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Title

Determinants of condom use by men in extramarital relationships in Nigeria.

Authors

Ankomah A, Adebayo SB, Anyanti J, Ladipo O, Ekweremadu B.

Network Affiliation

Other

Organization

 

Journal Name

HIV AIDS (Auckl)

Publication Date

5/24/2013

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/23737677

Link to full-text

 

PMID

23737677

Abstract

BACKGROUND:

Extramarital sex is a high-risk behavior in terms of Human Immunodeficiency Virus (HIV) transmission, yet condom use in extramarital relationships is an understudied area in Africa, and Nigeria in particular, where such liaisons are not uncommon. This study highlights key determinants of condom use among men who engage in extramarital sex in Nigeria.

METHODS:

Results are based on a subsample of 642 married men from a combined dataset from three waves of the National HIV/AIDS and Reproductive Health Survey (NARHS), a set of multiround nationally representative surveys. Logistic regression was employed to explore possible determinants of condom use in extramarital sex. The motivation, opportunity, and ability model was applied in selecting the determinants.

RESULTS:

HIV risk-reduction knowledge was found not to be associated with condom use. At the full logistic regression model, being of the Yoruba tribe, having no misconception about HIV transmission, ability to discuss condom use, and ability to wear condoms were the key variables significantly associated with condom use in extramarital sex.

CONCLUSION:

Implementing HIV risk-reduction behavior change requires more than knowledge. Behavioral skills in condom use are critical. Intervention efforts should move away from knowledge about risk to concentrate on improving skills on how to discuss condom use and wear condoms correctly.

Keywords

 

Topic

Behavior; Intervention; Risk Reduction Counseling

Attachments

Created at 6/20/2013 11:19 AM by Davis, Gregory P
Last modified at 6/20/2013 11:19 AM by Davis, Gregory P