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Patterns of condom use in urban males in Zimbabwe

Evidence from 4,600 sexual contacts

Bibliographic Data

ID19439822
AuthorsDominique Meekers (0000-0002-7281-3217, Tulane University, corresponding author)
Year2003
Volume15
Issue3
Pages291-301
Publication date2003-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0954012031000105351
PMID12745397
OpenAlexW1978735856
LanguageEN
Citations received4
References cited6

The objective of this paper is to get detailed information on the dynamics of condom use with various partner types, including consistency of use, and to estimate the frequency of unprotected intercourse. The study is based on a prospective cohort study of 222 urban workers in urban Zimbabwe. Respondents' sexual behaviour and condom use were tracked for a period of six weeks using daily interviewer-administered questionnaires. In total, the observation period covers 9324 person-days, during which 4601 sexual contacts were reported. The results indicate that most sexual encounters with casual partners are protected, and condom use with these partners is very consistent. However, although the majority of sex acts with regular non-marital partners are protected, only four out of ten men with regular partners used condoms consistently. Because many men have both regular and casual partners, fewer than one in seven males used condoms in all their sex acts. We estimate that nearly half of all males have more than 85 unprotected sex acts per year. Although many of these acts are with spouses, who have comparatively low risk, we estimate that about one in five men have 25 or more unprotected acts with regular non-marital partners annually. WI conclude that regular partners are likely to be a major source of HIV transmission in Zimbabwe, partly because condom use is inconsistent and partly because they account for a large share of all sex acts. Given that over one in four adults in the general population are HIV-positive, and that some studies show that married persons have the highest HIV prevalence, it is important for future HIV programmes to focus on increasing levels of protection with regular partners

Casual · Condom · Developed country · Family medicine · Family planning · Population · Research methodology · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues

  • Determinants of Condom Use Among Youth in Madagascar

    Open Access•Dominique Meekers, Martha Silva et al.•Journal of Biosocial Science•2006

  • Factors associated with inconsistent condom use in adolescents with negative or unknown HIV status in Northwest Cameroon

    Lee Morris, Francine Kouya et al.•AIDS Care•2014

  • Relationship type, condom use and HIV/Aids risks among men who have sex with men in six Chinese cities

    T S K Kong, Karen J Laidler et al.•AIDS Care•2012

  • Heterogeneous Condom Use in Contemporary Russia

    Open Access•T P Gerber, Danielle Berman•Studies in Family Planning•2008

  • Acceptability of the female condom in Zimbabwe

    Sunanda Ray, Mary T Bassett et al.•Reproductive Health Matters•1995

  • Knowledge, attitudes and beliefs about HIV infection and Aids among healthy factory workers and their wives, Kinshasa, Zaire

    Open Access•Kathleen L Irwin, Kathleen Irwin et al.•Social Science & Medicine•1991

Unique citing works4
Citations per year0.2
Citation span2006 - 2014 (9)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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