Multiple sexual partners and condom use among 10 - 19 year-olds in four districts in Tanzania: What do we learn?

Exavery, Amon; Lutambi, Angelina Mageni; Mubyazi, Godfrey M.; Kweka, Khadija; Mbaruku, Godfrey; Masanja, Honorati

doi:10.1186/1471-2458-11-490

Cited by 54 publications

(64 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This observation is probably linked to the fact that male respondents are generally more mobile and have more access to information on condoms and the ability to buy condoms (Ochieng et al, 2011). However, our finding is in contrast with previous investigators in Tanzania, who found that condom use was higher among females than males (Exavery et al, 2011). The most important explanatory factor to this observation may be gender power differences in condom use among male and female participants (Prata, Vahidnia, & Fraser, 2005).…”

Section: Discussioncontrasting

confidence: 99%

Correlates of Use of Condoms Among Sexually Active Youth in Southern Highlands, Tanzania

2013

View full text Add to dashboard Cite

Sexual behavior change is a complex issue influenced by complex variables, intrinsic and extrinsic. This study aimed to assess factors influencing actual use of a male condom among secondary school students in southern Tanzania. In all, 227 sexually experienced participants aged 14 to 18 completed a pretested questionnaire. Out of 227 sexually active participants, 120 (53%) reported consistent condom use and (62.5%) had multiple sexual partnerships. Of 120 who reported condom use, 42 (35%) had tested for HIV. Among males, age was positively correlated with actual condom use, while being a Catholic and having multiple concurrent sexual partners were negatively correlated with actual condom use. Among females, being a Protestant was positively related with actual condom use, while being a Catholic, reporting multiple sexual partnerships, and perceived barriers to condom were negatively correlated with actual condom use. In conclusion, sexually active youth in this population practice risky sexual behaviors, with a low proportion of condom use. Efforts are warranted to motivate sexually active youth to engage in HIV prevention, including condom use and HIV testing. (MPH) is a lecturer and research fellow, currently with KCMC-DUKE University AIDS Program, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.Victoria Mwakalo (Bsc Nursing) is a nurse officer, currently with Rungwe District Hospital, Mbeya, Tanzania.Declare Mushi (PhD) is a senior lecturer and research fellow, currently with Kilimanjaro Christian

show abstract

Section: Discussioncontrasting

confidence: 99%

Correlates of Use of Condoms Among Sexually Active Youth in Southern Highlands, Tanzania

2013

View full text Add to dashboard Cite

show abstract

“…Engaging in sexual relationships with multiple partners is a risky behaviour [27] and emphasis has always been centering on condom use at each risky intercourse to ensure protection against STIs including HIV [27,50]. Therefore, it may be because of perceived risk of contracting STIs especially HIV that women with multiple sexual partners were more likely to use condoms.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2012

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…The prevalence of multiple sexual partners among Tanzanian college students was 42%; males were two times more likely to have multiple sexual partners compared to females [12].…”

Section: Introductionmentioning

confidence: 92%

Risky Sexual Practices and Associated Factors for HIV/AIDS Infection among Private College Students in Bahir Dar City, Northwest Ethiopia

2013

View full text Add to dashboard Cite

Background. Adolescents and young adults engage in risky sexual behaviours that may expose them to risk of contracting sexual transmitted diseases. The aim of this study was to assess risky sexual practices and associated factors for HIV/AIDS infection. Methods. A cross-sectional study was conducted in March 2012 among 790 college students. Self-administered questionnaire was used to collect the data. The data were analyzed using univariate, bivariate, and multivariate analyses with SPSS version 16 software package. Results. About 40.6% of sexually active respondents had risky sexual behaviours. Multiple sexual partners and unprotected sex were reported by 45.3% and 38.4% of sexually active respondents. Having multiple sexual partners was associated with alcohol use (AOR = 3.20; 95% CI: 2.02-5.08) and having a close friend who started sex (AOR = 5.99; 95% CI: 3.66-9.81). Unprotected sex was associated with marital status (AOR = 2.68; 95% CI: 1.55-4.64), alcohol intake (AOR = 2.19; 95% CI: 1.36-3.54), and frequency of visiting night clubs (AOR = 0.25; 95% CI: 0.12-0.52) for those who visit occasionally and (AOR = 0.45; 95% CI: (0.21-0.97) for those who visited at least once a week. Conclusion. Large proportions of students engaged in risky sexual behaviours and various risk factors were associated with risky sexual behaviours. Therefore, interventions targeting on alcohol intake, peer pressure, and attending night clubs are recommended.

show abstract

Multiple sexual partners and condom use among 10 - 19 year-olds in four districts in Tanzania: What do we learn?

Cited by 54 publications

References 22 publications

Correlates of Use of Condoms Among Sexually Active Youth in Southern Highlands, Tanzania

Correlates of Use of Condoms Among Sexually Active Youth in Southern Highlands, Tanzania

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

Risky Sexual Practices and Associated Factors for HIV/AIDS Infection among Private College Students in Bahir Dar City, Northwest Ethiopia

Contact Info

Product

Resources

About