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Mohamad Shakir SM, Wong LP, Lim Abdullah K, Adam P. Online STI information seeking behaviour and condom use intentions among young Facebook users in Malaysia. Health Promot Int 2021; 35:1116-1124. [PMID: 31665378 DOI: 10.1093/heapro/daz108] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The Internet has opened pathways for youth to find sexual health information which was not easily available to them in the past. Studies have shown that seeking sexual health information online may potentially influence an individuals' decision-making to change their sexual health behaviours. However, there is a gap in research on the associations of seeking online sexually transmitted infection (STI) information with STI prevention among young people, particularly in Malaysia. This study investigated the associations of seeking STI information online with the intentions of condom use among young adult online users in Malaysia. A cross-sectional online survey was conducted among Malaysian youth aged 18-25 years old who were recruited through Facebook. In total, 1530 respondents completed the survey, identifying 874 respondents who had sought STI information online. The majority of respondents had intentions to use condoms as protection against STI. Respondents who sought online STI information were significantly more likely to have the intention to use condoms compared to respondents who did not seek online STI information (OR = 1.33, 95% CI = 1.01-1.76, p = 0.040). Online STI information has the potential to increase access to STI information among young online users in Malaysia amid the stigma surrounding sex-related issues. Providing accurate STI information online from reliable sources may equip young people who have Internet access with awareness of sexual health protective behaviours such as condom use. It is recommended to facilitate Internet access to reach sectors of the population that currently do not have access, as the Internet is useful in STI prevention.
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Affiliation(s)
- Sharina Mahavera Mohamad Shakir
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - Li Ping Wong
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - Khatijah Lim Abdullah
- Department of Nursing Science, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - Phillipe Adam
- Centre for Social Research in Health, UNSW Sydney, NSW 2052, Australia
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Ramiro-Sánchez T, Ramiro MT, Bermúdez MP, Buela-Casal G. Sexism and sexual risk behavior in adolescents: Gender differences. Int J Clin Health Psychol 2018; 18:245-253. [PMID: 30487930 PMCID: PMC6224861 DOI: 10.1016/j.ijchp.2018.04.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Accepted: 04/10/2018] [Indexed: 11/22/2022] Open
Abstract
Background/Objective: This study examines whether there are differences in the maintenance of ambivalent sexist beliefs on the basis of gender and sexual experience in adolescents. The study also investigates whether the sexist beliefs themselves are linked to sexual risk behaviors. Method: A representative sample of 2,703 Spanish adolescents was carried out in public and private secondary schools, with an age range of 14 to 20 years old (M = 15.89; SD = 1.29). Results: Males maintain more hostile, benevolent and ambivalent sexist beliefs compared to females. Sexual experience (both coital and non-coital) is linked to a greater degree of hostile and benevolent sexist beliefs, but only within the male group. In males, greater benevolent sexism is linked to vaginal sex initiation at an earlier age, while greater hostile sexism is linked to a lower proportion of condom use. In females, greater hostile sexism is linked to a greater number of sex partners. Conclusions: It is necessary to include specific actions on sexist beliefs in programs for the prevention of sexually transmitted infections and HIV.
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[Gender meanings of the risk of sexually transmitted infections/HIV transmission among young people]. Aten Primaria 2017; 51:61-70. [PMID: 29102221 PMCID: PMC6836995 DOI: 10.1016/j.aprim.2017.08.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Revised: 08/16/2017] [Accepted: 08/23/2017] [Indexed: 11/30/2022] Open
Abstract
Objetivo Establecer vínculos entre las representaciones sociales que usan los jóvenes para construir su identidad de género, sexualidad y el manejo del riesgo de infecciones de transmisión sexual. Emplazamiento Diferentes ámbitos de Atención Primaria de Girona. Participantes Jóvenes de 16 a 21años (32 en total) residentes en Girona. Método Estudio cualitativo socioconstrucionista, con muestreo intencional estratificado. Como técnicas de recogida de información se utilizaron grupos triangulares y entrevistas individuales. Los datos fueron analizados usando el análisis sociológico del discurso. Resultados Entre las chicas, la ideología del amor romántico va asociada a la dependencia de su pareja, resultando en una pérdida de la autonomía en la negociación del uso del preservativo. Los chicos representan su deseo sexual como un instinto que no pueden controlar debido a un hecho biológico como son las hormonas, lo que parece que justifica su despreocupación por el uso del preservativo. Estas creencias explican por qué las chicas son objeto de prejuicios sexistas cuando tienen relaciones sin afecto, mientras que los chicos en estas mismas situaciones aumentan su identidad masculina. El discurso sobre la confianza en la pareja frecuentemente resulta en el rechazo del preservativo, ya que este se asocia a significados no compatibles con la fidelidad. Conclusiones Estos resultados muestran la necesidad de que los profesionales de la Atención Primaria conozcan la influencia de los procesos psicosociales, especialmente aquellos relacionados con la construcción de las identidades de género y de la sexualidad masculina y femenina, en el manejo de los riesgos asociados con la actividad sexual.
