Abstract :
This study examines the perceptions about condom accessibility and its impact on reproductive health among young adult cisgender individuals in rural areas of the Philippines, specifically in Burauen, Leyte. Through individual interviews and thematic analysis, the study identifies three key themes: Stigma and discomfort associated with condom access, societal and cultural influences on condom use, and inadequate dissemination of information and resources. The findings reveal that societal norms, cultural beliefs, and lack of open communication about sexual health contribute to a pervasive sense of shame and embarrassment surrounding condom use. This, coupled with limited access to condoms in rural areas and misconceptions about their effectiveness, significantly hampers individuals’ ability to make informed and safe reproductive health decisions. The study underscores the urgent need for comprehensive interventions, including targeted educational campaigns, increased condom availability, and supportive healthcare practices, to address these barriers and empower individuals to prioritize their sexual well-being.
Keywords :
condom accessibility, reproductive health, gendered exploration, empowerment, protectionReferences :
- Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Retrieved from https://link.springer.com/chapter/10.1007/978-3-642-69746-3_2
- Beckmann (Eds.), Action control: From cognition to behavior (pp. 11-39). Retrieved from https://link.springer.com/book/10.1007/978-3-642-69746-3
- Anastasi, A. (1988). Psychological testing (6th ed.). Macmillan. Retrieved from https://psycnet.apa.org/record/1988-97589-000
- Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall. Retrieved from https://psycnet.apa.org/record/1985-98423-000
- Black, T. R. (2010). Purposive sampling. In Research Design (4th ed., pp. 179-180). SAGE Publications. Retrieved from https://methods.sagepub.com/error/handleStatusCode?code=404
- Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. Retrieved from https://www.city.ac.uk/about/governance/ethics/research-ethics/principles-of-research-ethics
- Burgess, R. G. (1984). In the field: An introduction to field research. Routledge. Retrieved from https://us.sagepub.com/en-us/nam/research-design/book245486
- Byrne, D. (2021b). A worked example of Braun and Clarke’s approach to reflexive thematic analysis. Quality and Quantity, 56(3), 1391–1412. https://doi.org/10.1007/s11135-021-01182-y
- Creswell, J. W. (1994). Research design: Qualitative and quantitative approaches. Sage Publications. Retrieved from https://www.sagepub.com/sites/default/files/upm-binaries/21156_Chapter_1.pdf
- Creswell, J. W. (2002). Qualitative inquiry and research design: Choosing among five traditions. Sage Publications. Retrieved from https://us.sagepub.com/en-us/nam/qualitative-inquiry-and-research-design/book225437
- Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches. Sage Publications. Retrieved from https://us.sagepub.com/en-us/nam/qualitative-inquiry-and-research-design/book235412
- Creswell, J. W. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications. Retrieved from https://us.sagepub.com/en-us/nam/research-design/book245486
- Davids, E.L., Zembe, Y., de Vries, P.J. et al. Exploring condom use decision-making among adolescents: the synergistic role of affective and rational processes. BMC Public Health 21, 1894 (2021). https://doi.org/10.1186/s12889-021-11926-y
- Department of Education. (2020). Policy Guidelines on the Implementation of the Comprehensive Sexuality Education (CSE) in Public Schools. Retrieved from https://www.deped.gov.ph/wp-content/uploads/2020/12/DO_s2020_031.pdf
- De Torres, Ryan Q. “Facilitators and barriers to condom use among Filipinos: A systematic review of literature.” Health promotion perspectives vol. 10,4 306-315. 7 Nov. 2020, doi:10.34172/hpp.2020.49
- DiIorio, C., et al. (2014). Condom Use Beliefs and Practices among College Students. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149423/
- Fiaveh, D. Y. (2012). Condom Myths and Misconceptions: The Male Perspective. Retrieved from https://www.researchgate.net/publication/236360063_Condom_Myths_and_Misconceptions_The_Male_Perspective
