title: Pattern of condom use among clients at a Nigerian HIV Counseling and Testing Centre.
abstract: BACKGROUND
  Studies in Nigeria have shown that the main route of HIV transmission is sexual intercourse and that effective condom use protects people against infection. The objective of this study was to determine the pattern of condom use among clients of a friendly HIV Counseling and Testing (HCT) Centre in Osogbo southwestern Nigeria.
  
  
  METHODS
  This was a review of the HCT Centre records from 2006 to 2010 retrieving socio-demographic information, sexual behaviour, condom use and result of HIV testing. Data obtained were analyzed using descriptive and inferential statistics.
  
  
  RESULTS
  One thousand nine hundred and twenty-one client records were reviewed. The mean age of the study population was 35.4 (SD 10.5) years. The majority (53%) of the respondents were females, 232 (12%) were HIV positive, and 38.2% had multiple sexual partners. Only heterosexual vaginal sex was reported among the clients. Overall 45.2% of the clients did not use a condom in their last sexual act. Factors identified to be significantly associated with non-use of condoms were; younger age, having had higher education and positive HIV status.
  
  
  CONCLUSIONS
  Unprotected heterosexual intercourse was common among the study population, indicating a need to step up HIV preventive programme through behavioural change communication strategy.
authors.affiliation: Department of Community Health, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. sanuolowookere@yahoo.com
authors.forename: Samuel A
authors.initials: SA
authors.lastname: Olowookere
authors.forename: Najeemdeen A
authors.initials: NA
authors.lastname: Adeleke
authors.forename: Akinola A
authors.initials: AA
authors.lastname: Fatiregun
authors.forename: Emmanuel A
authors.initials: EA
authors.lastname: Abioye-Kuteyi
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D016009:Chi-Square Distribution; D003151:Community Health Centers; D017280:Condoms / Q000639:trends*; D003376:Counseling / Q000639:trends*; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission / Q000821:virology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009549:Nigeria; D016017:Odds Ratio; D040242:Risk Reduction Behavior; D021841:Safe Sex / Q000706:statistics & numerical data*; D012747:Sexual Partners; D047568:Unsafe Sex / Q000517:prevention & control* / Q000523:psychology; D055815:Young Adult