title: The Risk of Sexually Transmitted Infection and Its Influence on Condom Use among Pregnant Women in the Kintampo North Municipality of Ghana.
abstract: Sexually transmitted infection (STI) affects the reproductive health of both men and women worldwide. Condoms are important part of the available preventive strategies for STI control. The lack of proper risk-perception continues to impede women's ability to negotiate condom use with their partners. This paper is the outcome of secondary analysis of data collected in a cross-sectional survey that explored the perception of risk of STI and its influence on condom use among 504 pregnant women attending antenatal clinic at two health facilities in the Kintampo North Municipality. Consecutively, three Focus Group Discussions were conducted among 22 pregnant women which was analyzed using thematic analysis technique. Multivariate logistic regression analysis was used to identify possible predictors of condom use and risk of STI. Respondents mean age was 26.0 ± 5.9 years. 47% of respondents self-identified themselves as high risk for contracting STI, 50% of whom were married. High risk status (OR = 2.1, 95% CI: 1.1-4.4), ability to ask for condoms during sex (OR = 0.3, 95% CI: 0.1-0.73), and partner's approval of condom use (OR = 0.2, 95% CI: 0.01-0.05) were independent predictors of condom use. Condom use (OR 2.9 (1.5-5.7);p= 0.001) and marital status (engaged, OR 2.6 (1.5-4.5);p= 0.001) were independent predictors of risk of STI. Women who self-identified themselves as high risk for STI successfully negotiated condom use with their partners. This is however influenced by partner's approval and ability to convince partner to use condoms. Self-assessment of STI risk by women and the cooperation of male partners remain critical.
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Martha
authors.identifier: 0000-0002-3469-2610
authors.initials: M
authors.lastname: Ali Abdulai
authors.affiliation: School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti Region, Ghana.
authors.forename: Frank
authors.identifier: 0000-0003-0141-6561
authors.initials: F
authors.lastname: Baiden
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Samuel
authors.initials: S
authors.lastname: Afari-Asiedu
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Gyabaa-Febir
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Kwame Kesse
authors.initials: KK
authors.lastname: Adjei
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Mahama
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Tawiah-Agyemang
authors.affiliation: Ensign College of Public Health, Kpong, Eastern Region, Ghana.
authors.forename: Sam K
authors.initials: SK
authors.lastname: Newton
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Kwaku Poku
authors.initials: KP
authors.lastname: Asante
authors.affiliation: Kintampo Health Research Centre, P.O. Box 200, Kintampo, Brong Ahafo, Ghana.
authors.forename: Seth
authors.initials: S
authors.lastname: Owusu-Agyei