‘No condom, no sex’: Easy to say, but not possible for all South African women

Cervical cancer is the most common cancer in South African women. The human papillomavirus(HPV) is the biggest risk factor for developing this cancer. However, condom use protects against HPV transmission. The purpose of the study was to investigate whether Black women living in Tshwane, South Afric...

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Main Author: Johanna E. Maree
Format: Article
Language:Afrikaans
Published: AOSIS 2010-11-01
Series:Health SA Gesondheid: Journal of Interdisciplinary Health Sciences
Subjects:
Online Access:https://hsag.co.za/index.php/hsag/article/view/506
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description Cervical cancer is the most common cancer in South African women. The human papillomavirus(HPV) is the biggest risk factor for developing this cancer. However, condom use protects against HPV transmission. The purpose of the study was to investigate whether Black women living in Tshwane, South Africa, were able to protect themselves against cervical cancer by insisting on condom use. The study was exploratory, qualitative and contextual, and a convenience snowball sampling method was used. The sample size was determined through data saturation (n = 20). Selfreported data were gathered by means of interviews, and analysed using Tesch’s approach. Four themes emerged, (1) knowledge of cervical cancer, (2) sexual behaviour, (3) social problems and (4) emotions. The study provided evidence that women were not able to protect themselves from cervical cancer by insisting on condom use. Women lacked knowledge of cervical cancer and did not associate condom use with self-protection against this disease. Most of their sex partners refused to use condoms. Poverty, physical abuse, helplessness and fear prevented women from insisting on the use of condoms. Primary prevention strategies should focus on empowering women to protect themselves from cervical cancer and not leave this important issue to someone who might refuse it. Opsomming Servikskarsinoom is die mees algemene kanker in Suid-Afrikaanse vroue. Die menslike papiloom virus (MPV) is die grootse oorsaak van hierdie kanker. Oordraging van die virus kan egter met kondoomgebruik voorkom word. Die doel van die studie was om te bepaal of Swart vroue woonagtig in Tshwane, Suid-Afrika, hulself teen die virus kan beskerm deur op kondoomgebruik aan te dring.Die studie was eksploratief, kwalitatief en kontekstueel en ’n gerieflikheids sneeubal metode het die steekproef gerig. Die steekproefgrootte is deur dataversadiging bepaal (n = 20). Data is ingesamel deur middel van onderhoude en die data is met behulp van Tesch se metode geanaliseer. Vier temas is geïdentifiseer, (1) kennis van servikskarsinoom, (2) seksuele gedrag, (3) sosiale probleme en (4)emosies. Die studie het bevind dat vroue hulle nie self teen servikskarsinoom kan beskerm deur op kondome aan te dring nie. Kennis van die siekte was so gebrekkig dat vroue nie kondoomgebruik met servikskarsinoom vereenselwig het nie. Die meeste van hul seksmaats het geweier om kondome te gebruik. Armmoede, fisiese geweld, hulpeloosheid en vrees het vroue weerhou om op die gebruik van kondome aan te dring. Primêre voorkomingstrategië behoort op selfbemagtiging van vroue te konsentreer. Dit sal voorkom dat vroue van mans, wat hulle die reg kan weier, afhanklik is vir beskerming teen servikskarsinoom.
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spelling doaj.art-64adaf4746194f5a905ac1f939a882bc2022-12-22T00:25:50ZafrAOSISHealth SA Gesondheid: Journal of Interdisciplinary Health Sciences1025-98482071-97362010-11-01151e1e810.4102/hsag.v15i1.506442‘No condom, no sex’: Easy to say, but not possible for all South African womenJohanna E. Maree0Adelaide Tambo School of Nursing Science, Tshwane University of TechnologyCervical cancer is the most common cancer in South African women. The human papillomavirus(HPV) is the biggest risk factor for developing this cancer. However, condom use protects against HPV transmission. The purpose of the study was to investigate whether Black women living in Tshwane, South Africa, were able to protect themselves against cervical cancer by insisting on condom use. The study was exploratory, qualitative and contextual, and a convenience snowball sampling method was used. The sample size was determined through data saturation (n = 20). Selfreported data were gathered by means of interviews, and analysed using Tesch’s approach. Four themes emerged, (1) knowledge of cervical cancer, (2) sexual behaviour, (3) social problems and (4) emotions. The study provided evidence that women were not able to protect themselves from cervical cancer by insisting on condom use. Women lacked knowledge of cervical cancer and did not associate condom use with self-protection against this disease. Most of their sex partners refused to use condoms. Poverty, physical abuse, helplessness and fear prevented women from insisting on the use of condoms. Primary prevention strategies should focus on empowering women to protect themselves from cervical cancer and not leave this important issue to someone who might refuse it. Opsomming Servikskarsinoom is die mees algemene kanker in Suid-Afrikaanse vroue. Die menslike papiloom virus (MPV) is die grootse oorsaak van hierdie kanker. Oordraging van die virus kan egter met kondoomgebruik voorkom word. Die doel van die studie was om te bepaal of Swart vroue woonagtig in Tshwane, Suid-Afrika, hulself teen die virus kan beskerm deur op kondoomgebruik aan te dring.Die studie was eksploratief, kwalitatief en kontekstueel en ’n gerieflikheids sneeubal metode het die steekproef gerig. Die steekproefgrootte is deur dataversadiging bepaal (n = 20). Data is ingesamel deur middel van onderhoude en die data is met behulp van Tesch se metode geanaliseer. Vier temas is geïdentifiseer, (1) kennis van servikskarsinoom, (2) seksuele gedrag, (3) sosiale probleme en (4)emosies. Die studie het bevind dat vroue hulle nie self teen servikskarsinoom kan beskerm deur op kondome aan te dring nie. Kennis van die siekte was so gebrekkig dat vroue nie kondoomgebruik met servikskarsinoom vereenselwig het nie. Die meeste van hul seksmaats het geweier om kondome te gebruik. Armmoede, fisiese geweld, hulpeloosheid en vrees het vroue weerhou om op die gebruik van kondome aan te dring. Primêre voorkomingstrategië behoort op selfbemagtiging van vroue te konsentreer. Dit sal voorkom dat vroue van mans, wat hulle die reg kan weier, afhanklik is vir beskerming teen servikskarsinoom.https://hsag.co.za/index.php/hsag/article/view/506cancer prevention strategiescondom usefear of sexually transmitted infectionsrisk perceptionself-protection in sexual relationships
spellingShingle Johanna E. Maree
‘No condom, no sex’: Easy to say, but not possible for all South African women
Health SA Gesondheid: Journal of Interdisciplinary Health Sciences
cancer prevention strategies
condom use
fear of sexually transmitted infections
risk perception
self-protection in sexual relationships
title ‘No condom, no sex’: Easy to say, but not possible for all South African women
title_full ‘No condom, no sex’: Easy to say, but not possible for all South African women
title_fullStr ‘No condom, no sex’: Easy to say, but not possible for all South African women
title_full_unstemmed ‘No condom, no sex’: Easy to say, but not possible for all South African women
title_short ‘No condom, no sex’: Easy to say, but not possible for all South African women
title_sort no condom no sex easy to say but not possible for all south african women
topic cancer prevention strategies
condom use
fear of sexually transmitted infections
risk perception
self-protection in sexual relationships
url https://hsag.co.za/index.php/hsag/article/view/506
work_keys_str_mv AT johannaemaree nocondomnosexeasytosaybutnotpossibleforallsouthafricanwomen