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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Gender differences in determinants of condom use among HIV clients in Uganda
AIDS Patient Care and STDs, Volume 26, No. 11, Year 2012
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Description
Little research has examined gender differences in reporting of condom use, which is the goal of our analysis. A baseline study was conducted in two urban clinics and we examined data from sexually active clients entering HIV care who enrolled in a prospective longitudinal cohort study. The primary outcome was consistent condom use and determinant variables were demographics, physical health and immune status, economic well-being, relationship characteristics, psychosocial functioning, and self-efficacy. Of 280 participants, 129 were males and 151 females, and 41.7% had at least some secondary education; 60.7% did not always use condoms. Nearly half (48.1%) of men reported always using condoms compared to 31.8% of females. In bivariate analyses, men who consistently use condoms were more likely to be working, have a primary partner who was HIV negative, to have disclosed their HIV status to their primary partner, and to have higher general self-efficacy and condom use self-efficacy compared to men who did not always use condoms. Higher general self-efficacy and condom use self-efficacy were the only variables associated with reported consistent condom use among women. In regression analysis, working in the last 7 days, general self efficacy, and condom use self-efficacy were associated with consistent condom use among men. These findings reveal low rates of consistent condom use among people living with HIV, and a gender difference with men more likely to report consistent condom use. These data suggest the need for gender sensitive prevention programs and strategies, including programs that can provide women with greater control and self-efficacy regarding use of protective methods. © 2012 Copyright Mary Ann Liebert, Inc.
Authors & Co-Authors
Walusaga, Happy Annet Gasaatura
Uganda, Kampala
Mulago Tertiary Teaching Hospital
Kyohangirwe, Rossette
Uganda, Kampala
Mulago Tertiary Teaching Hospital
Wagner, Glenn J.
United States, Santa Monica
Rand Corporation
Statistics
Citations: 26
Authors: 3
Affiliations: 2
Identifiers
Doi:
10.1089/apc.2012.0208
ISSN:
10872914
e-ISSN:
15577449
Research Areas
Infectious Diseases
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Uganda
Participants Gender
Male
Female