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Men’s condom use in higher-risk sex: Trends in five sub-Saharan African countries

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Abstract

This paper analyses trends in men’s condom use at last higher-risk sex (i.e., with a non-marital, non-cohabiting partner) using the two most recent Demographic and Health Surveys (DHS) in five sub-Saharan African countries: Cameroon, Kenya, Tanzania, Zambia and Burkina Faso. Condom use is an important method of preventing HIV transmission. Encouragingly, higher-risk sex has declined in four of the five countries, while condom use rose substantially in Cameroon, Tanzania and Burkina Faso but only had a minor increase in Kenya and Zambia, where use at last higher-risk sex remains below 50 per cent. There are no clear patterns of change across countries in the predictive strength of the explanatory variables between the two most recent surveys, although evidence of a widening gap in use by education in Cameroon is identified. In each country, lack of education remains a strong barrier to condom use in higher-risk sex.

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References

  • Adetunji, J. and D. Meekers. 2001. Consistency in condom use in the context of HIV/AIDS in Zimbabwe.Journal of Biosocial Science 33(1): 121–138.

    Article  Google Scholar 

  • Agha, S. 1998. Sexual activity and condom use in Lusaka, Zambia.International Family Planning Perspectives 24(1): 32–37.

    Article  Google Scholar 

  • Agha, S. and T. Kusanthan. 2003. Equity in access to condoms in urban Zambia.Health Policy and Planning 18(3): 299–305.

    Article  Google Scholar 

  • Ahmed, S., T. Lutalo, M. Waeret al. 2001. HIV incidence and sexually transmitted disease prevalence associated with condom use: a population study in Rakai, Uganda.AIDS 15(16): 2171–2179.

    Article  Google Scholar 

  • Amouzou, A. 2003. Regional variation and cross-country determinants of condom use in sub-Saharan Africa. Paper presented at IUSSP Seminar on Taking Stock of the Condom in the Era of HIV/AIDS Gaborone, Botswana, 13–17 July.

  • Benefo, K.D. 2004. Are partner and relationship characteristics associated with condom use in Zambian nonmarital relationships?International Family Planning Perspectives 30(3): 118–127.

    Article  Google Scholar 

  • Bollinger, L., K. Cooper-Arnold and J. Stover. 2004. Where are the gaps? The effects of HIV-prevention interventions on behavioral change.Studies in Family Planning 35(1): 27–38.

    Article  Google Scholar 

  • Bureau Central des Recensements et des Études de Population (BUCREP) Cameroon and ORC Macro. 1999.Enquête Démographique et de Santé Cameroun 1998. Calverton MD.

  • Central Bureau of Statistics (CBS) Kenya, Ministry of Health (MOH) Kenya and ORC Macro. 2004.Kenya Demographic and Health Survey 2003. Calverton MD.

  • Central Statistical Office (CSO) Zambia, Central Board of Health (CBH) Zambia & ORC Macro. 2003.Zambia Demographic and Health Survey 2001/02. Calverton MD.

  • Central Statistical Office (CSO) Zambia, Ministry of Health (MOH) Zambia & Macro International. 1997.Zambia Demographic and Health Survey 1996. Calverton, MD.

  • Glynn, J.R., M. Caraël, A. Buvé, S. Anagonou, L. Zekeng, M. Kahindo and R. Musonda for the Study Group on Heterogeneity of HIV Epidemics in African Cities. 2004. Does increased general schooling protect against HIV infection? A study in four African cities.Tropical Medicine and International Health 9(1): 4–14.

    Article  Google Scholar 

  • Hearst, N. and S. Chen. 2004. Condom promotion for AIDS prevention in the developing world: is it working?Studies in Family Planning 35(1): 39–47.

    Article  Google Scholar 

  • Institut National de la Statistique (INS) Cameroon and ORC Macro. 2004.Enquête Démographique et de Santé du Cameroun 2004. Calverton MD.

  • Institut National de la Statistique et de la Démographie (INSD) Burkina Faso and Macro International. 2000.Enquête Démographique et de Santé, Burkina Faso 1998–99. Calverton MD.

  • Institut National de la Statistique et de Santé ographie (INSD) Burkina Faso and ORC Macro. 2004.Enquête Démographique et de Santé du Burkina Faso 2003. Calverton MD.

