Exploring the Protective Value of Using Sexting for Condom Negotiation on Condom use Determinants and Practices Among Forcibly Displaced Adolescents in the Slums of Kampala, Uganda

被引：4

作者：

Okumu, Moses ^{[1
,2
]}

Logie, Carmen H. ^{[3
,4
,5
,6
]}

Ansong, David ^{[7
]}

Mwima, Simon ^{[1
,8
]}

Hakiza, Robert ^{[9
]}

Newman, Peter A. ^{[3
]}

机构：

[1] Univ Illinois, Sch Social Work, 1010 W Nevada St, Urbana, IL 61801 USA

[2] Uganda Christian Univ, Sch Social Sci, Mukono, Uganda

[3] Univ Toronto, Factor Inwentash Fac Social Work, 246 Bloor St West, Toronto, ON M5S 1V4, Canada

[4] United Nations Univ Inst Water Environm & Hlth UN, 204-175 Longwood Rd S, Hamilton, ON L8P 0A1, Canada

[5] Ctr Gender & Sexual Hlth Equ, Vancouver, BC, Canada

[6] Womens Coll Hosp, Canada Womens Coll Res Inst, Toronto, ON, Canada

[7] Univ N Carolina, Sch Social Work, 325 Pittsboro St CB 3550, Chapel Hill, NC 27599 USA

[8] Minist Hlth, AIDS Control Program, Plot 6,Lourdel Rd, Kampala, Uganda

[9] Young African Refugees Integral Dev YARID, Kampala, Uganda

来源：

AIDS AND BEHAVIOR | 2022年 / 26卷 / 11期

基金：

加拿大健康研究院; 加拿大创新基金会;

关键词：

Sexting; Texting-based condom negotiation; Condom use cascades; Forcibly displaced adolescents; Sub-saharan Africa; SEXUAL-BEHAVIOR; RISK BEHAVIORS; HEALTH; COMMUNICATION; METAANALYSIS; FEASIBILITY; PREVALENCE; ZIMBABWE; YOUTH;

D O I：

10.1007/s10461-022-03677-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Given the global growth of adolescent texting, we evaluate texting-based sexual communication as a potential site for interventions encouraging condom use cascades, particularly among displaced adolescents-a population with disproportionate levels of sexually transmitted infections, including HIV. With data from 242 forcibly displaced adolescents in the slums of Kampala, Uganda, we used path analysis to examine pathways from gender/dating relationship to condom determinant (knowledge of where to access condoms) and practices (access/use of condoms), through seating-based condom negotiation, controlling for seating practices. We found direct pathways from gender (boys vs. girls) and from dating relationship (dating vs. not) to condom determinant. Sexting-based condom negotiation partially mediated the pathway from gender/dating relationship to condom determinant, and fully mediated the pathways from gender/dating relationship to condom practices. Future digital sexual health interventions should consider the utility of texting-based applications in promoting knowledge and use of condoms among adolescents.

引用

页码：3538 / 3550

页数：13

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