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Socio-demographic, Marital, and Psychosocial Factors Associated with Condom Use Negotiation Self-Efficacy Among Mozambican Women at Risk for HIV Infection

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Abstract

Purpose

In Mozambique, women are the most affected by HIV/AIDS. Self-efficacy is one of the main predictors of effective use of a condom. Therefore, it is essential to identify the factors that influence condom-use negotiation self-efficacy in vulnerable women. The aim of this paper is to identify socio-demographic, marital, and psychosocial factors associated with condom-use negotiation self-efficacy among Mozambican women at risk for HIV infection.

Methods

Participants were women (173) who were patients at the Gynecology Department of the Central Hospital of Beira, Mozambique, and at risk for HIV infection. Women completed measures of condom-use negotiation self-efficacy, HIV prevention knowledge, and perceived barriers against safer sex.

Results

The results showed that demographic and marital variables are associated with condom-use negotiation self-efficacy, namely, those having more than 9 years of education, who are younger and not living with a partner, and who talk about AIDS with partners report higher condom-use negotiation self-efficacy. Regarding psychosocial factors, higher HIV prevention knowledge and fewer perceived barriers to safer sex predict higher condom-use negotiation self-efficacy.

Conclusion

These results can contribute to sexual health promotion and HIV/AIDS prevention in Mozambican women because they identify at-risk groups and marital and psychosocial malleable factors that can be targeted in AIDS prevention among at-risk Mozambican women.

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Acknowledgements

This work was developed at the University of Minho (Portugal), supported by a grant (SFRH/BD/37909/2007) from the Portuguese Foundation of Science and Technology. The authors gratefully acknowledge the contributions of gynecologists of Beira Central Hospital, Mozambique, especially the director of the department, Dr. Eduardo Matediane. The authors also thank all of the women who agreed to participate in this study.

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Authors and Affiliations

  1. Institute of Collective Health, Federal University of Bahia, Salvador, Brazil

    Ana Luísa Patrão

  2. Texas Institute for Measurement, Evaluation and Statistics, University of Houston, Houston, TX, USA

    Teresa M. McIntyre

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  1. Ana Luísa Patrão
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  2. Teresa M. McIntyre
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Correspondence to Ana Luísa Patrão.

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The authors declare that they have no conflict of interest.

Informed Consent

All procedures followed were in accordance with ethical standards. The study was approved by the Health Ministry of Mozambique. Informed consent was obtained from all participants.

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Patrão, A.L., McIntyre, T.M. Socio-demographic, Marital, and Psychosocial Factors Associated with Condom Use Negotiation Self-Efficacy Among Mozambican Women at Risk for HIV Infection. Int.J. Behav. Med. 24, 846–855 (2017). https://doi.org/10.1007/s12529-017-9681-0

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