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Halkitis PN, Cook SH, Ristuccia A, Despotoulis J, Levy MD, Bates FC, Kapadia F. Psychometric analysis of the Life Worries Scale for a new generation of sexual minority men: The P18 Cohort Study. Health Psychol 2017; 37:89-101. [PMID: 28967772 DOI: 10.1037/hea0000537] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
OBJECTIVE Sexual minority men (SMM) in the United States continue to experience adverse health problems and psychosocial burdens. However, there is limited psychometric research seeking to quantify the life worries of this population. Informed by syndemic theory, the Life Worries Scale (LWS) was developed to measure the concerns of young SMM. METHOD Analyses of the scale were undertaken using baseline data (n = 665) from an ongoing cohort study of emerging adult, SMM. RESULTS Exploratory factor analyses (EFA) of an initial set of 24 Likert-type items, followed by confirmatory factor analysis (CFA) and an exploratory structural equation model (ESEM), indicated a structure consisting of 6 domains of worries: financial stability, social stability, self esteem, loneliness, physical appearance, and physical health. These 6 subscales were highly correlated and also demonstrated high levels of internal consistency. Differences in life worries were noted across demographic states, specifically HIV serostatus, sexual attraction, housing status, and self-rated health. High levels of association were also detected between all 6 subscales with both depression and PTSD, while significant correlations were detected between suicidality and both self esteem and loneliness related worries. CONCLUSIONS The results of our analyses provide evidence for the strong psychometric characteristics of the LWS. This newly developed instrument should be utilized in research to examine the extent to which life worries explain health outcomes and risk behaviors in sexual minority males, and may be potentially extended for use in other populations. (PsycINFO Database Record
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Affiliation(s)
- Perry N Halkitis
- Department of Biostatistics, School of Public Health, Rutgers University
| | - Stephanie H Cook
- Department of Biostatistics, College of Global Public Health, New York University
| | - Annie Ristuccia
- Center for Health, Identity, Behavior, & Prevention Studies, College of Global Public Health, New York University
| | - James Despotoulis
- Center for Health, Identity, Behavior, & Prevention Studies, College of Global Public Health, New York University
| | - Michael D Levy
- Center for Health, Identity, Behavior, & Prevention Studies, College of Global Public Health, New York University
| | - Francesca C Bates
- Center for Health, Identity, Behavior, & Prevention Studies, College of Global Public Health, New York University
| | - Farzana Kapadia
- Department of Social and Behavioral Sciences, College of Global Public Health, New York University
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Alvarez-Bruned L, Garcia-Continente X, Gotsens M, Pérez A, Pérez G. Trends in Inequalities in the Use of Condom by Urban Teenagers in Spain. J Urban Health 2015; 92:1065-80. [PMID: 26373424 PMCID: PMC4675735 DOI: 10.1007/s11524-015-9985-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Social and economic inequalities in condom use by adolescents have been reported previously. Also, condom use has declined during the last decade. The aim of the study was to describe trends in the use of condoms in our setting, and how these trends may differ between socioeconomic groups in boys, and separately in girls, aged 17-19 years attending school in Barcelona between 2004 and 2012. We analyzed data from three annual surveys on risk factors in secondary students, which included a representative sample of the city's population; individuals who had previously had sexual intercourse (n = 1570) were included in the study. We calculated adjusted prevalence ratios (aPR) and their confidence intervals (95% CI) using robust Poisson regression models. The prevalence of condom use among boys was 87.0% in 2004 and 76.2% in 2012, and 76.7 and 64.7% among girls, respectively. This decrease was greater in adolescents with a low socioeconomic level, both in boys (aPR = 0.80) and girls (aPR = 0.84). The observed increase of socioeconomic inequalities in condom use in adolescents highlights a possible deterioration in good sexual practices and policies during the studied period.
