Protective Factors and HIV Risk Behavior Among South African Men

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2014 Apr 12

PMID 24722765

Citations 3

Authors

G Anita Heeren

Larry D Icard

Ann OLeary

John B Jemmott 3rd

Zolani Ngwane

Xoliswa Mtose

Affiliations

Soon will be listed here.

Abstract

The primary mode of HIV transmission in South Africa is heterosexual sexual behavior. HIV prevention research specifically focusing on men in South Africa is limited. We assessed self-reported HIV risk behaviors in 1,181 men ages 18 to 45 years in randomly selected neighborhoods in Eastern Cape Province, South Africa. Older men were less likely to report having multiple partners. Religiosity was a protective factor for condom use and unprotected sex with steady partners. Discussing using condoms was a protective factor for condom use and unprotected sex with both steady and casual partners. Having a child was associated with decreased condom use with steady partners and employment was associated with decreased condom use with casual partners. The findings suggest the need for HIV risk-reduction behavioral interventions tailored for South African men with regard to age, religiosity, and types of sexual partners. Implications for the development of such interventions are discussed.

Citing Articles

The prevalence of religiosity and association between religiosity and alcohol use, other drug use, and risky sexual behaviours among grade 8-10 learners in Western Cape, South Africa.

Francis J, Myers B, Nkosi S, Williams P, Carney T, Lombard C PLoS One. 2019; 14(2):e0211322.

PMID: 30759112 PMC: 6374069. DOI: 10.1371/journal.pone.0211322.

The dynamics of HIV transmission in out of school young heterosexual men in South Africa: a systematic scoping review protocol.

Ntombela N, Mashamba-Thompson T, Mtshali A, Voce A, Kharsany A Syst Rev. 2017; 6(1):9.

PMID: 28095886 PMC: 5240355. DOI: 10.1186/s13643-016-0398-y.

Mediation of effects of a theory-based behavioral intervention on self-reported physical activity in South African men.

Jemmott 3rd J, Stephens-Shields A, OLeary A, Jemmott L, Teitelman A, Ngwane Z Prev Med. 2015; 72:1-7.

PMID: 25565482 PMC: 4351128. DOI: 10.1016/j.ypmed.2014.12.022.

References

Ramirez-Valles J . The protective effects of community involvement for HIV risk behavior: a conceptual framework. Health Educ Res. 2002; 17(4):389-403. DOI: 10.1093/her/17.4.389. View

Luthar S, Cicchetti D . The construct of resilience: implications for interventions and social policies. Dev Psychopathol. 2001; 12(4):857-85. PMC: 1903337. DOI: 10.1017/s0954579400004156. View

Heeren G, Jemmott 3rd J, Mandeya A, Tyler J . Sub-Saharan African university students' beliefs about condoms, condom-use intention, and subsequent condom use: a prospective study. AIDS Behav. 2008; 13(2):268-76. PMC: 4349680. DOI: 10.1007/s10461-008-9415-z. View

Arthur M, Hawkins J, Pollard J, Catalano R, Baglioni Jr A . Measuring risk and protective factors for substance use, delinquency, and other adolescent problem behaviors. The Communities That Care Youth Survey. Eval Rev. 2002; 26(6):575-601. DOI: 10.1177/0193841X0202600601. View

Mustanski B, Newcomb M, Du Bois S, Garcia S, Grov C . HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions. J Sex Res. 2011; 48(2-3):218-53. PMC: 3351087. DOI: 10.1080/00224499.2011.558645. View

Pick S, Givaudan M, Sirkin J, Ortega I . Communication as a protective factor: evaluation of a life skills HIV/AIDS prevention program for Mexican elementary-school students. AIDS Educ Prev. 2007; 19(5):408-21. DOI: 10.1521/aeap.2007.19.5.408. View

Polan J, Sieving R, McMorris B . Are young adolescents' social and emotional skills protective against involvement in violence and bullying behaviors?. Health Promot Pract. 2012; 14(4):599-606. DOI: 10.1177/1524839912462392. View

Cain D, Pitpitan E, Eaton L, Carey K, Carey M, Mehlomakulu V . Collective efficacy and HIV prevention in South African townships. J Community Health. 2013; 38(5):885-93. PMC: 3769453. DOI: 10.1007/s10900-013-9694-9. View

OLeary A, Jemmott 3rd J, Jemmott L, Bellamy S, Ngwane Z, Icard L . Moderation and mediation of an effective HIV risk-reduction intervention for South African adolescents. Ann Behav Med. 2012; 44(2):181-91. PMC: 4349630. DOI: 10.1007/s12160-012-9375-4. View

10.

Losel F, Farrington D . Direct protective and buffering protective factors in the development of youth violence. Am J Prev Med. 2012; 43(2 Suppl 1):S8-S23. DOI: 10.1016/j.amepre.2012.04.029. View

11.

McCullough M, Hoyt W, Larson D, Koenig H, Thoresen C . Religious involvement and mortality: a meta-analytic review. Health Psychol. 2000; 19(3):211-22. DOI: 10.1037//0278-6133.19.3.211. View

12.

Dowshen N, Forke C, Johnson A, Kuhns L, Rubin D, Garofalo R . Religiosity as a protective factor against HIV risk among young transgender women. J Adolesc Health. 2011; 48(4):410-4. DOI: 10.1016/j.jadohealth.2010.07.021. View

13.

Hutchinson M, Jemmott 3rd J, Jemmott L, Braverman P, Fong G . The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: a prospective study. J Adolesc Health. 2003; 33(2):98-107. DOI: 10.1016/s1054-139x(03)00183-6. View

14.

Vamos S, Cook R, Chitalu N, Mumbi M, Weiss S, Jones D . Quality of relationship and sexual risk behaviors among HIV couples in Lusaka, Zambia. AIDS Care. 2013; 25(9):1102-8. PMC: 3636183. DOI: 10.1080/09540121.2012.749339. View

15.

Kalichman S, Pitpitan E, Eaton L, Cain D, Carey K, Carey M . Bringing it home: community survey of HIV risks to primary sex partners of men and women in alcohol-serving establishments in Cape Town, South Africa. Sex Transm Infect. 2012; 89(3):231-6. PMC: 3625822. DOI: 10.1136/sextrans-2012-050569. View

16.

Jemmott 3rd J, Jemmott L, OLeary A, Ngwane Z, Icard L, Heeren G . Cluster-randomized controlled trial of an HIV/sexually transmitted infection risk-reduction intervention for South African men. Am J Public Health. 2014; 104(3):467-73. PMC: 3953794. DOI: 10.2105/AJPH.2013.301578. View

17.

Odimegwu C . Influence of religion on adolescent sexual attitudes and behaviour among Nigerian university students: affiliation or commitment?. Afr J Reprod Health. 2006; 9(2):125-40. View

18.

Mfecane S . Can women 'refuse' condoms? Dilemmas of condom negotiation among men living with HIV in South Africa. Cult Health Sex. 2012; 15(3):269-82. DOI: 10.1080/13691058.2012.729159. View

19.

Kordoutis P, Loumakou M, Sarafidou J . Heterosexual relationship characteristics, condom use and safe sex practices. AIDS Care. 2001; 12(6):767-82. DOI: 10.1080/09540120020014318a. View

20.

Scott-Sheldon L, Carey M, Carey K, Cain D, Vermaak R, Mthembu J . Impact of HIV testing on sexual health communication in South Africa. Sex Transm Infect. 2010; 87(3):242-7. PMC: 3722047. DOI: 10.1136/sti.2010.045732. View