The applicability of the Theory of Planned Behaviour (TPB) to the condom use intentions and behaviour of migrant youth in South Africa

Doctoral Thesis

2020

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The study titled “The applicability of the theory of planned behavior (TPB) to the condom use intentions and behavior of migrant youth in South Africa” explores the predictors of condom use behavior and intentions of migrant youth in SA. It examines the influence of acculturation on the relationship between condom use intention and actual behavior. The background portrays migration ordeal as a current trend plaguing the socioeconomic global fabric with an increasing flow rate in Africa. Conversely, South Africa's (SA) economy and political position attracts an influx of youth migrants in compromised situations rendering them vulnerable to various diseases such as HIVAIDS. The conceptual dimension of the study was substantiated by two major theories, the Theory of Planned Behavior (TPB) and the Berry's theory of acculturation. In the salient phase of this dissertation, an elicitation qualitative study was conducted six months prior to the commencement with a sample size of 20. The purpose was to formulate the basis of this thesis, as informed by the theory of planned behavior and reasoned action, through in-depth open-ended questions. The study proper utilized a cross-sectional survey design in the 18 to 35 years cohort. The questions formation and design in the current quantitative study was informed by the findings of the elicitation study. Acculturation was used as a mediating variable. Similarly, Data was entered using EpiData Version 3.1 and analyzed using the Statistical Package for Social Sciences (SPSS) Standard version. In this study; the sample size probabilistically estimated to 500 participants. However, the data base that was validated following exploratory statistics was made of 454 participants from 31 countries with a return rate of 90.8%. The research findings indicated a Less than half of migrants in South Africa had a positive attitude towards the use of condoms, with a weight of 43.6%. The findings highlighted that pre-disposition to use condom is highly predicted by attitude. Less than half of migrants in S.A. had a positive attitude towards the use of condoms based on subjective norms, with a weight of 43.2% and this could explain why they had positive attitude towards condom only to a low extent. It was therefore recommended that the government of S.A. should improve on the regularization of migrants as to foster access to health care and so far, their self-efficacy. Parents should be sensitized on the need to enhance the use of condom by their teenager, sensitization of youth migrants in S.A. on risky sex behavior and notably the need to use condom should be increased and a model to enhance condom use shall consider all the predictive components because their combined effects strengthen intention and so far, the potential to act or behavioral outcome.
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