  • Kapiga, S.H. and J.L. Lugalla. 2003. Male condom use in Tanzania: results from a national survey.East African Medical Journal 80(4): 181–190.

    Google Scholar 

  • Lagarde, E., M. Caraël, J.R. Glynn L.et al. 2001. Educational level is associated with condom use within non-spousal partnerships in four cities of sub-Saharan Africa.AIDS 15(11): 1399–1408.

    Article  Google Scholar 

  • Meekers, D., S. Agha and M. Klein. 2005. The impact on condom use of the 100% Jeune social marketing program in Cameroon.Journal of Adolescent Health 36(6): 530.

    Article  Google Scholar 

  • Meekers, D. and M. Klein. 2002. Determinants of condom use among young people in urban Cameroon.Studies in Family Planning 33(4): 335–346.

    Article  Google Scholar 

  • Meekers, D., M. Klein and L. Foyet. 2003. Patterns of HIV risk behavior and condom use among youth in Yaoundé and Douala, Cameroon.AIDS and Behavior 7(4): 413–420.

    Article  Google Scholar 

  • Mnyika, K.S., K.I. Klepp, G. Kvale and N. Ole-Kingori. 1997. Determinants of high-risk sexual behavior and condom use among adults in the Arusha region, Tanzania.International Journal of STD and AIDS 8(3): 176–183.

    Article  Google Scholar 

  • National Bureau of Statistics (NBS) and Macro International. 2000.Tanzania Reproductive and Child Health Survey 1999. Calverton MD.

  • National Bureau of Statistics (NBS) and ORC Macro. 2005.Tanzania Reproductive and Child Health Survey 2004–05. Calverton MD.

  • National Council for Population and Development (NCPD) Kenya, Central Bureau of Statistics (CBS) Kenya and Macro International. 1999.Kenya Demographic and Health Survey 1998. Calverton MD.

  • Prata, N., F. Vahindia and A. Fraser. 2005. Gender and relationship differences in condom use among 15–24-year-olds in Angola.International Family Planning Perspectives 31(4): 192–199.

    Article  Google Scholar 

  • Rutstein, S. and K. Johnson. 2004.The DHS Wealth Index. Calverton MD: DHS Comparative Reports No. 6.

    Google Scholar 

  • Shelton, J.D. and B. Johnson. 2001. Condom gap in Africa: evidence from donor agencies and key informants.British Medical Journal 323(7305): 139.

    Article  Google Scholar 

  • Slaymaker, E., 2004. A critique of international indicators of sexual risk behaviour.Sexually Transmitted Infections 80(suppl. ii): ii13-ii21.

    Article  Google Scholar 

  • Stata Corporation 2003.Stata 8.1. College Station TX.

  • Tanzania Commission for AIDS (TACAIDS), National Bureau of Statistics (NBS) Tanzania and ORC Macro. 2005.Tanzania HIV/AIDS Indicator Survey 2003–04. Calverton MD.

  • Ukwuani, F.A., A.O. Tsui and C.M. Suchindran. 2003. Condom use for preventing HIV infection. AIDS in sub-Saharan Africa: a comparative multilevel analysis of Uganda and Tanzania.Journal of Acquired Immune Deficiency Syndromes 34(2): 203–213.

    Article  Google Scholar 

  • UNAIDS. 2005.Monitoring the Declaration of Commitment on HIV/AIDS: Guidelines on Construction of Core Indicators. Geneva.

  • UNFPA. 2001.Donor Support for Contraceptives and Condoms for STI/HIV Prevention 2001. New York.

  • UNFPA. 2004.Donor Support for Contraceptives and Condoms for STI/HIV Prevention 2004. New York.

  • Weller, S. and K. Davis. 2002. Condom effectiveness in reducing heterosexual HIV transmission.Cochrane Database of Systematic Reviews 1: CD003255.

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  1. School of Population Health, University of Queensland, Herston Road, 4006, Herston, QLD, Australia

    Timothy Adair

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  1. Timothy Adair
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Correspondence to Timothy Adair.

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Adair, T. Men’s condom use in higher-risk sex: Trends in five sub-Saharan African countries. Journal of Population Research 25, 51–62 (2008). https://doi.org/10.1007/BF03031940

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