Determinants of consistent condom use vary by partner type among young men in Kisumu, Kenya: a multi-level data analysis.
To evaluate whether determinants of consistent condom use vary by partner type among young sexually active Kenyan men, we conducted a cross-sectional assessment of lifetime sexual histories from a sub-sample of men enrolled in a clinical trial of male circumcision. 7913 partnerships of 1370 men were analyzed. 262 men (19%) reported never, 1018 (74%) sometimes and 92 (7%) always using a condom with their partners. Condoms were always used in 2672 (34%) of the total relationships-212 (70%) of the relationships with sex workers, 1643 (40%) of the casual and 817 (23%) of the regular/marital relationships. Factors influencing condom use varied significantly by partner type, suggesting that HIV prevention messages promoting condom use with higher-risk partners have achieved a moderate level of acceptance. However, in populations of young, single men in generalized epidemic settings, interventions should promote consistent condom use in all sexual encounters, independently of partner type and characteristics.
Westercamp
Nelli
N
Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA. nweste1@uic.edu
Mattson
Christine L
CL
Madonia
Michelle
M
Moses
Stephen
S
Agot
Kawango
K
Ndinya-Achola
Jeckoniah O
JO
Otieno
Evans
E
Ouma
Nicholas
N
Bailey
Robert C
RC
D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D007407:Interviews as Topic; D007630:Kenya / Q000453:epidemiology; D008297:Male; D011939:Mental Recall; D055361:Multilevel Analysis; D011594:Psychometrics; D012307:Risk Factors; D011477:Sex Work; D012725:Sexual Behavior; D012747:Sexual Partners; D055815:Young Adult
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