High Risk Sexual Behaviors for HIV among the In-School Youth in Swaziland: A Structural Equation Modeling Approach

Hlengiwe Nokuthula Sacolo, Min Huey Chung, Hsin Chu, Yuan Mei Liao, Chiung Hua Chen, Keng Liang Ou, Lu I. Chang, Kuei Ru Chou

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

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.

Original languageEnglish
Article numbere67289
JournalPLoS One
Volume8
Issue number7
DOIs
Publication statusPublished - Jul 4 2013

Fingerprint

Swaziland
risk behavior
Human immunodeficiency virus
Condoms
sexual behavior
Risk-Taking
Viruses
Sexual Behavior
HIV
Sexual Abstinence
Pupil
students
Sub-Saharan Africa
cross-sectional studies
Africa South of the Sahara
Sampling
data analysis
questionnaires
Sample Size
sampling

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

High Risk Sexual Behaviors for HIV among the In-School Youth in Swaziland : A Structural Equation Modeling Approach. / Sacolo, Hlengiwe Nokuthula; Chung, Min Huey; Chu, Hsin; Liao, Yuan Mei; Chen, Chiung Hua; Ou, Keng Liang; Chang, Lu I.; Chou, Kuei Ru.

In: PLoS One, Vol. 8, No. 7, e67289, 04.07.2013.

Research output: Contribution to journalArticle

Sacolo, Hlengiwe Nokuthula ; Chung, Min Huey ; Chu, Hsin ; Liao, Yuan Mei ; Chen, Chiung Hua ; Ou, Keng Liang ; Chang, Lu I. ; Chou, Kuei Ru. / High Risk Sexual Behaviors for HIV among the In-School Youth in Swaziland : A Structural Equation Modeling Approach. In: PLoS One. 2013 ; Vol. 8, No. 7.
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