Exploring barriers to consistent condom use among sub-Saharan African young immigrants in Switzerland
      
      
        
      
      
      
      
        
          
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Poglia Mileti, Francesca
  Department of Social Sciences, University of Fribourg, Fribourg, Switzerland
          
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Mellini, Laura
  Department of Social Sciences, University of Fribourg, Fribourg, Switzerland
          
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Sulstarova, Brikela
  Department of Social Sciences, University of Fribourg, Fribourg, Switzerland
          
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Villani, Michela
  Department of Social Sciences, University of Fribourg, Fribourg, Switzerland
          
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Singy, Pascal
  Psychiatric Liaison Service, Lausanne University Hospital, Lausanne-CHUV, Switzerland
          
 
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
        
        Published in:
        
          
            
            - AIDS care. - 2019, vol. 31, no. 1, p. 113-116
 
       
      
      
      
      
      
       
      
      
      
        
        English
        
        
        
          No study to date has focused on barriers to condom use specifically among young  immigrants to Europe from sub-Saharan Africa. Based on a qualitative study in  sociology, this paper explores generational differences in barriers to condom use  between first-generation immigrants (born in Africa and arrived in Switzerland after  age 10) and second-generation immigrants (born in Switzerland to two native parents  or arrived in Switzerland before age 10). Results are based on in-depth,  semistructured individual interviews conducted with 47 young women and men aged  18 to 25 to understand how individual, relational, and cultural dimensions influence  sexual socialization and practices. Six main barriers to consistent condom use were  identified: reduced pleasure perception, commitment and trust, family-transmitted  sexual norms and parental control, lack of accurate knowledge on HIV transmission,  lack of awareness about HIV in Switzerland, and gender inequalities. The three first  barriers concerned both generations of immigrants, whereas the three last revealed  generational differences. These findings can help sexual health providers identify  social causes for young sub-Saharan immigrants not using condoms. The findings  also highlight the necessity of offering accurate, accessible, and adapted information  to all young immigrants, as well as the particular importance of addressing families’  lack of discussions about sex, understanding the sexual norms transmitted by  parents, and taking into consideration cultural differences among young people born  in immigration countries.
        
        
       
      
      
      
        
        
        
        
        
        
        
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          Faculty
          
        
- Faculté des lettres et des sciences humaines
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- Département des sciences sociales
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          Classification
        
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                  Social sciences
                
              
            
          
        
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          Persistent URL
        
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          https://folia.unifr.ch/unifr/documents/308051
        
 
   
  
  
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