These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Determinants of high-risk sexual behaviour and condom use among adults in the Arusha region, Tanzania.
    Author: Mnyika KS, Klepp KI, Kvåle G, Ole-Kingóri N.
    Journal: Int J STD AIDS; 1997 Mar; 8(3):176-83. PubMed ID: 9089028.
    Abstract:
    Determinants of multiple sexual partners and condom use among adults were assessed through a population-based survey in one urban, one semi-urban and one rural community in the Arusha region, northern Tanzania. The study samples were obtained by randomly selecting clusters of 10 households from the 3 communities. Informed verbal consent was sought from each respondent for participation in the study. High-risk sexual behaviours and condom use were assessed using a structured questionnaire. It was observed that significantly more men than women reported having multiple sexual partners (49% vs 25.2%; OR = 1.69; 95% CI = 1.51-1.90) and urban men were significantly more likely to report having multiple sexual partners than men in rural areas. In both men and women, early sexual debut was associated with having multiple sexual partners while travel, alcohol use, and sex under the influence of alcohol were significantly associated with multiple sexual partners in men only. AIDS-related discussion was significantly associated with having fewer sexual partners in both men and women. Of the 1551 respondents, 320 (20.6%) reported having ever used a condom and of the 320 respondents who had ever used a condom, 34 (10.6%) reported having used it at the last sexual intercourse. Significantly more men than women reported having ever used a condom (34.1% vs 14.1%; OR = 1.77; 95% CI = 1.56-2.01). In both men and women, early sexual debut and being young, unmarried, travelling out of the Arusha region and having multiple sexual partners were associated with increased condom use. For both men and women, frequent discussion of AIDS with family members or friends was associated with increased condom use. These data suggest that interventions targeting adolescents and young adults may be effective for control of HIV transmission in Tanzania. In particular, creation of opportunities for people to come together and discuss AIDS might be an important strategy. 1551 adults aged 15-54 years responded to survey questions between January 1993 and March 1994 designed to assess the determinants of their multiple sex partner behavior and condom use. Study participants were randomly selected from Matufa rural village, Babati semi-urban, and Unga limited in the Arusha region of northern Tanzania. 49% of men compared to 25.2% of women reported having multiple sex partners, with urban men being significantly more likely to report having multiple sex partners than men in rural areas. Among both men and women, early sexual debut was associated with having multiple sex partners, while travel, alcohol use, and sex under the influence of alcohol were significantly associated with multiple sex partners among men only. AIDS-related discussion was significantly associated with having fewer sex partners among both men and women. 320 respondents reported ever having used a condom, 34 indicating such use during their most recent sexual intercourse. 34.1% of men and 14.1% of women reported ever using a condom. For both men and women, early sexual debut and being young, unmarried, travelling out of the Arusha region, and having multiple sex partners were associated with increased condom use. The frequent discussion of AIDS with family members or friends was also associated with increased condom use. Creating opportunities for people to come together and discuss AIDS may help limit the spread of HIV in Tanzania.
    [Abstract] [Full Text] [Related] [New Search]