title: The association between ethnic identity and condom use among young men in the Eastern Cape Province, South Africa.
abstract: This article reports on the association between ethnic identity and condom use among Black African men in the rural areas of the Eastern Cape Province, South Africa. Individual face-to-face structured interviews were conducted by trained community research assistants among 1,656 men who had undergone traditional initiation and male circumcision. Logistic regression analyses were used to explore the association between two components of ethnic identity (cultural affiliation and cultural alienation) and condom use. Overall, 49.2 % of the participants reported using condoms consistently and, of these users, 66.4 % used them correctly. Logistic regression adjusting for age, employment status, education level, and nation of origin showed that participants who expressed high as opposed to low cultural affiliation were significantly more likely to use condoms consistently and correctly when having sex, especially if they reported to have more than one sexual partner. Cultural alienation was negatively related with consistent condom use, whereas its association with correct use was unclear. The findings of this study suggest that positively emphasizing the ethnic identity of African black men may promote condom use.
authors.affiliation: Population Health, Health Systems and Innovation, Human Sciences Research Council, Private Bag X9182, Cape Town, 8000, South Africa, anyembezi@hsrc.ac.za.
authors.forename: Anam
authors.initials: A
authors.lastname: Nyembezi
authors.forename: Ken
authors.initials: K
authors.lastname: Resnicow
authors.forename: Robert A C
authors.initials: RA
authors.lastname: Ruiter
authors.forename: Bart
authors.initials: B
authors.lastname: van den Borne
authors.forename: Sibusiso
authors.initials: S
authors.lastname: Sifunda
authors.forename: Itumeleng
authors.initials: I
authors.lastname: Funani
authors.forename: Priscilla
authors.initials: P
authors.lastname: Reddy
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D012424:Rural Population; D012725:Sexual Behavior / Q000208:ethnology*; D013019:South Africa / Q000208:ethnology; D055815:Young Adult