Evidence map›Paper›PMID 24725363›Full record

ArticleGlobal health action2014

Inconsistent condom use among Ugandan university students from a gender perspective: a cross-sectional study.

Devika Mehra, Per-Olof Östergren, Björn Ekman, Anette Agardh

Abstract read
In one paragraph

Article in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

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20citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Devika MehraDivision of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden; devika.mehra@med.lu.se.
Per-Olof ÖstergrenDivision of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden.
Björn EkmanDivision of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden.
Anette AgardhDivision of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFeminization of the HIV/AIDS epidemic has been a prominent phenomenon in sub-Saharan Africa. Inconsistent condom use among young people is one of the major risk factors in the continued propagation of the epidemic. Therefore, it is of importance to increase knowledge of gender aspects of condom use among young people.

objectiveTo investigate whether gender differences regarding individual and social factors determine the association between condom efficacy and inconsistent condom use with a new sex partner, among Ugandan university students.

designIn 2010, 1954 Ugandan students participated in a cross-sectional survey, conducted at Mbarara University of Science and Technology in southwestern Uganda. A self-administered questionnaire assessed socio-demographic factors, alcohol consumption, sexual behaviors (including condom use and condom efficacy), and peer norms. The data were stratified by sex and examined by multivariate logistic regression analysis.

resultsA total of 1,179 (60.3%) students reported having had their sexual debut. Of these, 231 (37.4%) males and 209 (49.2%) females reported inconsistent condom use with a new sex partner. Students with low condom efficacy had a higher risk of inconsistent condom use with a new sex partner, even after adjusting for the potential confounders. A synergistic effect was observed between being a female and low condom efficacy with inconsistent condom use.

conclusionThe association between inconsistent condom use and low condom efficacy was found among both males and females, but females were found to be at a higher risk of inconsistent condom use compared to their male counterparts. Therefore, gender power relations should be addressed in policies and interventions aiming at increasing condom use among young people in sub-Saharan settings. Programs could be designed with intervention strategies that focus on interactive and participatory educational activities and youth-friendly counseling of young people, which in turn may improve their interpersonal communication and condom negotiation skills with their partners.

Indexed as

CondomsCross-Sectional StudiesFemaleHumansLogistic ModelsMaleSex FactorsSexual PartnersStudentsSurveys and QuestionnairesUniversitiesYoung Adultcondom efficacycondom usegenderHIVpeer normsUganda

Identifiers

PMID24725363
PMCPMC3984407

What OpenQuestion holds

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.