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

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. W...

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Vydáno v:AIDS and behavior Ročník 26; číslo 11; s. 3538 - 3550
Hlavní autoři: Okumu, Moses, Logie, Carmen H., Ansong, David, Mwima, Simon, Hakiza, Robert, Newman, Peter A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: New York Springer US 01.11.2022
Springer Nature B.V
Témata:
Access
Adolescence
Adolescent sexuality
Adolescents
Boys
Condoms
Dating
Displaced persons
Displacement
Gender
Gender relations
Girls
Health promotion
Health Psychology
HIV
Human immunodeficiency virus
Infectious Diseases
Intervention
Medicine
Medicine & Public Health
Negotiation
Negotiations
Original Paper
Path analysis
Public Health
Sexual behavior
Sexual health
Sexually transmitted diseases
Slums
STD
Teenagers
Text messaging
Uganda
Texting-based condom negotiation
adolescentes desplazados forzadamente
Sexting
Forcibly displaced adolescents
Sub-saharan Africa
cascadas de uso de condones
Africa Sub-sahariana
negociación de condones basada en mensajes de texto
Condom use cascades
ISSN:1090-7165, 1573-3254, 1573-3254
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Shrnutí: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 sexting-based condom negotiation, controlling for sexting 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.
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ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-022-03677-7