Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

Amon Exavery; Almamy M. Kanté; Elizabeth Jackson; John Noronha; Gloria Sikustahili; Kassimu Tani; Hildegalda P. Mushi; Colin Baynes; Kate Ramsey; Ahmed Hingora; James F. Phillips

doi:10.1186/1471-2458-12-1097

Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

Amon Exavery, Almamy M. Kanté, Elizabeth Jackson, John Noronha, Gloria Sikustahili, Kassimu Tani, Hildegalda P. Mushi, Colin Baynes, Kate Ramsey, Ahmed Hingora, James F. Phillips

Research output: Contribution to journal › Article › peer-review

39 Scopus citations

Abstract

Background: HIV/AIDS remains being a disease of great public health concern worldwide. In regions such as sub-Saharan Africa (SSA) where women are disproportionately infected with HIV, women are reportedly less likely capable of negotiating condom use. However, while knowledge of condom use for HIV prevention is extensive among men and women in many countries including Tanzania, evidence is limited about the role of condom negotiation on condom use among women in rural Tanzania. Methods. Data originate from a cross-sectional survey of random households conducted in 2011 in Rufiji, Kilombero and Ulanga districts in Tanzania. The survey assessed health-seeking behaviour among women and children using a structured interviewer-administered questionnaire. A total of 2,614 women who were sexually experienced and aged 15-49 years were extracted from the main database for the current analysis. Linkage between condom negotiation and condom use at the last sexual intercourse was assessed using multivariate logistic regression. Results: Prevalence of condom use at the last sexual intercourse was 22.2% overall, ranging from12.2% among married women to 54.9% among unmarried (single) women. Majority of the women (73.4%) reported being confident to negotiate condom use, and these women were significantly more likely than those who were not confident to have used a condom at the last sexual intercourse (OR = 3.13, 95% CI 2.22-4.41). This effect was controlled for marital status, age, education, religion, number of sexual partners, household wealth and knowledge of HIV prevention by condom use. Conclusion: Confidence to negotiate condom use is a significant predictor of actual condom use among women in rural Tanzania. Women, especially unmarried ones, those in multiple partnerships or anyone needing protection should be empowered with condom negotiation skills for increased use of condoms in order to enhance their sexual and reproductive health outcomes.

Original language	English (US)
Article number	1097
Journal	BMC public health
Volume	12
Issue number	1
DOIs	https://doi.org/10.1186/1471-2458-12-1097
State	Published - 2012
Externally published	Yes

Keywords

Condom negotiation
Condom use
Rural Tanzania
Women

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

Access to Document

10.1186/1471-2458-12-1097

Cite this

@article{ce8ecea906fa486c9c77145d05fbb2ef,

title = "Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania",

abstract = "Background: HIV/AIDS remains being a disease of great public health concern worldwide. In regions such as sub-Saharan Africa (SSA) where women are disproportionately infected with HIV, women are reportedly less likely capable of negotiating condom use. However, while knowledge of condom use for HIV prevention is extensive among men and women in many countries including Tanzania, evidence is limited about the role of condom negotiation on condom use among women in rural Tanzania. Methods. Data originate from a cross-sectional survey of random households conducted in 2011 in Rufiji, Kilombero and Ulanga districts in Tanzania. The survey assessed health-seeking behaviour among women and children using a structured interviewer-administered questionnaire. A total of 2,614 women who were sexually experienced and aged 15-49 years were extracted from the main database for the current analysis. Linkage between condom negotiation and condom use at the last sexual intercourse was assessed using multivariate logistic regression. Results: Prevalence of condom use at the last sexual intercourse was 22.2% overall, ranging from12.2% among married women to 54.9% among unmarried (single) women. Majority of the women (73.4%) reported being confident to negotiate condom use, and these women were significantly more likely than those who were not confident to have used a condom at the last sexual intercourse (OR = 3.13, 95% CI 2.22-4.41). This effect was controlled for marital status, age, education, religion, number of sexual partners, household wealth and knowledge of HIV prevention by condom use. Conclusion: Confidence to negotiate condom use is a significant predictor of actual condom use among women in rural Tanzania. Women, especially unmarried ones, those in multiple partnerships or anyone needing protection should be empowered with condom negotiation skills for increased use of condoms in order to enhance their sexual and reproductive health outcomes.",

keywords = "Condom negotiation, Condom use, Rural Tanzania, Women",

author = "Amon Exavery and Kant{\'e}, {Almamy M.} and Elizabeth Jackson and John Noronha and Gloria Sikustahili and Kassimu Tani and Mushi, {Hildegalda P.} and Colin Baynes and Kate Ramsey and Ahmed Hingora and Phillips, {James F.}",

note = "Funding Information: We sincerely thank the study participants, field data collectors and district councils for their cooperation during initial preparations through field data collection. The Doris Duke Charitable Foundation (DDCF) is especially acknowledged for funding the Connect project from which this paper emanates. Frederick Masanja, Ruth Wilson and Dominick Mboya, and all Connect team members are greatly acknowledged for different roles everyone played during the field data collection and general implementation of the Connect project.",

year = "2012",

doi = "10.1186/1471-2458-12-1097",

language = "English (US)",

volume = "12",

journal = "BMC public health",

issn = "1471-2458",

publisher = "BioMed Central",

number = "1",

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T1 - Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

AU - Exavery, Amon

AU - Kanté, Almamy M.

