Development Studies, School of Built Environment and Development Studies University of KwaZulu-Natal, Durban, South Africa.
Afr J AIDS Res. 2021 Oct;20(3):192-203. doi: 10.2989/16085906.2021.1951310. Epub 2021 Sep 7.
South Africa has the largest number of people living with HIV in the world. Of the nine provinces in South Africa, KwaZulu-Natal is the worst affected. HIV is largely transmitted through unprotected penetrative sexual intercourse. Male latex condoms are central to HIV prevention because of their effectiveness in preventing HIV transmission in almost all sexual encounters if used consistently and correctly. There are, however, various barriers to condom use. This study sought to unpack barriers to condom use in the context of (casual or informal sexual relationships) in a South African, isiZulu-speaking community. A generic qualitative approach was used, drawing on a range of methods - four focus groups and twenty in-depth interviews. The study was conducted exclusively with isiZulu-speaking African participants, aged 21-34 years, from the uMgungundlovu district in KwaZulu-Natal, South Africa. relationships encompass all casual relationships, i.e. those in which there has never been involvement of the families. The involvement of families in negotiating (bride wealth) is a prerequisite for legitimate relationships, particularly marriage. Multiple concurrent sexual partnerships typically exist in relationships, and unprotected sex is common. The interviews suggest the existence of various barriers to condom use, including lack of trust, sexual pleasure and alcohol. There is a need for increased HIV prevention campaigns with particular emphasis on consistent condom use.
南非是世界上感染艾滋病毒人数最多的国家。在南非的 9 个省份中，夸祖鲁-纳塔尔省的情况最为严重。艾滋病毒主要通过无保护的渗透性行为传播。男用乳胶避孕套在预防艾滋病毒方面起着至关重要的作用，因为如果正确且持续使用，它们几乎可以在所有性行为中防止艾滋病毒传播。然而，避孕套的使用存在各种障碍。本研究旨在南非一个讲 isiZulu 的社区背景下，探讨（随意或非正式的性关系）中使用避孕套的障碍。本研究采用了通用的定性方法，借鉴了一系列方法——四个焦点小组和二十个深入访谈。该研究仅在南非夸祖鲁-纳塔尔省乌姆古隆古杜卢地区 21-34 岁的讲 isiZulu 的非洲参与者中进行。（随意性关系）包括所有的随意关系，即那些从未涉及家庭的关系。家庭参与协商（彩礼）是合法关系，特别是婚姻的前提条件。随意性关系中通常存在多个同时存在的性伴侣，无保护的性行为很常见。访谈表明，使用避孕套存在各种障碍，包括缺乏信任、性愉悦和酒精。需要加强艾滋病毒预防运动，特别强调持续使用避孕套。
