Closson, Kalysha Anne - Sexual self-efficacy among adolescent men and women living in an HIV-hyper-endemic setting of South ...

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This thesis has been submitted to the Library for purposes of graduation, but needs to be audited for technical details related to publication in order to be approved for inclusion in the Library collection.
Term: 
Spring 2017
Degree: 
M.Sc.
Degree type: 
Thesis
Department: 
Faculty of Health Sciences
Faculty: 
Health Sciences
Senior supervisor: 
Dr. Robert Hogg
Thesis title: 
Sexual self-efficacy among adolescent men and women living in an HIV-hyper-endemic setting of South Africa
Given Names: 
Kalysha Anne
Surname: 
Closson
Abstract: 
Adolescent women in South Africa face disproportionate HIV acquisition. In this context, evidence remains mixed on whether sexual self-efficacy (SSE)- one’s perceived control in decision-making regarding safe sex, predicts consistent condom use (CCU). Using cross-sectional survey data from 830 adolescent men and women aged 14-19 living in Soweto, South Africa, this thesis conducted gender-based analyses to examine determinants of high-SSE (study-alpha=0.75) and the association between high-SSE and CCU. Results revealed women have higher SSE than men. High-SSE was associated with CCU use for men, but not women. For women, high-SSE was associated with having an adult in the home, and no history of physical violence. Moreover, lower depressive symptomology among women was more predictive of CCU than SSE, indicating that gender-targeted HIV prevention interventions must move beyond individual-level determinants of behaviour to address socio-structural and relational factors influencing syndemic HIV risk among adolescent women in South Africa.
Keywords: 
Adolescents; HIV prevention; Gender; Self-Efficacy; Sexual Decision-Making; Sexuality
Total pages: 
189