Men's condom use in higher-risk sex: Trends in five sub-Saharan African countries

This paper analyses trends in men's condom use at last higher-risk sex (i.e., with a non-marital, non-cohabiting partner) using the two most recent Demographic and Health Surveys (DHS) in five sub-Saharan African countries: Cameroon, Kenya, Tanzania, Zambia and Burkina Faso. Condom use is an important method of preventing HIV transmission. Encouragingly, higher-risk sex has declined in four of the five countries, while condom use rose substantially in Cameroon, Tanzania and Burkina Faso but only had a minor increase in Kenya and Zambia, where use at last higher-risk sex remains below 50 per cent. There are no clear patterns of change across countries in the predictive strength of the explanatory variables between the two most recent surveys, although evidence of a widening gap in use by education in Cameroon is identified. In each country, lack of education remains a strong barrier to condom use in higher-risk sex.