Gender Differences in HIV Risk Perception and Sexual Behaviour of Young Adults in Metropolitan Areas of Fiji

This study seeks to understand variations in Human Immunodeficiency Virus (HIV) risk perception and sexual behaviour among male and female adults in Fiji. The Second-Generation Surveillance Report (2006) indicates the median age of first sex within the youth group as 16 years (range 10 – 23 years). Therefore, this study was purposively targeted at individuals of reproductive age, preferably 10 years and above. We utilized convenience sampling to collect 137 self-administered surveys from individuals working in both public and private sector organizations in two highly populated areas of Fiji. Independent samples t-test analyses revealed that men living in urban areas are more likely to experiment with multiple sexual partners, have a higher tendency of engaging in sexual practices, and are highly likely to have unsafe sex with multiple partners. Gender-sensitive interventions may help facilitate and achieve positive behaviour change among males and influence the sexual health of females.

[1]  M. Mohammadnezhad,et al.  Knowledge, Attitudes, and Practices of Family Planning Among Women of Reproductive Age in Suva, Fiji in 2017 , 2018 .

[2]  Julia M. Kobulsky,et al.  Gender differences in pathways from child physical and sexual abuse to adolescent risky sexual behavior among high-risk youth. , 2018, Journal of adolescence.

[3]  J. S. St. Lawrence,et al.  Gender Differences in Sexual and Reproductive Health Protective and Risk Factors of Batswana Adolescents: Implications for Parent and Adolescent Interventions. , 2018, AIDS education and prevention : official publication of the International Society for AIDS Education.

[4]  L. Metsch,et al.  Gender Differences in HIV Sexual Risk Behaviors Among Clients of Substance Use Disorder Treatment Programs in the U.S. , 2017, Archives of sexual behavior.

[5]  H. Zeng,et al.  Exploring HIV Prevention Strategies among Street-Based Female Sex Workers in Chongqing, China , 2015, International journal of environmental research and public health.

[6]  M. Feldman,et al.  Changes in Sexual Behavior and Attitudes Across Generations and Gender Among a Population-Based Probability Sample From an Urbanizing Province in Thailand , 2014, Archives of sexual behavior.

[7]  Eta Varani-Norton ‘It's good to teach them, but … they should also know when to apply it’: parents’ views and attitudes towards Fiji's Family Life Education curriculum , 2014 .

[8]  D. Daka,et al.  Prevalence, associated risk factors and consequences of premarital sex among female students in Aletawondo High School, Sidama Zone, Ethiopia , 2014 .

[9]  Y. Berhane,et al.  Factors associated with pre-marital sexual debut among unmarried high school female students in bahir Dar town, Ethiopia: cross- sectional study , 2014, Reproductive Health.

[10]  Alison Parkes,et al.  Are sexual media exposure, parental restrictions on media use and co-viewing TV and DVDs with parents and friends associated with teenagers' early sexual behaviour?☆ , 2013, Journal of adolescence.

[11]  L. Hammar,et al.  Learning (at) Our Place: Qualitative Research Methods and Researchers Strengthen Fiji's National Response to HIV and AIDS , 2013 .

[12]  M. Finkelman,et al.  The Effect of Premarital Sex on Sexually Transmitted Infections (STIs) and High Risk Behaviors in Women. , 2013, Journal of AIDS and HIV research.

[13]  M. Kaitani Bridging The Gap: The Changing Reproductive And Sexual Expectations Of Fijian Men , 2012 .

[14]  M. Macaluso,et al.  Condom use around the globe: how can we fulfil the prevention potential of male condoms? , 2012, Sexual health.

[15]  J. Hardin,et al.  Efficacy of sexually transmitted disease/human immunodeficiency virus sexual risk-reduction intervention for african american adolescent females seeking sexual health services: a randomized controlled trial. , 2009, Archives of pediatrics & adolescent medicine.

[16]  R. Rimal,et al.  Audience segmentation as a social-marketing tool in health promotion: use of the risk perception attitude framework in HIV prevention in Malawi. , 2009, American journal of public health.

[17]  L. Kaljee,et al.  Strategies for developing gender-specific HIV prevention for adolescents in Vietnam. , 2008, AIDS education and prevention : official publication of the International Society for AIDS Education.

[18]  Sharon Rodine,et al.  Parental communication and youth sexual behaviour. , 2007, Journal of adolescence.

[19]  S. Galea,et al.  Gender differences in sexual behaviors, sexual partnerships, and HIV among drug users in New York City , 2006, AIDS and Behavior.

[20]  Ian Duncan Promoting Young People’s Sexual Health: International Perspectives, Roger Ingham and Peter Aggleton (eds), London, Routledge, 2006, pp. 235, ISBN 00415374839, £20.99 , 2005 .

[21]  Lynn A. Morrison Traditions in Transition: Young People’s Risk for HIV in Chiang Mai, Thailand , 2004, Qualitative health research.

[22]  C. Varga The forgotten fifty per cent: a review of sexual and reproductive health research and programs focused on boys and young men in sub-Saharan Africa. , 2001, African journal of reproductive health.

[23]  M Archibald,et al.  Differences by gender and sexual experience in adolescent sexual behavior: implications for education and HIV prevention. , 2001, The Journal of school health.

[24]  A. Harrison,et al.  Understanding safe sex: gender narratives of HIV and pregnancy prevention by rural South African school-going youth , 2001, Reproductive health matters.

[25]  E. Hatfield,et al.  Sexual Motives, Gender, and Sexual Behavior , 2000, Archives of sexual behavior.

[26]  J. Bruce,et al.  The Uncharted Passage: Girls' Adolescence in the Developing World , 1998 .

[27]  B. Whitley The relation of gender-role orientation to sexual experience among college students , 1988 .

[28]  H. Worth,et al.  Risky Business: Sex work and HIV prevention in Fiji. , 2010 .

[29]  Labor cabinet Strategic Plan 2010 - 2014 , 2010 .

[30]  H. Buchanan-Aruwafu,et al.  Cultures and contexts matter : understanding and preventing HIV in the Pacific , 2006 .

[31]  C. Jenkins HIV / AIDS in the Pacific , 2005 .

[32]  G. Barker,et al.  Boys and changing gender roles. Emerging program approaches hold promise in changing gender norms and behaviors among boys and young men , 2005 .

[33]  C. Boender,et al.  The So What? report: a look at whether integrating a gender focus into programs makes a difference to outcomes. Interagency Gender Working Group Task Force report. , 2004 .

[34]  Tanzania. Ofisi ya Takwimu,et al.  2002 population and housing census , 2003 .

[35]  Vicki Lukere GENDER , WOMEN AND MOTHERS : HIV / AIDS IN THE PACIFIC , 2002 .

[36]  G. Gupta Gender, sexuality, and HIV/AIDS: the what, the why, and the how. , 2000, Canadian HIV/AIDS policy & law review.

[37]  M. Kaitani Safe sex : knowledge, practice, and the contradictions : a case study of Fijian men in urban Suva , 2000 .

[38]  Michael W. Wiederman,et al.  The truth must be in here somewhere: Examining the gender discrepancy in self‐reported lifetime number of sex partners , 1997 .

[39]  S. Weed,et al.  Understanding gender differences in adolescent sexuality. , 1996, Adolescence.