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Affiliation(s)
- Laia Alvarez-Bruned
- Faculty of Health and Life Sciences, University Pompeu Fabra, Barcelona, Spain
| | - Xavier Garcia-Continente
- Health Information System Service, Barcelona Agency of Public Health, Plaça Lesseps, 1, 08023, Barcelona, Spain.,Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research), Barcelona, Spain
| | - Mercè Gotsens
- Health Information System Service, Barcelona Agency of Public Health, Plaça Lesseps, 1, 08023, Barcelona, Spain.,CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Anna Pérez
- Health Information System Service, Barcelona Agency of Public Health, Plaça Lesseps, 1, 08023, Barcelona, Spain.,CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research), Barcelona, Spain
| | - Gloria Pérez
- Faculty of Health and Life Sciences, University Pompeu Fabra, Barcelona, Spain. .,Health Information System Service, Barcelona Agency of Public Health, Plaça Lesseps, 1, 08023, Barcelona, Spain. .,CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain. .,Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research), Barcelona, Spain.
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Alvarez-Nieto C, Pastor-Moreno G, Grande-Gascón ML, Linares-Abad M. Sexual and reproductive health beliefs and practices of female immigrants in Spain: a qualitative study. Reprod Health 2015; 12:79. [PMID: 26329808 PMCID: PMC4557225 DOI: 10.1186/s12978-015-0071-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Accepted: 08/17/2015] [Indexed: 11/12/2022] Open
Abstract
Background Sexuality and reproduction are two areas that have been dealt with differently over time and across cultures. Immigrant women resident in Spain, are largely of childbearing age and have some specific needs. Female immigrants have specific beliefs and behaviors which may influence how they approach to the Spanish sexual and reproductive health services. There is less visibility of the health problems presented by women immigrants. This article aims to shed light on the sexual and reproductive health beliefs and experiences of female immigrants in a region of southern Spain. Methods A descriptive study design with qualitative data collection and analysis methods were used. Data were collected through face-to-face in-depth interviews using a semi- structured interview guide that collected information on women’s perception and beliefs about their sexual and reproductive health. Thirteen interviews were conducted in 2013 with a multi-ethnic sample of female immigrants, currently all are residing in Andalusia. Interview topics included questions about awareness and beliefs about sexuality and reproduction. Content analysis was used. Results We have found that female immigrant brings along all of her beliefs, opinions, attitudes and behaviors regarding sexuality, contraceptives, what is “correct” and what is not, etc. The sexual behavior is conditioned by the prevailing social rules of country of origin, and these rules act ambivalently. In general, knowledge of contraceptive methods was big, but there were perceptions that reproductive health was woman’s domain, due to gender norms and traditional family planning geared exclusively towards women. Conclusion Results suggest that women’s behavior is influenced by the precepts of their origin societies. Therefore, sexual and reproductive health processes should be adapted and incorporated into our society, with special attention being paid to the immigrant population.
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Affiliation(s)
- Carmen Alvarez-Nieto
- Department of Nursing, University of Jaén, Campus Las Lagunillas, Building B3 Faculty of Health Sciences, 23071, Jaén, Spain.
| | - Guadalupe Pastor-Moreno
- Department of Nursing, University of Jaén, Campus Las Lagunillas, Building B3 Faculty of Health Sciences, 23071, Jaén, Spain.
| | - María Luisa Grande-Gascón
- Department of Nursing, University of Jaén, Campus Las Lagunillas, Building B3 Faculty of Health Sciences, 23071, Jaén, Spain.
| | - Manuel Linares-Abad
- Department of Nursing, University of Jaén, Campus Las Lagunillas, Building B3 Faculty of Health Sciences, 23071, Jaén, Spain.
