The Relationship Between Past Condom Use and Condom Use Intention Among Male Construction Worker Clients of Sex Workers in the Western Cape, South Africa: A Parallel Multiple Mediator Model.

Male clients of sex workers in South Africa are at high risk for HIV, yet limited research has examined the psychological factors influencing their condom use intentions. This study addressed this gap by assessing the mediating roles of positive attitudes towards condom use, condom use self-efficacy...

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Publicado en:Archives of Sexual Behavior Vol. 54; no. 3; pp. 873 - 892
Autores principales: Yakubu, Kamal, Bowen, Paul, Govender, Rajen
Formato: Artículo
Publicado: Springer Nature Mar2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
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      pub: Springer Nature
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        10.1007/s10508-025-03087-5
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        atl: The Relationship Between Past Condom Use and Condom Use Intention Among Male Construction Worker Clients of Sex Workers in the Western Cape, South Africa: A Parallel Multiple Mediator Model.
      aug:
        au:
          Yakubu, Kamal
          Bowen, Paul
          Govender, Rajen
        affil:
          https://ror.org/03p74gp79 Nelson Mandela School of Public Governance, University of Cape Town, Private Bag X3, Rondebosch, 7701, Cape Town, South Africa
          https://ror.org/03p74gp79 Department of Construction Economics and Management, University of Cape Town, Rondebosch, Cape Town, South Africa
          https://ror.org/04ttjf776 School of Property, Construction & Project Management, RMIT University, Melbourne, Australia
          https://ror.org/048cwvf49 Institute for Social and Health Sciences, University of South Africa, Lenasia, South Africa
          https://ror.org/05q60vz69 Violence, Injury and Peace Research Unit, South African Medical Research Council, Tygerberg, South Africa
      su:
        Condom use
        Sex workers
        Sexual intercourse
        Construction workers
        HIV prevention
        Theory of reasoned action
      sug:
        subj:
          Condom use
          Sex workers
          Sexual intercourse
          Construction workers
          HIV prevention
          Theory of reasoned action
      keyword:
        HIV/AIDS
        Male clients of sex workers
        Mediation analysis
        Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology
        Reasoned Action Approach
        Sex work
        HIV/AIDS
        Male clients of sex workers
        Mediation analysis
        Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology
        Reasoned Action Approach
        Sex work
      ab: Male clients of sex workers in South Africa are at high risk for HIV, yet limited research has examined the psychological factors influencing their condom use intentions. This study addressed this gap by assessing the mediating roles of positive attitudes towards condom use, condom use self-efficacy, and perceived norms in the relationship between past condom use and intentions to use condoms. A cross-sectional survey was used to obtain data from male construction workers who reported sexual intercourse with a sex worker in the past three months. Using a parallel multiple mediator model, the analysis revealed that condom use self-efficacy (β = 0.060, 95% CI [0.021, 0.107]) and positive attitudes towards condom use (β = 0.027, 95% CI [0.004, 0.058]) significantly mediated the relationship between past condom use and condom use intention, while perceived norms did not (β = − 0.001, 95% CI [− 0.007, 0.007]). These findings underscore the importance of targeting instrumental and affective attitudes and enhancing self-efficacy to promote consistent condom use in this population. Although perceived norms were not determined to be statistically significant in this study, their potential role as a mediator merits further exploration, particularly in light of the study limitations. This research highlights the need for tailored interventions to reduce HIV risk among male clients of sex workers in South Africa.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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