Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda
Abstract Background Psychoactive substance use is a public health challenge among young people in informal settlements. Though rarely examined, psychoactive substance use is linked to sexual expectancies and inhibitions, and consequently high-risk sexual behaviours. This study examined the associati...
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| Format: | Article |
| Language: | English |
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BMC
2021-08-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-021-11536-8 |
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| author | Tonny Ssekamatte Simon P. S. Kibira Moses Tetui John Bosco Isunju Richard K. Mugambe Solomon Tsebeni Wafula Esther Buregyeya Christine Kayemba Nalwadda Justine Nnakate Bukenya Rhoda K. Wanyenze |
| author_facet | Tonny Ssekamatte Simon P. S. Kibira Moses Tetui John Bosco Isunju Richard K. Mugambe Solomon Tsebeni Wafula Esther Buregyeya Christine Kayemba Nalwadda Justine Nnakate Bukenya Rhoda K. Wanyenze |
| author_sort | Tonny Ssekamatte |
| collection | DOAJ |
| description | Abstract Background Psychoactive substance use is a public health challenge among young people in informal settlements. Though rarely examined, psychoactive substance use is linked to sexual expectancies and inhibitions, and consequently high-risk sexual behaviours. This study examined the association between sexual expectancies and inhibitions, and high-risk sexual behaviours among young psychoactive substance users (PSUs) in informal settlements in Kampala, Uganda. Methods This cross-sectional study recruited 744 young PSUs from informal settlements in Kampala. Respondent driven sampling was used to recruit respondents. A ‘modified’ Poisson regression model was used for inferential statistics. Data were analysed using the Stata 14 software. Results Of the 744 study participants, 45.6% believed that psychoactive substance use improves sexual performance; 43.3% believed that psychoactive substances make sex more pleasurable, and 53.3% believed that psychoactive substances give courage or confidence to approach a partner for sex. The belief that psychoactive substance use improves sexual performance (PR 1.14, 95% CI: 1.01–1.30), increases the likelihood of engaging in sex (PR 1.20, 95% CI: 1.04–1.40) or gives courage or confidence to approach a sexual partner (PR 1.21, 95% CI: 1.05–1.39) were associated with having sex while under the influence of psychoactive substances. The belief that a psychoactive substance user under the influence of psychoactive substances is more likely to engage in sex (PR 1.48, 95% CI: 1.15–1.90), and likely to find it difficult to refuse sex (PR 1.28, 95% CI: 1.06–1.55) were positively associated with engaging in multiple sexual partnerships. The belief that one easily forgets to use a condom when under the influence of psychoactive substances was positively associated with inconsistent condom use (PR 1.26, 95% CI: 1.09–1.45). Conclusion Psychoactive substance use expectancies associated with high-risk sexual behaviours included the belief that psychoactive substances improve sexual performance and improve confidence in approaching a sexual partner. Psychoactive substance use inhibitions associated with high-risk sexual behaviours included an increased likelihood of engaging in sexual intercourse, difficulties in refusing to engage in sexual intercourse, and forgetting to use condoms while intoxicated. Interventions targeting a reduction in high-risk sexual behaviour should integrate the impact of psychoactive substance use on sexual behaviour. |
| first_indexed | 2024-12-13T20:17:26Z |
| format | Article |
| id | doaj.art-fc65753b198743708530a3c0f759da58 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T20:17:26Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj.art-fc65753b198743708530a3c0f759da582022-12-21T23:32:46ZengBMCBMC Public Health1471-24582021-08-0121111310.1186/s12889-021-11536-8Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, UgandaTonny Ssekamatte0Simon P. S. Kibira1Moses Tetui2John Bosco Isunju3Richard K. Mugambe4Solomon Tsebeni Wafula5Esther Buregyeya6Christine Kayemba Nalwadda7Justine Nnakate Bukenya8Rhoda K. Wanyenze9Department of Disease Control and Environmental Health, Makerere University School of Public HealthDepartment of Community Health and Behavioural Sciences, Makerere University School of Public HealthSchool of Pharmacy, University of WaterlooDepartment of Disease Control and Environmental Health, Makerere University School of Public HealthDepartment of Disease Control and Environmental Health, Makerere University School of Public HealthDepartment of Disease Control and Environmental Health, Makerere University School of Public HealthDepartment of Disease Control and Environmental Health, Makerere University School of Public HealthDepartment of Community Health and Behavioural Sciences, Makerere University School of Public HealthDepartment of Community Health and Behavioural Sciences, Makerere University School of Public HealthDepartment of Disease Control and Environmental Health, Makerere University School of Public HealthAbstract Background Psychoactive substance use is a public health challenge among young people in informal settlements. Though rarely examined, psychoactive substance use is linked to sexual expectancies and inhibitions, and consequently high-risk sexual behaviours. This study examined the association between sexual expectancies and inhibitions, and high-risk sexual behaviours among young psychoactive substance users (PSUs) in informal settlements in Kampala, Uganda. Methods This cross-sectional study recruited 744 young PSUs from informal settlements in Kampala. Respondent driven sampling was used to recruit respondents. A ‘modified’ Poisson regression model was used for inferential statistics. Data were analysed using the Stata 14 software. Results Of the 744 study participants, 45.6% believed that psychoactive substance use improves sexual performance; 43.3% believed that psychoactive substances make sex more pleasurable, and 53.3% believed that psychoactive substances give courage or confidence to approach a partner for sex. The belief that psychoactive substance use improves sexual performance (PR 1.14, 95% CI: 1.01–1.30), increases the likelihood of engaging in sex (PR 1.20, 95% CI: 1.04–1.40) or gives courage or confidence to approach a sexual partner (PR 1.21, 95% CI: 1.05–1.39) were associated with having sex while under the influence of psychoactive substances. The belief that a psychoactive substance user under the influence of psychoactive substances is more likely to engage in sex (PR 1.48, 95% CI: 1.15–1.90), and likely to find it difficult to refuse sex (PR 1.28, 95% CI: 1.06–1.55) were positively associated with engaging in multiple sexual partnerships. The belief that one easily forgets to use a condom when under the influence of psychoactive substances was positively associated with inconsistent condom use (PR 1.26, 95% CI: 1.09–1.45). Conclusion Psychoactive substance use expectancies associated with high-risk sexual behaviours included the belief that psychoactive substances improve sexual performance and improve confidence in approaching a sexual partner. Psychoactive substance use inhibitions associated with high-risk sexual behaviours included an increased likelihood of engaging in sexual intercourse, difficulties in refusing to engage in sexual intercourse, and forgetting to use condoms while intoxicated. Interventions targeting a reduction in high-risk sexual behaviour should integrate the impact of psychoactive substance use on sexual behaviour.https://doi.org/10.1186/s12889-021-11536-8High-risk sexual behavioursYoung peopleInformal settlementsSexual expectanciesPsychoactive substance |
| spellingShingle | Tonny Ssekamatte Simon P. S. Kibira Moses Tetui John Bosco Isunju Richard K. Mugambe Solomon Tsebeni Wafula Esther Buregyeya Christine Kayemba Nalwadda Justine Nnakate Bukenya Rhoda K. Wanyenze Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda BMC Public Health High-risk sexual behaviours Young people Informal settlements Sexual expectancies Psychoactive substance |
| title | Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda |
| title_full | Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda |
| title_fullStr | Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda |
| title_full_unstemmed | Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda |
| title_short | Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda |
| title_sort | do sexual expectancies and inhibitions predict high risk sexual behaviours evidence from a cross sectional survey among young psychoactive substance users in informal settlements in kampala uganda |
| topic | High-risk sexual behaviours Young people Informal settlements Sexual expectancies Psychoactive substance |
| url | https://doi.org/10.1186/s12889-021-11536-8 |
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