Khun, Sithon, 1979-. Impact of socio-cultural constraints and mass media exposures on condom use for HIV/AIDS prevention among married couples in Cambodia . Master's Degree(Population and Reproductive Health Research). Mahidol University. : Mahidol University, 2006.
Impact of socio-cultural constraints and mass media exposures on condom use for HIV/AIDS prevention among married couples in Cambodia
Abstract:
The purpose of this study is to investigate the influence of socio-cultural constraints and
mass media exposure on condom use among married couples aged 19-49 years, in
Cambodia.
It is found that socio-cultural constraints have a negative effect on condom use among
married couples. In other words, if they are free from socio-cultural constraints, they are
more likely to use condoms. For example, those who think that condom use suggests
that they do not trust their partner are .291 times less likely to use a condom than those
who do not think so. Significantly, those who think that it is acceptable for married
women to buy condoms are 2.531 times more likely to have used a condom with their
spouse in their last sexual encounter. Additionally, the proportion using condoms among
married couples is smaller when they are strongly shaped by socio-cultural constraints.
These findings indicate that socio-cultural constraints do indeed militate against condom
use among married couples. This result is consistent with the environmental barrier of
socio-cultural constraints as spelled out in the health action model (HAM).
The findings also reveal that those who were exposed to mass media used condoms
more than those who did not. Mass media exposure has a positive effect on condom use
among married couples, regardless of socio-economic and demographic factors, but the
size of the mediating effect is quite small, less than .10. The findings from the path
analyses challenge the Hypodermic Model of mass media; mass media has a limited
effect on condom use among married couples.