Black women in South Africa bear the highest burden of HIV and the condom use among this population of women is low. The aims of the research were to examine determinants of condom use among HIV positive and HIV negative isiXhosa speaking women separately. We found that dry sex (e.g. sex after vaginal treatment with substances that often dry and tighten the vaginal wall) among HIV-negative Xhosa women is primarily determined by the preference for dry sex of a dominant male partner. Women’s motivation for negotiating condom use is primarily influenced by their desire to please their partners For South African HIV-positive and HIV-negative black women the fear of stigma because of HIV/AIDS is the biggest barrier to participate in HIV/AIDS efficacy trials. Interventions to enhance condom use by HIV-positive black South African women need to focus on the reinforcement of self-confidence. HIV behavioural interventions have to be associated with poverty alleviation initiatives and have to be accompanied by behavioural interventions specific to men.
|Qualification||Doctor of Philosophy|
|Award date||6 May 2010|
|Place of Publication||Maastricht|
|Publication status||Published - 1 Jan 2010|
- Xhosa women
- condom use