Correlates of safe sex behaviour among low-educated adolescents of different ethnic origin in Antwerp, Belgium.
BACKGROUND
Several reports suggest that low educated adolescents of ethnic minority origin are at a higher risk of acquiring a sexually transmitted infection (STI) than autochthonous teens. On the other hand, focus group research with young Moroccan boys revealed a positive attitude towards condom use; they claim to use a condom even more frequently than their Belgian peers. The aim of this study is to document the behavioural, educational and social correlates that influence the use of condoms among low educated adolescents of different origin.


METHODS
Data from 378 questionnaires completed by 253 native Belgian and 125 ethnic minority adolescents, mostly Moslems, were analysed with the statistic software: SPSS. Results were interpreted according to the behavioural science ASE model (Attitude, Social influences, self-Efficacy).


RESULTS
Native boys discuss sexual items more frequently with their parents and sexual partner, while boys in the other group address their questions more frequently to teachers, pharmacists and doctors. In both groups the most important correlate of safe sex intention and behaviour is the self-efficacy variable 'both partners taking the initiative with regard to condom use'. This correlate refers to communication skills. Parental support and quality of general communication about sexuality with the parents are very important for both groups. A positive attitude of peers influences the intention of condom use in both groups.


CONCLUSIONS
There is no significant difference in sexual activity and safe sex behaviour between native boys and young males of ethnic minority. Self efficacy (correct condom use and taking the initiative) is the most prominent predictor of safe sex behaviour in both groups.
Hendrickx
Kristin
K
Department of General Practice, University of Antwerp, Belgium. kristin.hendrickx@telenet.be
Philips
Hilde
H
Avonts
Dirk
D
D000293:Adolescent; D000328:Adult; D001530:Belgium; D017280:Condoms / Q000706:statistics & numerical data*; D004522:Educational Status; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007514:Islam; D008297:Male; D009018:Morocco / Q000208:ethnology; D021841:Safe Sex / Q000208:ethnology*; D020377:Self Efficacy; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D012944:Social Support