Social and behavioural determinants of consistent condom use among hotel and bar workers in Northern Tanzania

被引:19
|
作者
Ao, T
Sam, N
Manongi, R
Seage, G
Kapiga, S
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Populat & Int Hlth, Boston, MA 02115 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[3] Kilimanjaro Christian Med Coll, Dept Clin Labs, Moshi, Tanzania
[4] Kilimanjaro Christian Med Coll, Dept Community Hlth, Moshi, Tanzania
关键词
HIV/AIDS; condom use; bar and hotel workers; Moshi; Tanzania;
D O I
10.1258/095646203322387956
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Bar and hotel workers (n=519) in Moshi, Tanzania were interviewed to obtain information about potential predictors of condom use. Samples were collected for the diagnosis of sexually transmitted diseases (STDs), including HIV. Consistent condom use was defined as always using condoms with sexual partners in the past five years. Overall consistent condom use in this population was 14.1%. In multivariate analyses, consistent condom use was inversely associated with low condom self-efficacy (adjusted odds ratio [AOR], 0.20; 95% confidence interval (CI), 0.06-0.71), low condom knowledge (AOR, 0.11; Cl, 0.01-0.80), and having more than three children (AOR, 0.23; 95% Cl, 0.09-0.54). Other significant predictors included perceived condom acceptability and using condoms when last exchanged sex for money or gift. These results indicate that increased specific condom knowledge, improved self-efficacy, and reduced social stigma could be effective strategies in the promotion of condom use in this population.
引用
收藏
页码:688 / 696
页数:9
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