High risk sexual behaviors for HIV among the in-school youth in Swaziland: a structural equation modeling approach.

Background Global efforts in response to the increased prevalence of the human immunodeficiency virus (HIV) are mainly aimed at reducing high risk sexual behaviors among young people. However, knowledge regarding intentions of young people to engage in protective sexual behaviors is still lacking in many countries around the world, especially in Sub-Saharan Africa where prevalence of human immunodeficiency virus is the highest. The objective of this study was to test the theory of planned behavior (TPB) for predicting factors associated with protective sexual behaviors, including sexual abstinence and condom use, among in-school youths aged between 15 and 19 years in Swaziland. Methods This cross-sectional survey was conducted using a anonymous questionnaire. A two-stage stratified and cluster random sampling method was used. Approximately one hundred pupils from each of four schools agreed to participate in the study, providing a total sample size of 403 pupils of which 369 were ultimately included for data analysis. The response rate was 98%. Structural equation modeling was used to analyse hypothesized paths. Results The TPB model used in this study was effective in predicting protective sexual behavior among Swazi in-school youths, as shown by model fit indices. All hypothesized constructs significantly predicted intentions for abstinence and condom use, except perceived abstinence controls. Subjective norms were the strongest predictors of intention for premarital sexual abstinence; however, perceived controls for condom use were the strongest predictors of intention for condom use. Conclusions Our findings support application of the model in predicting determinants of condom use and abstinence intentions among Swazi in-school youths.

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PID https://www.doi.org/10.1371/journal.pone.0067289
PID pmc:PMC3701534
PID pmid:23861756
URL https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0067289
URL https://paperity.org/p/60578784/high-risk-sexual-behaviors-for-hiv-among-the-in-school-youth-in-swaziland-a-structural
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701534/
URL https://europepmc.org/articles/PMC3701534/
URL https://www.researchgate.net/profile/Hsin_Chu/publication/249967596_High_Risk_Sexual_Behaviors_for_HIV_among_the_In-School_Youth_in_Swaziland_A_Structural_Equation_Modeling_Approach/links/00463524297dc27b58000000.pdf
URL http://www.plosone.org/article/info:doi/10.1371/journal.pone.0067289
URL https://academic.microsoft.com/#/detail/2085642268
URL https://ui.adsabs.harvard.edu/abs/2013PLoSO...867289S/abstract
URL http://dx.plos.org/10.1371/journal.pone.0067289
URL https://doi.org/10.1371/journal.pone.0067289
URL https://dx.plos.org/10.1371/journal.pone.0067289
URL http://europepmc.org/articles/PMC3701534?pdf=render
URL https://tmu.pure.elsevier.com/zh/publications/high-risk-sexual-behaviors-for-hiv-among-the-in-school-youth-in-s
URL https://doaj.org/toc/1932-6203
URL http://europepmc.org/articles/PMC3701534
URL http://dx.doi.org/10.1371/journal.pone.0067289
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Access Right Open Access
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Author kueiru chou, 0000-0002-4882-3503
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Collected From PubMed Central; ORCID; UnpayWall; DOAJ-Articles; Crossref; Microsoft Academic Graph
Hosted By Europe PubMed Central; PLoS ONE
Journal PLoS ONE, ,
Publication Date 2013-07-04
Publisher Public Library of Science (PLoS)
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Language English
Resource Type Article
keyword Q
keyword R
keyword keywords.General Biochemistry, Genetics and Molecular Biology
system:type publication
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::08f9cb8ef294a0c007b16a2e6dd40198
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Last Updated 26 December 2020, 11:26 (CET)
Created 26 December 2020, 11:26 (CET)