title: Condom use for preventing STI/HIV and unintended pregnancy among young men in Sub-Saharan Africa.
abstract: The condom is the only known method that provides simultaneous protection against unplanned pregnancy and some sexually transmitted infections (STIs), including HIV, among sexually active people. Using data from the Demographic and Health Surveys from 18 Sub-Saharan African countries, this study examined condom use and reasons for using the method at last intercourse among sexually active young men aged 15 to 29. Most young men were aware of the condom (73%-98%), but its use at last intercourse was quite variable, ranging from 6% in Madagascar to 74% in Namibia. In 10 countries, more young men reportedly used condoms for preventing STIs alone than they did for preventing pregnancy alone. In 6 countries, at least one third of the users used the method for both purposes. Use of the condom at last intercourse was associated with union status, education, residence, and exposure to television in at least two thirds of the countries.
authors.affiliation: Guttmacher Institute, 125 Maiden Lane, New York, NY 10038, USA. abankole@guttmacher.org
authors.forename: Akinrinola
authors.initials: A
authors.lastname: Bankole
authors.forename: Susheela
authors.initials: S
authors.lastname: Singh
authors.forename: Rubina
authors.initials: R
authors.lastname: Hussain
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Oestreicher
mesh_terms: D017954:Africa South of the Sahara / Q000453:epidemiology; D000367:Age Factors; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data*; D003906:Developing Countries; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D008297:Male; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D012189:Retrospective Studies; D018570:Risk Assessment; D021841:Safe Sex / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000208:ethnology; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control*; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult