Condom Use and Contraception Non-Use Amongst 16-19 Year Olds: A Within Subjects Comparison

Abstract

The present study used a within subject design to examine which situation specific factors discriminated between the use of condoms and non-use of contraception in the context of preventing unwanted pregnancy. Adapting the methodology of Gold et al (1991, 1992), 215 16 to 19 year olds completed a questionnaire concerning the most recent time they had experienced sexual intercourse without using contraception (the “without contraception” encounter) and me most recent time they had experienced sexual intercourse using a condom (the “with a condom” encounter). The results showed that although past behaviour did not differentiate between the two encounters, situational factors relating to preparation for action, affect and interpersonal interaction were important. However, when analysed for men and women separately most of the differences were only found for women. In particular, the results suggest that women report non-contraception use as associated with feeling more guilty, having a partner who is less motivated to use contraception than they are, with neither themselves nor their partner raising the desire to use contraception, not expecting to have sex and not discussing contraception and not having contraception available. In contrast, for men, only the availability of contraception appeared to differentiate between the two encounters. The results are discussed in terms of the usefulness of the methodology and the associated shift in emphasis from users and non-users of contraception to use and non-use. The implications of the results in terms of health education interventions are also considered.     

Physical activity levels in young adult Hispanics and Whites: Social cognitive theory determinants

The psychosocial determinants of health-impairing physical inactivity among Hispanic populations have not been well explored nor have systematic comparisons been made with White populations using Social Cognitive Theory (SCT) measures. Three exercise-relevant efficacy measures (task, scheduling, and response efficacy), three exercise-relevant expectancy measures (physical health, psychological health, and self-evaluative), and self reports of activity levels were obtained from 20-year-old male and female Hispanics (n?=?94) and Whites (n?=?94). Activity levels for the two groups were analyzed in separate regression analyses that included the six SCT measures and gender as predictors. The set of seven predictors accounted for 51% of the variance in self-reported activity levels in each analysis. For young adult Hispanics, task efficacy, response efficacy, mental-health expectancies, and self-evaluative expectancies predicted activity level. For young adult Whites, scheduling efficacy and self-evaluative expectancies predicted activity level. Gender was not a significant predictor of activity level for either group. A multivariate analysis of variance indicated that the only SCT predictor on which Hispanics and Whites significantly differed was mental-health expectancies. The results of this study indicate that the psychosocial determinants of exercise are qualitatively different for the two groups and that the determinants of physical activity levels for young adult Hispanics may not be as effective as those of young adult Whites in sustaining lifelong exercise habits. Thus the present study offers a promising strategy for detecting inactivity-related physical- and mental-health risks at an age when lifelong habits of physical activity are still being formed.     

Young women’s construction of their post-cancer fertility

Younger women diagnosed with cancer often face compromised fertility as a result of their treatment. However, previous research has adopted a biomedical model of fertility and utilised hypothetico-deductive research methods which have not allowed for full exploration of women’s subjectivity. This study explored younger women’s construction of their fertility post-cancer, and their discussions of fertility with healthcare professionals, from a social constructionist epistemology. Semi-structured one-to-one interviews were conducted with eight women aged 18–26, across a variety of cancer types. Foucaultian Discourse Analysis identified three subject positions associated with fertility concerns: ‘Inadequate woman: Accepting the motherhood mandate’; ‘Adequate woman: Resisting the motherhood mandate’; and ‘Survival of the fittest: Woman as genetically defective’. Implications of these subject positions included feelings of inadequacy, fear and devastation; feeling undesirable to romantic partners; and concern about passing on cancer-positive genes. In describing healthcare professional interactions, women adopted positions of ‘Satisfied patient’; ‘Passive recipient patient’; or ‘Resisting the passive patient position’. Accounts of inadequate information provision were associated with anger and frustration, whereas feeling adequately informed was associated with satisfaction at making decisions about fertility preservation. These results suggest that fertility is of importance to young women cancer survivors, and that compromised fertility can negatively impact subjectivity.     

Perceived behavioural control,subjective norms,attitudes and intention to use condom: A longitudinal cross-lagged design

Based on the Theory of Planned Behaviour (TPB), the purpose of this investigation was to examine the directionality of the association among condom use, intention, attitudes, subjective norms and perceived behavioural control. The present study investigated the nature of these relationships using a longitudinal cross-lagged design applied to data from a cohort of 958 randomly selected Italian adults. Using structural equation modelling, two cross-lagged panel analyses revealed reciprocal relationships between intention and attitudes and between intention and condom use. Contrary to expectations, baseline subjective norms and perceived behavioural control did not predict subsequent intention to use condom when controlled for the autoregressive effect of intention at T1 on the same variable at T2. Also, perceived behavioural control at T1 did not influence condom use at T2 after controlling for the effect of baseline intention. The possibility of reciprocity was also tested for all relations and significant results were found. The moderation effect of perceived behavioural control on the relationship between intention and condom use was not significant. The differences in age, gender and partnership status were taken into account in the analyses.     

