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‘I think condoms are good but, aai, I hate those things’: condom use among adolescents and young people in a southern African township

By Catherine MacPhail and Catherine Campbell

Abstract

Levels of heterosexually transmitted HIV infection are high amongst South African youth, with one recent survey reporting levels of 18.9% amongst 17-20 year olds and 43.1% amongst 21-25 year olds. In these groups levels of knowledge about HIV are high, but perceived vulnerability and reported condom use are low. Much existing research into youth HIV in developing countries relies on survey measures which use individual knowledge, attitudes and reported behaviour as variables in seeking to explain HIV transmission amongst this group. This paper reports on a focus group study that seeks to complement existing individual-level quantitative findings with qualitative findings highlighting community and social factors that hinder condom use amongst youth in the township of Khutsong, near Carletonville. Study informants comprised 44 young women and men in the 13-25 year age group. Data analysis highlighted six factors hindering condom use: lack of perceived risk; peer norms; condom availability; adult attitudes to condoms and sex; gendered power relations and the economic context of adolescent sexuality. Informants did not constitute a homogenous group in terms of their understandings of sexuality. While there was clear evidence for the existence of dominant social norms which place young peoples’ sexual health at risk, there was also evidence that many young people are self-consciously critical of the norms that govern their sexual behaviour, despite going along with them, and that they are aware of the way in which peer and gender pressures place their health at risk. There was also evidence that a minority of youth actively challenge dominant norms and behave in counter-normative and health-enhancing ways. The actively contested nature of dominant sexual norms provides a fertile starting point for peer education programmes that seek to provide the context for the collective negotiation of alternative sexual norms that do not endanger young peoples’ sexual health

Topics: RA0421 Public health. Hygiene. Preventive Medicine
Year: 2001
DOI identifier: 10.1016/S0277-9536(00)00272-0
OAI identifier: oai:eprints.lse.ac.uk:3177
Provided by: LSE Research Online
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    Citations

    1. (1994). Achieving masculine sexuality: young men’s strategies for managing vulnerability. In:
    2. (1991). Adolescent sexuality and its implications for teenage pregnancy and AIDS.
    3. (1998). Adolescents and HIV in developing countries: new research directions.
    4. (1994). AIDS knowledge and condom use in a birth cohort of 16 year olds.
    5. (1996). AIDS research and prevention: a social representational approach. doi
    6. (1997). AIDS-related knowledge, attitudes and behaviour among South African street youth: reflections on power, sexuality and autonomous self. doi
    7. (1991). AIDS-related knowledge, sexual behaviour and condom use among men and women in doi
    8. (1995). AIDS-risk among street children and youth: implications for intervention. doi
    9. (1998). An overview of rape in South Africa. Paper of the Centre for the Study of Violence and Reconciliation,
    10. (1991). Between embarrassment and trust: young women and the diversity of condom use.
    11. (1997). Black South African adolescents’ attitudes towards AIDS precautions. doi
    12. (1994). Boys’ thoughts and talk in a working class locality of Glasgow. doi
    13. (1997). Commentary on Joffe doi
    14. (1991). Condoms, coercion and control: heterosexuality and the limits to HIV/AIDS education. In:
    15. (1993). Cordon Sanitaire: clean and unclean women in the AIDS discourse of young heterosexual men.
    16. (1994). Desire, risk and control: the body as a site of contestation. In:
    17. (1998). Evaluating HIV-prevention programmes: conceptual challenges.
    18. (1999). Evaluating HIV/STD interventions in developing countries: do current indicators do justice to advances in intervention approaches? doi
    19. (1993). Flaws in the Theory of Reasoned Action.
    20. (1991). Getting to know you… young people’s knowledge of their partners at fist intercourse. doi
    21. (2000). Grassroots participation, peer education and HIV-prevention amongst sex workers in South Africa. doi
    22. (1998). He forced me to love him’: putting violence on adolescent sexual health agendas. doi
    23. (1997). HIV and AIDS doi
    24. (1992). Impact of perceived social norms on adolescents’ AIDS-risk behaviour and prevention.
    25. (2000). Is social capital a useful conceptual tool for exploring community level influences on HIV? An exploratory case study from South Africa. Submitted for publication. doi
    26. (1999). Knowledge, attitudes and behaviour toward HIV infection among family planning clinic attendees: changes between
    27. (1999). Managing HIV/AIDS in South Africa: lessons from industrial settings. Council for Scientific and Industrial Research,
    28. (1997). Migrancy, masculinity and AIDS: the psycho-social context of HIV-transmission on the South African gold mines. doi
    29. (1991). Perceptions and knowledge about the acquired immunodeficiency syndrome among students in university residences.
    30. (1992). Pleasure, pressure and power: some contradictions of gendered sexuality. doi
    31. (1997). Predictors of adolescent sexual risk taking behaviours which put them at risk for contracting HIV.
    32. (1984). Premarital coitus: developing and establishing sexual scripts. doi
    33. (1995). Qualitative research: introducing focus groups. doi
    34. (1992). Reasons for lack of condom use among high school students.
    35. (1996). Rethinking the focus group in media and communications research. doi
    36. (1993). Risk-taking behaviour of Cape Peninsular high-school students: Part VIII. Sexual behaviour.
    37. (1990). Sex, gender and power: young women’s sexuality in the shadow of AIDS. doi
    38. (1996). Sexual (non)negotiation among black African teenagers in Durban.
    39. (1988). Sexual behaviour and contraceptive use by adolescent pupils in the Republic of Bophuthatswana. doi
    40. (1998). Sexual behaviour and risk assessment of HIV seroconvertors among urban male factory workers in Zimbabwe. doi
    41. (1995). Sexual communication in the age of AIDS: the construction of risk and trust among young adults. doi
    42. (1999). Social capital and sexual health in a southern African mining community.
    43. (1994). Street children and youth in South Africa: AIDS-related knowledge, attitudes and behaviour. doi
    44. (1990). The emergence of adolescents as a risk group for Human Immunodeficiency virus infection. doi
    45. (2000). The Natural History of HIV/AIDS in South Africa: a biomedical and social survey. Council for Scientific and Industrial Research,
    46. (1997). The relationship between representational and materialist perspectives: AIDS and the ‘other’.
    47. (1992). The social context of adolescent sexuality: safe sex implications. doi
    48. (1995). The social identity of township youth: social identity theory and gender (part 2). doi
    49. (1997). Violence, rape and sexual coercion: everyday love in a South African township. doi
    50. (1991). When will they learn? Young people, health promotion and HIV/AIDS social research. doi
    51. (1998). When you carry condoms all the boys think that you want it’: negotiating competing discourses about safe sex. doi
    52. (1993). Women’s sexuality and men’s appropriation of desire.
    53. (2000). Working with young people – towards an agenda for sexual health. doi
    54. (1992). Young people, HIV/AIDS and social research. doi

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