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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(3
): e0172062
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Why don t urban youth in Zambia use condoms? The influence of gender and marriage
on non-use of male condoms among young adults
#MMPMID28333963
PLoS One
2017[]; 12
(3
): e0172062
PMID28333963
show ga
BACKGROUND: Zambia experiences high unmet need for family planning and high rates
of HIV, particularly among youth. While male condoms are widely available and 95%
of adults have heard of them, self-reported use in the past 12 months is low
among young adults (45%). This study describes factors associated with non-use of
male condoms among urban young adults in Zambia. METHODS: A household
cross-sectional survey in four urban districts was conducted from November 2015
to January 2016 among sexually active young adults ages 18-24 years. A random
walk strategy was implemented in urban areas; eligible, enrolled participants
were administered a survey on household characteristics, health access, and
knowledge, attitudes and practices related to contraception. Relative risk
regression models were built to determine factors associated with the decision to
not use a male condom (non-use) at most recent sexual intercourse. RESULTS: A
total of 2,388 individuals were interviewed; 69% were female, 35% were married,
and average lifetime sex partners was 3.45 (SDą6.15). Non-use of male condoms was
59% at most recent sexual intercourse. In a multivariate model, women were more
likely to report non-use of a male condom compared with men (aRR = 1.24 [95% CI:
1.11, 1.38]), married individuals were more likely to report non-use compared
with unmarried individuals (aRR = 1.59 [1.46, 1.73]), and those residing in the
highest poverty wards were more likely to report non-use compared with those in
the lowest poverty wards (aRR = 1.31 [1.16, 1.48]). Those with more negative
perceptions of male condom use were 6% more likely to report non-use (aRR = 1.06
[1.03, 1.09]). Discussion regarding contraception with a partner decreased
non-use 13% (aRR = 0.87 [0.80, 0.95]) and agreement regarding male condom use
with a partner decreased non-use 16% (aRR = 0.84 [0.77, 0.91)]). DISCUSSION:
Non-use of male condoms is high among young, married adults, particularly women,
who may be interested in contraception for family planning but remain at risk of
STI infection. Effective marketing strategy of dual protection methods to this
population is critical.