- Frost, J. J., et al. (2013). Contraceptive Needs and Services, 2010. etrieved from https://www.guttmacher.org/report/contraceptive-needs-and-services-2010
- Garcia, J. R., et al. (2017). Condom Accessibility in Urban Areas: A Geospatial Analysis. Retrieved from https://www.who.int/news-room/fact-sheets/detail/condoms
- Gamarel, K. E., Sevelius, J. M., Neilands, T. B., Kaplan, R. L., Johnson, M. O., Nemoto, T., Darbes, L. A., & Operario, D. (2020). Couples-based approach to HIV prevention for transgender women and their partners: study protocol for a randomised controlled trial testing the efficacy of the ‘It Takes Two’ intervention. BMJ open, 10(10), e038723. https://doi.org/10.1136/bmjopen-2020-038723
- (n.d.). Top 10 municipalities in Leyte by population. Retrieved from https://cmci.dti.gov.ph/prov-profile.php?prov=Leyte
- Guttmacher Institute. (2019). Retrieved from https://www.guttmacher.org/fact-sheet/adding-it-up-contraception-philippines
- Harvey, et.al, “Relationship Power, Sexual Decision Making and Condom Use Among Women at Risk for HIV/STDs” Retrieved from: https://www.researchgate.net/publication/366176994_Proceedings_of_International_Conference_on_Social_and_Education_Sciences_2021
- Haynes, S. N., Richard, D. C., & Kubany, E. S. (1995). Content validity in psychological assessment: A functional approach to concepts and methods. Psychological Assessment, 7(3), 238-247. Retrieved from https://psycnet.apa.org/doiLanding?doi=10.1037%2F1040-3590.7.3.238
- Heaton, J. (2004). Reworking qualitative data. SAGE Publications.
- Healthcare Access in Rural Communities. (n.d.). Rural Health Information Hub. Retrieved from https://www.ruralhealthinfo.org/topics/healthcare-access
- Improving Sexual Health in U.S. Rural Communities. (2021). Retrieved from https://www.cdc.gov/reproductivehealth/contraception/unintendedpregnancy/ruralcommunities.htm
- Janghorban, R., Latifnejad Roudsari, R., & Taghipour, A. (2013). Skype interviewing: The new generation of online synchronous interview in qualitative research. International Journal of Qualitative Studies in Health and Well-being, 8(1), 20658. Retrieved from https://www.tandfonline.com/doi/full/10.3402/qhw.v8i0.20658
- Johnson, L. E., et al. (2020). Barriers to Condom Use in Urban Areas: A Systematic Review. Retrieved from https://www.tandfonline.com/doi/full/10.1080/23311886.2020.1733245
- Jones, K. A., Heise, L., & Miller, E. (2022). Using the Social Ecological Model to Examine the Influences on Adolescent Sexual and Reproductive Health in Sub-Saharan Africa. Journal of Adolescent Health, 70(1), 1-2.
- Kabir, Russell et al. “Exploring Women’s Decision-Making Power and HIV/AIDS Prevention Practices in South Africa.” International journal of environmental research and public health vol. 19,24 16626. 10 Dec. 2022, doi:10.3390/ijerph192416626
- Langat, E. C., Mohiddin, A., Kidere, F., Omar, A., Akuno, J., Naanyu, V., & Temmerman, M. (2024). Challenges and opportunities for improving access to adolescent and youth sexual and reproductive health services and information in the coastal counties of Kenya: a qualitative study. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-17999-9
- Lanka, S., et al. (2020). Exploring perceptions of condom information among cisgender individuals: A qualitative study. Journal of Sexual Health, 17(3), 245-257. Retrieved from https://www.researchgate.net/publication/342733240_Computational_Complexity_Characterization_of_Protecting_Elections_from_Bribery
- Legazpi, J. (2020). Retrieved from https://www.rappler.com/newsbreak/iq/248822-filipinos-attitude-towards-condoms
- Lewis-Beck, M. S., Bryman, A., & Liao, T. F. (2003). The SAGE encyclopedia of social science research methods. Sage Publications. Retrieved from https://us.sagepub.com/en-us/nam/the-sage-encyclopedia-of-social-science-research-methods/book228775
- Manning, Wendy D et al. “Relationship dynamics and consistency of condom use among adolescents.” Perspectives on sexual and reproductive health vol. 41,3 (2009): 181-90. doi:10.1363/4118109
- Mbachu CO, Agu IC, Obayi C, Eze I, Ezumah N, Onwujekwe O. Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria. Reprod Health. 2021 Jan 6;18(1):7. doi: 10.1186/s12978-020-01062-y. PMID: 33407642; PMCID: PMC7789795.