AU - Jackson, Elizabeth

AU - Noronha, John

AU - Sikustahili, Gloria

AU - Tani, Kassimu

AU - Mushi, Hildegalda P.

AU - Baynes, Colin

AU - Ramsey, Kate

AU - Hingora, Ahmed

AU - Phillips, James F.

N1 - Funding Information: We sincerely thank the study participants, field data collectors and district councils for their cooperation during initial preparations through field data collection. The Doris Duke Charitable Foundation (DDCF) is especially acknowledged for funding the Connect project from which this paper emanates. Frederick Masanja, Ruth Wilson and Dominick Mboya, and all Connect team members are greatly acknowledged for different roles everyone played during the field data collection and general implementation of the Connect project.

PY - 2012

Y1 - 2012

N2 - Background: HIV/AIDS remains being a disease of great public health concern worldwide. In regions such as sub-Saharan Africa (SSA) where women are disproportionately infected with HIV, women are reportedly less likely capable of negotiating condom use. However, while knowledge of condom use for HIV prevention is extensive among men and women in many countries including Tanzania, evidence is limited about the role of condom negotiation on condom use among women in rural Tanzania. Methods. Data originate from a cross-sectional survey of random households conducted in 2011 in Rufiji, Kilombero and Ulanga districts in Tanzania. The survey assessed health-seeking behaviour among women and children using a structured interviewer-administered questionnaire. A total of 2,614 women who were sexually experienced and aged 15-49 years were extracted from the main database for the current analysis. Linkage between condom negotiation and condom use at the last sexual intercourse was assessed using multivariate logistic regression. Results: Prevalence of condom use at the last sexual intercourse was 22.2% overall, ranging from12.2% among married women to 54.9% among unmarried (single) women. Majority of the women (73.4%) reported being confident to negotiate condom use, and these women were significantly more likely than those who were not confident to have used a condom at the last sexual intercourse (OR = 3.13, 95% CI 2.22-4.41). This effect was controlled for marital status, age, education, religion, number of sexual partners, household wealth and knowledge of HIV prevention by condom use. Conclusion: Confidence to negotiate condom use is a significant predictor of actual condom use among women in rural Tanzania. Women, especially unmarried ones, those in multiple partnerships or anyone needing protection should be empowered with condom negotiation skills for increased use of condoms in order to enhance their sexual and reproductive health outcomes.

AB - Background: HIV/AIDS remains being a disease of great public health concern worldwide. In regions such as sub-Saharan Africa (SSA) where women are disproportionately infected with HIV, women are reportedly less likely capable of negotiating condom use. However, while knowledge of condom use for HIV prevention is extensive among men and women in many countries including Tanzania, evidence is limited about the role of condom negotiation on condom use among women in rural Tanzania. Methods. Data originate from a cross-sectional survey of random households conducted in 2011 in Rufiji, Kilombero and Ulanga districts in Tanzania. The survey assessed health-seeking behaviour among women and children using a structured interviewer-administered questionnaire. A total of 2,614 women who were sexually experienced and aged 15-49 years were extracted from the main database for the current analysis. Linkage between condom negotiation and condom use at the last sexual intercourse was assessed using multivariate logistic regression. Results: Prevalence of condom use at the last sexual intercourse was 22.2% overall, ranging from12.2% among married women to 54.9% among unmarried (single) women. Majority of the women (73.4%) reported being confident to negotiate condom use, and these women were significantly more likely than those who were not confident to have used a condom at the last sexual intercourse (OR = 3.13, 95% CI 2.22-4.41). This effect was controlled for marital status, age, education, religion, number of sexual partners, household wealth and knowledge of HIV prevention by condom use. Conclusion: Confidence to negotiate condom use is a significant predictor of actual condom use among women in rural Tanzania. Women, especially unmarried ones, those in multiple partnerships or anyone needing protection should be empowered with condom negotiation skills for increased use of condoms in order to enhance their sexual and reproductive health outcomes.

KW - Condom negotiation

KW - Condom use

KW - Rural Tanzania

KW - Women

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Role of condom negotiation on condom use among women of reproductive age in three districts in Tanzania

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Keywords

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