Patterns of substance use and its predictors among North-West University students Mafikeng campus

The aim of this study was to examine the pattern of substance use among university students in South Africa. A cross-sectional study of randomly selected 416 students was conducted. Data were analysed using descriptive statistics and binary logistic regression. The result of the study indicated that current alcohol use was reported by 67.5%, Cigarette, 21.4%, cannabis, 17.3% and glue 2.9%. Alcohol consumption was associated with sex, age, religious affiliation, home language, family influence, and substance experimentation. Sex and substance experimentation were predictors of cigarette smoking. Cannabis use was associated with respondent’s sociocultural group and family influence. There is need to strengthen the family structure of homes as present substance use is rooted in family influences. Educational programmes that emphasise the dangers of experimenting with substance to young people may have great potential in minimizing substance use.Keywords: pattern, psychoactive, substance use, peer pressure, experimentin

Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mahikeng, South Africa

Background: Sexual and reproductive decision-making has emerged as an important health indicator in family reproductive health issues. While there is evidence of male dominance in sexual and reproductive health decisions, the role of socio-demographic factors on women’s decision to use contraception is not well understood. Aim: This study aimed at exploring the socio-demographic factors associated with married women’s decision-making to use contraception. Setting: The study was conducted in Mahikeng local municipality in the Modiri Molema District Municipality. Methods: Data were generated in Mahikeng from married and cohabiting women, aged 18–49 years, from a survey comprising 568 participants. Data were collected on women’s demographic characteristics and contraceptive behaviour. Descriptive, bivariate and multivariate analyses were used to examine factors related to decision-making on contraceptive use. Results: The result revealed that 57% of the participants were currently using contraception and 45% stated jointly-made decision regarding the use of contraception. Decisions on use of contraceptives were associated with education, occupation, religion, duration of union and home language. Other factors associated with decision-making on contraceptive use were perception on husband’s right to sex, use of force for sex and spousal communication about sex. Conclusion: Empowering women to use contraception to meet their fertility desire should aim at improving their socio-economic status and spousal communication. Family planning providers should recognise socio-cultural barriers under which the relationships exist and how women can navigate these contextual factors

Determinants of age at first marriage in sub-Saharan Africa: A comparative study of Uganda and South Africa

Marriage has traditionally been early and universal in sub-Saharan Africa and this has been blamed for high fertility and the failure to achieve most MDGs including the eradication of extreme poverty and hunger, achieving the goal of universal primary education, promotion of gender equality and empowerment of women, reduction of childhood mortality, improvement in quality of maternal health, and combating HIV and AIDS and other diseases. The paper used the 2006 Uganda Demographic and Health Survey and the 2003 South African Demographic and Health Survey data to investigate the hypothesis that ethnicity has a significant effect on age at first marriage even after controlling for the effects of other socio-demographic covariates. The Cox proportional hazard model was used to analyze the data. The study found that the Median Age at First Marriage (MAFM) was 19 years in Uganda and 29 years in South Africa, and that ethnicity had a significant effect on age at first marriage in both countries. Other factors with significant effects, through which ethnicity may have influenced age at first marriage were region, level of education and age at sexual debut. The paper concludes that marriage is early and universal in Uganda, while it is delayed in South Africa, suggesting that the two countries belong to different nuptuality regimes, this is arising from apparent differences in education and empowerment of women.Keywords: Age, marriage, nuptuality, Uganda, South Africa, ethnicit

Impact of male circumcision on HIV risk compensation through the impediment of condom use in Botswana

Background: Male circumcision has been recommended as a method of reducing the risk of transmitting HIV. However, widespread uptake of male circumcision may lead to HIV risk compensation by impeding condom use. Objective: To investigate the impact of male circumcision on condom use. Methods: The study used cross-sectional data from the Botswana AIDS Impact Survey III on 1,257 men aged 15 years or older who were sexually active. Data were analyzed using Pearson’s chi-square statistic and binary logistic regression. Results: The study found that 15% of circumcised men did not use condoms compared to 12% of uncircumcised men, and circumcision was not significantly associated with condom use. Non-use of condoms was significantly affected by religious beliefs, low level of education, marriage, drunkenness, and misconceptions regarding antiretroviral therapy (ART). Conclusions: We conclude that male circumcision does not impede condom use. Condom use is impeded by low level of education, marriage, drunkenness, and misconceptions regarding ART. We recommend the emphasis of consistent condom use targeting people with low education, those in marriage, users of alcohol, and people receiving ART

Corrigendum: Factors related to married or cohabiting women’s decision to use modern contraceptive methods in Mafikeng, South Africa

No abstract available

The impact of HIV/AIDS stigma on HIV counseling and testing in a high HIV prevalence population in Uganda

Background: Despite its importance in HIV/AIDS prevention and treatment, HIV/AIDS Counseling and Testing (HCT) is low in sub-Saharan Africa, where the disease continues to be a serious public health problem. This has in part been attributed to HIV/AIDS related stigma. Objective: To assess the level of HIV/AIDS related stigma and its impact on uptake of HCT in a high HIV prevalence population in Uganda. Methods: The paper used cross-sectional data on 135 men and 185 women in reproductive ages. Data were analyzed using the Pearson’s chi-square statistic and the random intercept binary logistic regression model to identify significant predictors of uptake of HCT. Results: The result shows that only 18.4% of the respondents, most of them men expressed highly stigmatizing attitudes against PLHA and 59%, men and women alike, received HCT. Uptake of HCT was higher among men (OR=1.89, p<0.01) and women (OR=4.48, p <0.001) who expressed least stigmatizing attitudes. Secondary/higher education, work in the informal sector and being ever married were significant predictors of uptake of HCT. Compared to men, women aged 25-34, 35+ and with one sexual partner were more likely to have received HCT. Conclusions: The low level of stigma, older age, higher level of education, being ever married and monogamous sexual relationships are significant predictors of increased uptake of HCT

Village-based AIDS prevention in a rural district in Uganda.

To access this article, click on "Additional Links"OBJECTIVE: To design, implement and evaluate a village-based AIDS prevention programme in a rural district in north-western Uganda. A baseline KAP survey of the general population was carried out to design a district-wide information campaign and condom promotion programme. Eighteen months later the impact achieved was measured through a second KAP survey, using the same methodology. METHODS: Anonymous structured interviews were conducted in March 1991 and October 1992 with 1486 and 1744 randomly selected individuals age 15-49, respectively. RESULTS: At 18 months, 60% of respondents had participated in an information session in the past year (47% women, 71% men) and 42% had received a pamphlet about AIDS (26% women, 58% men). Knowledge about AIDS, high initially (94%), reached 98%. More respondents knew that the incubation period is longer than one year (from 29% to 40%), and were willing to take care of a PWA (from 60% to 77%). Knowledge about condoms increased from 26 to 63% in women and 57 to 91% in men. Ever use of condoms among persons having engaged in casual sex in the past year increased from 6 to 33% in women, and 27 to 48% in men. Fifty per cent of condom users criticized lack of regular access to condoms. CONCLUSIONS: This is the first documented example of the impact a village-based AIDS prevention programme can achieve in a rural African community. Critical areas to be improved were identified, such as: women must be given better access to information, more attention must be paid to explain the asymptomatic state of HIV infection in appropriate terms, and condom social marketing must be developed