Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men
South African men who have sex with men (MSM) are at increased risk for HIV infection, and male condoms are fundamental to HIV prevention programs. We explored condom use experiences through in-depth interviews with 34 South African MSM from Cape Town and Port Elizabeth. For data analysis, we genera...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2014-09-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325957414535979 |
| _version_ | 1818340316623667200 |
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| author | Aaron J. Siegler PhD, MHS Alex de Voux MS Nancy Phaswana-Mafuya PhD Linda-Gail Bekker PhD Patrick S. Sullivan PhD, DVM Stefan D. Baral PhD Kate Winskell PhD Zamakayise Kose BA Andrea L. Wirtz MHS Rob Stephenson PhD |
| author_facet | Aaron J. Siegler PhD, MHS Alex de Voux MS Nancy Phaswana-Mafuya PhD Linda-Gail Bekker PhD Patrick S. Sullivan PhD, DVM Stefan D. Baral PhD Kate Winskell PhD Zamakayise Kose BA Andrea L. Wirtz MHS Rob Stephenson PhD |
| author_sort | Aaron J. Siegler PhD, MHS |
| collection | DOAJ |
| description | South African men who have sex with men (MSM) are at increased risk for HIV infection, and male condoms are fundamental to HIV prevention programs. We explored condom use experiences through in-depth interviews with 34 South African MSM from Cape Town and Port Elizabeth. For data analysis, we generated a codebook and used the constant comparison method. Condom use reinforcing elements included use of alternative sexual strategies, having a high level of self-worth that was linked to protective behaviors, and use of ready-made condom negotiation scripts. Elements inhibiting condom use included perceiving substantial declines in sexual pleasure/performance, experiences of condom failure (possibly related to petroleum-based lubricant), and being in trusted relationships. Our findings suggest nuanced HIV prevention approaches such as bolstering condom negotiation skills based on successful tactics already in use. Further research is needed to address how to mitigate perceptions and experiences that condoms negatively impact sexual pleasure and performance. |
| first_indexed | 2024-12-13T15:40:58Z |
| format | Article |
| id | doaj.art-abb97dae44a84d6488eedfd8be804fda |
| institution | Directory Open Access Journal |
| issn | 2325-9574 2325-9582 |
| language | English |
| last_indexed | 2024-12-13T15:40:58Z |
| publishDate | 2014-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-abb97dae44a84d6488eedfd8be804fda2022-12-21T23:39:50ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822014-09-011310.1177/2325957414535979Elements of Condom-Use Decision Making among South African Men Who Have Sex with MenAaron J. Siegler PhD, MHS0Alex de Voux MS1Nancy Phaswana-Mafuya PhD2Linda-Gail Bekker PhD3Patrick S. Sullivan PhD, DVM4Stefan D. Baral PhD5Kate Winskell PhD6Zamakayise Kose BA7Andrea L. Wirtz MHS8Rob Stephenson PhD9Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USADepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USAHIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, Pretoria, Port Elizabeth, South AfricaDesmond Tutu HIV Foundation, Institute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USADepartment of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USAHIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, Pretoria, Port Elizabeth, South AfricaDepartment of Epidemiology, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USASouth African men who have sex with men (MSM) are at increased risk for HIV infection, and male condoms are fundamental to HIV prevention programs. We explored condom use experiences through in-depth interviews with 34 South African MSM from Cape Town and Port Elizabeth. For data analysis, we generated a codebook and used the constant comparison method. Condom use reinforcing elements included use of alternative sexual strategies, having a high level of self-worth that was linked to protective behaviors, and use of ready-made condom negotiation scripts. Elements inhibiting condom use included perceiving substantial declines in sexual pleasure/performance, experiences of condom failure (possibly related to petroleum-based lubricant), and being in trusted relationships. Our findings suggest nuanced HIV prevention approaches such as bolstering condom negotiation skills based on successful tactics already in use. Further research is needed to address how to mitigate perceptions and experiences that condoms negatively impact sexual pleasure and performance.https://doi.org/10.1177/2325957414535979 |
| spellingShingle | Aaron J. Siegler PhD, MHS Alex de Voux MS Nancy Phaswana-Mafuya PhD Linda-Gail Bekker PhD Patrick S. Sullivan PhD, DVM Stefan D. Baral PhD Kate Winskell PhD Zamakayise Kose BA Andrea L. Wirtz MHS Rob Stephenson PhD Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men Journal of the International Association of Providers of AIDS Care |
| title | Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men |
| title_full | Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men |
| title_fullStr | Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men |
| title_full_unstemmed | Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men |
| title_short | Elements of Condom-Use Decision Making among South African Men Who Have Sex with Men |
| title_sort | elements of condom use decision making among south african men who have sex with men |
| url | https://doi.org/10.1177/2325957414535979 |
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