Factors Associated With Non Condom Use Among Homosexuals

1924 words - 8 pages

There are several literatures discussing the importance of condoms in prevention of sexually transmitted diseases; the findings and conclusions of these studies were more or less similar especially among the young population. The youth represent the cohort with a substantial risk of acquiring sexually transmitted infection (Bull, S et al, 2012). Although the risk of acquiring such infections is common among heterosexual couples, male to male sexual behaviour has been considered as the primary risk factor for STIs, especially human immunodeficiency virus (HIV) (Geibel et al, 2010). The behavior of men who have sex with men (MSM) and their sexual activities are well documented in several literatures; however, there has been little interventions done by authorities to prevent transmission due to its socially unacceptable nature and the cultural beliefs attached to it. This is highly related to the existing stigma and lack of representation of this group in the society. In this sense, young men who have sex with men resort to ‘experimental means’ of avoiding acquiring sexually transmitted infections, which may include the incorrect use of condom as a preventive measure. In fact, condoms have been considered as the only ‘tool’ that can be used men in the prevention of most sexually transmitted infections, including HIV.
Condoms have gained popularity as the most common contraceptive use for protection from certain types of sexually transmitted diseases including HIV/AIDS; however, many people still choose to have unprotected sexual intercourse. Statistics form UNAIDS (2012) shows that there were 35.3 million people living with HIV (PLWH), and since the start of the epidemic around 75 million have become infected. Among these people, gays, bisexuals, and other men who have sex with men (MSM) are more severely affected by HIV than any other group, according to Center for Disease Control and Prevention (CDC).
There are different theoretical explanations on the relationship of behavior and other variables that influence a certain outcome of actions. These theories are helpful to have an intimate understanding of the youth and condom use. One of these is the Theory of Reasoned Action and Planned Behavior (Fishbien et al., 2001). The theory is consistent with the attitudes and perceptions influencing condom use. It postulates that behaviors are greatly influenced by many factors, which include previous behaviors, control beliefs, and intentions. These in turn are influenced by skills and situational control, peer norms, attitudes regarding perceived benefits and risks, and personal values (Harawa et al., 2006).
Jessor (2001) proposes a broad-band and widely used theory to explain the dysfunction and maladaptation in adolescence, this is called the Problem Behavior Theory. Problem behavior hypothesizes that risk behavior usually results from the interaction of the three systems, these are the personality, environment or situation, and behaviors aligned...

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