- Morris, J. L., & Rushwan, H. (2015). Adolescent sexual and reproductive health: The global challenges. International Journal of Gynaecology and Obstetrics, 131(S1). https://doi.org/10.1016/j.ijgo.2015.02.006
- National Demographic and Health Survey. (2017). Retrieved from https://dhsprogram.com/pubs/pdf/FR324/FR324.pdf
- National Demographic and Health Survey. (2017). Key Findings. Retrieved from https://dhsprogram.com/pubs/pdf/SR253/SR253.pdf
- Operario and Nemoto (2020) “The Role of Gender Affirmation in Psychological Well-Being Among Transgender Women” Retrieved from: https://www.researchgate.net/publication/295403619_The_Role_of_Gender_Affirmation_in_Psychological_Well-Being_Among_Transgender_Women
- Perspectives of Health Care Professionals’ on Delivering mHealth Sexual. (2022). Retrieved from https://www.sciencedirect.com/science/article/pii/S2352827322000086
- Philippine News Agency. (2022). Retrieved from https://www.pna.gov.ph/articles/1189642
- Philippine Legislators’ Committee on Population and Development Foundation, Inc. (2013). Retrieved from https://cpd.gov.ph/adolescent-health-and-development-ahd/
- (n.d.). Burauen, Leyte. Retrieved from https://www.philatlas.com/visayas/r08/leyte/burauen.html
- Principles of Research Ethics | City, University of London. (n.d.). Retrieved from https://www.city.ac.uk/about/governance/ethics/research-ethics/principles-of-research-ethics
- Reproductive Health Care in the Rural United States. (2013). JAMA, 310(6), 591-592. Retrieved from https://jamanetwork.com/journals/jama/article-abstract/1730528
- Rossiter, J. R. (2008). The C-OAR-SE procedure for scale development in marketing. International Journal of Research in Marketing, 25(3), 231-241. Retrieved from https://www.sciencedirect.com/science/article/pii/S016781160800015X
- Tinkler, P. (2004). Doing your research project: A guide for first-time researchers. Open University Press. Retrieved from https://www.mheducation.co.uk/openup/chapters/0335215047.pdf
- Van, N. T., et al. (2021). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8310622/
- Wang, Timothy et al. “The Effects of School-Based Condom Availability Programs (CAPs) on Condom Acquisition, Use and Sexual Behavior: A Systematic Review.” AIDS and behavior vol. 22,1 (2018): 308-320. doi:10.1007/s10461-017-1787-5
- World Health Organization. (2018). Global Accelerated Action for the Health of Adolescents (AA-HA!): Guidance to Support Country Implementation. Retrieved from https://www.who.int/maternal_child_adolescent/documents/adolescent-health/en/
- World Health Organization. (2023). Condoms. Retrieved from https://www.who.int/news-room/fact-sheets/detail/condoms
- Young Adult Fertility and Sexuality Study. (2013). Retrieved from https://doh.gov.ph/sites/default/files/publications/Young%20Adult%20Fertility%20and%20Sexuality%20Study%20%28YAFSS%204%29.pdf
- Yin, R. K. (2017). Case study research and applications: Design and methods. Sage Publications. Retrieved from https://us.sagepub.com/en-us/nam/case-study-research-and-applications/book245486

