Next Article in Journal
Pandemic and Typhoon: Positive Impacts of a Double Disaster on Mental Health of Female Students in the Philippines
Previous Article in Journal
Information Overload, Wellbeing and COVID-19: A Survey in China
Previous Article in Special Issue
Sexually Explicit Online Media Use and Sexual Behavior among Sexual Minority Men in Portugal
Article

Mass Media Exposure and Safer Sex Negotiation among Women in Sexual Unions in Sub-Saharan Africa: Analysis of Demographic and Health Survey Data

1
School of Public Health, University of Health and Allied Sciences, Ho PMB 31, Ghana
2
School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, Australia
3
Department of Population and Health, University of Cape Coast, Cape Coast PMB TF0494, Ghana
4
College of Public Health, Medical and Veterinary Services, James Cook University, Townsville, QLD 4811, Australia
5
Department of Health Promotion, Education and Disability Studies, Kwame Nkrumah University of Science and Technology, Kumasi PMB, Ghana
6
Department of Health, Physical Education, and Recreation, University of Cape Coast, Cape Coast PMB TF0494, Ghana
7
Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sport Sciences, Bielefeld University, Postfach 10 01 31, 33501 Bielefeld, Germany
8
Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Ho PMB 31, Ghana
9
School of International Development and Global Studies, University of Ottawa, Ottawa, ON K1N 6N5, Canada
10
The George Institute for Global Health, Imperial College London, London W12 0BZ, UK
*
Author to whom correspondence should be addressed.
Academic Editors: Isabel María Fernández Medina, María Dolores Ruiz Fernández and María del Mar Jiménez Lasserrotte
Behav. Sci. 2021, 11(5), 63; https://doi.org/10.3390/bs11050063
Received: 23 March 2021 / Revised: 20 April 2021 / Accepted: 22 April 2021 / Published: 28 April 2021
(This article belongs to the Special Issue Sex Desire, Sexuality and Sexual Dysfunction)
(1) Background: Improving sexual autonomy among women in sexual unions comes with various benefits, including the reduction of sexually transmitted and blood-borne infections. We examined the relationship between mass media exposure and safer sex negotiation among women in sub-Saharan Africa (SSA). (2) Methods: The study involved a cross-sectional analysis of Demographic and Health Survey (DHS) data of 29 sub-Saharan African countries. A total of 224,647 women aged 15–49 were included in our analyses. We examined the association between mass media exposure and safer sex negotiation using binary logistic regression analysis. The results are presented using a crude odds ratio (cOR) and adjusted odds ratio (aOR), with their respective confidence intervals (CIs). Statistical significance was set at p < 0.05. (3) Results: The overall prevalence of safer sex negotiation among women in sexual unions in SSA was 71.6% (71.4–71.8). Women exposed to mass media had higher odds of negotiating for safer sex compared with those who had no exposure (aOR = 1.94; 95% CI = 1.86–2.02), and this persisted after controlling for covariates (maternal age, wealth index, maternal educational level, partner’s age, partner’s educational level, sex of household head, religion, place of residence, and marital status) (aOR = 1.40; 95% CI = 1.35–1.46). The disaggregated results showed higher odds of safer sex negotiation among women exposed to mass media in all the individual countries, except Ghana, Comoros, Rwanda, and Namibia. (4) Conclusions: The findings could inform policies (e.g., transformative mass media educational seminars) and interventions (e.g., face-to-face counselling; small group sensitization sessions) in SSA on the crucial role of mass media in increasing safer sex practice among women in sexual unions. To accelerate progress towards the achievement of the Sustainable Development Goal five’s targets on empowering all women and safeguarding their reproductive rights, the study recommends that countries such as Ghana, Comoros, Rwanda, and Namibia need to intensify their efforts (e.g., regular sensitization campaigns) in increasing safer sex negotiation among women to counter power imbalances in sexual behaviour. View Full-Text
Keywords: mass media exposure; public health; sexual autonomy; sub-Saharan Africa; women mass media exposure; public health; sexual autonomy; sub-Saharan Africa; women
MDPI and ACS Style

Aboagye, R.G.; Ahinkorah, B.O.; Seidu, A.-A.; Adu, C.; Hagan, J.E., Jr.; Amu, H.; Yaya, S. Mass Media Exposure and Safer Sex Negotiation among Women in Sexual Unions in Sub-Saharan Africa: Analysis of Demographic and Health Survey Data. Behav. Sci. 2021, 11, 63. https://doi.org/10.3390/bs11050063

AMA Style

Aboagye RG, Ahinkorah BO, Seidu A-A, Adu C, Hagan JE Jr., Amu H, Yaya S. Mass Media Exposure and Safer Sex Negotiation among Women in Sexual Unions in Sub-Saharan Africa: Analysis of Demographic and Health Survey Data. Behavioral Sciences. 2021; 11(5):63. https://doi.org/10.3390/bs11050063

Chicago/Turabian Style

Aboagye, Richard G., Bright O. Ahinkorah, Abdul-Aziz Seidu, Collins Adu, John E. Hagan Jr., Hubert Amu, and Sanni Yaya. 2021. "Mass Media Exposure and Safer Sex Negotiation among Women in Sexual Unions in Sub-Saharan Africa: Analysis of Demographic and Health Survey Data" Behavioral Sciences 11, no. 5: 63. https://doi.org/10.3390/bs11050063

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop