ArticleBMC public health2021
Exploring condom use decision-making among adolescents: the synergistic role of affective and rational processes.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 37 citations in OpenAlex.
- The Impact of a Comprehensive Sexual Health Education Program on STI Knowledge and Attitudes among Philadelphia's Proud Teens.Journal of community health · 2026Article
- The Impact of Social Capital on Condom Use at Last Sex Among Sexually Active Young People in Ghana: A Cross-Sectional Study Design.Health science reports · 2026Article
- Barriers and facilitators to condom use among People Who Inject Drugs in Georgia: A qualitative study guided by the COM-B model.PloS one · 2026Article
- Assessing knowledge and utilization of female condoms among undergraduate female students at Makerere University, Kampala: a cross-sectional study.Reproductive health · 2025Article
- Gender differences and factors affecting opinions on condom use and sexual experiences among adolescents in a high teenage pregnancy setting in the Volta Region, Ghana.Reproductive health · 2025Article
- Prevalence, Preventive Methods, Health-related Outcomes, and Correlates of Sexual Behaviours among Adolescents in Malinyi District Council, Morogoro region, Tanzania.The East African health research journal · 2025Article
- Predictors of Condom Use among College Students.International journal of environmental research and public health · 2024Article
- Creating allies: qualitative exploration of young women's preferences for PrEP methods and parents' role in PrEP uptake and user support in urban and rural Zambia.BMC women's health · 2024Article
- Attitudes and practices regarding contraception among male students in a Nigerian tertiary educational institution: a cross-sectional study.Frontiers in reproductive health · 2024Article
- Adolescent girls' perceptions regarding the use of contraceptives in Ekurhuleni District, Gauteng.Health SA = SA Gesondheid · 2024Article
- HIV and sexual risk behaviours by 18-25-year-old youth at Nyandeni Municipality in the Eastern Cape.Health SA = SA Gesondheid · 2024Article
- Long-acting reversible contraception and condom use: A cohort study of female adolescents and young adults in New York City.Contraception · 2023Article
- Motivators and Influencers of Adolescent Girls' Decision Making Regarding Contraceptive Use in Four Districts of Zambia.International journal of environmental research and public health · 2023Article
- Perceived motivators, knowledge, attitude, self-reported and intentional practice of female condom use among female students in higher training institutions in Dodoma, Tanzania.Contraception and reproductive medicine · 2023Article
- "Compared to COVID, HIV Is Nothing": Exploring How Onshore East Asian and Sub-Saharan African International Students in Sydney Navigate COVID-19 versus BBVs/STIs Risk Spectrum.International journal of environmental research and public health · 2022Article
- Sexual abstinence as a reproductive health-promoting behavior for women: A perspective.Belitung nursing journal · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCondom use remains the most effective behavioural method for the prevention of HIV and unplanned pregnancies. However, condom use remains inconsistent among young people. Exploring the condom use decision-making processes that adolescents engage in might provide information that would assist in the prevention of many challenges related to poor sexual and reproductive health outcomes. This study therefore aimed to explore the factors that influenced decision-making about sexual debut and condom use of adolescents from two schools in the Western Cape, South Africa.
methodsA sample of 16 adolescents were selected using purposive sampling. Data were collected using semi-structured, individual interviews. Thematic analysis was used to analyse the data generated.
resultsThe link between sexual debut and affective processes was frequently discussed in condom use decision-making. Decisions about sexual debut were influenced by the belief that sex was a perceived symbol of 'true love' on the one hand, and respect for perceived parental expectations of age-appropriate sex, on the other. Condom use decision-making was shaped by adolescents' concerns about their future and lack of stability in their lives. Adolescents' fears of pregnancy, parenthood and disease shaped their condom use decision-making. It became evident that rational and affective decision-making in condom use choice were not mutually exclusive, but that these processes happened simultaneously.
conclusionsThe study highlighted the role of affective states as part of the process of examining alternatives when deciding to use a condom or not. Interventions to strengthen condom use decision-making should therefore incorporate not only rational but also affective processes to improve adolescent sexual and reproductive outcomes.
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