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Do sexual expectanc...
Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda
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- Ssekamatte, Tonny (author)
- Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda
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- Kibira, Simon P. S. (author)
- Department of Community Health and Behavioural Sciences, Makerere University School of Public Health, Kampala, Uganda
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- Tetui, Moses (author)
- Umeå universitet,Institutionen för epidemiologi och global hälsa,School of Pharmacy, University of Waterloo, Waterloo, Canada; Department of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda
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- Isunju, John Bosco (author)
- Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda
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- Mugambe, Richard K. (author)
- Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda
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- Wafula, Solomon Tsebeni (author)
- Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda
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- Buregyeya, Esther (author)
- Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda
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- Nalwadda, Christine Kayemba (author)
- Department of Community Health and Behavioural Sciences, Makerere University School of Public Health, Kampala, Uganda
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- Bukenya, Justine Nnakate (author)
- Department of Community Health and Behavioural Sciences, Makerere University School of Public Health, Kampala, Uganda
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- Wanyenze, Rhoda K. (author)
- Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda
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(creator_code:org_t)
- 2021-08-04
- 2021
- English.
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In: BMC Public Health. - : BioMed Central. - 1471-2458. ; 21:1
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Abstract
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- Background: Psychoactive substance use is a public health challenge among young people in informal settlements. Though rarely examined, psychoactive substance use is linked to sexual expectancies and inhibitions, and consequently high-risk sexual behaviours. This study examined the association between sexual expectancies and inhibitions, and high-risk sexual behaviours among young psychoactive substance users (PSUs) in informal settlements in Kampala, Uganda.Methods: This cross-sectional study recruited 744 young PSUs from informal settlements in Kampala. Respondent driven sampling was used to recruit respondents. A ‘modified’ Poisson regression model was used for inferential statistics. Data were analysed using the Stata 14 software.Results: Of the 744 study participants, 45.6% believed that psychoactive substance use improves sexual performance; 43.3% believed that psychoactive substances make sex more pleasurable, and 53.3% believed that psychoactive substances give courage or confidence to approach a partner for sex. The belief that psychoactive substance use improves sexual performance (PR 1.14, 95% CI: 1.01–1.30), increases the likelihood of engaging in sex (PR 1.20, 95% CI: 1.04–1.40) or gives courage or confidence to approach a sexual partner (PR 1.21, 95% CI: 1.05–1.39) were associated with having sex while under the influence of psychoactive substances. The belief that a psychoactive substance user under the influence of psychoactive substances is more likely to engage in sex (PR 1.48, 95% CI: 1.15–1.90), and likely to find it difficult to refuse sex (PR 1.28, 95% CI: 1.06–1.55) were positively associated with engaging in multiple sexual partnerships. The belief that one easily forgets to use a condom when under the influence of psychoactive substances was positively associated with inconsistent condom use (PR 1.26, 95% CI: 1.09–1.45).Conclusion: Psychoactive substance use expectancies associated with high-risk sexual behaviours included the belief that psychoactive substances improve sexual performance and improve confidence in approaching a sexual partner. Psychoactive substance use inhibitions associated with high-risk sexual behaviours included an increased likelihood of engaging in sexual intercourse, difficulties in refusing to engage in sexual intercourse, and forgetting to use condoms while intoxicated. Interventions targeting a reduction in high-risk sexual behaviour should integrate the impact of psychoactive substance use on sexual behaviour.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Psychology (hsv//eng)
Keyword
- High-risk sexual behaviours
- Informal settlements
- Psychoactive substance
- Sexual expectancies
- Young people
Publication and Content Type
- ref (subject category)
- art (subject category)
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Ssekamatte, Tonn ...
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Kibira, Simon P. ...
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Tetui, Moses
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Isunju, John Bos ...
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Mugambe, Richard ...
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Wafula, Solomon ...
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Buregyeya, Esthe ...
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Nalwadda, Christ ...
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Bukenya, Justine ...
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Wanyenze, Rhoda ...
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- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Psychology
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BMC Public Healt ...
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Umeå University