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Educational level is associated with condom use within non-spousal partnerships in four cities of sub-Saharan Africa

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dc.contributor.author Lagarde, E. en_US
dc.contributor.author Caraël, M. en_US
dc.contributor.author Glynn, J. R. en_US
dc.contributor.author Kanhonou, L. en_US
dc.contributor.author Abega, S. C. en_US
dc.contributor.author Kahindo, M. en_US
dc.contributor.author Musonda, R. en_US
dc.contributor.author Auvert, B. en_US
dc.contributor.author Buvé, A. en_US
dc.date.accessioned 2007-12-06T14:47:25Z
dc.date.available 2007-12-06T14:47:25Z
dc.date.issued 2001 en_US
dc.identifier.issn 0269-9370 en_US
dc.identifier.other ITG-MLA en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other JIF en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/1834
dc.description Not the final published version
dc.description.abstract BACKGROUND: Rates of condom use in sub-Saharan Africa have remained too low to curb HIV/sexually transmitted disease (STD) epidemics. A better understanding of the main determinants of condom use would aid promotion. METHODS: Cross-sectional population surveys were conducted in four cities in sub-Saharan Africa: Yaoundé, Cameroon; Cotonou, Benin; Ndola, Zambia; and Kisumu, Kenya. In each city, the aim was to interview a random sample of 1000 men and 1000 women aged 15--49 years, including questions on characteristics of non-spousal partnerships in the past 12 months. RESULTS: Data on condom use were available for 4624 non-spousal partnerships. In the four cities, the proportion of partnerships in which condoms were used always or most of the time ranged from 23.8 to 33.5% when reported by men and from 10.7 to 25.9% when reported by women. Based on the reports from men, condom use was associated with higher educational level of the male partner in Yaoundé [adjusted odds ratio (aOR) = 1.76] and Ndola (aOR = 2.94) and with higher educational level of the female partner in Cotonou (aOR = 2.36) and Kisumu (aOR = 2.76). Based on the reports from women, condom use was associated with higher educational level of the female partner in Kisumu (aOR = 2.60) and Ndola (aOR = 4.50) and with higher educational level of the male partner in Yaoundé (aOR = 3.32). Associations with other determinants varied across cities and for men and women. CONCLUSIONS: Education was found to be a key determinant of condom use in all four cities. This suggests that educational level increases response to condom promotion and highlights the need for special efforts to reach men and women with low educational attainment. en_US
dc.language English en_US
dc.publisher Lippincott, Williams & Wilkins
dc.subject HIV en_US
dc.subject Viral diseases en_US
dc.subject Epidemiology en_US
dc.subject Condom use en_US
dc.subject Educational status en_US
dc.subject Kenya en_US
dc.subject Africa, East en_US
dc.subject Cameroon en_US
dc.subject Africa, Central en_US
dc.subject Benin en_US
dc.subject Africa, West en_US
dc.subject Zambia en_US
dc.subject Africa, Southern en_US
dc.title Educational level is associated with condom use within non-spousal partnerships in four cities of sub-Saharan Africa en_US
dc.type Article en_US
dc.citation.issue 11 en_US
dc.citation.jtitle AIDS en_US
dc.citation.volume 15 en_US
dc.citation.pages 1399-1408 en_US
dc.publisher.place Philadelphia
dc.contributor.corpauthor Study Group on Heterogeneity of HIV Epidemics in African Cities en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/11504961
dc.citation.jabbreviation AIDS en_US


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