Processes that influence noncondom use behaviour of adolescents in KwaZulu Natal

Objectives: The objective of this study is to determine the processes that influence individual determinants of non-condom use behaviour of adolescents and the processes that are involved in deciding to have safer sex in adolescents in a cohort of schools in KwaZulu-Natal. Methods: A semi-structured interview schedule that is based on the Theory of Planned Behaviour taking contextual factors in consideration was developed. 36 in-depth interviews and 9 focus group discussions were done in 9 schoolsin KwaZulu-Natal. Results: Characteristics of condom use behaviour in five types emerged. The types were: i) Strong intention to have safer sex - due to parents, fear, future plans or self-respect; ii) Strong intention to have safer sex - learning through experience and bad examples; iii) Unsafe sex - impact of male dominance and sexual power; iv) Unsafe sex - multiple factors interacting with sexual behaviour and v) Almost safer sex. Conclusions: This study clearly demonstrates the heterogeneity within the groups studied. It also shows the importance that the specific context and heterogeneity through community involvement is taken into account when developing intervention.Key words: Adolescents; Condom-use; HI