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Self-reported sexual experiences, sexual conduct and safer-sex practices of Ethiopian undergraduate male and female students in the context of HIV/AIDS pandemic.

机译:在艾滋病毒/艾滋病大流行的背景下,埃塞俄比亚大学男女生的自我报告的性经历,性行为和更安全的性行为。

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摘要

By using a mixed methodology, the current study sought to explore the sexual experiences, sexual conduct and safer/unsafe sex practices of Ethiopian male and female undergraduate students in the context of the HIV/AIDS pandemic rampant in the country. To that end, the study investigated: college students' narrated sexual experiences, their perceived sexual relations and experiences, the degree of students' engagement in negotiated safer-sex practices, and factors facilitating/constraining students' intention to- and past use of condoms. Data gathered from a 43-item survey questionnaire administered among randomly chosen undergraduate students (N = 575) in Addis Ababa University revealed that 40% of the students were sexually active. Empirical materials garnered largely from focus group discussions with 20 college students (10 male and female) of diverse profile revealed that Ethiopian undergraduate students were sexually engaged dominantly with one another and less dominantly with non-college people. Students' sexual engagement with people outside colleges included female students' sexual relations with "sugar daddies" and male students' sexual experience with high school students, and less commonly with commercial sex workers. Despite critiquing each other's motives, female and male students had generally positive perceptions towards the sexual relations existing amongst themselves. They were, however, critical of relations female students had with "sugar daddies", and sexual affairs between male students and commercial sex workers. The qualitative data further revealed that college students rarely negotiated their sexual relations; often, male students initiated sexual relations initially acting as caring hosts, information providers, and academic tutors, but later exhibiting their real sexual motives. Female students were presented as people who passively or sub-consciously succumb into young men's trickeries into sex after momentary resistance. Parallel to that, some female students exhibited a sub-culture of entitlement to sexual pleasures---a discourse missing in related studies. Albeit some positive signs of safer sex practices, students' overall sexual practices were characterized by unsafe sex (procrastinating HIV testing, promiscuity, non-condom use, and absence of meaningful communications on sexual matters). Risky behaviors including alcohol and/or chat (plant stimulant) were reported to have led the college youth to risky sexual behaviors, including sex with having commercial sex workers without condoms. Regarding condom use, a correlation analysis has indicated a significant association between intention to use condoms and past condom use among respondents of the total sample ( r = .45 p .01), and among sexually active respondents (r = .55, p .01). Regression analyses showed causal relations between the two dependent variables (past condom use and intention to use condom) and the TPB variables (Ajzen 1991) suggesting indications for possible interventions. Students' intention to use condoms was significantly predicted by students' attitude towards condom use, subjective norms, and perceived behavioral control i.e. skills and abilities to use condoms. Perceived behavioral control and attitude were found to be significant predictors of students' past condom use. The overall implication of all this is the greater the students' skills and their ability to use condoms, the more they use condoms; and the higher their positive attitude towards condom, the more likely for them to use condoms. Qualitative data further showed that students' high level of knowledge about condom use and HIV/AIDS, but students' failure to translate it into protective behaviors implying the need for interventions beyond provision of knowledge. Among other things, the study underlined the need to raise students' positive attitudes towards condoms and developing students' skills and abilities in using condoms through peer-led education and training of life skills. The study also called for additional investigations on students' sexual experiences and safer/unsafe practices in regional universities and colleges situated in small towns.
机译:通过使用混合方法,当前的研究试图探索在该国艾滋病毒/艾滋病大流行的背景下埃塞俄比亚男女大学生的性经历,性行为和更安全/不安全的性行为。为此,该研究调查了:大学生叙述的性经历,他们的性关系和经历,大学生参与协商的更安全性行为的程度以及促进/限制大学生使用安全套的意愿和过去使用的因素。 。从在亚的斯亚贝巴大学随机选择的本科生(N = 575)中进行的一项43项调查问卷中收集的数据显示,有40%的学生具有性活跃性。从与20名不同身份的大学生进行的焦点小组讨论中获得的经验材料大部分表明,埃塞俄比亚的本科生彼此之间主要是性接触,而与非大学人群相比则较少。学生与大学以外的人的性接触包括女学生与“糖爸爸”的性关系和男学生与高中生的性经历,以及与商业性工作者较少见的性经历。尽管男女互为动机,男女学生通常对彼此之间存在的性关系持积极态度。但是,他们批评女学生与“糖爸”之间的关系,以及男学生与商业性工作者之间的性关系。定性数据进一步表明,大学生很少谈起他们的性关系。通常,男学生最初是作为有爱心的主持人,信息提供者和学术导师开始性关系的,但后来却表现出真正的性动机。女学生被认为是在短暂抵抗后被动或潜意识屈服于年轻男人的欺骗性行为的人。与此平行的是,一些女学生表现出一种获得性快感的亚文化-这是相关研究中缺少的一种话语。尽管有一些安全性行为的积极迹象,但学生的总体性行为仍以不安全的性行为为特征(拖延性地进行艾滋病毒检测,滥交,不使用安全套以及在性问题上缺乏有意义的交流)。据报道,包括酒精和/或聊天(植物兴奋剂)在内的危险行为已导致大学生发生危险的性行为,包括与没有避孕套的商业性工作者发生性行为。关于避孕套的使用,相关分析表明,在总样本中,使用避孕套的意图与过去使用避孕套之间存在显着关联(r = .45 p <.01),在性活跃的受访者中(r = .55,p <.01)。回归分析显示了两个因变量(过去使用安全套和使用安全套的意图)与TPB变量(Ajzen 1991)之间的因果关系,提示可能采取干预措施。学生对使用安全套的态度,主观规范和感知的行为控制(即使用安全套的技能和能力)可以显着预测学生使用安全套的意愿。发现知觉的行为控制和态度是学生过去使用安全套的重要预测因素。所有这一切的总体含义是,学生使用避孕套的技能和能力越高,使用避孕套的次数就越多。他们对安全套的积极态度越高,他们使用安全套的可能性就越大。定性数据进一步表明,学生对安全套使用和艾滋病毒/艾滋病的了解很高,但学生未能将其转化为保护性行为,这意味着需要提供知识以外的干预措施。该研究强调,除其他外,有必要提高学生对安全套的积极态度,并通过同伴主导的教育和生活技能培训来发展学生使用安全套的技能和能力。该研究还呼吁对位于小城镇的地区性大学和学院的学生的性经历和更安全/不安全做法进行进一步调查。

著录项

  • 作者

    Fetene, Getnet Tizazu.;

  • 作者单位

    State University of New York at Buffalo.;

  • 授予单位 State University of New York at Buffalo.;
  • 学科 Education Sociology of.;Education Health.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 307 p.
  • 总页数 307
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 社会学;教育;
  • 关键词

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