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      “Condoms Are Boring”: Navigating Relationship Dynamics, Gendered Power, and Motivations for Condomless Sex Amongst Adolescents and Young People in South Africa

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          Abstract

          Condoms remain an important method for preventing HIV prevention and unintentional pregnancies, however their use in South Africa is sub-optimal. We analyzed survey data on reported condom use among 3009 sexually active adolescent girls and young women (AGYW) aged 15–24 years, and qualitative data from interviews and focus group discussions with 237 AGYW and 38 male peers. Our findings describe the current condom use landscape among adolescents and young people in South Africa, illustrating relationship dynamics, gendered power and notions of masculinity which influence condom negotiation and use in young heterosexual South Africans’ sexual encounters.

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          Thematic Analysis

          Nancy Moules, Deborah White, Jill M Norris … (2017)
          Article 0 comments Cited 1480 times – based on 0 reviews     Review now
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            Qualitative data analysis for health services research: developing taxonomy, themes, and theory.

            Elizabeth H Bradley, Leslie A Curry, Kelly Devers (2007)
            To provide practical strategies for conducting and evaluating analyses of qualitative data applicable for health services researchers. DATA SOURCES AND DESIGN: We draw on extant qualitative methodological literature to describe practical approaches to qualitative data analysis. Approaches to data analysis vary by discipline and analytic tradition; however, we focus on qualitative data analysis that has as a goal the generation of taxonomy, themes, and theory germane to health services research. We describe an approach to qualitative data analysis that applies the principles of inductive reasoning while also employing predetermined code types to guide data analysis and interpretation. These code types (conceptual, relationship, perspective, participant characteristics, and setting codes) define a structure that is appropriate for generation of taxonomy, themes, and theory. Conceptual codes and subcodes facilitate the development of taxonomies. Relationship and perspective codes facilitate the development of themes and theory. Intersectional analyses with data coded for participant characteristics and setting codes can facilitate comparative analyses. Qualitative inquiry can improve the description and explanation of complex, real-world phenomena pertinent to health services research. Greater understanding of the processes of qualitative data analysis can be helpful for health services researchers as they use these methods themselves or collaborate with qualitative researchers from a wide range of disciplines.
            Article 0 comments Cited 506 times – based on 0 reviews     Review now
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              Accelerate progress—sexual and reproductive health and rights for all: report of the Guttmacher– Lancet Commission

              Ann M Starrs, Alex Ezeh, Gary Barker … (2018)
              Article 0 comments Cited 297 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int J Sex Health
                Journal ID (iso-abbrev): Int J Sex Health
                Title: International Journal of Sexual Health
                Publisher: Taylor & Francis
                ISSN (Print): 1931-7611
                ISSN (Electronic): 1931-762X
                Publication date (Electronic, pub): 25 January 2021
                Publication date (Electronic, collection): 2021
                Publication date PMC-release: 25 January 2021
                Volume: 33
                Issue: 1
                Pages: 40-57
                Affiliations
                [a ]Health Systems Research Unit, South African Medical Research Council , Cape Town, South Africa
                [b ]Division of Social and Behavioural Sciences in the School of Public Health and Family Medicine, University of Cape Town , Cape Town, South Africa
                [c ]Division of Child and Adolescent Psychiatry, Adolescent Health Research Unit (AHRU), University of Cape Town , Cape Town, South Africa
                [d ]Perinatal HIV Research Unit, University of the Witwatersrand , Johannesburg, South Africa
                Author notes
                CONTACT Zoe Duby zoe.duby@ 123456mrc.ac.za  Health Systems Research Unit, South African Medical Research Council , Cape Town, South Africa.
                Author information
                https://orcid.org/0000-0001-7615-8152
                Article
                Publisher ID: 1851334
                DOI: 10.1080/19317611.2020.1851334
                PMC ID: 10807805
                PubMed ID: 38596471
                SO-VID: e743d176-c2d5-4936-b496-04e463c6dfcb
                Copyright © © 2021 The Author(s). Published with license by Taylor and Francis Group, LLC.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License ( http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

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                Page count
                Figures: 0, Tables: 4, Pages: 18, Words: 12135
                Categories
                Subject: Research Article
                Subject: Articles

                Keywords: condoms,adolescent girls and young women,south africa,hiv,adolescents,hiv prevention,hiv/aids,masculinity,qualitative studies,sex/gender roles,adolescent sexuality,contraception,pleasure,quantitative studies,reproductive health
                Data availability:
                Keywords: condoms, adolescent girls and young women, south africa, hiv, adolescents, hiv prevention, hiv/aids, masculinity, qualitative studies, sex/gender roles, adolescent sexuality, contraception, pleasure, quantitative studies, reproductive health

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