Factors associated with consistent condom use among rural young women in South Africa

Bibliographic Data

ID19439358
AuthorsNwabisa Shai (0000-0003-4171-9129, South African Medical Research Council, corresponding author), Nwabisa Jama Shai (a Gender and Health Research Unit , Medical Research Council , P/Bag x 385, Pretoria , 0001 , South Africa), Rachel Jewkes (0000-0002-4330-6267, South African Medical Research Council), Jonathan Levin (0000-0002-6177-614X, South African Medical Research Council), Phumzile Hlongwa (0000-0002-8052-9275, b Biostatistics Unit , Medical Research Council , Pretoria , South Africa), Kristin Dunkle (0000-0003-3071-5544, Emory University), Mzikazi Nduna (0000-0001-5091-8862, d Department of Psychology , University of Witwatersrand , Johannesburg , South Africa)
Year2010
Volume22
Issue11
Pages1379-1385
Publication date2010-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121003758465
PMID20730637
OpenAlexW1975665609
LanguageEN
Citations received28
References cited26

Despite high levels of awareness of HIV, condom use, particularly consistent use, is suboptimal among young South African women. This paper aims to investigate the factors associated with both any condom use and consistent use by young rural women. In this study 1204 sexually active female volunteers, aged 15-26 years, were selected using a two-stage procedure in which firstly 70 clusters were selected and thereafter up to 20 women per cluster were selected, to participate in a cluster randomised controlled trial of an HIV behavioural intervention. This study is analysing cross-sectional data from a baseline survey thus no causal inferences can be drawn. A structured questionnaire was administered at a baseline interview. An estimated 19.9% of young women reported consistent condom use in the 12 months before the interview, while 44.5% reported inconsistent use. Any condom use was associated with higher condom use self-efficacy (adjusted odds ratio (aOR) 1.59; 95% CI 1.41, 1.77), less association of trust with suggested condom use (aOR 0.86; 95% CI 0.82, 0.91), knowing one's HIV status (aOR 2.86; 95% CI 1.52, 5.39) and having a more educated mother (aOR 1.71; 95% CI 1.26, 2.33). Having had just one partner was associated with a lesser likelihood of any condom use (aOR 0.14; 95% CI 0.10, 0.20). Consistent use, compared with inconsistent use, was associated with having just one partner (aOR 3.25; 95% CI 2.23, 4.73), less relationship conflict (aOR 0.84; 95% CI 0.75, 0.91) and higher gender equity in relationships with a male partner (aOR 1.43; 95% CI 1.15, 1.77). Our findings suggest that gender equity, monogamy and harmonious relationships play a positive role in enabling women to reduce their risk for HIV infection. Such aspects of relationship context could form a significant part of the progressive strategies required for HIV-prevention interventions to be successful

Condom · Family medicine · Logistic regression · Odds · Odds ratio · Psychiatry · Psychological intervention · Young adult · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Gerontology

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