A survey of smoking status and cancer risk perceptions among participants attending a hospital-based head and neck screening program

Abstract

Screening for head and neck cancer is underutilized. Given that lack of knowledge of the risk factors may partially account for screening underutilization. we surveyed subjective risk and knowledge of risk factors for head and neck cancer among 124 individuals who attended a free. hospital-based head and neck cancer screening. Few participants were current smokers. Most attendees perceived their risk as similar to others of their age and sex. Personal health habits comprised almost all of the risk-decreasing factors, yet less than half of the risk-increasing factors. generated. Personal habits were less frequently endorsed than factors such as pollution and heredity. Those who mentioned a risk behavior, or a family cancer history, reported higher subjective risk. Those who mentioned a personal health habit reported lower subjective risk. Results highlight needed efforts to increase screening among high-risk individuals through targeted education messages.     

The impact of information about the prevalence of AIDS-Preventive behavior among men and women: The mediating role of social norms

Abstract

The present study was designed to examine the effect of information about the high prevalence of safe sex on condom use intention, and to investigate the possible mediating role of the perceived social norm of friends, and the perceived social norm of future. sexual partners. Participants were provided with gender specific prevalence information, that is with the information that most men have exclusively safe sex, or with the information that most women exclusively engage in safe sexual behavior. The results show some gender differences. Information about the high prevalence of safe sex among men tends to increase women's condom use intention, and this effect seems to be mediated by the paceived social norm of future sexual partners. Men's intention, on the other hand, seems to be unaffected by high prevalence information of safe sex. Implications for research and prevention are discussed     

Psychometric Properties of the Locus of Control of Behaviour Scale (LCBS) among Australians Seeking Alcohol and Other Drug (AOD) Treatment

Despite a paucity of studies evaluating the psychometric properties of the Locus of Control of Behaviour Scale (LCBS), it continues to be widely used in behavioural research. The present study sought to redress this gap in the literature. The 17‐item LCBS was administered to 373 Australians attending Alcohol and Other Drug (AOD) treatment agencies in the northern metropolitan region of Perth. Confirmatory factor analyses were conducted in order to determine which of several plausible measurement models provided the best fit for the data. A unidimensional model, recommended by the authors of the LCBS, and a two‐dimensional (Internal Locus of Control vs External Locus of Control) model provided poor fits. Other multidimensional models, differing only in the dimensionality of the externality factor, were also tested. A multidimensional model consisting of an Internal Locus of Control factor and four component External Locus of Control factors provided the best fit; however, the fit is probably best described as “reasonable” rather than “good.” A subsequent exploratory factor analysis using parallel analysis indicated a cohesive internality factor; however, the externality factor showed a tendency to fragment into smaller components. Results were discussed in terms of the problematic externality factor.     

Why Young Men in South Africa Plan to Become Teenage Fathers: Implications for the Development of Masculinities within Contexts of Poverty

Drawing on in-depth interviews with young fathers (n=37) aged 14 to 20 in impoverished communities in South Africa, this study focuses on the young men who intentionally planned to have children while still teenagers. It interrogates their reasons for doing so, as well as their responses to their impending fatherhood and reactions after the birth of their child. Reasons such as wish-fulfillment, leaving a legacy, wanting to keep a partner, and wanting to be seen as ‘fashionable’ amongst their peers are discussed. An analysis is provided of the relationship between young fatherhood, poverty and masculinities. Key to the discussion are the interrelated notions of ownership and responsibility, and the ways in which impoverished young men find young fatherhood to be a powerful mediator in contexts where alternative pathways to exhibiting dominant masculinities are scarce.     

Sport,Girls, Trouble and Humour: Black and Indian Boys Negotiating Gender,Race and Class in a Formerly White Single Sex School in South Africa

This article reports on an interview study conducted by Deevia Bhana and Rob Pattman of Grade 11 (16–17 year old) boys attending different kinds of public schools in the Durban, South Africa. It investigated their accounts personal lives and identities as young men and women in and outside their schools. We conducted semi-structured interviews with the participants to determine how they experienced school and how they presented themselves in the interviews, their interests, aspirations, relations with other boys and girls in and out of school, and the kinds of identifications they made. The data for this are from two interviews conducted with black and Indian boys at Elmsdale, a formerly white boys' high school near Durban with an excellent academic and sporting reputation. We analyzed the data using narrative and discourse analysis. Concerns about being marginalised in school were expressed by both the black and the Indian boys. Issues of gender, race, class, sexuality and power were prominent in the interviews, notably when the boys were discussing sport, trouble, being funny and girls.     

Perceptions of alcohol risk among people on antiretroviral treatment in South Africa: a qualitative study

This study explored perceptions of alcohol abuse risk among people on antiretroviral treatment (ART) who self-identified as alcohol users. Twenty six people receiving ART from an out-patient setting were interviewed on their alcohol abuse risk perception. Data were thematically analysed. Findings suggest participants developed routines to drink alcohol around the times they took their antiretroviral medications to reduce adverse impact. They also reported alcohol abuse risk reduction strategies such as reducing alcohol use because of the event of an HIV positive diagnosis and/or getting on antiretroviral treatment, and alcohol use reduction following health education or counselling by health care staff. These findings suggest a need for alcohol interventions tailored to ART patients.