An investigation of risky sexual behaviours, basic HIV knowledge and intention to use condoms among a sample of men who have sex with men in a student community

[摘要] ENGLISH ABSTRACT:The primary objective of the study was to determine the level of self-reported sexual risk behaviour of student men who have sex with men at a South African higher educational institution. The secondary objective was to determine the level of Human Immunodefiency Virus (HIV) knowledge among student men who have sex with men, and lastly to determine the extent to which the theory of planned behaviour is applicable in explaining intentions to use condoms.A sample of fifty student men who have sex with men were recruited to take part in an online baseline and follow-up survey, three months apart. Many of the student men who have sex with men reported sexual behaviour, which may place them at risk of contracting HIV. More than fifty percent (56%) had used alcohol or drugs during sexual intercourse in the past. Six percent (6.1%) reported having been forced to have sexual intercourse against their will. While 8% had experienced abuse and violence on campus, 22% had experienced abuse only and another 6% reported having experienced some form of violence due to their sexual preference. Most participants (70%) reported having used condoms almost always or always when engaging in penetrative sexual behaviours, but 30% had used condoms inconsistently or not at all in the past. The sample of student MSM scored high on a questionnaire of basic HIV knowledge, with a mean score of 14.57 (80.94%).The present study questions the applicability of the theory of planned behaviour in understanding and predicting intention to use condoms among a sample of student men who have sex with men attending a South African higher education institution. Only two of the major theoretical variables, namely attitude and perceived group norms, could significantly predict intention to use condoms. Attitudes regarding condom use were found to have an inverse The primary objective of the study was to determine the level of self-reported sexual risk behaviour of student men who have sex with men at a South African higher educational institution. The secondary objective was to determine the level of Human Immunodefiency Virus (HIV) knowledge among student men who have sex with men, and lastly to determine the extent to which the theory of planned behaviour is applicable in explaining intentions to use condoms.A sample of fifty student men who have sex with men were recruited to take part in an online baseline and follow-up survey, three months apart. Many of the student men who have sex with men reported sexual behaviour, which may place them at risk of contracting HIV. More than fifty percent (56%) had used alcohol or drugs during sexual intercourse in the past. Six percent (6.1%) reported having been forced to have sexual intercourse against their will. While 8% had experienced abuse and violence on campus, 22% had experienced abuse only and another 6% reported having experienced some form of violence due to their sexual preference. Most participants (70%) reported having used condoms almost always or always when engaging in penetrative sexual behaviours, but 30% had used condoms inconsistently or not at all in the past. The sample of student MSM scored high on a questionnaire of basic HIV knowledge, with a mean score of 14.57 (80.94%).The present study questions the applicability of the theory of planned behaviour in understanding and predicting intention to use condoms among a sample of student men who have sex with men attending a South African higher education institution. Only two of the major theoretical variables, namely attitude and perceived group norms, could significantly predict intention to use condoms. Attitudes regarding condom use were found to have an inversrelationship with intention to use condoms. The results from the hierarchical multiple regression analyses revealed that the linear combination of the theory of planned behaviour variables could significantly account for 68% of the variance in intention to use condoms when the predictors were considered together. Interventions that seek to lessen HIV risk behaviour among student men who have sex with men should endeavour to incorporate elements which should aim to augment perceived subjective norms regarding condom use. The findings advocate for additional research to be undertaken on the applicability of the theory of planned behaviour in informing health communication and sexual health interventions that aim to reduce HIV transmission risk among student men who have sex with men at higher educational institutions.

[发布机构] Stellenbosch University