Determinants of condom use among antenatal clinic attendees in Dar Es Salaam, Tanzania

Msamanga, Gernard; Tchetgen, Eric Tchetgen; Spiegelman, Donna; Fawzi, Mary Kay Smith; Kaaya, Sylvia; Urassa, Willy; Hunter, David J.; Kapiga, Saidi; Fawzi, Wafaie W.

doi:10.4314/eajph.v6i2.51759

Cited by 4 publications

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“…A study which was conducted recently among female students in Dar es Salaam, Tanzania showed that deciding about condom use with a boyfriend was made by both partners or a female partner alone whereas deciding about condom use with a sugar daddy was predominantly made by the sugar daddy himself [22]. However, even though these and other correlates of condom use among women have been identified [29,30], to our knowledge, we are aware of no existing attempt so far that has assessed the relationship between condom negotiation and condom use among women in rural settings of Tanzania. Therefore, this study addresses this gap with the following objectives: (1) to determine the proportion of women with confidence to negotiate condom use with their sexual partners, (2) to describe the prevalence of condom use at the last sexual intercourse, and (3) to assess the linkage between condom negotiation and condom use among 15-49 year-old women in three districts (Rufiji, Kilombero and Ulanga) in Tanzania.…”

Section: Introductionmentioning

confidence: 99%

Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

et al. 2012

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BackgroundHIV/AIDS remains being a disease of great public health concern worldwide. In regions such as sub-Saharan Africa (SSA) where women are disproportionately infected with HIV, women are reportedly less likely capable of negotiating condom use. However, while knowledge of condom use for HIV prevention is extensive among men and women in many countries including Tanzania, evidence is limited about the role of condom negotiation on condom use among women in rural Tanzania.MethodsData originate from a cross-sectional survey of random households conducted in 2011 in Rufiji, Kilombero and Ulanga districts in Tanzania. The survey assessed health-seeking behaviour among women and children using a structured interviewer-administered questionnaire. A total of 2,614 women who were sexually experienced and aged 15-49 years were extracted from the main database for the current analysis. Linkage between condom negotiation and condom use at the last sexual intercourse was assessed using multivariate logistic regression.ResultsPrevalence of condom use at the last sexual intercourse was 22.2% overall, ranging from12.2% among married women to 54.9% among unmarried (single) women. Majority of the women (73.4%) reported being confident to negotiate condom use, and these women were significantly more likely than those who were not confident to have used a condom at the last sexual intercourse (OR = 3.13, 95% CI 2.22-4.41). This effect was controlled for marital status, age, education, religion, number of sexual partners, household wealth and knowledge of HIV prevention by condom use.ConclusionConfidence to negotiate condom use is a significant predictor of actual condom use among women in rural Tanzania. Women, especially unmarried ones, those in multiple partnerships or anyone needing protection should be empowered with condom negotiation skills for increased use of condoms in order to enhance their sexual and reproductive health outcomes.

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Section: Introductionmentioning

confidence: 99%

Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

et al. 2012

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“…Recent investigations of the predictors of condom use have produced diverse findings [9] – [14] . Education level, economic status, and age were all positively correlated with condom use [11] , [15] – [17] . Exposure to prevention messages, while positively associated with condom use, is substantially influenced by sex, economic status, age difference between partners, and the length of the relationship [6] , [12] , [18] – [20] .…”

Section: Introductionmentioning

confidence: 97%

Putting the C Back into the ABCs: A Multi-Year, Multi-Region Investigation of Condom Use by Ugandan Youths 2003–2010

et al. 2014

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A major strategy for preventing transmission of HIV and other STIs is the consistent use of condoms during sexual intercourse. Condom use among youths is particularly important to reduce the number of new cases and the national prevalence. Condom use has been often promoted by the Uganda National AIDS Commission. Although a number of studies have established an association between condom use at one’s sexual debut and future condom use, few studies have explored this association over time, and whether the results are generalizable across multiple locations. This multi time point, multi district study assesses the relationship between sexual debut and condom use and consistent use of condoms thereafter. Uganda has used Lot Quality Assurance Sampling surveys since 2003 to monitor district level HIV programs and improve access to HIV health services. This study includes 4518 sexually active youths interviewed at five time points (2003–2010) in up to 23 districts located across Uganda. Using logistic regression, we measured the association of condom use at first sexual intercourse on recent condom usage, controlling for several factors including: age, sex, education, marital status, age at first intercourse, geographical location, and survey year. The odds of condom use at last intercourse, using a condom at last intercourse with a non-regular partner, and consistently using a condom are, respectively, 9.63 (95%WaldCI = 8.03–11.56), 3.48 (95%WaldCI = 2.27–5.33), and 11.12 (95%WaldCI = 8.95–13.81) times more likely for those individuals using condoms during their sexual debut. These values did not decrease by more than 20% when controlling for potential confounders. The results suggest that HIV prevention programs should encourage condom use among youth during sexual debut. Success with this outcome may have a lasting influence on preventing HIV and other STIs later in life.

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“…The socio-demographic variables of more education (Baker et al, 2010; Bogale et al, 2010; Cherutich et al, 2008; Maharaj & Cleland, 2005; Msamanga et al, 2009), female gender (Papo et al, 2011; Schaalma et al, 2009), being unmarried (Bogale et al, 2010; Cherutich et al, 2008), older age (Cherutich et al, 2008) and non-Christian religion (Bogale et al, 2010; Maticka-Tyndale & Tenkorang, 2010) are positively associated with condom use. Whether they reflect life stage, such as age and marital status, or structural factors such as gender, education and religion, socio-demographics are difficult targets for short-term HIV prevention programs.…”

Section: Introductionmentioning

confidence: 99%

Condoms “contain worms” and “cause HIV” in Tanzania: Negative Condom Beliefs Scale development and implications for HIV prevention

Mbwambo

McCarty

DiClemente

2012

Social Science & Medicine

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Condom promotion remains a key component of HIV prevention programs, complimenting recent successes in biomedical HIV prevention. Although condom use has increased in much of East Africa, it remains substantially below optimal levels. Negative rumors about condoms have been documented in East Africa, yet the prevalence and effects of belief in the negative rumors have not been explored. This study evaluated levels of belief in negative rumors about condoms, developed a Negative Condom Beliefs Scale, and assessed its accuracy in predicting willingness to use condoms. A cross-sectional, cluster survey (n=370) was conducted representing adults in two rural districts in Northern Tanzania in 2008. Item agreement ranged from 35–53% for the following rumors regarding condoms: causing cancer, having holes, containing HIV, having worms, and the worms causing HIV. Items loaded on a single latent factor and had high internal consistency and convergent validity. In a multivariate model, negative condom score (AOR=0.67, 95% CI=0.6, 0.8) was the strongest single predictor of willingness to use condoms, followed by greater perceived anonymity in acquiring condoms (AOR=4.36, 95% CI=2.2, 8.6) and higher condom self-efficacy (AOR=4.24, 95% CI=2.0, 8.9). Our findings indicate high levels of subscription to negative beliefs about condoms, with two out of three respondents affirming belief in at least one negative condom rumor. This study highlights the relation between condom rumor beliefs and willingness to use condoms, and indicates avenues for future research and means for improving the design of HIV prevention programs.

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Determinants of condom use among antenatal clinic attendees in Dar Es Salaam, Tanzania

Cited by 4 publications

References 0 publications

Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

Putting the C Back into the ABCs: A Multi-Year, Multi-Region Investigation of Condom Use by Ugandan Youths 2003–2010

Condoms “contain worms” and “cause HIV” in Tanzania: Negative Condom Beliefs Scale development and implications for HIV prevention

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