Gender differences in unsafe sexual behavior among young people in urban Mali
Bibliographic Data
| ID | 19443595 |
|---|---|
| Authors | Céline Boileau (0000-0002-0371-7539, McGill University Health Centre, corresponding author), Catherine Boileau (a Institute for Health and Social Policy , McGill University , Montreal , QC , Canada), Maria-Victoria Zunzunegui (0000-0003-0827-2804, Université de Montréal), María Victoria Zunzunegui (Université de Montréal), Sélim Rashed (Université de Montréal) |
| Year | 2009 |
| Volume | 21 |
| Issue | 8 |
| Pages | 1014-1024 |
| Publication date | 2009-08-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540120802626162 |
| PMID | 20024758 |
| OpenAlex | W1975662042 |
| Language | EN |
| Citations received | 6 |
| References cited | 44 |
We developed gender-specific explanatory models for unsafe sexual behavior among unmarried young people living in urban West Africa using a culturally adapted instrument which addresses personal, relational and socio-cognitive factors. Data were collected on condom use and number of sexual partners, and on their potential determinants, using in-person interviews on a heterogeneous sample of in-school and out-of-school young women (n=185) and (n=214) men who reported ever having had sexual intercourse. Recruitment was done at various sites in 21 randomly selected neighborhoods in Bamako. Bivariate analysis and multivariate logistic regressions were conducted to identify determinants of lack of condom at last sex and having more than one partner in the last six months and to test for interactions with gender. Similar percentages of men (40%) and women (46%) reported not using a condom at last sex. However, more men (64%) reported multiple partnering in the last six months than women (32%). Our findings suggest that the context of sexual debut, social status, relation to peers and family as well as attitudinal, normative and behavioral control constructs may influence young men and women's sexual behavior, but that pathways leading to unsafe sex are different across genders. Our findings also show that factors associated with condom use and sexual partnering are distinct. Earlier sexual debut seems to be risk-inducing in women while risk-reducing in men. Poor communication with peers and receiving money from sexual partner were associated with lack of condom use in women. High behavioral control was associated with fewer sexual partners in men. Determinants of unsafe sexual behavior were found at the social, interpersonal and individual levels for both men and women, but notable gender differentials existed. These findings underscore the importance of addressing gender as a crucial factor shaping HIV-risk profiles
Developmental psychology · Sexual behavior · Unsafe Sex · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues
Caracterização do uso do preservativo em jovens adultos portugueses
Romantic motives and risk-taking
Profiles of Risk for HIV/Aids Among Young Malawian Adults
Understanding the gender disparity in HIV infection across countries in sub-Saharan Africa
Dimensions of poverty and inconsistent condom use among youth in urban Kenya
Condom use negotiation among high school adolescents in Ghana
Coerced First Intercourse and Reproductive Health Among Adolescent Women in Rakai, Uganda
Why do young women have a much higher prevalence of HIV than young men? A study in Kisumu, Kenya and Ndola, Zambia
Sexual mixing patterns and sex-differentials in teenage exposure to HIV infection in rural Zimbabwe
Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa
Early age of first sex
The Theory of Planned Behavior
Attitudes, Norms, and Self-Efficacy
Theory of planned behaviour predictors of intention to use condoms among Xhosa adolescents in South Africa
Sexual assault history and risks for sexually transmitted infections among women in an African township in Cape Town, South Africa
Sexual Risk among Impoverished Women
Sexual Partners in a Rural South African Setting1
Sexual Coercion, Physical Violence, and HIV Infection Among Women in Steady Relationships in Kigali, Rwanda
Associations between forced sex, sexual and protective practices, and sexually transmitted diseases among a national sample of adolescent girls
Health transition review
The Prediction of Condom Use Intention among South African University Students
Violence, rape, and sexual coercion
HIV-Positive Women Report More Lifetime Partner Violence
Predictors of Condom Use Among Young Adults in South Africa
The Health Consequences of Adolescent Sexual and Fertility Behavior in Sub-Saharan Africa
Sexual Activity and Contraceptive Use
Determinants of Condom Use among Young People in Urban Cameroon
Age at First Sex and HIV Infection in Rural Zimbabwe
Prediction of goal-directed behavior
Transactional sex among women in Soweto, South Africa
Unsafe sexual behaviour among schoolgirls in Mozambique
Gender inequalities, intimate partner violence and HIV preventive practices
Coercive sex in rural Uganda
Sexual communication in the age of Aids
| Citations per year | 0.4 |
|---|---|
| Citation span | 2011 - 2018 (8) |
| Highly cited | No |