ArticlePrevention science : the official journal of the Society for Prevention Research2019
The Relationship Between Body Image Perceptions and Condom Use Outcomes in a Sample of South African Emerging Adults.
Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Associations Between Negative Body Image and Sexual Health Practices in Emerging Adults from Malaysia.Archives of sexual behavior · 2024Article
- Perceptions of women enrolled in a cardiovascular disease screening and prevention in HIV study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Body image as a global mental health concern.Global mental health (Cambridge, England) · 2023Review
- Determinants of age at first sex inequality between women and men youth in Uganda: A decomposition analysis.PLOS global public health · 2022Article
- Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE).Reproductive health · 2020Article
- Prevalence and Factors Associated with Early Sexual Initiation among College Students in Southwest Ethiopia.BioMed research international · 2020Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
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Abstract
HIV continues to be a health priority in South Africa. Consistent condom use helps prevent HIV, yet less than half of South African emerging adults use condoms consistently. Cultural beliefs about illnesses (e.g., being thin is perceived to be a sign of HIV infection) suggest that body image perceptions may play a role in emerging adults' condom use outcomes. We explored the relationships between body image perceptions (i.e., body dissatisfaction, body consciousness) and condom use outcomes (e.g., attitudes, negotiation efficacy, past use) in a sample of South African emerging adults. Participants (n = 379) recruited from university residences completed an anonymous survey. Participants' mean age was 21.79 years, 54.6% were female, 96.1% identified as Black African, and 73.5% reported primarily speaking IsiZulu. For women, the relationship between body dissatisfaction and condom negotiation efficacy was mediated by body consciousness and condom use attitudes after controlling for BMI, relationship status, and mental health symptoms. Further, the relationship between body dissatisfaction and past condom use was mediated by body consciousness. These results were not significant for men. Findings from this study suggest that integrating messages about body image perceptions into HIV prevention efforts targeting South African emerging adult women may be warranted.
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