

  G Guo, Hongxin Zhao•Annual Review of Sociology•2000

  Incluir item