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Roura M, Domingo A, Leyva-Moral JM, Pool R. Hispano-Americans in Europe: what do we know about their health status and determinants? A scoping review. BMC Public Health 2015; 15:472. [PMID: 25948239 PMCID: PMC4430018 DOI: 10.1186/s12889-015-1799-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2014] [Accepted: 04/24/2015] [Indexed: 12/19/2022] Open
Abstract
Background Policy makers and health practitioners are in need of guidance to respond to the growing geographic mobility of Hispano-American migrants in Europe. Drawing from contributions from epidemiology, social sciences, demography, psychology, psychiatry and economy, this scoping review provides an up-to-date and comprehensive synthesis of studies addressing the health status and determinants of this population. We describe major research gaps and suggest specific avenues of further inquiry. Methods We identified systematically papers that addressed the concepts “health” and “Hispano Americans” indexed in five data bases from Jan 1990 to May 2014 with no language restrictions. We screened the 4,464 citations retrieved against exclusion criteria and classified 193 selected references in 12 thematic folders with the aid of the reference management software ENDNOTE X6. After reviewing the full text of all papers we extracted relevant data systematically into a table template to facilitate the synthesising process. Results Most studies focused on a particular disease, leaving unexplored the interlinkages between different health conditions and how these relate to legislative, health services, environmental, occupational, and other health determinants. We elucidated some consistent results but there were many heterogeneous findings and several popular beliefs were not fully supported by empirical evidence. Few studies adopted a trans-national perspective and many consisted of cross-sectional descriptions that considered “Hispano-Americans” as a homogeneous category, limiting our analysis. Our results are also constrained by the availability and varying quality of studies reviewed. Conclusions Burgeoning research has produced some consistent findings but there are huge gaps in knowledge. To prevent unhelpful generalisations we need a more holistic and nuanced understanding of how mobility, ethnicity, income, gender, legislative status, employment status, working conditions, neighbourhood characteristics and social status intersect with demographic variables and policy contexts to influence the health of the diverse Hispano-American populations present in Europe. Electronic supplementary material The online version of this article (doi:10.1186/s12889-015-1799-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Maria Roura
- ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB) Hospital Clínic, Universitat de Barcelona, Rosselló 132, 4th floor, 08036, Barcelona, Spain.
| | - Andreu Domingo
- Centre for Demographic Studies, Autonomous University of Barcelona, Carrer de Ca n'Altayó. Edifici E2, Bellaterra, Barcelona, 08193, Spain.
| | - Juan M Leyva-Moral
- Escola Superior d'Infemeria del Mar, University Pompeu Fabra, Doctor Aiguader, 80, Barcelona, Spain.
| | - Robert Pool
- Social Science and Global Health, Centre for Social Science and Global Health, University of Amsterdam, Postbus 15718, 1001, NE, Amsterdam, The Netherlands.
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Paraíso Torras B, Maldonado del Valle M, López Muñoz A, Cañete Palomo M. Anticoncepción en la mujer inmigrante: influencia de los aspectos socioculturales en la elección del método anticonceptivo. Semergen 2013; 39:440-4. [DOI: 10.1016/j.semerg.2013.01.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2012] [Revised: 01/09/2013] [Accepted: 01/31/2013] [Indexed: 11/29/2022]
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Haley T, Puskar K, Terhorst L, Terry MA, Charron-Prochownik D. Condom use among sexually active rural high school adolescents personal, environmental, and behavioral predictors. J Sch Nurs 2012; 29:212-24. [PMID: 23008185 DOI: 10.1177/1059840512461282] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Adolescents who engage in unprotected intercourse are at risk of pregnancy and sexually transmitted infection (STI). Although adolescents in rural areas participate in levels of sexual risk taking similar to that of nonrural youth, few data are available identifying factors that influence condom use among rural adolescents. The purpose of this study is to determine the predictive value of selected personal, environmental, and behavioral factors for condom use among rural adolescents in grades 9-12. A cross-sectional survey was conducted among sexually active youth (N = 613), ages 14-19, in three rural school districts in the Northeast. Using logistic regression, identified predictors for condom use include personal standards (odds ratio [OR] = 2.45; confidence interval [CI]: [2.39, 6.47]), condom use goals (OR = 1.32; CI [1.21, 1.45]), condom use at first intercourse (OR = 3.93; CI [2.39, 6.47]) and male gender. School nurses are encouraged to incorporate identified predictors of condom use when considering interventions promoting safer sexual behaviors among rural youth.
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Affiliation(s)
- Tammy Haley
- University of Pittsburgh at Bradford, Bradford, PA 16701, USA.
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