title: Determinants of consistent condom use vary by partner type among young men in Kisumu, Kenya: a multi-level data analysis.
abstract: 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.
authors.affiliation: Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA. nweste1@uic.edu
authors.forename: Nelli
authors.initials: N
authors.lastname: Westercamp
authors.forename: Christine L
authors.initials: CL
authors.lastname: Mattson
authors.forename: Michelle
authors.initials: M
authors.lastname: Madonia
authors.forename: Stephen
authors.initials: S
authors.lastname: Moses
authors.forename: Kawango
authors.initials: K
authors.lastname: Agot
authors.forename: Jeckoniah O
authors.initials: JO
authors.lastname: Ndinya-Achola
authors.forename: Evans
authors.initials: E
authors.lastname: Otieno
authors.forename: Nicholas
authors.initials: N
authors.lastname: Ouma
authors.forename: Robert C
authors.initials: RC
authors.lastname: Bailey
mesh_terms: 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
references.citation: AIDS. 1998 Oct 1;12(14):1899-906
references.pmid: 9792391
references.citation: Sex Transm Dis. 2002 Jan;29(1):13-9
references.pmid: 11773873
references.citation: AIDS. 1999 Jul 30;13(11):1397-405
references.pmid: 10449294
references.citation: Am J Public Health. 2007 Jun;97(6):997-1005
references.pmid: 17463366
references.citation: Int Fam Plan Perspect. 2005 Mar;31(1):6-14
references.pmid: 15888404
references.citation: AIDS Care. 2005 May;17(4):457-65
references.pmid: 16036231
references.citation: AIDS Care. 2006 Jul;18(5):479-88
references.pmid: 16777640
references.citation: J Stud Alcohol. 2000 May;61(3):413-9
references.pmid: 10807212
references.citation: AIDS. 2001 Jul 27;15(11):1399-408
references.pmid: 11504961
references.citation: Sex Transm Dis. 2002 Mar;29(3):133-43
references.pmid: 11875374
references.citation: Psychol Bull. 1999 Jan;125(1):90-132
references.pmid: 9990846
references.citation: Lancet. 2007 Feb 24;369(9562):643-56
references.pmid: 17321310
references.citation: Bull World Health Organ. 1999;77(11):888-94
references.pmid: 10612884
references.citation: AIDS Educ Prev. 2001 Oct;13(5):413-27
references.pmid: 11718441
references.citation: Lancet. 2004 Jul 3-9;364(9428):4-6
references.pmid: 15234834
references.citation: BMC Public Health. 2005 Jan 21;5:8
references.pmid: 15663784
references.citation: Int J STD AIDS. 2001 Jun;12(6):365-75
references.pmid: 11368817
references.citation: Patient Educ Couns. 1994 Dec;24(3):199-216
references.pmid: 7753715
references.citation: AIDS Educ Prev. 2001 Jun;13(3):252-67
references.pmid: 11459361
references.citation: J Adolesc Health. 2003 Apr;32(4):296-305
references.pmid: 12667734
references.citation: Arch Sex Behav. 2006 Jun;35(3):327-45
references.pmid: 16799837
references.citation: Stud Fam Plann. 2004 Mar;35(1):39-47
references.pmid: 15067787
references.citation: Contraception. 2000 Dec;62(6):315-9
references.pmid: 11239619
references.citation: J Assoc Nurses AIDS Care. 2000 Jul-Aug;11(4):46-54
references.pmid: 10911593
references.citation: Int J STD AIDS. 2003 Sep;14(9):584-90
references.pmid: 14511493
references.citation: Int Fam Plan Perspect. 2004 Sep;30(3):118-27
references.pmid: 15381466
references.citation: AIDS Behav. 2007 May;11(3):463-70
references.pmid: 17096198
references.citation: Int Fam Plan Perspect. 2005 Mar;31(1):24-9
references.pmid: 15888406
references.citation: AIDS. 2008 Mar 12;22(5):617-24
references.pmid: 18317003
references.citation: AIDS Care. 2006 Jul;18(5):505-13
references.pmid: 16777644
references.citation: AIDS. 2000 Mar 31;14(5):537-46
references.pmid: 10780716
references.citation: Sex Transm Infect. 2003 Jun;79(3):197-201
references.pmid: 12794201
references.citation: J Infect Dis. 1996 Oct;174 Suppl 2:S240-7
references.pmid: 8843254
references.citation: J Acquir Immune Defic Syndr. 2003 Aug 1;33(4):526-35
references.pmid: 12869843
references.citation: Am J Epidemiol. 1998 Apr 1;147(7):694-703
references.pmid: 9554609
references.citation: Sex Transm Infect. 2004 Dec;80(6):430-4
references.pmid: 15572608
references.citation: Stud Fam Plann. 2006 Mar;37(1):29-40
references.pmid: 16570728
references.citation: Sex Transm Infect. 2006 Jun;82(3):238-42
references.pmid: 16731677
references.citation: AIDS. 2001 Aug;15 Suppl 4:S51-60
references.pmid: 11686466
references.citation: J Adolesc Health. 2006 Sep;39(3):443.e1-7
references.pmid: 16919809
references.citation: Sex Transm Infect. 2004 Dec;80(6):435-9
references.pmid: 15572609
references.citation: Aust N Z J Public Health. 2003;27(2):223-9
references.pmid: 14696715